Health, Policy and Population Research Center, National Autonomous University of Mexico, Mexico City, Mexico.
Facultad de Estudios Superiores Zaragoza, UNAM, Mexico City, Mexico.
Front Public Health. 2023 Sep 7;11:1189222. doi: 10.3389/fpubh.2023.1189222. eCollection 2023.
Being indigenous, being a woman, and living in poverty are social determinants that contribute to reduced access to healthcare, including reproductive health services. The COVID-19 pandemic might have exacerbated this lag.
This study explored how the COVID-19 pandemic affected the contraceptive use of a group of indigenous Mexican women and adolescents in their community.
Between June and December of 2021, 158 indigenous Mexican women who had experienced recurrent pregnancies were interviewed at two health centers in San Cristóbal de las Casas, Chiapas. Participants were either pregnant when they completed the questionnaire or had been pregnant during the COVID-19 pandemic. Women were asked about their contraceptive practices before and during the pandemic. The change in contraceptive practice was estimated using a logistic model.
The COVID-19 pandemic reduced contraceptive use by 50%. Among women who wanted contraception, 58% did not receive it. During the pandemic, 77% of previous contraceptive users reported difficulty obtaining contraception, and only 23% sought family planning assistance.
During the COVID-19 pandemic, indigenous women in the studied community used fewer contraceptive methods and did not use intrauterine devices. Additionally, there was a decline in the percentage of women using contraceptives. These results highlight the impact on indigenous populations and the difficulties they could face in accessing reproductive health services during health emergencies.
作为原住民、女性和贫困人口，这些社会决定因素导致她们获得医疗保健的机会减少，包括生殖健康服务。COVID-19 大流行可能加剧了这种滞后。
本研究探讨了 COVID-19 大流行如何影响一群生活在墨西哥原住民社区的妇女和青少年的避孕措施。
在 2021 年 6 月至 12 月期间，在恰帕斯州圣克里斯托瓦尔·德拉斯卡萨斯的两个医疗中心对 158 名经历过反复妊娠的墨西哥原住民妇女进行了访谈。参与者在完成问卷时要么怀孕，要么在 COVID-19 大流行期间怀孕。妇女被问及她们在大流行前后的避孕措施。使用逻辑模型估计避孕措施的变化。
COVID-19 大流行使避孕措施的使用减少了 50%。在想要避孕的妇女中，有 58%没有得到避孕措施。在大流行期间，77%的以前使用过避孕措施的妇女报告说难以获得避孕措施，只有 23%寻求计划生育援助。
在 COVID-19 大流行期间，研究社区的原住民妇女使用的避孕方法减少，且未使用宫内节育器。此外，使用避孕药具的妇女比例下降。这些结果突出了对原住民人口的影响，以及他们在卫生紧急情况下可能面临的获取生殖健康服务的困难。
