Columbia University Mailman School of Public Health, Heilbrunn Department of Population & Family Health, New York, NY, United States.
Columbia University Mailman School of Public Health, Heilbrunn Department of Population & Family Health, New York, NY, United States; Columbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, Section of Adolescent Medicine, New York, NY, United States.
Sex Reprod Healthc. 2024 Jun;40:100972. doi: 10.1016/j.srhc.2024.100972. Epub 2024 Apr 21.
Long-acting reversible contraceptives (LARCs) are effective contraceptive methods for adolescents. This study describes the initiation and continuation of LARC care to adolescents at school-based health centers (SBHCs) during the COVID-19 pandemic. Participants received contraceptive care in New York City SBHCs from April 2021-June 2022. LARC initiation, LARC discontinuation, and total contraceptive visits were measured monthly. During the study period, the SBHCs provided 1,303 contraceptive visits, including 77 LARC initiations. Among LARC initiations, six-month continuation probability was 79.3 % (95 %CI: 69.0-91.1). SBHCs play an important role in providing adolescents contraceptive services, particularly LARC care, when other health care systems are disrupted.
长效可逆避孕措施（LARC）是青少年有效的避孕方法。本研究描述了在 COVID-19 大流行期间，学校保健中心（SBHC）向青少年提供 LARC 护理的开始和持续情况。参与者于 2021 年 4 月至 2022 年 6 月在纽约市 SBHC 接受避孕护理。每月测量 LARC 启动、LARC 停止和总避孕就诊情况。在研究期间，SBHC 提供了 1303 次避孕就诊服务，其中包括 77 次 LARC 启动。在 LARC 启动者中，六个月的持续概率为 79.3%（95%CI：69.0-91.1）。当其他医疗保健系统受到干扰时，SBHC 在为青少年提供避孕服务，特别是 LARC 护理方面发挥着重要作用。
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