在全州避孕计划期间,避孕方法的使用,获取和护理经验的变化
Taehyun Kim1, Julia R Steinberg2, Michel Boudreaux3
1University of Wisconsin-Madison, School of Medicine and Public Health, Collaborative of Reproductive Equity, Madison, WI, United States.
Contraception
|January 18, 2025
概括
德拉华州的避孕准入计划改善了对免费长效可逆避孕 (LARC) 准入的知识. 与马里兰州相比,这也导致更多的妇女报告与医生进行怀孕计划讨论.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全州范围的举措旨在改善避孕措施的获取和结果.
- 了解此类计划的影响对于公共卫生政策至关重要.
- 德拉华州现在可以获得避孕措施 (DCAN) 倡议旨在加强避孕护理.
研究的目的:
- 在DCAN倡议期间评估特拉华州避孕药使用,获取和患者体验的变化.
- 为了将特拉华州的这些变化与马里兰州的趋势进行比较,马里兰州没有类似的倡议.
- 确定DCAN计划对生殖健康结果的具体影响.
主要方法:
- 德拉华州/马里兰州妇女调查 (2016-2017年和2021年) 的横截面分析.
- 后勤回归用于评估避孕结果的变化,控制人口和社会经济因素.
- 德拉华州和马里兰州之间的比较分析,使用交互术语来隔离程序效应.
主要成果:
- 与马里兰州相比,免费的长效可逆避孕 (LARC) 获取知识在特拉华州显著增加 (+6.2%点).
- 报告医生询问怀孕计划的情况在特拉华州 (-5.6%点) 与马里兰州相比较小.
- 在整体LARC使用或患者对避孕方法的满意度方面没有发现统计学意义上的变化.
结论:
- 德拉华州的倡议在提高人们对LARC可用性的认识和促进关于怀孕计划的讨论方面取得了成功.
- 研究结果表明,有针对性的改进可以提高人们对避孕措施的了解和患者与医疗服务提供者之间的沟通.
- 项目管理人员和政策制定者可以利用这些见解来制定未来的生殖健康改革.
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