Declines in contraceptive visits in the United States during the COVID-19 pandemic.
Declines in contraceptive visits in the United States during the COVID-19 pandemic.
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DOI：
10.1016/j.contraception.2021.08.003
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发表时间：
2021-12
期刊：
影响因子：
2.9
通讯作者：
Cohen JL
中科院分区：
文献类型：
--
作者：
Steenland MW;Geiger CK;Chen L;Rokicki S;Gourevitch RA;Sinaiko AD;Cohen JL
记录COVID-19大流行期间美国避孕药具使用率的变化。我们使用全国范围的索赔样本，通过计算2019年5月至2020年4月以及2019年12月至2020年12月期间避孕药具使用次数的百分比变化，分析了大流行期间避孕药具使用次数的即时和持续变化。我们通过避孕方法、地区、年龄和远程医疗的使用来检查这些变化，并分别对产后个体进行检查。与2019年5月相比，2020年4月，输卵管结扎的就诊人数下降了65%（95% CI，-65.5，-64.1），LARC降低46%（95% CI，-47.0，-45.6），丸剂、贴剂或环45%（95% CI，-45.8，-44.5），注射剂16%（95% CI-17.2，-15.4）。2020年12月就诊持续变化较大的为输卵管结扎术（-18%，95% CI，-19.1，-16.8）和注射剂（-11%，95% CI，-11.4，-9.6），而LARC（-6%，95% CI，-6.6，-4.4）和药丸、贴剂和环（-5%，95% CI，-5.7，-3.7）。东北部和中西部地区的直接降幅最大。产后个体的下降幅度较小，但仍然很大。于COVID-19疫情开始时，避孕人次大幅下降，直至二零二零年底，避孕人次仍低于疫情前水平。大流行期间避孕药具使用率下降表明，许多人在COVID-19大流行期间难以获得这一基本卫生服务
To document the change in contraceptive visits in the United States during the COVID-19 pandemic. Using a nationwide sample of claims we analyzed the immediate and sustained changes in contraceptive visits during the pandemic by calculating the percentage change in number of visits between May 2019 and April 2020 and between December 2019 and December 2020, respectively. We examined these changes by contraceptive method, region, age, and use of telehealth, and separately for postpartum individuals. Relative to May 2019, in April 2020, visits for tubal ligation declined by 65% (95% CI, -65.5, -64.1), LARCs by 46% (95% CI, -47.0, -45.6), pill, patch, or ring by 45% (95% CI, -45.8, -44.5), and injectables by 16% (95% CI -17.2, -15.4). The sustained change in visits in December 2020 was larger for tubal ligation (-18%, 95% CI, -19.1, -16.8) and injectable (-11%, 95% CI, -11.4, -9.6) visits than for LARC (-6%, 95% CI, -6.6, -4.4) and pill, patch, and ring (-5%, 95% CI, -5.7, -3.7) visits. The immediate decline was highest in the Northeast and Midwest regions. Declines among postpartum individuals were smaller but still substantial. There were large declines in contraceptive visits at the start of the COVID-19 pandemic and visit numbers remained below pre-pandemic levels through the end of 2020. Declines in contraceptive visits during the pandemic suggest that many people faced difficulties accessing this essential health service during the COVID-19 pandemic
影响因子：
33.9
作者：
Moreland, Amanda;Herlihy, Christine;Baldwin, Grant
通讯作者：
Baldwin, Grant
影响因子：
158.5
作者：
Finer, Lawrence B.;Zolna, Mia R.
通讯作者：
Zolna, Mia R.
影响因子：
2.9
作者：
Evans ML;Qasba N;Shah Arora K
通讯作者：
Shah Arora K