12个月期间美国女性避孕使用模式的变化和稳定性:使用2013-2015年全国家庭成长生活史日历调查的分析

Q2 Medicine

Contraception: X Pub Date : 2020-01-01 DOI:10.1016/j.conx.2020.100028

Sean M. Finn, Ayana Douglas-Hall, Rachel K. Jones

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引用次数: 2

摘要

目的提高美国妇女对1年以上避孕药具使用情况的了解。研究设计我们使用2013-2015年全国家庭增长调查来检查12个月期间每月使用避孕药的模式。我们关注的是未绝育的女性在性活跃且未怀孕的几个月内使用避孕措施的情况;我们的结果是每个月、几个月和没有月使用避孕药。我们使用简单和多变量逻辑回归来检查与避孕使用模式相关的社会人口统计学和方法使用特征。结果72%的非怀孕、非手术不育妇女在每个性活跃月都采取了避孕措施。在控制了其他人口统计学和个体特征后，与25-29岁的女性相比，青少年在每个性活跃月份使用避孕措施的几率更高(aOR = 2.45)。其他更有可能每月采取避孕措施的群体包括那些上过大学的女性(aOR = 1.58)与高中以下的女性相比，非同居未婚女性(aOR = 1.49)与已婚女性相比。那些在过去一年中有保险缺口的妇女(aOR = 0.70)，所有12个 月都没有性活跃的妇女(aOR = 0.42)，以及那些有两个以上男性性伴侣的妇女(aOR = 0.49)，在每个性活跃月份都不太可能使用避孕措施。在我们的样本中，近一半(46%)的避孕药具使用者在12个月期间使用了一种以上的避孕方法。结论:尽管不同社会人口统计群体之间存在差异，但大多数性活跃的女性每月都采取避孕措施。然而，在一年的时间里，许多妇女使用动态避孕策略。卫生保健提供者应认识到，对许多妇女来说，避孕药具的使用模式是动态的，在相对较短的时间内会发生变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Change and stability in contraceptive use patterns among US women over a 12-month period: analysis using the 2013–2015 National Survey of Family Growth life history calendar

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Change and stability in contraceptive use patterns among US women over a 12-month period: analysis using the 2013–2015 National Survey of Family Growth life history calendar

Objective

To improve understanding of contraceptive use over 1 year among women in the United States.

Study design

We used the 2013–2015 National Survey of Family Growth to examine monthly contraceptive use patterns over a 12-month period. We focused on use of contraception during months in which non-sterilized women were sexually active and not pregnant; our outcomes were contraceptive use in every month, some months, and no months. We used simple and multivariate logistic regression to examine socio-demographic and method use characteristics associated with contraceptive use patterns.

Results

Some 72% of non-pregnant, non-surgically sterile women used contraception in every sexually active month. After controlling for other demographic and individual characteristics, adolescents had higher odds (aOR = 2.45) of using contraception in each sexually active month compared to women aged 25–29. Other groups more likely to use contraception monthly included those with some college (aOR = 1.58) compared to less than high school and non-cohabiting unmarried women (aOR = 1.49) compared to married women. Those with gaps in insurance coverage during the past year (aOR = 0.70), women who were not sexually active all 12 months (aOR = 0.42), and those with more than two male sexual partners (aOR = 0.49), were less likely to use contraception every sexually active month. Nearly half (46%) of contraceptive users in our sample used more than one type of contraceptive method over the 12-month period.

Conclusions

The majority of women use contraception every month they are sexually active, although there is variation between socio-demographic groups. However, over a one-year period, many women used dynamic contraceptive strategies.