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首页> 外文期刊>Journal of women’s health >Natural and social disasters: racial inequality in access to contraceptives after Hurricane Ike.
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Natural and social disasters: racial inequality in access to contraceptives after Hurricane Ike.

机译：自然和社会灾难：艾克飓风过后，获得避孕药具的种族不平等。

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BACKGROUND: Few data are available on access to contraception following a natural disaster. The current study extends the literature by examining access to various types of birth control in a large sample of women from diverse backgrounds following Hurricane Ike, which made landfall on September 13, 2008, on the upper Texas Gulf Coast. METHODS: We examined Hurricane Ike's influence on access to contraceptives through survey results from 975 white, black, and Hispanic women 16-24 years of age receiving care at one of five publicly funded reproductive health clinics in the Texas Gulf Coast region between August 2008 and July 2010. RESULTS: Overall, 13% of women reported difficulties accessing contraception. Black women had more difficulty than their white (p<0.001) and Hispanic (p=0.019) counterparts. Using multivariate analysis, we found that although family planning clinics in the area were open, black women (odds ratio [OR] 2.25, 95% confidence interval [CI] 1.37-3.73; p=0.001] and hurricane evacuees (OR 2.17, 95% CI 1.27-3.72; p=0.005) reported greater difficulty in accessing birth control. Last, we found that a lack of access to birth control was related to having a higher frequency of unprotected sex for women of all races (p=0.001). CONCLUSIONS: Access to resources is critical in differentiating the level of impact of disasters on various groups of people. We suggest a community-based disaster preparedness and response model that takes women's reproductive needs into account.
机译：背景：自然灾害发生后，获得避孕措施的数据很少。当前的研究通过检查飓风艾克（2008年9月13日登陆德克萨斯州墨西哥湾沿岸地区）后来自不同背景的大量妇女，研究了各种类型的节育措施，从而扩展了文献资料。方法：我们通过调查975名16-24岁的白人，黑人和西班牙裔妇女在2008年8月至2005年间在德克萨斯州墨西哥湾沿岸地区的五个公共资助的生殖健康诊所之一中接受护理的调查结果，研究了艾克飓风对获得避孕药具的影响。 2010年7月。结果：总体而言，有13％的女性报告说难以使用避孕药具。黑人妇女比白人妇女（p <0.001）和西班牙裔妇女（p = 0.019）困难更大。使用多变量分析，我们发现尽管该地区的计划生育诊所开放，但黑人妇女（赔率[OR] 2.25，95％置信区间[CI] 1.37-3.73; p = 0.001]和飓风撤离者（OR 2.17、95 ％CI 1.27-3.72; p = 0.005）报告了获得节育的难度更大;最后，我们发现缺乏获得节育与所有种族的女性无保护性行为的频率较高有关（p = 0.001）结论：获得资源对于区分灾害对不同人群的影响程度至关重要，我们建议采用基于社区的备灾和响应模型，其中应考虑到妇女的生殖需求。

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