在科罗拉多州计划生育倡议之后,避孕方法组合的变化
Abigail Humphreys1, Amanda Jean Stevenson2, Sara Yeatman3
1Department of Economics, University of Colorado Denver, Denver, CO, United States; University of Colorado Population Center, Institute of Behavioral Science (IBS), University of Colorado Boulder, Boulder, CO, United States.
科罗拉多州的计划生育计划 (CFPI) 增加了所有避孕方法的可用性. 长效可逆避孕药的使用量增加,而口服避孕药的使用量减少,因年龄和种族/种族而异.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 避孕技术 避孕技术的使用
背景情况:
- 科罗拉多州的计划生育计划 (CFPI) 旨在减少避孕措施的障碍.
- 了解避孕方法使用的变化对于公共卫生至关重要.
- 标题X计划对于提供计划生育服务至关重要.
研究的目的:
- 评估科罗拉多州CFPI实施后的科罗拉多州第X条款客户的避孕方法使用和混合变化.
- 分析2009年CFPI之前和之后的趋势.
- 通过人口统计学来识别避孕药使用率的变化.
主要方法:
- 标题X诊所访问数据 (2007-2016) 的回顾性分析.
- 包括10-49岁的女性.
- 按年龄和种族/种族分类的避孕方法趋势的描述.
主要成果:
- 实施CFPI导致第十条访问的初步增加,随后非西班牙裔白人客户的数量下降.
- 长效可逆避孕药 (LARC) 的使用增加,而口服避孕药的使用减少.
- 方法组合的变化在各个年龄组和种族/种族类别之间有很大差异.
结论:
- CFPI与LARC使用量的增加和避孕方法组合的转变有关.
- 政策对计划生育服务的影响不均,取决于特定子组的障碍和需求.
- 解决访问中异质性的问题是公平计划生育结果的关键.
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