Contraceptive choice: how do oral contraceptive users differ from condom users and women who use no contraception?
Contraceptive choice: how do oral contraceptive users differ from condom users and women who use no contraception?
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DOI：
10.1016/j.ajog.2007.12.025
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发表时间：
2008-05-01
影响因子：
9.8
通讯作者：
Peipert, Jeffrey F.
中科院分区：
文献类型：
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作者：
Krings, Katherine M.;Matteson, Kristen A.;Peipert, Jeffrey F.
目的：本研究的目的是确定高危女性群体中避孕选择是否受到社会和生殖特征的影响。 研究设计：这是对一项随机临床试验基线数据的横断面分析，该试验纳入了 542 名来自新英格兰城市人口的女性。在这些参与者中，422 名女性符合纳入标准，并且拥有可供分析的避孕信息。我们评估了与口服避孕药 (OC) 使用、男用避孕套使用或不使用避孕方法相关的社会人口统计学和性史特征。 结果：与不使用任何形式避孕的女性相比，报告使用 OC 的女性更有可能至少受过高中教育、是白人并拥有私人保险。使用避孕套的女性比使用男用避孕套的女性更有可能拥有私人保险。最后，虽然在过去 6 个月内有一个新的性伴侣以及在前一个月有多个性伴侣与避孕选择相关，但其他生殖特征则无关。结论：在这群性传播疾病和意外怀孕高风险女性中，包括教育水平、种族、保险状况和性史在内的社会人口特征影响了避孕选择。
OBJECTIVE: The purpose of this study was to determine whether contraceptive choice is influenced by social and reproductive characteristics in a cohort of high-risk women.STUDY DESIGN: This is a cross-sectional analysis of baseline data from a randomized clinical trial of 542 women who were recruited from an urban population in New England. Of these participants, 422 women met inclusion criteria and had contraceptive information available for analysis. We evaluated sociodemographic and sexual history characteristics that were associated with oral contraceptive (OC) use, male condom use, or the use of no contraceptive method.RESULTS: Women who reported OC use were more likely to have at least a high school education, to be white, and to have private insurance than were women who used no form of contraception. Women who used OCs were more likely to have private insurance than women who used male condoms. Finally, although having a new sexual partner in the past 6 months and having multiple sexual partners in the preceding month were associated with contraceptive choice, other reproductive characteristics were not.CONCLUSION: Among this cohort of women at high-risk for sexually transmitted diseases and unintended pregnancy, sociodemographic characteristics that included education level, race, insurance status, and sexual history influenced contraceptive choice.