Mary D Carmody, Danielle G Tsevat, Lindsey Yates, Gretchen Stuart, Kavita S Arora
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引用次数: 0
摘要
研究目的:确定居住在高度贫困地区与获得单次长效可逆避孕药具之间的关系:研究设计:研究设计:我们利用泊松回归法确定了2019-2021年间全州医疗保健系统中地区贫困与单次就诊LARC植入之间的关系:在我们的队列(N=4,417)中,68.60%需要LARC的患者获得了单次LARC,23.70%生活在高贫困地区。生活在高贫困地区的参与者接受单次LARC的可能性较低(aRR为0.72,95% CI为0.65-0.80):结论:需要减少社会经济贫困地区患者获得理想医疗服务的障碍,以减少生殖医疗服务中的不公平现象:虽然应普遍改善单次就诊 LARC 的可及性,但仍需注意减少为 ADI 较高的患者提供护理的临床机构的障碍,并最终帮助限制生殖保健方面的进一步不平等。
The association between socio-economic deprivation and receipt of long-acting reversible contraception at a single clinic visit.
Objectives: To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).
Study design: 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.
Results: 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).
Conclusions: Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.
Implications: While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.