The association of health insurance with use of prescription contraceptives
The association of health insurance with use of prescription contraceptives
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DOI：
10.1363/3922607
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发表时间：
2007-12-01
影响因子：
5.8
通讯作者：
Feinglass, Joe
中科院分区：
文献类型：
--
作者：
Culwell, Kelly R.;Feinglass, Joe
上下文鉴于相当大比例的育龄妇女缺乏医疗保险，重要的是要评估缺乏保险是否与使用处方避孕药有关，处方避孕药是最昂贵但也是最有效的避孕方法。方法：数据来自26，参与2002年行为风险因素监测系统调查的674名18-44岁女性（代表美国人口中超过2500万妇女）被用来评估意外怀孕的风险，处方避孕药的使用和健康保险状况。Logistic回归模型测试的可能性处方避孕药的使用保险与未投保的受访者控制后的社会经济特征和自我报告的整体health.Results：一个显着较高的比例，投保的妇女比未投保的妇女报告使用处方避孕药（54%比45916）。在多元回归分析中，锁定健康保险的妇女报告使用处方避孕方法的可能性比拥有私人或公共健康保险的妇女低30%。结果是相似的种族，年龄和收入subgroups.CONCLUSIONS：锁定健康保险与减少使用处方避孕药。需要普及保险，以确保所有有需要的妇女都能获得最有效的避孕方法。
CONTEXT. Given that substantial proportions of women of reproductive age lack health insurance coverage, it is important to assess whether lack of insurance is associated with the use of prescription contraceptives, which are the most expensive but also the most effective methods for preventing pregnancy.METHODS: Data from 26,674 females aged 18-44 who participated in the 2002 Behavioral Risk Factor Surveillance System survey (representing more than 25 million women in the U.S. population) were used to assess risk of unintended pregnancy, prescription contraceptive use and health insurance status. Logistic regression models tested the likelihood of prescription contraceptive use among insured versus uninsured respondents after controlling for socioeconomic characteristics and self-reported overall health.RESULTS: A significantly higher proportion of insured women than of uninsured women reported use of prescription contraceptives (54% vs. 45916). In multiple regression analysis, women locking health insurance were 30% less likely to report using prescription contraceptive methods than were women with private or public health insurance. Results were similar across racial, age and income subgroups.CONCLUSIONS: Lock of health insurance is associated with reduced use of prescription contraceptives. Universal insurance coverage is needed to ensure access to the most effective contraceptive methods for all women in need.