患者的障碍 停止使用长效可逆避孕药
Kacie R Fox1, Alyssa M Kameoka2, Shandhini Raidoo1
1Department of Obstetrics, Gynecology & Women's Health, John A. Burns School of Medicine, University of Hawaii, 1319 Punahou St. #824, Honolulu, HI, 96826, USA.
Maternal and child health journal
|December 29, 2023
概括
停止长效可逆避孕药 (LARC) 的障碍是常见的,影响了26%的患者. 这些障碍往往与提供商或系统有关,并对某些人口群体产生不成比例的影响.
科学领域:
- 生殖健康 生殖健康
- 避孕方法 访问 避孕方法 访问
- 医疗保健的障碍 医疗保健的障碍
背景情况:
- 长效可逆避孕 (LARC) 是一种高效的避孕方法.
- 以患者为中心的护理需要理解和解决停止使用避孕方法的障碍.
- 之前的研究还没有完全阐明LARC停止时遇到的障碍的频率和性质.
研究的目的:
- 确定试图停止LARC的个人所遇到的障碍的普遍性.
- 确定与经历LARC停产障碍相关的人口因素.
- 描述LARC停止期间遇到的障碍类型.
主要方法:
- 在美国,对376名年龄在18-50岁的个人进行了在线调查,这些人曾使用并停止使用或试图停止使用LARC.
- 通过亚马逊MTurk招募的受访者提供了人口统计数据和详细的LARC删除经验.
- 分析包括计算障碍类型的频率,并比较其跨人口群体的发生率.
主要成果:
- 大约26% (376人中99人) 的受访者报告说,至少有一种障碍阻碍了LARC的移除.
- 有公共医疗保险,有堕胎史或有分娩史的人更频繁地报告了障碍.
- 在个人中也观察到不成比例的障碍报告,这些个人认为自己是拉丁人,亚洲人或中东人.
结论:
- 很大一部分患者在试图停止LARC时遇到障碍,这表明生殖健康保健中的一个常见问题.
- 这些停产障碍往往是由供应商或系统驱动的,这表明有机会进行干预.
- 医疗保健提供者应该批判性地检查他们的咨询和临床实践,以减轻潜在的偏见,有助于LARC停药障碍.
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