Emans S J, Grace E, Woods E R, Smith D E, Klein K, Merola J
JAMA. 1987 Jun 26;257(24):3377-81.
To elucidate the factors that might influence compliance with oral contraceptive use among sexually active adolescents, we undertook a study of 209 unmarried adolescents initiating use of oral contraceptives in three different settings: an inner-city adolescent clinic, a birth control clinic in a midsized industrial city, and a suburban private practice. At the three-month follow-up visit, factors associated with compliance included older age, suburban residence, white race, health care in the suburban private practice, payment status, prior use of contraception, mother's unawareness of oral contraceptives, married parents, older boyfriend, lack of worry about being pregnant, and satisfaction with pill use. Compliance at long-term follow-up (13.5 +/- 3.7 months) was additionally associated with educational goals, father's education level, and absence of side effects. Ten pregnancies occurred during the study period among noncompliant site I patients. Inner-city clinic patients were at high risk of noncompliance and unplanned pregnancy.
为了阐明可能影响性活跃青少年口服避孕药依从性的因素，我们对209名开始使用口服避孕药的未婚青少年进行了一项研究，这些青少年来自三种不同的环境：市中心的青少年诊所、中型工业城市的节育诊所和郊区的私人诊所。在三个月的随访中，与依从性相关的因素包括年龄较大、居住在郊区、白人种族、在郊区私人诊所接受医疗保健、支付状况、以前使用过避孕措施、母亲对口服避孕药不知情、父母已婚、男友年龄较大、不担心怀孕以及对避孕药使用的满意度。长期随访（13.5±3.7个月）时的依从性还与教育目标、父亲的教育水平以及无副作用有关。在研究期间，不符合要求的I组患者中有10例怀孕。市中心诊所的患者不依从和意外怀孕的风险很高。
