Rainey D Y, Parsons L H, Kenney P G, Krowchuk D P
Department of Pediatrics, Bowman Gray School of Medicine, Winston-Salem, NC 27157, USA.
J Adolesc Health. 1995 May;16(5):385-8. doi: 10.1016/S1054-139X(94)00064-L.
Norplant's long duration of action may result in users being less motivated than non-users to return for reproductive health care appointments. This study determined compliance with scheduled return appointments among adolescents using Norplant and those using other methods of contraception.
We retrospectively reviewed the records of all teenagers (age < or = 18 years) who received Norplant between June 1991 and August 1993, as well as those of a comparison group of adolescents, matched for age and race, using other methods of contraception. Subjects receiving Norplant were given appointments for a two-week and an annual examination. Comparison subjects were given only an appointment for an annual examination. Norplant users not returning within 5 weeks or any subject not presenting within 12 months for an annual examination, were considered non-compliant.
Eighty-eight adolescents received Norplant during the study period and the records of 85 were available for review. Only 48 of the 85 Norplant users returned for scheduled two-week check-up, while 18 of 43 subjects who had Norplant at least 12 months were compliant with annual examinations. The compliance rate with annual examinations among the 89 subjects not using Norplant was 38%, not dissimilar from that of the Norplant group.
These data demonstrate that compliance with return appointments for reproductive health care among adolescent Norplant users is poor but not significantly worse than that of non-users of Norplant. Strategies promoting the benefits of return visits need to be improved for adolescents receiving contraception.
诺普兰长效避孕的特点可能导致使用者相比未使用者，返回接受生殖健康检查的积极性较低。本研究确定了使用诺普兰的青少年以及使用其他避孕方法的青少年遵守定期复诊预约的情况。
我们回顾性审查了1991年6月至1993年8月期间所有接受诺普兰的青少年（年龄≤18岁）的记录，以及一组年龄和种族匹配、使用其他避孕方法的青少年对照组的记录。接受诺普兰的受试者被安排进行为期两周的检查和年度检查。对照受试者只安排了年度检查。在5周内未返回或在12个月内未进行年度检查的诺普兰使用者，被视为未遵守规定。
在研究期间，88名青少年接受了诺普兰，其中85人的记录可供审查。85名诺普兰使用者中只有48人返回进行了预定的两周检查，而在至少使用诺普兰12个月的43名受试者中，有18人遵守了年度检查。89名未使用诺普兰的受试者的年度检查遵守率为38%，与诺普兰组没有差异。
这些数据表明，青少年诺普兰使用者遵守生殖健康复诊预约的情况较差，但并不比未使用诺普兰的人明显更差。对于接受避孕的青少年，需要改进宣传复诊益处的策略。
