French Rebecca S, Geary Rebecca, Jones Kyle, Glasier Anna, Mercer Catherine H, Datta Jessica, Macdowall Wendy, Palmer Melissa, Johnson Anne M, Wellings Kaye
Department of Social & Environmental Health Research, Centre for Sexual and Reproductive Health Research, London School of Hygiene and Tropical Medicine, London, UK.
Research Department of Infection and Population Health, University College London, London, UK.
BMJ Sex Reprod Health. 2018 Jan;44(1):16-26. doi: 10.1136/jfprhc-2017-101728. Epub 2017 Nov 8.
To estimate the prevalence of use of different sources of contraceptive supplies in Britain and its variation by key demographic and behavioural characteristics.
Cross-sectional probability sample survey of women and men aged 16-74 years, resident in Britain, interviewed between 2010 and 2012. Analyses reported here were of 4571 women and 3142 men aged 16-44 years who reported having vaginal sex in the past year. Those relying exclusively on sterilisation (including hysterectomy) were excluded. Sources of contraceptive supplies were categorised as: general practice, community clinic, retail and other. Prevalence of use of these sources was estimated, and associated factors examined.
Some 87.0% of women and 73.8% of men accessed at least one source of contraceptive supplies in the previous year. Most women (59.1%) used general practice and most men (54.6%) used retail outlets. Community clinics were less commonly used, by 23.0% of women and 21.3% of men, but these users were younger and at greater sexual health risk. These associations were also observed among the 27.3% of women and 30.6% of men who used more than one source category (general practice, community clinic or retail) for contraceptive supplies.
People in Britain use a variety of sources to obtain contraceptive supplies and some sources are more commonly used by those more vulnerable to poorer sexual health. Our findings suggest that national policy changes to increase access to contraceptive methods have had an effect on the diversity of services used.
评估英国不同避孕用品来源的使用情况及其在关键人口统计学和行为特征方面的差异。
对居住在英国的16至74岁男女进行横断面概率抽样调查，调查时间为2010年至2012年。此处报告的分析对象为4571名16至44岁且在过去一年有过阴道性行为的女性和3142名男性。仅依靠绝育（包括子宫切除术）的人群被排除在外。避孕用品来源分为：全科医疗、社区诊所、零售及其他。估计这些来源的使用情况，并检查相关因素。
约87.0%的女性和73.8%的男性在前一年获取了至少一种避孕用品。大多数女性（59.1%）使用全科医疗，大多数男性（54.6%）使用零售渠道。社区诊所的使用频率较低，女性为23.0%，男性为21.3%，但这些使用者更年轻且性健康风险更高。在27.3%使用多种避孕用品来源（全科医疗、社区诊所或零售）的女性和30.6%的男性中也观察到了这些关联。
英国人通过多种来源获取避孕用品，一些来源在性健康状况较差的人群中使用更为普遍。我们的研究结果表明，国家增加避孕方法可及性的政策变化对所使用服务的多样性产生了影响。
