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在COVID-19大流行期间,英格兰的避孕药处方
Tanha Begum1, Emer Cullen2, Malcolm Moffat3
1School of Pharmacy, Newcastle University, Newcastle upon Tyne, UK.
BMJ sexual & reproductive health
|October 18, 2023
概括
由于COVID-19的封锁,英格兰的避孕药处方减少,口服避孕,注射和紧急激素避孕药处方减少. 孕激素单药处方增加,而社会经济贫困并没有显著影响这些趋势.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 流行病学 流行病学
背景情况:
- 由于COVID-19大流行,英格兰需要进行国家封锁,这大大改变了医疗保健的提供.
- 负责大多数避孕药处方的初级保健机构在服务提供方面经历了快速变化.
研究的目的:
- 在COVID-19流行病的第一年,分析英语初级保健中的避孕药处方趋势.
- 评估社会经济贫困对这些处方模式的影响.
主要方法:
- 使用的英语处方数据集用于2019年3月至2020年2月和2020年3月至2021年2月期间.
- 根据地理区域和避孕类型 (POP,COC,EHC,注射) 分析了处方数据.
- 雇员Poisson回归用于利率差异和Pearson相关性用于多重剥夺指数 (IMD) 和在NENC中规定利率.
主要成果:
- 在大流行期间,总体避孕药处方率下降 (β=-0.035),在所有四个地区都有显著下降.
- 联合口服避孕 (COC),避孕注射和紧急激素避孕 (EHC) 的处方减少.
- 仅用孕激素药片 (POP) 的处方率略有增加 (β=0.050);在NENC中,IMD和处方率之间观察到微弱的正相关性.
结论:
- COVID-19显著影响了避孕措施的提供,导致处方率的总体减少.
- 社会经济贫困似乎不是观察到的处方减少的主要因素.
- 需要进一步的研究来了解这些转变,并确保服务有效地满足人口需求.
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