Obstet Gynecol:女性使用长效可逆避孕药的变化

2015-10-13 sunshine 译 MedSci原创

Obstetrics & Gynecology:美国女性使用长效可逆避孕药的变化本研究旨在探究当前长效可逆避孕方法(LARC)的水平、关联以及改变,包括宫内节育器和皮下埋植器等,研究对象为2008-1010年及2011-2013年期间避孕的年龄在15-44岁的女性,特别关注不同的种族及经济收入的差异与LARC使用之间的关系。研究人员分析了两轮来自全国家庭成长调查研究的数据,2008-201

本研究旨在探究当前长效可逆避孕方法(LARC)(包括宫内节育器和皮下埋植器等)的水平、关联以及改变,研究对象为2008-1010年及2011-2013年间避孕的年龄在15-44岁的女性,特别关注不同的种族及经济收入的差异与LARC使用之间的关系。

研究人员分析了两轮来自全国家庭成长调查研究的数据,2008-2010年的调查研究共有6248名研究对象,2011-2013年调查研究共有5601名研究对象。校正抽样设计,使用简单及多元逻辑回归分析法以确定两个时间段之间研究对象LARC使用的人口统计学特点及这些模式使用的变化。在本次横断面描述性研究中,我们主要关心的结果是目前所有避孕的研究对象LARC的使用率。


结果发现,美国避孕女性LARC的使用率从2009年的8.5%上升至2012年的11.6%。其中,LARC的使用率增长的最高为西班牙女性(从8.5% 升高至15.1%),其中有购买了私人保险的女性 (7.1-11.1%),过去一年中性伴侣数目少于两位的女性(9.2-12.4%)以及从未生育过的女性(2.1-5.9%)。使用多变量分析,校正关键人口学特征后,发现2012年LARC使用(校正后[ORs] 4.3-5.5)与非LARC激素使用停断史(校正OR 1.9)之间具有显著的相关关系。35-44岁的女性(校正OR 0.3)较其他年龄的研究对象不大可能使用LARC。家庭的贫穷状态与LARC的使用无关。少数民族妇女与西班牙裔白人妇女之间由于对LARC方法不满意而停用的并无差别。

最近的一次研究表明, LARC方法的使用,尤其是宫内节育器,在整个人口中几乎均匀增加。

原始出处:

Kavanaugh, Jerman et al. Changes in Use of Long-Acting Reversible Contraceptive Methods Among U.S. Women, 2009-2012. Obstetrics & Gynecology, October 05, 2015.

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    2015-10-16 yhy100200
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    2015-12-01 cmn

    谢谢作者

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2043859, encodeId=be0e204385940, content=<a href='/topic/show?id=8513126129d' target=_blank style='color:#2F92EE;'>#NEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12612, encryptionId=8513126129d, topicName=NEC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Sat Jun 04 01:03:00 CST 2016, time=2016-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030904, encodeId=6eeb2030904fa, content=<a href='/topic/show?id=f7ff3854089' target=_blank style='color:#2F92EE;'>#可逆避孕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38540, encryptionId=f7ff3854089, topicName=可逆避孕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9dd613, createdName=xxxx1049, createdTime=Wed Jan 06 13:03:00 CST 2016, time=2016-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011195, encodeId=42792011195db, content=<a href='/topic/show?id=840d1e300e5' target=_blank style='color:#2F92EE;'>#TET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17300, encryptionId=840d1e300e5, topicName=TET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cc52251, createdName=yhy100200, createdTime=Fri Oct 16 17:03:00 CST 2015, time=2015-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44303, encodeId=3b3b443037f, content=谢谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Tue Dec 01 19:43:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39346, encodeId=6a49393465f, content=谢谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39347, encodeId=7a813934e7a, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39348, encodeId=b1283934857, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=)]
    2015-10-18 sunlong28

    谢谢分享~

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2043859, encodeId=be0e204385940, content=<a href='/topic/show?id=8513126129d' target=_blank style='color:#2F92EE;'>#NEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12612, encryptionId=8513126129d, topicName=NEC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Sat Jun 04 01:03:00 CST 2016, time=2016-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030904, encodeId=6eeb2030904fa, content=<a href='/topic/show?id=f7ff3854089' target=_blank style='color:#2F92EE;'>#可逆避孕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38540, encryptionId=f7ff3854089, topicName=可逆避孕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9dd613, createdName=xxxx1049, createdTime=Wed Jan 06 13:03:00 CST 2016, time=2016-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011195, encodeId=42792011195db, content=<a href='/topic/show?id=840d1e300e5' target=_blank style='color:#2F92EE;'>#TET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17300, encryptionId=840d1e300e5, topicName=TET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cc52251, createdName=yhy100200, createdTime=Fri Oct 16 17:03:00 CST 2015, time=2015-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44303, encodeId=3b3b443037f, content=谢谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Tue Dec 01 19:43:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39346, encodeId=6a49393465f, content=谢谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39347, encodeId=7a813934e7a, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39348, encodeId=b1283934857, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=)]
    2015-10-18 sunlong28

    赞一个~

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=2043859, encodeId=be0e204385940, content=<a href='/topic/show?id=8513126129d' target=_blank style='color:#2F92EE;'>#NEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12612, encryptionId=8513126129d, topicName=NEC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Sat Jun 04 01:03:00 CST 2016, time=2016-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030904, encodeId=6eeb2030904fa, content=<a href='/topic/show?id=f7ff3854089' target=_blank style='color:#2F92EE;'>#可逆避孕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38540, encryptionId=f7ff3854089, topicName=可逆避孕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9dd613, createdName=xxxx1049, createdTime=Wed Jan 06 13:03:00 CST 2016, time=2016-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011195, encodeId=42792011195db, content=<a href='/topic/show?id=840d1e300e5' target=_blank style='color:#2F92EE;'>#TET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17300, encryptionId=840d1e300e5, topicName=TET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cc52251, createdName=yhy100200, createdTime=Fri Oct 16 17:03:00 CST 2015, time=2015-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44303, encodeId=3b3b443037f, content=谢谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Tue Dec 01 19:43:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39346, encodeId=6a49393465f, content=谢谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39347, encodeId=7a813934e7a, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39348, encodeId=b1283934857, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:56:00 CST 2015, time=2015-10-18, status=1, ipAttribution=)]
    2015-10-18 sunlong28

    为了积分我也是拼了~

    0