Department of Epidemiology, UNC Gillings School of Global Public Health, Chapel Hill, NC, United States.
Department of Obstetrics and Gynecology, UNC School of Medicine, Chapel Hill, NC, United States; UNC Center for Women's Health Research, Chapel Hill, NC, United States; Program on Women's Endocrine and Reproductive Health, UNC School of Medicine, United States; Center for Health Promotion and Disease Prevention, Chapel Hill, NC, United States.
Contraception. 2020 Nov;102(5):346-348. doi: 10.1016/j.contraception.2020.07.093. Epub 2020 Aug 6.
To characterize reasons for hormonal contraceptive (HC) use in 1,455 African-American women, aged 23-35 years.
The community-based cohort members were recruited from the Detroit, Michigan area in 2010-2012. HC history was collected via telephone interview.
Seven percent reported HC use exclusively for non-contraceptive purposes, and 49% reported non-contraceptive reasons in addition to contraception. Non-contraceptive reasons were reported for all HC types, but were most common for combined oral contraceptives. Primary reasons were for irregular cycles, heavy bleeding, and pain.
In this large cohort of Black women, HC use to treat menstrual problems was common.
HCs were commonly used for both pregnancy prevention and management of menstrual symptoms, but some women used HCs exclusively for menstrual symptom relief. The importance for women of non-contraceptive reasons for HC use may not be adequately recognized, and published data on Black women's reasons for HC use remain limited.
描述 1455 名年龄在 23-35 岁的非裔美国女性使用激素避孕的原因。
该基于社区的队列成员于 2010-2012 年在密歇根州底特律地区招募。通过电话访谈收集激素避孕史。
7%的人报告仅将激素避孕用于非避孕目的，49%的人除了避孕外还报告了非避孕原因。所有类型的激素避孕都有非避孕原因，但最常见的是口服避孕药。主要原因是不规则周期、大量出血和疼痛。
在这个大型的非裔美国女性队列中，使用激素避孕来治疗月经问题很常见。
激素避孕常用于妊娠预防和管理月经症状，但一些女性仅将激素避孕用于缓解月经症状。女性对激素避孕非避孕原因的重视可能没有得到充分认识，并且关于黑人女性使用激素避孕原因的已发表数据仍然有限。
