Kazakov Jonathan, Fogel Joshua, Lowery Tara Savannah, Tetrokalashvili Maggie
Department of Obstetrics and Gynecology, Touro College of Osteopathic Medicine - Touro University, New York, NY, United States of America.
Department of Obstetrics and Gynecology, New York City Health + Hospitals/South Brooklyn Health, Brooklyn, NY, United States of America.
J Turk Ger Gynecol Assoc. 2024 Dec 10;25(4):200-206. doi: 10.4274/jtgga.galenos.2024.2024-3-2.
Contraception use and follow-up visit data from before and in two periods during the coronavirus disease-2019 (COVID-19) pandemic were compared to investigate change in behavior.
A retrospective study of women aged 18-49 years from New York City during three one-year time periods: pre-COVID-19 pandemic [(COV-PRE); n=4,261], early COVID-19 pandemic when the COVID-19 vaccine was not available [(COV-VACNO); n=3,365], and later COVID-19 pandemic when the COVID-19 vaccine was available [(COV-VACAV); n=4,170].
There were higher odds of implant use [odds ratio (OR): 1.42, 95% confidence interval (CI): 1.05, 1.93, p=0.02] during COV-VACNO. There were lower odds for any contraception (OR: 0.88, 95% CI: 0.79, 0.98, p<0.001) or intrauterine device (IUD) (OR: 0.73, 95% CI: 0.61, 0.86, p<0.001) use during COV-VACAV. No differences occurred for bilateral tubal ligation, pill, patch, injection, medical elective abortion, or surgical elective abortion. There was a greater percentage of follow-up visits for any contraception (p=0.02) and IUD (p=0.02) use during COV-VACNO and COV-VACAV than COV-PRE.
When COVID-19 vaccines were unavailable, there were higher odds for use of implants. Once COVID-19 vaccines were available, there were lower odds for any contraception and IUD use. These findings highlight changes in behavior in terms of contraceptive concerns and preferences during a public health crisis that should be planned for by healthcare providers.
比较2019冠状病毒病（COVID-19）大流行之前及两个时期的避孕措施使用情况和随访数据，以调查行为变化。
对纽约市18至49岁女性在三个为期一年的时间段进行回顾性研究：COVID-19大流行前[（COV-PRE）；n = 4261]、COVID-19疫苗不可用时的COVID-19大流行早期[（COV-VACNO）；n = 3365]以及COVID-19疫苗可用时的COVID-19大流行后期[（COV-VACAV）；n = 4170]。
在COV-VACNO期间，使用植入剂的几率更高[优势比（OR）：1.42，95%置信区间（CI）：1.05，1.93，p = 0.02]。在COV-VACAV期间，使用任何避孕措施（OR：0.88，9五%CI：0.79，0.98，p < 0.001）或宫内节育器（IUD）（OR：0.73，95%CI：0.61，0.86，p < 0.001）的几率较低。双侧输卵管结扎、口服避孕药、避孕贴片、注射避孕、选择性药物流产或选择性手术流产方面无差异。与COV-PRE相比，在COV-VACNO和COV-VACAV期间，因使用任何避孕措施（p = 0.02）和IUD（p = 0.02）进行随访的比例更高。
当COVID-19疫苗不可用时，使用植入剂的几率更高。一旦有了COVID-19疫苗，使用任何避孕措施和IUD的几率就会降低。这些发现凸显了在公共卫生危机期间，在避孕问题和偏好方面的行为变化，医疗保健提供者应为此做好规划。
