Telephone or integrated contraception counselling before abortion: impact on method choice and receipt.
Telephone or integrated contraception counselling before abortion: impact on method choice and receipt.
复制标题
DOI：
10.1136/bmjsrh-2017-101818
复制
发表时间：
2018-04
影响因子：
3.3
通讯作者：
Trussell J
中科院分区：
文献类型：
--
作者：
Lohr PA;Aiken ARA;Forsyth T;Trussell J
将彻底的避孕咨询纳入堕胎咨询是一项挑战。我们比较了两种咨询模式之间的避孕选择和方法：1）与堕胎咨询分开的电话咨询，2）纳入咨询的面对面咨询。我们获得了关于人口特征和避孕方法的去识别化数据，这些数据是 2011 年至 2014 年间在英国怀孕咨询服务处堕胎的女性选择和接受的，并且可以选择咨询模式。我们使用费舍尔精确检验比较了选择每种咨询模式的女性的特征以及她们选择和接受的避孕方法，并使用逻辑回归探索咨询模式与选择和接受一级避孕方法（宫内避孕、植入、绝育）之间的关联，控制协变量。样本包括 18,573 名女性。选择电话咨询的女性更有可能是非白人（34% vs. 22%，p<0.001），报告之前难以避孕（40% vs. 3%，p<0.001），并且在受孕时未采取避孕措施（37.1% vs. 33.8%，p<0.001）。总体而言，93%的女性在咨询后选择了避孕方法。电话咨询与选择和接受第 1 级方法显着相关（OR 分别为 1.80 [95% CI 1.66–1.96] 和 1.60 [1.42–1.71]）。与选择综合咨询的女性相比，接受电话咨询的女性较少，接受效果较差的方法（例如安全套、隔膜）（6.0% vs. 19.2%，p<0.001）。与堕胎咨询分开的基于电话的避孕咨询可能比综合咨询更适合一些妇女，特别是那些报告过去难以获得避孕的妇女。
Incorporating thorough contraception counselling into an abortion consultation is challenging. We compared contraceptive choices and methods received between two counselling models: 1) telephone counselling separate from the abortion consultation and 2) face-to-face counselling integrated into the consultation. We obtained de-identified data on demographic characteristics and contraceptive methods that had been chosen and received by women who had an abortion at British Pregnancy Advisory Service between 2011 and 2014 and had a choice of counselling models. We compared the characteristics of women who chose each model of counselling and the contraceptive methods they chose and received using Fisher’s exact test, and used logistic regression to explore associations between counselling model and choice and receipt of Tier 1 contraceptive methods (intrauterine contraception, implant, sterilisation), controlling for covariates. The sample included 18,573 women. Women choosing telephone counselling were more likely to be non-White (34% vs. 22%, p<0.001), to report prior difficulty obtaining contraception (40% vs. 3%, p<0.001), and to have not used contraception at conception (37.1% vs. 33.8%, p<0.001). Overall, 93% of women chose a contraceptive method after counselling. Telephone counselling was significantly associated with both choosing and receiving a Tier 1 method (OR 1.80 [95% CI 1.66–1.96] and 1.60 [1.42–1.71], respectively). Fewer women who had telephone counselling received a less effective method (e.g. condom, diaphragm) compared to those who chose integrated counselling (6.0% vs.19.2%, p<0.001). Telephone-based contraception counselling separate from the abortion consultation may serve some women better than integrated counselling, particularly those reporting past difficulty obtaining contraception.
登录
查看更多内容
影响因子：
11.4
作者：
Goldstone, Philip;Mehta, Yachna H.;Black, Kirsten I.
通讯作者：
Black, Kirsten I.
DOI：
10.1111/1471-0528.14413
发表时间：
2017-04
期刊：
BJOG : an international journal of obstetrics and gynaecology
影响因子：
--
作者：
Aiken A;Lohr PA;Aiken CE;Forsyth T;Trussell J
通讯作者：
Trussell J
影响因子：
1.5
作者：
Dehlendorf, Christine;Krajewski, Colleen;Borrero, Sonya
通讯作者：
Borrero, Sonya
DOI：
10.1783/147118904322702018
发表时间：
2004-01-01
影响因子：
--
作者：
Kumar, U;Baraitser, P;Massil, H
通讯作者：
Massil, H
影响因子：
9.8
作者：
Steiner, Markus J.;Trussell, James;Bourne, Deborah
通讯作者：
Bourne, Deborah