Thompson C
Department of Genitourinary Medicine, Kirkcaldy Acute Hospitals NHS Trust, Victoria Hospital.
Sex Transm Infect. 1998 Dec;74(6):433-4. doi: 10.1136/sti.74.6.433.
To assess the need for, and potential uptake of, a contraceptive service within a genitourinary medicine (GUM) clinic.
544 women, median age 17 years (range 13-54) including 142 teenagers, attending the Fife GUM clinics serving a semirural population of 350,000 for the first time in the 12 month period from 1 September 1995 to 31 August 1996 were interviewed.
Contraception was required by 353, of whom only 5% (29) were at risk of unplanned pregnancy, although half (15) of these were teenagers. 23 of 29 (79%) stated that they would access contraception at a GUM clinic if it were available. Of women using contraception, 67% (217/324) were taking the oral contraceptive pill (OCP), of whom 177 obtained supplies from their general practitioners and were happy with this. However, 92/177 (52%) stated that they would access the OCP at GUM clinics if it were available. Overall, of the 243 women who stated that they would access contraception at the GUM clinic, 23 of whom were currently at risk of an unplanned pregnancy, the demand was principally for condoms and the OCP.
The majority of women attending GUM clinics for the first time are using contraception, or have deliberately chosen not to do so. Only 5% were at risk of unplanned pregnancy. In general, the women using contraception were happy with their current source of contraception, but about two thirds would use a contraceptive service at GUM clinics if it were available at the time they were attending the clinic. It was found that teenagers accounted for half of those women at risk of unwanted pregnancy. However, the majority of teenagers requiring contraception would consider obtaining it from GUM clinics.
评估性传播疾病诊所提供避孕服务的必要性及潜在接受程度。
对1995年9月1日至1996年8月31日这12个月期间首次前往法夫性传播疾病诊所就诊的544名女性进行了访谈，这些女性年龄中位数为17岁（范围13 - 54岁），其中包括142名青少年，该诊所服务于一个35万人口的半农村地区。
353名女性需要避孕措施，其中只有5%（29名）有意外怀孕风险，不过这些人中一半（15名）是青少年。29名中有23名（79%）表示，如果性传播疾病诊所有避孕措施，她们会选择在那里获取。在使用避孕措施的女性中，67%（217/324）服用口服避孕药，其中177人从全科医生处获取药物且对此满意。然而，177人中92人（52%）表示，如果性传播疾病诊所有口服避孕药，她们会选择在那里获取。总体而言，在表示会在性传播疾病诊所获取避孕措施的243名女性中，23人目前有意外怀孕风险，她们主要需求避孕套和口服避孕药。
首次前往性传播疾病诊所就诊的大多数女性正在使用避孕措施，或有意选择不使用。只有5%有意外怀孕风险。总体而言，使用避孕措施的女性对当前的避孕来源感到满意，但约三分之二的女性表示，如果她们就诊时性传播疾病诊所有避孕服务，她们会选择使用。研究发现，有意外怀孕风险的女性中一半是青少年。然而，大多数需要避孕措施的青少年会考虑在性传播疾病诊所获取。
