墨西哥计划生育背景下信息与避孕选择的影响力
The power of information and contraceptive choice in a family planning setting in Mexico.
作者信息
Lazcano Ponce E C, Sloan N L, Winikoff B, Langer A, Coggins C, Heimburger A, Conde-Glez C J, Salmeron J
机构信息
Centro de Investigaciones en Salud Publica, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico.
出版信息
Sex Transm Infect. 2000 Aug;76(4):277-81. doi: 10.1136/sti.76.4.277.
OBJECTIVES
This study measured the effect of information about family planning methods and STD risk factors and prevention, together with personal choice on the selection of intrauterine devices (IUDs) by clients with cervical infection.
METHODS
We conducted a randomised, controlled trial in which family planning clients were assigned to one of two groups, the standard practice (control) group in which the provider selected the woman's contraceptive and the information and choice (intervention) group. The study enrolled 2107 clients in a family planning clinic in Mexico City.
RESULTS
Only 2.1% of the clients had gonorrhoea or chlamydial infections. Significantly fewer women in the intervention group selected the IUD than the proportion for whom the IUD was recommended in the standard care group by clinicians (58.2% v 88.2%, p = 0.0000). The difference was even more pronounced among infected women: 47.8% v 93.2% (intervention v control group, p = 0.0006).
CONCLUSIONS
The intervention increased the selection of condoms and reduced the selection of IUDs, especially among women with cervical infections, for whom IUD insertion is contraindicated.
目的
本研究评估了计划生育方法、性传播疾病风险因素及预防相关信息，以及个人选择对宫颈感染患者选择宫内节育器（IUD）的影响。
方法
我们开展了一项随机对照试验，将计划生育服务对象分为两组，一组是标准做法（对照）组，由医护人员为女性选择避孕方法；另一组是信息与选择（干预）组。该研究纳入了墨西哥城一家计划生育诊所的2107名服务对象。
结果
仅有2.1%的服务对象患有淋病或衣原体感染。干预组选择宫内节育器的女性明显少于标准护理组临床医生推荐使用宫内节育器的比例（58.2%对88.2%，p = 0.0000）。这种差异在感染女性中更为明显：47.8%对93.2%（干预组对对照组，p = 0.0006）。
结论
该干预措施增加了避孕套的选择，减少了宫内节育器的选择，尤其是在宫颈感染的女性中，而这些女性是禁忌放置宫内节育器的。
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