种族,种族,保险和程序时间对绝育方法的影响
Rana Aliani1, Vienne Seitz2, Shirng-Wern Tsaih1
1Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Journal of women's health (2002)
|October 22, 2024
概括
在绝育程序中存在种族和民族差异. 与非西班牙裔白人相比,非西班牙裔黑人,西班牙裔和亚洲裔人不太可能接受切除术 (SL),这表明SL表现存在关键差异.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 绝育是一种常见的永久避孕方法.
- 了解影响选择绝育程序的因素对于公平的医疗保健至关重要.
- 之前的研究表明,在获得和使用不同避孕方法方面存在潜在的差异.
研究的目的:
- 调查种族,民族,保险状况和程序时间与执行的绝育程序类型之间的关联.
- 为了识别在使用盐切除术 (SL) 与选择性绝育的输卵管绑定中的潜在差异.
主要方法:
- 在2010年1月至2020年12月期间接受选择性绝育的妇女的回顾性队列研究.
- 收集的数据包括年龄,种族,种族,保险状况以及程序类型和时间.
- 用多变量逻辑回归和灵敏度分析来评估关联.
主要成果:
- 在卫生系统中,管管绑定比salpingectomy (SL) 更频繁地进行.
- 与非西班牙裔白人相比,非西班牙裔黑人和亚洲人患SL的可能性明显低.
- 灵敏度分析证实了这些差异,非西班牙裔黑人,西班牙裔和亚洲人显示SL的几率较低.
结论:
- 在进行绝育的沙切除术中存在显著的种族和民族差异.
- 输卵管绑定是这个卫生系统中占主导地位的绝育方法,少数群体的SL率较低.
- 需要进一步的研究和干预来解决这些差异,并确保公平地获得所有绝育程序.
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