2017-2021 年马萨诸塞州产后立即提供的高效避孕药具的全州使用情况分析。

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-12-17 DOI:10.1016/j.contraception.2024.110785

Preetha Nandi , Devika Lekshmi , Alysa St. Charles , Erika Werner , Megan L. Evans

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引用次数: 0

摘要

目的：我们的研究旨在评估马萨诸塞州提供高效避孕的趋势，包括在产后（iPP）期间植入避孕、宫内节育器（IUD）和永久避孕。研究设计：从马萨诸塞州急性医院数据库中提取2017-2021年的分娩，主要结局包括永久避孕、iPP植入或分娩入院时提供iPP宫内节育器。协变量包括种族、民族、保险和医院类型。分析了iPP避孕方法的Logistic回归和方法可逆性的比较，并按分娩类型进行了亚分析。结果：在研究期间，马萨诸塞州分娩入院期间进行了16,379例永久性避孕，2,608例iPP植入和2,198例iPP宫内节育器手术。在调整后的模型中，西班牙裔患者或有私人保险的患者接受任何iPP方法的几率更高，而在非教学医院分娩的患者接受任何iPP方法的几率较低。西班牙裔、有公共保险或在非教学医院分娩的患者接受可逆手术的几率低于永久性手术。当按交付类型分析时，这些趋势总体上持续存在。结论：许多因素与分娩入院时高效避孕的差异有关，建议政策和规划建议以满足国家未满足的产后避孕需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A statewide analysis of uptake of highly effective contraception offered immediately postpartum in Massachusetts, 2017–2021

Objectives

To investigate provision of immediate postpartum (iPP) highly effective contraception in Massachusetts.

Study design

We performed logistic regressions evaluating contraceptive implant, intrauterine device, and permanent contraception procedures occuring during delivery admissions between 2017 and 2021, analyzing outcomes by method reversibility and delivery type.

Results

Hispanic and privately-insured patients had higher odds of receiving any iPP method, whereas patients delivered at non-teaching hospitals had lower odds of receiving any method. Patients who were Hispanic, publicly-insured, or delivered at non-teaching hospitals had lower odds of receiving reversible compared to permanent methods.

Conclusion

Differential uptake of iPP contraception suggests programming opportunities to address unmet postpartum contraception needs.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.