在罗德岛州的医疗补助计划下保险的母乳养患者中处方产后避孕模式:PRAMS分析
Anna R Whelan1, Siraj Amanullah2, Annie Gjelsvik3
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Massachusetts Chan Medical School, Worcester, MA.
Rhode Island medical journal (2013)
|May 29, 2024
概括
与其他保险相比,在罗德岛拥有医疗补助保险的哺乳期患者更有可能获得产后避孕处方. 这凸显了在避孕护理方面的潜在差异.
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
- 健康 公平 卫生 公平
背景情况:
- 在美国,避孕咨询的差异不成比例地影响少数群体和社会经济地位较低的人群.
- 产后避孕措施的选择至关重要,特别是对于母乳养的个体.
- 这项研究检查了罗德岛州母乳养个体的产后避孕药处方率,将医疗补助接收者与其他保险人群进行比较.
研究的目的:
- 评估产后避孕和绝育处方模式.
- 为了比较医疗补助计划和罗德岛其他保险公司保险的哺乳期患者之间的处方费率.
主要方法:
- 罗德岛怀孕风险评估监测系统 (PRAMS) 2016-2019年数据的二次分析.
- 包括母乳养的参与者,按保险类型分类 (医疗补助与其他).
- 多变量后勤回归被用来分析产后避孕处方,控制人口和临床因素.
主要成果:
- 医疗补助领取者比较年轻,体重指数较高,而且更有可能属于种族/民族少数群体.
- 拥有医疗补助保险的母乳养患者被处方产后避孕药的可能性增加了1.5倍.
- 即使在对共变量进行调整后,医疗补助计划的受益人仍然是获得处方的1.28倍.
结论:
- 在罗德岛州拥有医疗补助保险的母乳养患者显示出更高的产后避孕药处方率.
- 需要进一步的研究来调查提供者偏见,潜在的胁迫,并促进公平,以患者为中心的避孕咨询.
- 调查结果强调需要公平的产后护理和避孕措施的准入.
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