COVID-19's impact on contraception experiences: Exacerbation of structural inequities in women's health.
COVID-19's impact on contraception experiences: Exacerbation of structural inequities in women's health.
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DOI：
10.1016/j.contraception.2021.08.011
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发表时间：
2021-12
期刊：
影响因子：
2.9
通讯作者：
Kerns J
中科院分区：
文献类型：
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作者：
Diamond-Smith N;Logan R;Marshall C;Corbetta-Rastelli C;Gutierrez S;Adler A;Kerns J
结构性不平等可能会影响COVID-19与获得避孕措施之间的关系。在2020年7月和2021年1月，我们利用社交媒体调查了2个未做过手术绝育且目前未怀孕的育龄妇女样本，了解她们寻求避孕的经历。我们使用多变量逻辑回归来控制年龄、教育和收入，探讨了因COVID-19而处于社会和/或经济劣势的人的经历是否有所不同。2020年7月，51.5%寻求避孕的受访者（总N = 3064）报告了护理障碍，而2021年1月这一比例为55.3%（总N = 2276）。更大比例的人（2020年7月为14%，2021年1月为22%）表示，由于COVID-19，他们没有使用自己喜欢的避孕方法。与没有收入损失或饥饿的受访者相比，在COVID-19大流行早期经历收入损失（OR = 1.61, 95% CI 1.27-2.04，在COVID-19大流行中期经历OR = 1.58, 1.21-2.06）和饥饿（OR = 1.73, 1.24-2.40，在COVID-19大流行中期经历OR = 2.02, 1.55-2.64）的个人更有可能报告说，如果没有COVID-19，他们将使用不同的方法。COVID-19使获得避孕措施变得复杂，特别是对弱势群体而言。尽管2019冠状病毒病流行，但仍需要努力确保获得避孕措施，特别是弱势群体。
Structural inequities may impact the relationship between COVID-19 and access to contraception. In July 2020 and January 2021, we used social media to survey 2 samples of women of reproductive age who had not been surgically sterilized and were not currently pregnant about their experiences seeking contraception. We explore whether experiences differed for people experiencing social and/or economic disadvantage due to COVID-19, using multivariable logistic regression to control for age, education and income. In July 2020, 51.5% of respondents who sought contraception (total N = 3064) reported barriers to care compared to 55.3% in January 2021 (total N = 2276). A larger percent (14% in July 2020 and 22% in Jan 2021) reported not using their preferred method of contraception due to COVID-19. Individuals experiencing income loss (OR = 1.61, 95% CI 1.27–2.04 early in the COVID-19 pandemic and OR = 1.58, 1.21–2.06 mid COVID-19 pandemic) and hunger (OR = 1.73, 1.24–2.40 early and OR = 2.02, 1.55–2.64 mid-COVID-19 pandemic) were more likely to report they would be using a different method if not for COVID-19, compared to respondents without income loss or hunger. COVID-19 has complicated access to contraception, especially for disadvantaged populations. Efforts are needed to ensure access to contraception despite the COVID-19 epidemic, especially for disadvantaged populations.
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