Factors predicting uptake of long-acting reversible methods of contraception among women presenting for abortion
Factors predicting uptake of long-acting reversible methods of contraception among women presenting for abortion
复制标题
DOI：
10.5694/mja14.00011
复制
发表时间：
2014-10-06
影响因子：
11.4
通讯作者：
Black, Kirsten I.
中科院分区：
文献类型：
--
作者：
Goldstone, Philip;Mehta, Yachna H.;Black, Kirsten I.
目的：研究通过澳大利亚一家主要堕胎机构寻求堕胎的妇女在堕胎后使用长效可逆避孕方法的情况。设计和背景：2012年9月1日至12月31日期间在澳大利亚Marie Stopes国际诊所对妇女堕胎后避孕选择进行横断面研究。参与者：在研究期间，9477名女性中有7267名（76.7%）完成了数据收集表。分析是基于6348名女性完成的人口统计细节。主要结局指标：人工流产后LARC避孕的接受和立即提供。结果：超过四分之一的妇女（1742;27.4%）选择LARC方法在流产后使用。在选择LARC的人中，有71.1%的人立即提供贷款。与20-24岁的女性相比，16-19岁的女性立即植入术的可能性较小，而30岁以上的女性植入术的可能性较大。与社会经济地位较高的五分之一的妇女相比，社会经济地位最低的五分之一的妇女在选择LARC的情况下离开服务的可能性最低。与药物流产相比，手术流产后立即提供LARC的发生率更高(1034 [74.4%]vs 204 [60.0%]
Objective: To examine the uptake of long-acting reversible contraceptive (LARC) methods after abortion among women seeking abortions through a major Australian abortion provider.Design and setting: Cross-sectional study of women's post-abortion contraceptive choices, conducted at Marie Stopes International clinics across Australia between 1 September and 31 December 2012.Participants: 7267 of 9477 women (76.7%) presenting during the study period had data collection forms completed. Analysis was based on the 6348 women with completed demographic details.Main outcome measures: Uptake and immediate provision of LARC contraception after abortion.Results: Just over a quarter of women (1742; 27.4%) chose a LARC method for use after abortion. Of those choosing a LARC, immediate provision occurred in 71.1%. Compared with women aged 20-24 years, those aged 16-19 years were less likely to have immediate LARC insertion and those over 30 more likely. Women in the lowest socioeconomic quintile were the least likely to leave the service with their chosen LARC in place compared with those in higher quintiles. Immediate LARC provision occurred more often after surgical abortion compared with medical abortion (1034 [74.4%] v 204 [60.0%]; P