在急诊室提供紧急避孕药,并对延迟使用的风险分析在韩国
Yoon Jung Choi1, Soo Hyung Lee1,2, Jeongsik Yi1,2
1Department of Emergency Medicine, CHA Gumi Medical Center, Gumi, Republic of Korea.
Medicine
|November 28, 2023
概括
分析了紧急避孕 (EC) 的急诊室访问,发现公共性教育和非自愿事件会影响及时获得避孕. 战略应解决隐私问题,以改善欧盟的提供.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 紧急医疗 紧急医疗
背景情况:
- 在一些国家,急诊室 (ED) 是紧急避孕 (EC) 的关键接入点.
- 对欧盟的ED访问的研究,特别是时间方面的研究,仍然有限.
- 了解患者的人口统计和访问时间对于优化EC服务至关重要.
研究的目的:
- 为了描述寻求EC的ED访问者.
- 分析从性交到ED到来的时间间隔.
- 为了确定与延迟EC呈现相关的因素.
主要方法:
- 韩国两家城市三级学术医院患者的回顾性队列研究 (2019年1月至2021年12月).
- 分析患者人口统计数据,访问特征和时间间隔.
- 回归分析以确定影响提交延迟的因素.
主要成果:
- 参与者的中位数年龄为26岁;常见的特征包括20-29岁,晚上/周末访问,单身状态和避孕药失败后的访问.
- 到达ED的平均间隔为7.49小时,其中77.4%在12小时内出现.
- 公共性教育与更早的呈现有关 (P < .001),而非自愿事件显著延迟了访问 (P < .001).
结论:
- 大多数患者在推的时间内获得紧急避孕药 (ECP).
- 全国范围内的学校性教育积极影响了及时获得ECP的机会.
- 在非同意性交的情况下,观察到延迟ECP访问,突出了解决耻辱和隐私问题的战略的需要.
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