Tobar A, Lutfiyya M N, Mabasa Y, Meena H, McGrath C, Brady S, Aguero C, Bales R, King M
Department of Family and Community Medicine, University of Illinois-Chicago, College of Medicine at Rockford, Rockford, Illinois, USA.
Rural Remote Health. 2009 Jul-Sep;9(3):1186. Epub 2009 Jul 21.
Although sexually active US adults wanting to prevent pregnancy have a wide variety of birth control methods readily available, there is little research that documents the contraceptive choices of rural adults in comparison to urban adults. This study compared the contraceptive choices of rural with urban adults. The comparative analysis joins the recent dialog in population health focused on assessing health related differences to detect if these are indicative of rural health disparities.
This was a cross-sectional study analyzing 2004 Behavioral Risk Factor Surveillance Survey (BRFSS) data. Place of residence was ascertained by re-coding the state/county FIPS code as either urban or rural, based on 2003 Rural-Urban Continuum Codes from the US Office of Management and Budget (setting: US households; participants: US adults 18-55 years).
characteristics and contraceptive method choice of rural adults using birth control.
A multivariate regression model performed with 'use of birth control' as the dependent variable yielded that rural in comparison with urban adults 18-55 years were more likely to use female or male sterilization, non-injectable and injectable hormones for birth control. They were less likely to use: condoms, a diaphragm or NuvaRing, emergency contraception, withdrawal or rhythm methods. Additionally, in comparison with urban adults, rural persons younger than 35 years, those who had children younger than 18 years living with them, those who were partnered, males and those living in households with an income of less than US$35,000 were more likely to report using some form of contraception.
There were differences in the contraception choices of urban and rural adults. How much primary care provider preferences explains the differences is not known and bears further exploration. These results should prove useful to healthcare providers as well as public health family planning programs.
尽管有多种避孕方法可供有避孕需求的性活跃美国成年人随时选择，但与城市成年人相比，关于农村成年人避孕选择的研究却很少。本研究比较了农村和城市成年人的避孕选择。这项比较分析加入了近期关于人口健康的讨论，该讨论聚焦于评估与健康相关的差异，以确定这些差异是否表明存在农村健康差距。
这是一项横断面研究，分析了2004年行为危险因素监测调查（BRFSS）的数据。根据美国管理和预算办公室2003年的城乡连续体代码，通过将州/县联邦信息处理标准（FIPS）代码重新编码为城市或农村，确定居住地点（背景：美国家庭；参与者：18 - 55岁的美国成年人）。
使用避孕措施的农村成年人的特征和避孕方法选择。
以“使用避孕措施”作为因变量进行的多变量回归模型显示，与18 - 55岁的城市成年人相比，农村成年人更有可能使用女性或男性绝育、非注射和注射用激素进行避孕。他们不太可能使用：避孕套、子宫帽或阴道环、紧急避孕、体外射精或安全期避孕法。此外，与城市成年人相比，35岁以下的农村人、有18岁以下子女与其同住的人、有伴侣的人、男性以及收入低于35,000美元家庭的居民更有可能报告使用某种形式的避孕措施。
城市和农村成年人的避孕选择存在差异。初级保健提供者的偏好对这些差异的解释程度尚不清楚，有待进一步探索。这些结果对医疗保健提供者以及公共卫生计划生育项目应会有所帮助。
