长效可逆避孕药摄入的多层次障碍:叙述性审查
Melissa Goldin Evans1, Rebekah E Gee2, Stephen Phillippi3
1Mary Amelia Center for Women's Health Equity Research, Tulane University, New Orleans, LA, USA.
Health promotion practice
|November 18, 2023
概括
长效可逆避孕药 (LARCs) 显著减少了意外怀孕. 必须解决接入障碍,特别是对于边缘化群体,以确保公平的生殖保健和患者自主权.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 意外怀孕影响了美国近一半的怀孕,导致了不良结果.
- 长效可逆避孕药 (LARC) 在预防意外怀孕方面非常有效.
- 进入LARC受到重大障碍的限制,特别是种族和社会经济差异.
研究的目的:
- 在多个层面 (人内,人际,机构,政策) 综合LARC访问的障碍.
- 检查影响LARC吸收的患者,提供者,诊所和政策因素.
- 探索为提供公平的生殖保健提供临床影响.
主要方法:
- 叙事综述综合了关于LARC访问障碍的现有文献.
- 分析导致LARC吸收差异的因素.
- 审查减轻发现障碍的策略.
主要成果:
- 阻碍LARC进入的障碍是多方面的,存在于不同层面.
- 在获取机会方面的差异在种族和社会经济层面上显著.
- 有信息的咨询,财务支持和最小化的临床障碍改善了LARC的吸收.
结论:
- 公平的生殖保健需要公正的咨询和全方位的避孕选择.
- 尽量减少财务和临床障碍对于增加LARC访问至关重要.
- 确保患者在避孕选择中的自主性是公平护理的基础.
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