立即产后长效可逆避孕方法的使用和儿童虐待率
Hannah Rochford1, Daniel Marthey1, Elena Andreyeva1
1Department of Health Policy and Management, Texas A&M University School of Public Health, College Station, TX, USA.
政策变化改善了获得分娩后立即长效可逆避孕药 (IPP LARC) 的机会,但整体上并没有显著减少虐待儿童的情况. 然而,这些政策在医疗补助覆盖率较高的州显著减少了虐待儿童的情况.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 儿科 儿科 儿科
背景情况:
- 父母对儿童的虐待仍然是一个重大的公共卫生问题.
- 获得避孕,特别是长效可逆避孕药 (LARC),对于计划生育和福祉至关重要.
- 旨在改善产后避孕措施的政策变化要求对其更广泛的社会影响进行调查.
研究的目的:
- 检查政策变化加强分娩后立即长效可逆避孕药 (IPP LARC) 和父母虐待儿童的比例之间的关联.
- 确定IPP LARC分离是否影响了经过证实和调查的5岁以下儿童被忽视和遭受身体虐待的案件.
- 探索州级医疗补助覆盖范围对IPP LARC政策和儿童虐待率之间的关系的潜在缓解影响.
主要方法:
- 使用了通用的差异差异方法.
- 从国家儿童虐待和忽视数据系统儿童档案中分析了州年度结果趋势.
- 在政策实施之前和之后,对实证和调查的虐待儿童的比率进行了比较,控制了国家特定的趋势.
主要成果:
- 根据IPP LARC的研究结果,总体而言,父母实施的身体虐待并没有显著减少.
- 在医疗补助计划的出生覆盖率高于中位数的州 (ATT = -33.7%,p=0.05) 观察到有根据的父母实施的身体虐待的显著减少.
- 同样,在医疗补助覆盖率较高的州,调查的父母实施的身体虐待案件显著下降 (ATT = -38.7%,p=0.05).
结论:
- 虽然IPP LARC的分类可能不会普遍减少对儿童的身体虐待,但在特定的环境中,它们显得有前途.
- 对IPP LARC的医疗补助补偿政策似乎是减少父母对幼儿的身体虐待的一个关键因素.
- 进一步的研究和政策考虑应侧重于将避孕措施与强大的母婴支持系统相结合,特别是在依赖医疗补助的人口中.
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