在患有不良妊娠结果风险增加的患者中使用避孕药和咨询
Zarah Rosen1, Allison Payne2, Katherine Leung2
1Department of Obstetrics and Gynecology, University of Massachusetts Memorial Health, Worcester, MA, USA - zarah.rosen@umassmemorial.org.
Minerva obstetrics and gynecology
|March 21, 2025
概括
与低风险组相比,高风险组的人在选择避孕方法或咨询质量方面没有差异. 这项研究考察了那些有不良妊娠结果风险的人的避孕药使用和辅导观念.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
背景情况:
- 少数民族和低社会经济地位 (SES) 的人更经常被处方长效可逆避孕药 (LARC).
- 系统性种族主义和潜在的疾病增加了这些人群的医疗/产科并发症风险.
- 医学并发症可能会影响避孕强制,需要进一步调查.
研究的目的:
- 评估产科风险因素是否影响避孕药的使用和咨询的感知.
- 为了确定这些影响是否因社会经济地位 (SES) 或种族/种族而有所不同.
主要方法:
- 2017-2019年国家家庭增长调查 (NSFG) 队列的回顾性分析.
- 参与者分为高风险或低风险的出生不良结果.
- 主要结果:选择避孕方法;次要结果:提供者咨询和尊重评级. 使用复杂的调查权重和多变量回归.
主要成果:
- 分析了1655名参与者,310名高风险的不良妊娠结果.
- 高风险人群更有可能获得公共援助,受教育程度较低,健康状况较差.
- 在使用的避孕方法或在高风险和低风险组之间提供者咨询/尊重的评级中没有发现显著差异.
结论:
- 在高风险和低风险组之间,没有报告过选择避孕方法的差异.
- 患者对提供者咨询和尊重的看法在风险组之间是相似的.
- 研究结果表明,无论SES或种族/种族,产科风险都不会改变这一群体的避孕方法选择或咨询经验.
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