在密西西比州偏好使用避孕措施的障碍
Amanda Nagle1,2, Klaira Lerma1,3, Gracia Sierra1
1Population Research Center, The University of Texas at Austin, Austin, Texas, USA.
Journal of women's health (2002)
|September 4, 2024
概括
许多美国人面临着偏好避孕的障碍. 卫生系统的障碍显著增加了未满足避孕需求的可能性,影响了生殖自主权.
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
- 卫生社会学 卫生社会学
背景情况:
- 美国许多人不使用他们喜欢的避孕方法.
- 关于卫生系统障碍对避孕选择的影响的研究有限.
研究的目的:
- 评估卫生系统障碍和密西西比州未满足的避孕偏好之间的关系.
- 在那些有未满足需求的人群中确定首选的避孕方法.
主要方法:
- 通过社交媒体招募的462名密西西比州居民 (18-45岁,出生时被分配为女性) 的在线调查 (2020年9月 - 2021年2月).
- 评估对不同的/新的避孕方法和首选方法的愿望.
- 检查了获得生殖保健服务的障碍 (例如,等待时间,成本,保险).
- 使用多变量调整的波桑回归来分析障碍和未满足偏好之间的关联.
主要成果:
- 37%的受访者报告说,他们有未满足的避孕方式偏好.
- 83%的人遇到至少一个障碍,无法获得生殖健康护理.
- 遇到障碍与未满足避孕偏好的患病率近两倍相关 (PR 1.81).
- 首选的方法包括短效荷尔蒙,长效可逆和永久选择.
结论:
- 密西西比州近五分之二的生育年龄妇女不使用他们喜欢的避孕方法.
- 护理的结构性障碍普遍存在,并且与未满足的避孕需求密切相关.
- 这些障碍破坏了生殖自主权,并突出了改善获得避孕服务的关键需求.
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