寻求公共资金资助的性传播感染诊所服务的女性的避孕需求。
Contraceptive needs of women seeking care from a publicly funded sexually transmitted infection clinic.
机构信息
Department of Family Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
出版信息
Contraception. 2010 Dec;82(6):543-8. doi: 10.1016/j.contraception.2010.03.007. Epub 2010 Apr 13.
OBJECTIVES
To determine the contraceptive needs [including emergency contraception (EC)] of women seeking care from a publicly funded sexually transmitted infection (STI) clinic and to better understand women's knowledge of and attitudes towards EC.
METHODS
An anonymous survey was administered to 197 women seeking services at one Chicago Department of Public Health STI clinic.
RESULTS
After excluding women unlikely to become pregnant within the next year because of age, sexual orientation, hysterectomy and those who desired pregnancy (n=47), data from 150 women were available for analysis. Thirteen percent were using "very effective" contraception (intrauterine contraception, implant or sterilization) and 26% were using "effective" contraception (contraceptive pill, patch, ring or injectable). Approximately 23% (95% CI 16.5-30.0%) may have benefited from immediate use of EC as they reported at least one act of unprotected intercourse within the past 5 days.
CONCLUSION
Many women seeking care from public STI clinics are at high risk of unintended pregnancy. A substantial number of women have an immediate need of EC at the time of their clinical visit. Efforts are needed to improve provision of EC as well as effective ongoing contraception for this population.
目的
确定寻求公共资金资助的性传播感染（STI）诊所服务的女性的避孕需求[包括紧急避孕（EC）]，并更好地了解女性对 EC 的了解和态度。
方法
对 197 名在芝加哥公共卫生部 STI 诊所寻求服务的女性进行了匿名调查。
结果
排除了因年龄、性取向、子宫切除术和希望怀孕而在未来一年内不太可能怀孕的女性（n=47）后，有 150 名女性的数据可用于分析。13%的女性使用“非常有效的”避孕方法（宫内节育器、植入物或绝育），26%的女性使用“有效的”避孕方法（避孕药、贴片、环或注射剂）。大约 23%（95%置信区间 16.5-30.0%）可能因过去 5 天内至少有一次无保护性行为而受益于立即使用 EC。
结论
许多寻求公共 STI 诊所服务的女性有意外怀孕的高风险。相当数量的女性在就诊时立即需要 EC。需要努力改善对这一人群的 EC 以及有效的持续避孕措施的提供。
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