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英国苏格兰普通诊所提供激素及长效可逆避孕服务(2004 - 2009年)

Provision of hormonal and long-acting reversible contraceptive services by general practices in Scotland, UK (2004-2009).

作者信息

Reddy Anusha, Watson Margaret, Hannaford Philip, Lefevre Karen, Ayansina Dolapo

机构信息

Medical Student, University of Aberdeen, Aberdeen, UK.

出版信息

J Fam Plann Reprod Health Care. 2014 Jan;40(1):23-9. doi: 10.1136/jfprhc-2012-100477. Epub 2013 May 21.

Abstract

BACKGROUND

In the UK, a large proportion of contraceptive services are provided from general practice. However, little is known about which contraceptive services are provided and to whom.

STUDY DESIGN

Descriptive serial cross-sectional study of women aged 12-55 years, registered with 191 general practices in Scotland, UK between 2004 and 2009.

RESULTS

Annual incidence of provision of hormonal and long-acting reversible contraceptives (LARCs) increased from 27.7% in 2004 to 30.1% in 2009. Amongst those women registered with a general practice for the full 5-year period the provision of LARCs increased from 8.8% to 12.5% (p<0.001). For the same group, the provision of emergency hormonal contraception (EHC) decreased from 5.2% to 2.6% (p<0.001).

CONCLUSIONS

With the exception of EHC, there was an increase over time in the provision of hormonal contraceptives and LARCs from general practices. It is important that a full range of contraceptive options remains easily available to women.

摘要

背景

在英国,很大一部分避孕服务是由全科医疗提供的。然而,对于提供了哪些避孕服务以及服务对象是谁,人们了解甚少。

研究设计

对2004年至2009年间在英国苏格兰191家全科医疗注册的12至55岁女性进行描述性系列横断面研究。

结果

激素避孕法和长效可逆避孕法(LARC)的年度提供率从2004年的27.7%增至2009年的30.1%。在整个5年期间都在全科医疗注册的女性中,LARC的提供率从8.8%增至12.5%(p<0.001)。对于同一组女性,紧急激素避孕法(EHC)的提供率从5.2%降至2.6%(p<0.001)。

结论

除EHC外,全科医疗提供激素避孕法和LARC的情况随时间有所增加。确保女性能够方便地获得全面的避孕选择非常重要。

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