田纳西州的医疗补助病人在分娩后立即使用长效可逆避孕方法
Megan Lacy Young1, Alicia Mastronardi2, Zach Shelton2
1Center for Women and Infants, The University of Tennessee Medical Center, Knoxville, TN, United States.
Contraception
|October 3, 2024
概括
产后立即长效可逆避孕药 (IPP LARC) 的使用率为24.1%,超过了全国平均水平. 了解患者人口统计是解决这一基本避孕方法的可访问性差距的关键.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 在一些州,高比例的短间隔分娩和医疗保健障碍存在.
- 产后立即长效可逆避孕 (IPP LARC) 是预防意外怀孕的关键方法.
- 了解IPP LARC需求和利用的趋势对于改善生殖保健服务的获取至关重要.
研究的目的:
- 检查公开保险患者中立即产后长效可逆避孕 (IPP LARC) 的愿望和使用情况.
- 确定与IPP LARC在学术医院环境中的利用相关的人口因素.
- 将IPP LARC利用率与国家数据进行比较.
主要方法:
- 从2018年3月到2023年6月,对电子交付记录进行了回顾性队列研究.
- 分析患者人口统计数据,IPP LARC需求和利用趋势.
- 使用千平方或费舍尔精确测试和后勤回归模型进行统计比较.
主要成果:
- 在10,472次交付中,24.1%的交付结果导致IPP LARC使用.
- 手臂植入物和子宫内置器 (IUD) 是最常见的IPP LARC方法.
- 剖腹产和不充分的产前护理与更高的IPP LARC使用有关,而较年轻的母亲年龄,较低的教育程度和某些种族/族群的使用率较低.
结论:
- 立即产后LARC利用率 (24.1%) 显著高于公共保险患者的全国间隔使用率 (11%).
- 对IPP LARC用户的人口统计分析可以揭示关键的可访问性差距.
- 确保在分娩期间获得全面的避孕措施是可行的,是患者所希望的,对生殖健康至关重要.
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