在南卡罗来纳州选择良好倡议期间,基于人口的队列中使用避孕方法
Nathan Hale1, Jusung Lee2, Jordan de Jong1
1Center for Applied Research and Evaluation in Women's Health and Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City.
JAMA network open
|April 24, 2024
概括
在南卡罗来纳州,全州的避孕措施获取计划增加了长效可逆避孕 (LARC) 和子宫内避孕装置 (IUD) 的使用. 这些发现支持改善生殖健康服务的项目.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全州范围的避孕措施获取倡议对于为卫生政策和实践提供信息至关重要.
- 评估这些举措的影响是必要的,以了解他们的有效性.
研究的目的:
- 为了检查南卡罗来纳州生育年龄的妇女使用避孕方法的变化.
- 评估"选择好的避孕措施"倡议对避孕方法普及的影响.
主要方法:
- 一项队列研究将基线调查数据 (2017-2018) 与南卡罗来纳州和阿拉巴马州妇女的3项后续调查 (2019-2021) 联系起来.
- 基于回归的差异差异方法比较了各州之间的避孕药使用变化.
- 分析包括1344名妇女,比较使用长效可逆避孕药 (LARC) 和子宫内避孕器 (IUD).
主要成果:
- 与阿拉巴马州 (18.0%至18.1%) 相比,长效可逆避孕药 (LARC) 的使用在南卡罗来纳州显著增加 (17.6%至21.1%).
- 与阿拉巴马州 (13.8%至15.9%) 相比,南卡罗来纳州 (14.0%至17.4%) 的宫内节育器 (IUD) 使用也显著增加.
- 经过调整的分析证实,南卡罗来纳州的LARC和IUD使用几率在倡议后显著增加.
结论:
- 南卡罗来纳州的Choose Well倡议与IUD和LARC的使用增加有关.
- 在没有倡议的同行状态中没有观察到这些增加.
- 调查结果支持全州避孕措施获取倡议在促进生殖健康服务方面的作用.
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