经过全州范围的避孕计划,德拉华州发生了什么?
Constanza Hurtado-Acuna1, Michael S Rendall1
1University of Maryland, College Park.
The Milbank quarterly
|April 8, 2025
概括
德拉华州现在的避孕措施 (DelCAN) 计划减少了意外怀孕,特别是在医疗补助计划的受益者中,但并没有减少总体的意外分娩. 该计划增加了早些时候想要的怀孕,强调了需要解决意图和计划的必要性.
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:
- 德拉华州经历了高的意外怀孕率,促使德拉华州的避孕措施现在访问 (DelCAN) 倡议 (2015-2020).
- 该倡议旨在通过增加获得避孕措施,特别是长效可逆避孕措施来减少意外怀孕.
研究的目的:
- 评估DelCAN倡议对怀孕意图和计划的影响.
- 为了评估在特拉华州导致活产的意外怀孕的变化.
主要方法:
- 使用的怀孕风险评估监测系统数据 (2007-2020年).
- 采用差异差异估计器,将特拉华州与对照州进行比较.
- 针对医疗补助覆盖和非医疗补助覆盖妇女进行了单独的分析.
主要成果:
- 德尔坎与对照国家相比,并没有减少导致分娩的意外怀孕.
- 观察到意外怀孕的减少,主要是医疗补助保险妇女.
- 这一举措与早些时候计划怀孕的怀孕人数增加有关.
结论:
- 怀孕的意图和计划是不同的概念,对于避孕方案设计至关重要.
- 计划应该考虑后期想要的和早期想要的怀孕,以实现公共卫生目标并增强生殖自主权.
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