在俄俄州的多医院系统中,在多布斯之前和之后,永久和长效的可逆避孕产量在多布斯之前和之后
Jameson A Mitchell1, Meng Yao2, Rie Maeda1
1Cleveland Clinic Lerner College of Medicine, Cleveland, OH, United States.
Contraception
|April 22, 2024
概括
在多布斯决定之后,避孕方法,特别是永久避孕方法的普及率增加了. 这表明堕胎政策会影响生殖选择,特别是对年轻人来说.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 避孕研究研究 避孕研究
背景情况:
- 多布斯的决定导致俄俄州立即限制堕胎,禁止在胎儿心脏活动检测后进行手术.
- 这一突然的政策变化为生殖保健决策创造了新的局面.
研究的目的:
- 在实施严格的堕胎法律后,分析长效可逆避孕 (LARC) 和永久避孕方法的采用变化的情况.
- 了解限制性堕胎立法如何影响避孕选择.
主要方法:
- 一项回顾性队列研究使用来自俄俄州东北部医院系统的电子医疗记录进行.
- 分析了2022年1月1日至2022年12月31日期间接受永久避孕或LARC安置的15-55岁患者的数据 (多布斯决定前和后).
- 在这两个时期之间比较了手术量和患者人口统计数据.
主要成果:
- 在多布斯后,输卵管绑定和LARC手术总数增加了15.8%,永久避孕的比例显著增加 (p < 0.001).
- 血管切除手术的发生率增加了33.3%.
- 在多布斯后接受避孕的患者比在多布斯前的队列更年轻,更有可能单身.
结论:
- 该研究表明,在多布斯决定之后,避孕程序的使用量显著增加.
- 永久避孕的增加表明,堕胎政策的转变和个人的避孕决策之间存在直接的相关性,特别是在年轻人群中.
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