Miller V L, Laken M A, Ager J, Essenmacher L
Department of OB/GYN and Center for Healthcare Effectiveness Research, Wayne State University, School of Medicine, Detroit, Michigan 48201, USA.
J Community Health. 2000 Dec;25(6):473-80. doi: 10.1023/a:1005144730830.
The purpose of this study was to examine the influence of sociodemographic factors, attitudes, knowledge, and experiences regarding the use of various contraceptive methods, future plans prenatally, and actual use postpartum among a population of low income pregnant women. Women were interviewed prenatally and during the postpartum period in a large, urban academic health center serving primarily an indigent population. The primary analytic method employed was logistic regression. The key finding in this study is that women are not consistently using the method of contraception postpartum that they planned during the prenatal period. Only 54.7% of the women planning to use oral contraceptive pills were using them postpartum, and only 31.3% of the women planning to use condoms were actually using them postpartum. Expanding contraceptive education and counseling throughout the perinatal period may assist women's decision making.
本研究的目的是调查社会人口学因素、态度、知识以及关于各种避孕方法使用的经历、产前的未来计划和低收入孕妇群体产后的实际使用情况之间的影响。在一个主要为贫困人口服务的大型城市学术健康中心，对女性进行了产前和产后访谈。采用的主要分析方法是逻辑回归。本研究的关键发现是，女性产后并未始终采用她们在孕期计划使用的避孕方法。计划使用口服避孕药的女性中，产后只有54.7%的人在使用；计划使用避孕套的女性中，产后实际使用的只有31.3%。在围产期扩大避孕教育和咨询可能有助于女性做出决策。
