护理途径:预测妇女进入诊所的因素与加纳的药房药物堕胎相比
Caesar Agula1, Adriana Biney1, Pearl Kyei1
1Regional Institute for Population Studies, University of Ghana, Accra, Greater Accra, Ghana.
Women's health (London, England)
|June 17, 2025
概括
药物流产 (MA) 的成本在加纳显著影响提供者选择. 了解这些因素,包括社会人口结构和以前的经验,对于公平获得安全堕胎服务至关重要.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 影响妇女在临床或药房之间进行药物流产 (MA) 的选择的因素尚未得到充分研究.
- 对于选择特定的MA提供商的主要预测因素的了解有限.
研究的目的:
- 检查与选择药物流产 (MA) 提供商相关的因素.
- 确定影响加纳妇女中MA提供者选择的主要预测因素.
主要方法:
- 展望性,非劣势性研究设计.
- 数据来自加纳1045名在诊所获得MA的妇女和929名在药店获得MA的妇女.
- 多变量二元物流和决策树模型用于分析MA提供者选择的因素和预测因素.
主要成果:
- 与药房相比,在诊所中使用药物堕胎 (MA) 的费用更高 (AOR=1.0,p<0.01).
- MA成本成为选择提供商的最强有力的预测因素 (χ2=937,p<0.01).
- 诸如24岁以上的年龄,中等教育,从社交网络中了解MA以及之前的MA经验等因素与在诊所获得MA的可能性较低有关.
结论:
- 在加纳,成本是MA提供者选择中最重要的决定因素,除了社会人口统计学和堕胎相关因素外.
- 加强公平获得安全许可证的战略应考虑这些影响因素.
- 在临床环境中降低MA成本可以减轻弱势群体的负担,并可能改善年轻女性可能更喜欢临床服务的获取机会.
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