在现役服役的女兵中,管道绑架发病率的最新趋势
Tracey Pérez Koehlmoos1, Amandari Kanagaratnam1,2, Amanda Banaag1,2
1Uniformed Services University, Bethesda, Maryland, USA.
Journal of women's health (2002)
|July 3, 2025
概括
在多布斯决定之后,军事卫生系统 (MHS) 中现役女士 (ADSW) 的输卵管绑定/绝育率出现了显著的,尽管是暂时的,增加,反映了普通人口的趋势.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 军事医学 军事医学
背景情况:
- 多布斯的决定对美国的生殖保健服务获得产生了重大影响.
- 研究表明,在多布斯之后,对永久避孕药的需求有所增加.
- 之前的研究指出,在多布斯之后,军事卫生系统 (MHS) 中的输精管切除率增加,但女性绝育趋势仍未得到检查.
研究的目的:
- 评估多布斯决定对MHS内现役服役妇女 (ADSW) 管/绝育率的影响.
- 分析多布斯裁决之前和之后女性永久避孕使用趋势.
- 为了比较德克萨斯州和弗吉尼亚州在多布斯决定后的绝育趋势.
主要方法:
- 使用的军事卫生系统数据库,用于2020-2023财政年度的医疗保健数据.
- 已确定18至45岁的现役女士 (ADSW).
- 分析了输卵管绑定/绝育的每月发病率,使用t测试和千平方测试进行人口统计比较.
主要成果:
- 在339,052名ADSW中,不到2%的人在研究期间接受了输卵管绑定/灭菌.
- 在多布斯治疗后两个月内观察到管绑/绝育率的急剧增加,持续了四个月.
- 德克萨斯州和弗吉尼亚州之间在输卵管绑定/灭菌率上没有发现显著差异.
结论:
- 在ADSW中管结/灭菌的趋势与一般人群的趋势一致.
- 观察到的增加表明多布斯决定和改变的避孕决策之间存在相关性.
- 了解这些转变对于评估多布斯在MHS和全国范围内对生殖健康的短期和长期影响至关重要.
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