新冠肺炎大流行期间瑞典避孕的使用和获取情况。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI:10.1080/13625187.2023.2260516

Niklas Envall, Kristina Gemzell Danielsson, Helena Kopp Kallner

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引用次数: 0

摘要

目的：探讨新冠肺炎大流行期间获得、需要、使用和满意度远程医疗服务的情况，仅限避孕咨询和处方更新，以及新冠肺炎大流行期间对避孕药具选择和使用的影响。材料和方法：基于互联网的16-49岁瑞典育龄妇女电子调查年。结果：共有1016名参与者完成了调查。大多数参与者（69.7%）认为他们获得避孕服务的机会“像往常一样”。在其余参与者中，更高比例的人认为他们的访问情况恶化（73.4%），而改善（26.6%；p p p 结论：在新冠肺炎大流行期间，大多数妇女发现她们获得避孕服务的机会没有受到影响，但更多的妇女认为情况恶化而不是改善。远程医疗的使用率较低，避孕药具的使用率总体下降。需要努力提高对现有服务的认识，TM为保持护理质量和知情决策提供的干预措施仍有待评估。短暂冷凝新冠肺炎时期改变了避孕服务的提供，需要努力提高对包括远程医疗在内的可用服务的认识。获得包括LARC在内的所有避孕药具至关重要，远程医疗提供的干预措施需要评估。

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The use and access to contraception in Sweden during the COVID-19 pandemic period.

Purpose: Explore perceived access to, the need for, use of, and satisfaction with telemedicine services for contraceptive counselling and prescription-renewal-only during the COVID-19 pandemic, and the impact of the COVID-19 pandemic period on the choice and use of contraceptives.

Materials and methods: Internet-based e-survey of Swedish women of fertile age, 16-49 years.

Results: In total, 1016 participants completed the survey. Most participants (69.7%) rated their access to contraceptive services 'as usual'. Among the remaining participants, a higher proportion rated their access as deteriorated (73.4%) compared to improved (26.6%; p < 0.001). In total, 38.0% reported a need for contraceptive counselling, whereof 14.0% had used telemedicine for counselling and reported high satisfaction. Telemedicine for prescription-renewal-only was used by 15.1% of the total population. Two per cent reported use of another contraceptive than their intended, whereof long-acting reversible contraceptives were the most common intended method. The proportion of current contraceptive users was lower than in 2017 (62.4% vs 71.1%, p < 0.001), and current users of long-acting reversible contraception decreased from 30.6% to 19.3% (p < 0.001).

Conclusions: During the COVID-19 pandemic period, most women found their access to contraceptive services unaffected, but more women felt that it had deteriorated than improved. The use of telemedicine was low, and the use of contraception overall fell. Efforts are needed to raise awareness of available services, and TM-provided interventions for maintained quality of care and informed decision-making remain to be evaluated.SHORT CONDENSATIONThe COVID-19 period imposed a change in contraceptive service provision, and efforts are needed to raise awareness of available services, including telemedicine. Access to all contraceptives, including LARCs, is crucial and telemedicine-provided interventions need evaluation.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.