为在医疗补助计划中注册的智力和发育障碍妇女提供避孕措施
Lauren Mitchell1, Bhamini Vellanki, Linda Tang
1Duke Global Health Institute, the Sanford School of Public Policy, the Department of Political Science, Department of Obstetrics and Gynecology, and the Center for Global Reproductive Health, Duke University, Durham, and IntraHealth International, Chapel Hill, North Carolina.
Obstetrics and gynecology
|December 5, 2023
概括
与没有智力和发育障碍的女性相比,智力和发育障碍的女性接受的避孕措施效果较差. 这凸显了避孕措施供应的差异和临床需求的潜在差异.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 智力和发育障碍 智力和发育障碍
背景情况:
- 避孕措施对生殖健康至关重要.
- 了解对智力和发育障碍 (IDD) 妇女的照顾差异至关重要.
- 北卡罗来纳州的医疗补助数据为这一群体提供了对医疗保健准入的见解.
研究的目的:
- 为了比较智力和发育障碍 (IDD) 的妇女和没有智力和发育障碍 (IDD) 的妇女之间的避孕措施提供率.
- 为了确定这些队列使用的避孕方法类型的差异.
- 探索避孕措施与月经障碍之间的潜在关联.
主要方法:
- 使用2019年北卡罗来纳州医疗补助申请的回顾性队列研究.
- 确定的15-44岁的女性,有或没有IDD,有怀孕风险.
- 计算了接受各种避孕方法的比例,并进行了调整后勤回归分析.
主要成果:
- 患有IDD的女性接受大多数或适度有效的避孕措施的比例明显较低 (30.1%与36.3%相比).
- 在调整了社会人口统计因素后,这种差异在大多数避孕措施中仍然存在.
- 使用有效避孕措施的IDD女性更有可能出现同时出现的月经障碍 (31.3%vs24.3%).
结论:
- 对于IDD妇女的避孕措施,存在显著的差异.
- 临床指示的潜在差异,如月经障碍,可能会影响避孕选择.
- 需要进一步的研究来了解IDD妇女使用避孕药的障碍.
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