2015年至2023年在加拿大阿尔伯塔省获得和发放乌利普里斯塔酸紧急避孕药
Maya Biderman1, Natalie V Scime2, Beili Huang1
1Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, 2500 University Drive NW, Calgary, Alberta, T2N 1N4, Canada.
Contraception
|January 30, 2026
概括
加拿大阿尔伯塔省的乌利普里斯塔酸盐 (UPA) 发行量在批准后稳步增加,显示城市和农村地区的公平获取. 然而,最初的普及速度比预期的要慢,这表明这种紧急避孕措施的潜在采用障碍.
科学领域:
- 生殖健康 生殖健康
- 药物监督 药物监督 药物监督
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乌利普里斯塔酸盐 (UPA) 是一种用于紧急避孕的药物.
- 了解其分发模式和可访问性对于公共卫生至关重要.
- 在批准后评估地理和时间趋势可以识别潜在的访问差异.
研究的目的:
- 分析在加拿大阿尔伯塔省分发的乌利普里斯塔酸盐 (UPA) 的时间和地理分布.
- 评估UPA接入是否与不同地区的人口需求保持一致.
- 在加拿大卫生部批准后,确定UPA使用趋势.
主要方法:
- 在15-49岁 (2015-2023) 的阿尔伯塔居民的人口层次,重复的横截面分析.
- 关于UPA发行的数据来自制药信息网络.
- 分析包括分发率,旅行时间,处方者数量和药房分布,以及地理空间绘图.
主要成果:
- 1990个UPA处方被发放,首次发放发生在批准后86天.
- 每年每10,000名女性中,UPA的使用量增加0.38,处方医生和药房数量不断增加.
- 地理空间分析表明,需求和供应之间的调整,农村地区的公平接入和稳定的行程时间.
结论:
- 阿尔伯塔省的UPA接入有所改善,为城乡人口提供了公平的服务.
- 初始采用速度比预期慢表明潜在的障碍,如意识,采用或覆盖问题.
- 在临床医生意识,患者教育和政策方面的持续努力对于最大限度地获得UPA至关重要.
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