医疗保险和美国产后避孕的种族和民族差异
Amy Yunyu Chiang1, Daniel J Tancredi2, Hannah Begna1
1Division of General Internal Medicine, Department of Medicine, University of California San Francisco (UCSF), San Francisco, California, USA.
Journal of women's health (2002)
|December 3, 2025
概括
在美国,产后避孕的使用情况因种族,种族和保险类型而异. 公共保险与更高的绝育和长效方法使用率有关,但更低的输精管切除率,具有显著的种族/民族差异.
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:
- 产后避孕对于分娩间隔和母亲健康至关重要.
- 了解选择避孕方法的差异对于公平护理至关重要.
- 之前的研究表明,避孕药的使用有所不同,但需要根据种族/种族和保险类型进行具体的细分.
研究的目的:
- 调查种族和族裔如何影响公共与私人资助医疗保健的个人中产后避孕方法的选择.
- 根据保险状况和人口因素,识别产后避孕的差异.
主要方法:
- 第八阶段 (2016-2021) 怀孕风险评估监测系统 (PRAMS) 数据的分析.
- 多变量逻辑回归模型与相互作用术语被用来评估关联.
- 对母亲的年龄,教育,婚姻状况,性别平等,妊娠前抑郁症和母乳养史进行了控制.
主要成果:
- 管道绝育在公共资金 (13.3%) 的情况下比私人资金 (7.0%) 更常见.
- 在私人保险人群中,黑人 (10.6%) 和西班牙裔/拉丁裔 (9.6%) 的管道绝育率高于白人 (6.4%).
- 与私人保险相比,公共保险与更高的植入物 (8.9%) 和注射器 (11.4%) 使用,以及较低的输精管切除术使用 (2.1%) 在种族/种族群体中相关.
- 观察到种族/种族和保险类型之间的显著相互作用,影响了方法选择.
结论:
- 在产后避孕使用的种族和民族差异是显而易见的,并且根据分娩是公共还是私人资助而有所不同.
- 公共保险与某些方法 (如植入物和注射剂) 的使用增加有关,但 vasectomy 的使用减少,种族和族群之间存在差异.
- 需要量身定制的干预措施,以解决产后避孕措施获取和选择方面的不平等问题.
相关概念视频
Birth Control Methods
5.8K
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
5.8K
Standards of Care I
1.0K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.0K
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Stereotypes, Prejudice, and Discrimination
94.8K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
94.8K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K


