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首页> 外文期刊>Journal of women’s health >Pregnancy intention and use of contraception among hispanic women in the United States: Data from the national survey of family growth, 2006-2010
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Pregnancy intention and use of contraception among hispanic women in the United States: Data from the national survey of family growth, 2006-2010

机译：美国西班牙裔妇女的怀孕意向和避孕方法：2006-2010年全国家庭成长调查数据

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Background: Both unintended and adolescent childbearing disproportionately impact the Hispanic population of the United States. Methods: We used the 2006-2010 National Survey of Family Growth (NSFG) to provide the most recent, nationally representative description of pregnancy, childbearing, and contraception for Hispanic females aged 15-44. We determined baseline fertility data for self-identified Hispanic female respondents. Among those reporting a pregnancy history, we calculated the proportion of pregnancies identified as unintended and their association with sociodemographic variables. We also assessed outcomes and estimates of relative risk for unintended pregnancy. Finally, we examined contraceptive use prior to self-reported unintended pregnancies. Results: Approximately 70% of Hispanic women reported ever being pregnant, including 18% of teenagers. Over half (51%) of those pregnancies were unintended, including 81% among teenagers. The adjusted risk of unintended pregnancy was highest in women 15 to 19 years old and those with three or more pregnancies (incidence rate ratio [IRR] 1.64, 95% confidence interval [CI]: 1.44-1.88 and IRR 1.77, 95% CI: 1.53-2.06, respectively). Half of unintended pregnancies were preceded by no contraception. The most common reason for unintended pregnancy preceded by contraception was "improper use" (45%) and among pregnancies without use, the most common response (37%) was "I did not think I could get pregnant." Conclusions: There is a high frequency of unintended pregnancy and lack of contraceptive use among Hispanic women. These findings highlight the need for improved reproductive education and contraceptive counseling in this population.
机译：背景：意外生育和青春期生育都对美国西班牙裔人口造成了不成比例的影响。方法：我们使用2006-2010年全国家庭成长状况调查（NSFG）为15-44岁的西班牙裔女性提供了关于妊娠，生育和避孕的最新，全国代表性的描述。我们确定了自我识别的西班牙裔女性受访者的基准生育率数据。在那些报告怀孕史的人中，我们计算了被确定为意外怀孕的比例，以及它们与社会人口统计学变量的关联。我们还评估了意外怀孕的结果和相对风险估计。最后，我们在自我报告意外怀孕之前检查了避孕药具的使用。结果：大约70％的西班牙裔妇女报告曾怀孕，其中包括18％的青少年。在这些怀孕中，有一半以上（51％）是意外怀孕的，其中包括81％的青少年。 15至19岁以及三胎或以上怀孕的妇女发生意外怀孕的调整后风险最高（发生率[IRR] 1.64，95％置信区间[CI]：1.44-1.88，IRR 1.77，95％CI： 1.53-2.06）。一半的意外怀孕之前没有避孕。意外怀孕后避孕的最常见原因是“不正确使用”（45％），而在不使用怀孕的情况下，最常见的回答（37％）是“我不认为自己可以怀孕”。结论：西班牙裔女性意外怀孕的频率很高，并且缺乏避孕措施。这些发现凸显了该人群需要改善生殖教育和避孕咨询的必要性。

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