寻求堕胎服务患者避孕失败的原因。
Reasons for ineffective pre-pregnancy contraception use in patients seeking abortion services.
机构信息
Division of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
出版信息
Contraception. 2009 Dec;80(6):569-74. doi: 10.1016/j.contraception.2009.05.127. Epub 2009 Jul 10.
BACKGROUND
We sought to better understand reasons for not obtaining desired contraception among women presenting for a pregnancy termination.
STUDY DESIGN
A survey was completed by women prior to having an abortion procedure. Reasons for lack of access were categorized as institutional, individual and compliance issues. Descriptive statistics were calculated and variables compared using chi(2) tests.
RESULTS
Participants (n=298) ranged in age from 18 to 48 years. One third reported contraceptive use prior to pregnancy (37%). Approximately 72% of women reported some reason for not obtaining desired contraception, while 34% reported two or more. The distribution of reported individual, institutional, and compliance reasons were 44%, 28%, and 24%, respectively. Report of at least one reason was associated with a 35% increase in non-use (RR=1.35; 95% CI, 1.02-1.80) after adjusting for age, race, education, parity, and prior abortion.
CONCLUSIONS
Many reasons for not obtaining desired contraception exist and are associated with non-use of contraception. Removing these reasons may help reduce unintended pregnancies and rates of pregnancy termination.
背景
我们试图更好地了解前来终止妊娠的女性未获得理想避孕措施的原因。
研究设计
在进行堕胎手术前，对女性进行了一项调查。将无法获得避孕措施的原因分为机构、个人和合规问题。计算了描述性统计数据，并使用卡方检验比较了变量。
结果
参与者（n=298）年龄在 18 至 48 岁之间。三分之一的人报告在怀孕前使用了避孕措施（37%）。大约 72%的女性报告了一些未获得理想避孕措施的原因，而 34%的女性报告了两个或更多原因。报告的个人、机构和合规原因的分布分别为 44%、28%和 24%。在调整年龄、种族、教育程度、生育次数和既往堕胎史后，报告至少有一个原因与不使用避孕措施的风险增加 35%相关（RR=1.35；95%CI，1.02-1.80）。
结论
存在许多未获得理想避孕措施的原因，这些原因与避孕措施的不使用有关。消除这些原因可能有助于减少意外怀孕和终止妊娠的发生率。
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