在青少年和年轻成年人中探索避孕选择途径
Maria D Ash1, Ian S Watson2, Lauren E Matera2
1Division of Adolescent Medicine, Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics, The Ohio State University School of Medicine, Columbus, Ohio.
Journal of pediatric and adolescent gynecology
|July 13, 2024
概括
青少年和年轻的成年女性经常改变他们的避孕方法. 他们想要的方法强烈预测了他们咨询后选择的方法,支持以患者为中心的护理.
科学领域:
- 生殖健康 生殖健康
- 青少年医学 青少年医学
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 青少年和年轻成年女性 (AYA) 在出生时被指定为女性 (DFAB) 有独特的避孕需求.
- 了解避孕选择途径对于有效的生殖健康保健至关重要.
研究的目的:
- 在AYA DFAB中可视化避孕选择途径.
- 探索当前,所需和选择的避孕方法之间的关系.
- 为量身定制的避孕咨询方法提供信息.
主要方法:
- 对2369名AYA DFAB (14-24岁) 的回顾性横截面研究.
- 利用桑基图来可视化患者在避孕决策过程中的流动.
- 分析了当前的,想要的和选择的避孕方法;采用了奇平方测试.
主要成果:
- 桑基图表显示了从当前到所需和选择的避孕药的显著转变.
- 想要的和选择的避孕方法之间存在强烈的关联 (P < .001).
- 大多数AYA在咨询后保持了他们想要的方法,除了那些最初未决定的人.
结论:
- 在AYA中确定了不同的避孕决策途径.
- 研究结果支持非强制性,以患者为中心的咨询,以增强生殖自主权.
- 结果可以为更定制的避孕咨询策略提供框架.
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