Adverse Birth Outcomes in Colorado: Assessing the Impact of a Statewide Initiative to Prevent Unintended Pregnancy
Adverse Birth Outcomes in Colorado: Assessing the Impact of a Statewide Initiative to Prevent Unintended Pregnancy
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DOI：
10.2105/ajph.2015.302711
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发表时间：
2015-09-01
影响因子：
12.7
通讯作者：
Sheeder, Jeanelle
中科院分区：
文献类型：
--
作者：
Goldthwaite, Lisa M.;Duca, Lindsey;Sheeder, Jeanelle
目标。我们评估了居住在科罗拉多州有第十章诊所的县和增加使用长效可逆避孕（LARC）是否与不良出生结果的风险降低有关。我们通过使用母亲居住的县将《Title X》诊所的县与科罗拉多州的出生数据集联系起来。我们比较了2008年和2012年在有和没有第十条诊所的县的低出生体重（LBW）和早产（PTB）。我们比较了2012年生活在标题X诊所县的妇女使用LARC与LBW或PTB发病率之间的关系。与2008年相比，居住在有《Title X》诊所的县的妇女，2012年患肺结核的几率显著降低（优势比= 0.85；95%可信区间= 0.81,0.89；相互作用P = 0.02）。对于2012年生活在标题X诊所县的妇女，使用LARC的比例较高（> 12.4%）与使用LARC的比例较低（P = 0.02）相比，与PTB风险降低显著相关（P = 0.02）。
Objectives. We assessed whether living in counties with Title X clinics and increased use of long-acting reversible contraception (LARC) in Colorado are associated with decreased risk of adverse birth outcomes.Methods. We linked Title X clinic counties to the Colorado birth data set by using the mother's county of residence. We compared low birth weight (LBW) and preterm birth (PTB) in 2008 and 2012, in counties with and without Title X clinics. We compared the relationship between LARC use and the incidence of LBW or PTB in 2012 for women living in counties with Title X clinics.Results. For women living in counties with Title X clinics, the odds of PTB were significantly lower in 2012 compared with 2008 (odds ratio = 0.85; 95% confidence interval = 0.81, 0.89; interaction P = .02). For women living in Title X clinic counties in 2012, a higher proportion of LARC use (> 12.4%) was significantly associated with decreased risk of PTB (P = .02) compared with a low proportion of LARC use (