自闭症和其他发育障碍的青少年的生殖健康保健
Jennifer L Ames1, Meredith C Anderson1, Emily Cronbach2
1Division of Research, Kaiser Permanente Northern California, Oakland, CA.
American journal of obstetrics and gynecology
|January 13, 2024
概括
患有自闭症和其他发育障碍的青少年在生殖健康保健方面面临差异,专家访问率和荷尔蒙避孕药使用率较低. 这些发现凸显了可能存在的终身护理差距,需要紧急关注.
科学领域:
- 生殖健康 生殖健康
- 发育障碍 发育障碍 发育障碍 发育障碍
- 青少年医疗保健 青少年医疗保健
背景情况:
- 发育障碍的成年人经历了有限的生殖健康准入.
- 青少年的生殖健康保健利用,特别是对于那些患有自闭症的人来说,是研究不足的.
研究的目的:
- 为了比较自闭症,其他发育障碍和典型发育的青少年之间的生殖保健服务使用情况.
- 确定对有发展障碍的青少年的护理方面的潜在差异.
主要方法:
- 在一个综合医疗保健系统 (Kaiser Permanente北加利福尼亚州) 中,对14-18岁的青少年进行队列研究.
- 对电子健康记录进行诊断 (月经条件,PCOS,PMS) 和使用妇产科护理和荷尔蒙避孕的分析.
- 通过千平方测试和修改的波桑回归,在不同组中比较医疗保健使用情况.
主要成果:
- 患有自闭症和其他发育障碍的青少年患有更高的月经障碍,PCOS和PMS诊断率.
- 这些群体不太可能去看妇产科医生或使用荷尔蒙避孕药 (口服,植入物,宫内节育器).
- 在所有群体中,初级保健提供者是荷尔蒙避孕的主要来源,其次是妇产科医生.
结论:
- 与同龄人相比,患有自闭症和发育障碍的青少年对专门的生殖护理和荷尔蒙避孕措施的访问减少.
- 这些差异表明潜在的长期护理差距可能会持续到成年.
- 干预措施应侧重于改善这些人群在儿科和妇产科的生殖保健服务.
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