Injectable Contraceptive Continuation among Female Exotic Dancers Seeking Mobile Reproductive Health Services
Injectable Contraceptive Continuation among Female Exotic Dancers Seeking Mobile Reproductive Health Services
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DOI：
10.1353/hpu.2014.0134
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发表时间：
2014-08-01
影响因子：
1.4
通讯作者：
Terplan, Mishka
中科院分区：
文献类型：
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作者：
Martin, Caitlin E.;Han, Jennifer J.;Terplan, Mishka
目标。我们描述了在流动注射器交换处接受生殖健康服务的女性异国舞者中使用醋酸甲羟孕酮(DMPA)的持续模式。方法：研究方法。通过回顾图表，对2009年11月至2012年8月期间启动DMPA的客户进行了追溯识别。生命表分析测量延续。客户特征采用卡方检验进行比较。结果。调查确定了69名客户，其中72%是非裔美国人，63%是25岁以下的人。三个月后，36%的研究样本继续接受DMPA；那些继续接受DMPA的人更有可能是白人(p=0.01)，并接受其他服务(p=.01)。12个月累计延续概率为0.09。考虑到那些接受过注射的人，继续接受注射的比例更高(6个月时为46%；12个月时为71%)。结论。一部分女性异国舞者可能倾向于将DMPA作为一种长期避孕药。将流动生殖健康服务纳入公共卫生项目可以帮助满足这一高危人群独特的健康需求。
Objectives. We describe depot medroxyprogesterone acetate (DMPA) continuation patterns among female exotic dancers receiving reproductive health services at a mobile syringe exchange. Methods. Clients initiating DMPA between November 2009 and August 2012 were identified retrospectively via chart review. Life table analysis measured continuation. Client characteristics were compared using chi-square tests. Results. Sixty nine clients were identified; 72% were African American and 63% were younger than 25. At three months, 36% of the study sample continued DMPA; those continuing were more likely to be White (p=0.01) and receive other services (p=.01). The 12-month cumulative continuation probability was 0.09. Considering those who had received an injection, continuation proportions were higher (46% at 6; 71% at 12 months). Conclusions. A subset of female exotic dancers may favor DMPA as a long term contraceptive. Integrating mobile reproductive health services into public health programs can help fulfill the unique health needs of this high-risk population.