美国高效避孕药使用的种族差异 现役服役妇女,财政年度 2016-2019 年
Helen M Barnhart1, Amanda Banaag2,3, Tracey P Koehlmoos1,2
1Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Journal of women's health (2002)
|March 28, 2024
概括
尽管有全民医疗覆盖,但在现役妇女 (ADSW) 中使用高效避孕药 (HEC) 的种族差异仍然存在. 军事卫生系统可以监测这些在避孕护理中的不平等.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 军事医学 军事医学
背景情况:
- 种族少数群体和现役服役妇女 (ADSW) 的意外怀孕率更高.
- 军事卫生系统 (MHS) 提供全民医疗覆盖,包括为ADSW提供所有高效避孕方法.
- 现有研究表明,在这些人群中,较低的有效避孕药使用率和较高的意外怀孕率之间存在相关性.
研究的目的:
- 调查种族与在现役服役妇女 (ADSW) 中使用高效避孕药 (HEC) 的关系.
- 在MHS人口中识别HEC利用的潜在种族差异.
- 分析ADSW中不同种族群体中HEC使用的几率.
主要方法:
- 通过使用2016-2019财政年度的MHS数据库数据进行了横截面研究.
- 该研究包括所有18-45岁的现役服役妇女 (ADSW).
- 统计分析涉及描述性统计和调整/未调整的物流回归模型,以确定HEC使用的几率.
主要成果:
- 在729,722个ADSW中,59.7%在研究期间使用了至少一种HEC方法.
- 与白人ADSW相比,黑人,美洲印第安人/阿拉斯加本土人,亚洲/太平洋岛民和其他种族/种族群体的HEC使用率较低.
- 在HEC用户中,年龄最高的比例为20-24岁,白人,单身,初级入伍,在军队服役.
结论:
- 在MHS的普遍医疗覆盖范围内,并没有消除在使用高效避孕药 (HEC) 的种族差异.
- 调查结果强调了在现役服役的女性中HEC使用的重大种族不平等.
- 在使用避孕方法方面,MHS是监测和解决种族差异的有价值模型.
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