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首页> 外文期刊>Journal of women’s health >Changes in the Use of Long-Acting Reversible Contraceptive Methods Among U.S. Nulliparous Women: Results from the 2006–2010, 2011–2013, and 2013–2015 National Survey of Family Growth
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Changes in the Use of Long-Acting Reversible Contraceptive Methods Among U.S. Nulliparous Women: Results from the 2006–2010, 2011–2013, and 2013–2015 National Survey of Family Growth

机译:U.S.无效妇女使用长效可逆避孕方法的变化:2006-2010,2011-2013和2013-2015国家对家庭成长调查的结果

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Objective: Nulliparous women in the United States have high rates of unintended pregnancy comparable with parous women. Long-acting reversible contraceptives (LARCs) are recommended as first-line contraceptive choices to reduce unintended pregnancy. However, use of LARCs among nulliparous women has been low. This study aims to examine changes in the prevalence of current LARC use among sexually experienced U.S. nulliparous women across the time period of 2006–2010, 2011–2013, and 2013–2015, and examine correlates of use. Materials and Methods: Sexually experienced nulliparous women (15–44 years) from the 2006–2010, 2011–2013, and 2013–2015 rounds of the National Survey of Family Growth ( N = 7463) were examined. Changes in the prevalence of current use of LARCs were examined and correlates of current LARC use were evaluated using multiple logistic regression. Results: Increases in the prevalence of current LARC use from 2008 to 2012 (0.8% vs. 3.8%, p p = 0.09) were observed among sexually experienced nulliparous women. Significant increases were also observed across different subgroups of nulliparous women. Maternal age, education, future birth intention, sexual activity, and discontinuation of non-LARC hormonal contraceptives due to dissatisfaction were significant correlates of current LARC use. Conclusion: Although current use of LARCs among sexually experienced U.S. nulliparous women shows an increasing trend, prevalence of use still remains low. There is the need to increase awareness of LARCs as an effective contraceptive choice for nulliparous women.
机译:目的:在美国的无烟妇女具有高意外怀孕率,与寄生妇女相当。建议将长效可逆避孕药(LARCS)作为一线避孕选择,以减少意外怀孕。但是,在无烟女性中使用LARCS已经很低。本研究旨在检验在2006 - 2010,2001-2013和2013 - 2015年期间的性经验丰富的美国在性经验丰富的美国使用中使用的流动性的变化,并检查使用的相关性。材料和方法:从2006 - 2010年,2011-2013和2013-2015的国家进行性经验丰富的禁止妇女(15-44岁)进行了研究过的全国家庭增长调查(n = 7463)。检查了当前使用LARCS的流行情况的变化,并使用多个逻辑回归评估当前LARC使用的相关性。结果:在发生性经历的无流动妇女中观察到2008年至2012年的当前LARC使用普遍存在的流行增加(0.8%,P = 0.09)。在不同亚组的杂散妇女的不同亚组中也观察到显着增加。母亲年龄,教育,未来的诞生,性活动和由于不满而导致的非LARC激素避孕药的停止是目前LARC使用的显着相关性。结论:虽然目前在性经验丰富的美国使用患者的危险妇女呈现出越来越大的趋势,但普遍存在仍然仍然低。有必要提高对LARCS的意识,作为无流动女性的有效避孕选择。

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