Comparison of family-planning service quality reported by adolescents and young adult women in Mexico
Comparison of family-planning service quality reported by adolescents and young adult women in Mexico
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DOI：
10.1016/j.ijgo.2015.12.003
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发表时间：
2016-07-01
影响因子：
3.8
通讯作者：
Rodriguez, Maria I.
中科院分区：
文献类型：
--
作者：
Darney, Blair G.;Saavedra-Avendano, Biani;Rodriguez, Maria I.
目的：在墨西哥的年轻女性中研究年龄与患者报告的计划生育服务质量之间的关系。方法：对2006年、2009年和2014年收集的调查数据进行重复横断面分析。其中包括15-29岁未做绝育手术、目前正在使用现代避孕方法的妇女的数据。主要结果是高质量的护理，定义为对调查中所包括的所有五个避孕服务质量项目的积极回应。多变量logistic回归和边际概率被用来比较20-29岁的青少年和女性。比较了使用不同避孕方法的受访者的反应。结果：数据来自15835人。多变量分析表明，与25-29岁的女性相比，15-19岁（比值比0.73; 95%置信区间0.60-0.88）和20-24岁（比值比0.85; 95%置信区间0.75-0.96）的女性报告高质量护理的几率较低。与25-29岁的女性相比，使用激素和长效可逆避孕药的青少年报告高质量护理的几率显着降低。结论：墨西哥的青少年报告说，与年轻成年妇女相比，计划生育服务的质量较低。需要继续进行研究和制定政策，以提高避孕服务的质量。(C)2016年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: Associations between age and patient-reported quality of family planning services were examined among young women in Mexico. Methods: A repeated cross-sectional analysis of survey data collected in 2006, 2009, and 2014 was performed. Data from women aged 15-29 years who had not undergone sterilization and were currently using a modern contraceptive method were included. The primary outcome was high-quality care, defined as positive responses to all five quality items regarding contraceptive services included in the survey. Multivariable logistic regression and marginal probabilities were used to compare adolescents and women aged 20-29 years. The responses of respondents using different contraceptive methods were compared. Results: Data were included from 15 835 individuals. The multivariable analysis demonstrated lower odds of reporting high-quality care among women aged 15-19 years (odds ratio 0.73; 95% confidence interval 0.60-0.88) and 20-24 years (odds ratio 0.85; 95% confidence interval 0.75-0.96) compared with women aged 25-29 years. Adolescents using hormonal and long-acting reversible contraception had significantly lower odds of reporting high-quality care compared with women aged 25-29. Conclusions: Adolescents in Mexico reported a lower quality of family planning services compared with young adult women. Continued research and policies are needed to improve the quality of contraceptive services. (C) 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.