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年轻女性中处方避孕药的来源及后续妊娠情况

Sources of prescription contraceptives and subsequent pregnancy among young women.

作者信息

Zelnik M, Koenig M A, Kim Y J

出版信息

Fam Plann Perspect. 1984 Jan-Feb;16(1):6-13.

PMID:6714381
Abstract

For more than four in 10 teenage women who first obtained a prescription contraceptive from a private doctor or family planning clinic prior to pregnancy, marriage or interview in 1979, that method was the first they had ever used. Whites were over two times more likely to have previously used a nonprescription method than were blacks. Blacks, on the other hand, were two times more likely than whites to have been virgins before first using a prescription method. Slightly more than half of all young women who used a prescription method first obtained it from a family planning clinic, and the remainder got it from a private physician. Blacks were much more likely to have gone to a clinic than were whites. Nine in 10 of those who obtained a prescription method chose the pill. Among blacks, there was no appreciable difference between those who got the method from a clinic and those whose source was a private doctor. Whites who obtained their method from a private doctor, however, were somewhat more likely to choose the pill than were those who got it from a clinic. Of all who had been sexually active before ever using a prescription method, about eight out of 10 whites, but only about five in 10 blacks, had previously used a nonprescription method. Overall, there was an interval of about one year between first intercourse and the time the young women first got a prescription method. Among whites, there was no difference in parental education or family stability between clinic and private physician patients.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在1979年怀孕、结婚或接受访谈之前首次从私人医生或计划生育诊所获得处方避孕药具的十多岁女性中,超过十分之四的人表示,那种方法是她们首次使用的。白人此前使用非处方避孕方法的可能性是黑人的两倍多。另一方面,黑人在首次使用处方避孕方法之前保持处女身的可能性是白人的两倍。所有首次使用处方避孕方法的年轻女性中,略多于一半的人最初是从计划生育诊所获得的,其余的人则是从私人医生那里获得的。黑人去诊所的可能性比白人高得多。在获得处方避孕方法的人中,十分之九选择了避孕药。在黑人中,从诊所获得避孕方法的人和从私人医生那里获得的人之间没有明显差异。然而,从私人医生那里获得避孕方法的白人比从诊所获得的白人更倾向于选择避孕药。在所有在首次使用处方避孕方法之前就有过性行为的人中,大约十分之八的白人,但只有十分之五的黑人此前使用过非处方避孕方法。总体而言,从首次性交到年轻女性首次获得处方避孕方法之间大约间隔一年。在白人中,从诊所和私人医生处获得避孕方法的患者在父母教育程度或家庭稳定性方面没有差异。(摘要截选至250字)

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