医疗保险覆盖的连续性和避孕方法的选择
Samantha Malone1, Leya Essex2, Adrianne Frech3
1Brody School of Medicine at East Carolina University, Greenville, North Carolina, USA.
Journal of women's health (2002)
|April 17, 2024
概括
与持续的私人保险相比,部分年无保险或一年的一部分缺乏医疗保险与较少使用处方避孕药有关. 全年无保险显示,处方避孕药的使用率最低.
科学领域:
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 获得处方避孕对生殖健康至关重要.
- 保险状况显著影响医疗保健的使用,包括避孕方法的选择.
- 了解保险差距与避孕药使用之间的关系对于公共卫生政策至关重要.
研究的目的:
- 调查半年或全年无保险与使用处方避孕方法的可能性之间的联系.
- 为了比较不同保险覆盖状况的女性中使用处方方法与非处方或没有方法的使用情况.
- 为旨在改善获得避孕措施的政策干预提供信息.
主要方法:
- 从国家长度青年调查数据的分析,1997年队列 (2007-2019).
- 包括非怀孕的,性活跃的女性受访者.
- 使用混合效应的多项物流回归来基于保险覆盖的避孕方法选择模型 (连续私人,连续公共,半年无保险,全年无保险).
主要成果:
- 与连续私人保险相比,部分年无保险与使用处方药方法相比使用非处方药方法的可能性降低了20%.
- 对于部分年无保险的个人来说,使用处方方法与不使用方法的可能性没有显著差异.
- 全年无保险与最少使用处方避孕药有关.
结论:
- 与非处方方法相比,部分年无保险与处方避孕药的使用减少有关.
- 持续的医疗保险覆盖,具有灵活的资格和入学,可以提高获得处方避孕药的机会.
- 政策干预应侧重于确保一致的保险覆盖,以支持知情的避孕选择.
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