Preventing unintended pregnancies by providing no-cost contraception.
Preventing unintended pregnancies by providing no-cost contraception.
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DOI：
10.1097/aog.0b013e318273eb56
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发表时间：
2012-12
影响因子：
7.2
通讯作者：
Secura GM
中科院分区：
文献类型：
--
作者：
Peipert JF;Madden T;Allsworth JE;Secura GM
推广使用长效可逆避孕方法 (LARC)（宫内节育器和埋植剂），并向大量参与者免费提供避孕措施，以减少本地区的意外怀孕。我们将 9,256 名有意外怀孕风险的青少年和妇女纳入避孕选择项目，这是一项针对希望采用可逆避孕方法的青少年和妇女的前瞻性队列研究。参与者是从圣路易斯地区的两个堕胎设施中通过提供者推荐、广告和口碑招募的。避孕咨询包括所有可逆方法，但强调 LARC 方法（宫内节育器和植入物）的卓越有效性。所有参与者都免费获得了他们选择的可逆避孕方法。我们分析了堕胎率、重复堕胎的百分比以及青少年生育情况。我们观察到，与堪萨斯城和密苏里州非大都市相比，圣路易斯地区重复堕胎的百分比显着下降（P < 0.001）。 CHOICE 队列的堕胎率低于地区和国家堕胎率的一半 (P < 0.001)。 CHOICE 队列中的青少年生育率为每 1,000 人 6.3 人，而美国为每 1,000 人 34.1 人。我们注意到，堕胎率、重复堕胎率和青少年生育率在临床和统计上均显着下降。通过提供免费避孕措施和推广最有效的避孕方法可以减少意外怀孕。
To promote the use of long-acting reversible contraceptive methods (LARC) (intrauterine devices and implants) and provide contraception at no cost to a large cohort of participants in an effort to reduce unintended pregnancies in our region. We enrolled 9,256 adolescents and women at risk for unintended pregnancy into the Contraceptive CHOICE Project, a prospective cohort study of adolescents and women desiring reversible contraceptive methods. Participants were recruited from the two abortion facilities in the St. Louis region and through provider referral, advertisements, and word of mouth. Contraceptive counseling included all reversible methods, but emphasized the superior effectiveness of LARC methods (IUDs and implants). All participants received the reversible contraceptive method of their choice at no cost. We analyzed abortion rates, the percentage of abortions that are repeat abortions, and teenage births. We observed a significant reduction in the percentage of abortions that are repeat abortions in the St. Louis region compared to Kansas City and nonmetropolitan Missouri (P < 0.001). Abortion rates of the CHOICE cohort were less than half the regional and national rates (P < 0.001). The rate of teenage birth within the CHOICE cohort was 6.3 per 1,000, compared to the U.S. rate of 34.1 per 1,000. We noted a clinically and statistically significant reduction in abortion rates, repeat abortions, and teenage birth rates. Unintended pregnancies may be reduced by providing no-cost contraception and promoting the most effective contraceptive methods.
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影响因子：
7.6
作者：
Kissin, Dmitry M.;Anderson, John E.;Jamieson, Denise J.
通讯作者：
Jamieson, Denise J.
影响因子：
2.1
作者：
Singh, Susheela;Sedgh, Gilda;Hussain, Rubina
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Hussain, Rubina
影响因子：
2.9
作者：
Finer, Lawrence B.;Zolna, Mia R.
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Zolna, Mia R.
影响因子：
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作者：
Finer, Larence B.;Henshaw, Stanley K.
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Henshaw, Stanley K.
影响因子：
7.2
作者：
Peipert JF;Zhao Q;Allsworth JE;Petrosky E;Madden T;Eisenberg D;Secura G
通讯作者：
Secura G