农村与城市环境中铜宫内节育器的临床可及性：一项模拟患者研究。
Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study.
作者信息
Lilja Kristen, Chin Jennifer, Benson Lyndsey S, Infante Sofia, Micks Elizabeth
机构信息
Salt Lake Regional Medical Center, Salt Lake City, UT, United States.
Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States.
出版信息
Contracept X. 2021 Jan 30;3:100059. doi: 10.1016/j.conx.2021.100059. eCollection 2021.
OBJECTIVE
To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings.
STUDY DESIGN
We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD.
RESULTS
We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; < 0.01).
CONCLUSIONS
Rural clinics are less likely than urban clinics to have the copper IUD available.
IMPLICATIONS
The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings.
目的
评估华盛顿州农村和城市地区提供铜质宫内节育器（IUD）的诊所比例。
研究设计
我们采用模拟患者模型，对人力资源和服务管理局340B数据库中的诊所进行调查，主要评估铜质IUD的可获得性。
结果
我们成功调查了212家诊所中的194家（92%）。报告有铜质IUD的城市诊所多于农村诊所（76/97 [78%] 对49/97 [51%]；P<0.01）。
结论
农村诊所比城市诊所更难获得铜质IUD。
启示
美国意外怀孕的发生率很高。我们应将注意力集中在减少使用铜质IUD作为长效可逆避孕方法的障碍上，尤其是对于生活在农村地区的女性。
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