可访问性和公共资金的变化如何影响挪威青少年使用避孕药? 一个队列研究研究
Sunniva Sæbø1, Finn Egil Skjeldestad1
1Department of Community Medicine, Research Group Epidemiology of Chronic Diseases, UiT the Arctic University of Norway, Tromsø, Norway.
Acta obstetricia et gynecologica Scandinavica
|June 28, 2024
概括
在挪威,获得激素避孕药的机会增加导致更多的青少年长期使用它们,尤其是在2015年长效可逆避孕药 (LARC) 被纳入退款后.
科学领域:
- 生殖健康 生殖健康
- 青少年健康 青少年健康
- 公共卫生政策 公共卫生政策
背景情况:
- 挪威于2002年为青少年实施了激素避孕药补偿计划.
- 与此同时,公共卫生护士和助产士获得了对荷尔蒙避孕药的处方权.
- 这一政策旨在改善青少年获得避孕的机会.
研究的目的:
- 评估提高可访问性和公共资金对挪威青少年使用荷尔蒙避孕药的影响.
- 分析激素避孕药使用的开始和持续时间的趋势.
- 确定特定避孕方法和补偿变化对使用模式的影响.
主要方法:
- 一项使用挪威处方数据库,挪威统计局和挪威公共卫生研究所数据的队列研究.
- 包括1989年至2000年间出生的174,653名挪威妇女.
- 分析了从12岁到19岁的处方药,重点是第一次连续使用的持续时间,使用基平方测试,生存分析和Joinpoint回归.
主要成果:
- 大约75%的青少年在19岁时使用过至少一种荷尔蒙避孕方法.
- 只有孕激素的避孕药 (POP) 开始增加,而联合口服避孕药 (COC) 开始在所有队伍中减少.
- 长效可逆避孕药 (LARC) 的使用在2015年被纳入补偿计划后显著增加,导致更多的长期使用者.
结论:
- 公共卫生护士和助产士成为青少年激素避孕药的主要处方者.
- 虽然最初的补偿扩大影响很小,但2015年LARCs的纳入大大提高了长期使用荷尔蒙避孕药的青少年比例.
- 政策变化显著影响了青少年的避孕方法选择和使用时间.
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