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关于避孕药引起的月经变化的全球研究与学习议程,用于研究、产品开发、政策及项目的证据构建。

Global research and learning agenda for building evidence on contraceptive-induced menstrual changes for research, product development, policies, and programs.

作者信息

Hoppes Emily, Nwachukwu Chukwuemeka, Hennegan Julie, Blithe Diana L, Cordova-Gomez Amanda, Critchley Hilary, Doncel Gustavo F, Dorflinger Laneta J, Haddad Lisa B, Mackenzie Amelia C L, Maybin Jacqueline A, Moley Kelle, Nanda Kavita, Sales Vieira Carolina, Vwalika Bellington, Kibira Simon P S, Mickler Alexandria, OlaOlorun Funmilola M, Polis Chelsea B, Sommer Marni, Williams Katie M, Lathrop Eva, Mahajan Tanya, Rademacher Kate H, Solomon Marsden, Wilson Katrina, Wilson Lucy C, Rountree Lillian

机构信息

FHI 360, Durham, NC, 27701, USA.

United States Agency for International Development (USAID), Washington, District of Columbia, 20523, USA.

出版信息

Gates Open Res. 2022 Apr 19;6:49. doi: 10.12688/gatesopenres.13609.1. eCollection 2022.

Abstract

: Contraceptive-induced menstrual changes (CIMCs) can affect family planning (FP) users' lives in both positive and negative ways, resulting in both opportunities and consequences. Despite this, and despite the important links between FP and menstrual health (MH), neither field adequately addresses CIMCs, including in research, product development, policies, and programs globally. : In November 2020, a convening of both MH and FP experts reviewed the existing evidence on CIMCs and identified significant gaps in key areas. : These gaps led to the establishment of a CIMC Task Force in April 2021 and the development of the (the CIMC RLA) which includes four research agendas for (1) measurement, (2) contraceptive research and development (R&D) and biomedical research, (3) social-behavioral and user preferences research, and (4) programmatic research. : Guided by the CIMC RLA, researchers, product developers, health care providers, program implementers, advocates, policymakers, and funders are urged to conduct research and implement strategies to address the beneficial and negative effects of CIMCs and support the integration of FP and MH. CIMCs need to be addressed to improve the health and well-being of women, girls, and other people who menstruate and use contraceptives globally.

摘要

避孕引起的月经变化(CIMCs)会以积极和消极两种方式影响计划生育(FP)使用者的生活,带来机遇的同时也产生一些后果。尽管如此,尽管计划生育与月经健康(MH)之间存在重要联系,但在全球范围内,无论是在研究、产品开发、政策还是项目中,这两个领域都没有充分解决避孕引起的月经变化问题。

2020年11月,月经健康和计划生育专家齐聚一堂,回顾了关于避孕引起的月经变化的现有证据,并确定了关键领域存在的重大差距。

这些差距促使在2021年4月成立了避孕引起的月经变化问题特别工作组,并制定了《避孕引起的月经变化研究与行动议程》(CIMC RLA),其中包括四个研究议程,分别针对(1)测量、(2)避孕研发(R&D)和生物医学研究、(3)社会行为和用户偏好研究,以及(4)项目研究。

在《避孕引起的月经变化研究与行动议程》的指导下,敦促研究人员、产品开发者、医疗保健提供者、项目实施者、倡导者、政策制定者和资助者开展研究并实施战略,以应对避孕引起的月经变化的有益和负面影响,并支持计划生育与月经健康的整合。为了改善全球范围内女性、女孩以及其他有月经且使用避孕药具的人群的健康和福祉,需要解决避孕引起的月经变化问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff0/9114387/4b65df9e3fda/gatesopenres-6-14882-g0000.jpg

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