Taylor DeShawn, Connolly Shannon, Ingles Sue Ann, Watson Carey, Segall-Gutierrez Penina
Department of Obstetrics and Gynecology, Los Angeles County Medical Center, University of Southern California Keck School of Medicine, 2020 Zonal Avenue, Room 220, Los Angeles, CA, 90033, USA.
J Immigr Minor Health. 2014 Jun;16(3):416-21. doi: 10.1007/s10903-012-9762-8.
Ethnic minority women have a higher incidence of unintended pregnancy and abortion than Caucasian women, with significant individual and social implications. Post-abortion intrauterine contraceptive (IUC) use may reduce future unintended pregnancy. This was a retrospective review of 265 women undergoing abortion at a Los Angeles County Reproductive Options Clinic. Demographic factors, reproductive history, and post-abortion contraceptive choice were evaluated and analyzed. The population was predominantly Latina (73%) and single, with a mean age of 27. Immediate post-abortion IUC insertion was chosen by 48% overall and more frequently by Latinas (55%) than by African Americans (33%) or Asians (43%) (p = 0.02). IUC use increased with age, undesired future fertility, increasing gravidity, and history of previous abortion in univariate analysis. In multivariate analysis, IUC use increased with Latina ethnicity and increasing gravidity. In a clinic serving low-income urban women in Los Angeles, post-abortal IUC uptake is highest among Latinas and those with prior pregnancies. Future research should examine reasons for and barriers to IUC uptake in diverse communities and methods to improve post-abortion IUC uptake to prevent subsequent unintended pregnancies.
少数族裔女性意外怀孕和堕胎的发生率高于白人女性，这具有重大的个人和社会影响。堕胎后使用宫内节育器（IUC）可能会减少未来的意外怀孕。这是一项对洛杉矶县生殖选择诊所265名接受堕胎手术的女性进行的回顾性研究。对人口统计学因素、生殖史和堕胎后的避孕选择进行了评估和分析。研究人群主要为拉丁裔（73%）且为单身，平均年龄27岁。总体上有48%的人选择在堕胎后立即插入宫内节育器，拉丁裔（55%）比非裔美国人（33%）或亚裔（43%）更频繁地选择这种方式（p = 0.02）。在单因素分析中，宫内节育器的使用随着年龄、未来不想要生育、妊娠次数增加以及既往堕胎史而增加。在多因素分析中，宫内节育器的使用随着拉丁裔种族和妊娠次数增加而增加。在洛杉矶为低收入城市女性服务的一家诊所中，拉丁裔和有过怀孕史的女性堕胎后宫内节育器的使用率最高。未来的研究应该探讨不同社区中宫内节育器使用的原因和障碍，以及提高堕胎后宫内节育器使用率以预防后续意外怀孕的方法。
