Carmody Mary D, Tsevat Danielle G, Yates Lindsey, Stuart Gretchen, Arora Kavita S
The Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States; Carolina Population Center, University of North Carolina, Chapel Hill, NC, United States.
The Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States; Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, United States.
Contraception. 2025 Jan;141:110705. doi: 10.1016/j.contraception.2024.110705. Epub 2024 Sep 13.
To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).
We utilized Poisson regression to determine the association between area deprivation and single-visit LARC insertion within a state-wide healthcare system between 2019-2021.
Among our cohort (N = 4417), 68.60% of patients desiring LARC obtained single-visit LARC. Participants living in high deprivation areas were less likely to receive single-visit LARC (aRR 0.72, 95% CI 0.65-0.80).
Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.
While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.
确定地区贫困指数（ADI）与单次就诊长效可逆避孕方法（LARC）获取之间的关系。
我们采用泊松回归分析，以确定2019年至2021年全州医疗系统内地区贫困与单次就诊LARC植入之间的关联。
在我们的队列（N = 4417）中，68.60%希望采用LARC的患者获得了单次就诊LARC。生活在高度贫困地区的参与者接受单次就诊LARC的可能性较小（调整后风险比0.72，95%置信区间0.65 - 0.80）。
生活在高度贫困地区与获得单次就诊LARC独立呈负相关。
虽然应普遍改善单次就诊LARC的可及性，但减少ADI较高患者的障碍可能有助于限制生殖保健方面的不平等。
