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Bianca A Allison¹, Lindsey Yates², Ananya Tadikonda³

¹Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina.

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

|October 10, 2023

概括

单次访问的长效可逆避孕 (LARC) 访问在COVID-19之前和期间保持相似. 然而,公共保险和非OB/GYN提供者等因素与青少年中LARC吸收减少有关.

科学领域:

生殖健康生殖健康
公共卫生公共卫生
青少年医学青少年医学

背景情况:

单次访问的长效可逆避孕 (LARC) 为青少年提供了一种经济有效且方便的方法.
在公共卫生危机期间了解LARC的访问对于确保持续的生殖健康护理至关重要.
COVID-19大流行大大改变了医疗保健的提供,需要对其对青少年LARC服务的影响进行审查.

研究的目的:

为了比较在COVID-19大流行之前和期间青少年中单次访问LARC安置的发生率.
为了确定这些时期与一次性访问LARC安置相关的患者和提供者特征.
评估由疫情加剧的LARC访问中的潜在差异.

主要方法:

追溯性队列研究,利用来自大型医疗保健系统的电子健康记录.
分析包括10至19岁的青少年,他们在2019年3月至2021年3月期间接受了门诊LARC.
使用后勤回归模型来确定影响单次访问LARC安置的因素.

主要成果:

单次访问LARC的总体发病率在流行病前 (63.0%) 和流行病期间 (57.1%) 是可比的,没有统计学上显著的差异.
患者居住县和设施位置之间的一致性与单次访问LARC的更高概率有关.
在大流行期间,公共保险,非产科医生/妇科医生提供者 (儿科,家庭医学,内科) 和高级实践从业者与单次访问LARC的几率降低有关.

结论:

在青少年中,一次性LARC的发病率在流行病前和流行病早期期间没有显著变化.
某些因素,包括保险类型和提供者专业,与大流行期间对一次性访问LARC的差异性访问有关.
调查结果强调需要有针对性的干预措施,以确保所有青少年群体平等获得LARC,特别是在公共卫生紧急情况下.

关键词:

在 COVID-19 疫情中,这是一种避孕植入物.产子宫内器械是什么意思长期起作用的可逆避孕方法一次性访问一次性访问

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