在COVID-19大流行之前和期间的计划生育行为
Jonathan Kazakov1, Joshua Fogel2,3, Tara Savannah Lowery4
1Department of Obstetrics and Gynecology, Touro College of Osteopathic Medicine - Touro University, New York, NY, United States of America.
Journal of the Turkish German Gynecological Association
|December 11, 2024
概括
在COVID-19大流行期间,避孕选择发生了变化. 当疫苗无法获得时,植入物使用量增加,而当疫苗可获得时,整体避孕和IUD使用量减少.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19 流行病带来了前所未有的公共卫生挑战,可能会影响生殖健康决策.
- 了解卫生危机期间避孕使用的转变对于医疗保健规划至关重要.
研究的目的:
- 分析在COVID-19大流行之前和期间避孕使用和随访的变化.
- 为了调查预防偏好的行为变化,以应对流行病状况和疫苗的可用性.
主要方法:
- 一项回顾性研究分析了纽约市18-49岁妇女的数据.
- 数据涵盖了三个一年的时间段:大流行前 (COV-PRE),没有疫苗的早期大流行 (COV-VACNO) 和后来的疫苗大流行 (COV-VACAV).
主要成果:
- 在COV-VACNO期间,使用避孕植入物的几率更高 (OR: 1.42).
- 在COV-VACAV期间,避孕和宫内器械 (IUD) 使用的几率较低 (OR:分别为0.88和0.73).
- 与疫情前相比,在两次大流行期间,避孕和宫内节育器的随访次数都增加了.
结论:
- 在大流行期间,避孕措施的偏好发生了变化,当疫苗无法使用时,植入物使用量增加.
- COVID-19疫苗的可用性与一般避孕和宫内避孕器的使用减少有关.
- 医疗保健提供者应预见并计划在公共卫生危机期间不断变化的避孕需求和行为.
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