根据肯尼亚的秘密使用状况,分别停止使用
Dana Sarnak1, Shannon N Wood1, Phil Anglewicz1
1Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Contraception: X
|November 6, 2023
概括
隐蔽避孕使用者面临更高的戒断风险,特别是在两年后. 增加支持和咨询对于这些人来说至关重要,以确保继续获得生殖健康服务.
科学领域:
- 生殖健康 生殖健康
- 避孕研究研究 避孕研究
- 社会医学科学 社会医学科学
背景情况:
- 定性研究表明,隐蔽的避孕药使用者可能会因为谨慎和披露恐惧而停止使用避孕方法.
- 这项研究量化了隐蔽与公开避孕药使用者的戒断率.
研究的目的:
- 量化隐藏使用者与公开使用者之间停止使用避孕药的风险.
- 分析隐蔽避孕药使用中断风险的时间依赖性.
主要方法:
- 利用肯尼亚 (2019-2021) 的全国纵向调查.
- 使用生存分析来比较隐藏和公开使用者的5年停药时间.
- 多变量考克斯回归评估了时间和隐蔽使用之间的相互作用与停药风险之间的相互作用.
主要成果:
- 时间和隐蔽使用之间的相互作用增加了戒断风险 (每月3%,p=0.02).
- 在1-2年内停止治疗没有显著差异 (aHR 0.95-1.37).
- 隐蔽使用者在3,4年和5年间的戒断风险明显更高 (aHR 1.99-4.18).
结论:
- 隐蔽使用者在最初的两年使用避孕药后面临着不断升级的中止风险.
- 加强支持,咨询和后续对秘密避孕药使用者至关重要.
- 计划生育计划必须优先考虑隐私和秘密用户的访问.
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