避孕和LARC不使用的原因:偏好和接入障碍如何影响决策
Laura E T Swan1, Jane W Seymour2, Allison Hung2
1Reproductive Equity Action Lab, University of Wisconsin-Madison, Madison, WI, United States; Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, United States.
Contraception
|December 13, 2025
概括
个人原因显著影响了关于避孕和长效可逆避孕 (LARC) 使用的决定. 解决这些个人因素是改善避孕护理的关键.
科学领域:
- 生殖健康 生殖健康
- 避孕行为研究研究 避孕行为研究
- 公共卫生调查 公共卫生调查
背景情况:
- 了解不使用避孕和长效可逆避孕 (LARC) 的原因对于有效的生殖健康保健至关重要.
- 以前的研究表明,影响避孕选择的各种因素.
研究的目的:
- 调查不使用通用避孕和长效可逆避孕 (LARC) 的主要原因.
- 区分个人原因和影响避孕药的使用障碍.
主要方法:
- 分析了2019-2020年进行的基于人口的家庭调查的基线数据.
- 包括四个州的随机样本 (亚利桑那州,爱荷华州,新泽西州,威斯康星州;N=2039) 为一般避孕药不使用.
- 对爱荷华人从未使用LARC的原因的检查 (N=1604).
主要成果:
- 个人原因是最常被引用的因素,既是一般避孕药不使用 (90.2%),也是从未使用LARC (88.3%).
- 较小比例的一般避孕药非使用者 (2.9%) 引用了接入障碍.
- 很大一部分LARC非用户 (50.8%) 引用了访问障碍,尽管个人原因仍然更为普遍.
结论:
- 个人偏好和担忧是避孕行为的主要驱动因素.
- 有效的避孕护理需要尊重不同患者的选择,并提供符合偏好的咨询.
- 改善避孕护理涉及解决患者对副作用和程序的担忧,而不仅仅是扩大获得.
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