Trends in contraceptive use among Florida women: implications for policies and programs.
Trends in contraceptive use among Florida women: implications for policies and programs.
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佛罗里达州妇女避孕药具使用趋势：对政策和计划的影响。
DOI：
10.1007/s10995-012-1097-5
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发表时间：
2012
影响因子：
2.3
通讯作者：
Thompson,Daniel
中科院分区：
文献类型：
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作者：
Hernandez,LeticiaE;Sappenfield,WilliamM;Clark,Cheryl;Thompson,Daniel
我们的研究目标是评估与2002年和2004年相比，2008年和2009年佛罗里达州有意外怀孕风险的妇女在有效避孕措施使用方面的变化。两个时期的避孕使用问题都可以从佛罗里达州的行为风险因素监测系统(BRFSS)获得(n=64,606)。采用对数二项回归和适当的方法对BRFSS中的复杂抽样进行解释。我们考察了四种有效避孕用法的变化：绝育、长效可逆避孕药(LARC)、短效可逆避孕药(SARC)和屏障方法。比较两个时间段的患病率根据人口统计特征、就业、保险状况、家庭子女、贫困水平、健康行为和健康状况进行调整。绝育(调整后的患病率APR=0.96；95%CI：0.84-1.10)或SARC(APR=0.01；95%CI：0.87-1.18)没有发现变化的证据。在两个时期内，LARC的总体使用增加，屏障方法的使用显著减少(APR=1.68；95%CI：1.09-2.60；APR=100.77；95%CI：0.61-0.98)。在此期间，只有两个人口群体在四个使用群体中的流行率发生了显着变化。非西班牙裔白人女性增加了对LARC的使用(APR=2.89；95%CI：1.58-5.29)，从未结过婚的女性减少了对障碍方法的使用(APR=0.51；95%CI：0.33-0.77)。总体而言，佛罗里达州的避孕用具使用率仍然很低，一些人转向了更有效的长期方法。需要作出新的努力，促进和增加计划生育做法，其中包括使用有效的避孕药具。
Our study objective was to assess changes in effective contraceptive use among women at risk of unintended pregnancy in Florida in 2008 and 2009 compared with 2002 and 2004. Contraceptive use questions were available from Florida’s Behavioral Risk Factor Surveillance System (BRFSS) for both periods (n = 4,606). Log binomial regression was used with appropriate methods to account for complex sampling in the BRFSS. We examined the change in four effective contraceptive use groups: sterilization, long-acting reversible contraceptive (LARC), short-acting reversible contraceptive (SARC), and barrier methods. Prevalence ratios comparing the two time periods were adjusted by demographic characteristics, employment, insurance status, children at home, poverty level, health behaviors, and health status. No evidence of change was found in sterilization (Adjusted Prevalence Ratio APR = 0.96; 95 % CI: 0.84–1.10) or SARC (APR = 1.01; 95 % CI: 0.87–1.18). The overall use of LARC increased and use of barrier methods decreased significantly over the two periods (APR = 1.68; 95 % CI: 1.09–2.60 and APR = 0.77; 95 % CI: 0.61–0.98, respectively). Only two population groups experienced significant changes in prevalence in the four use groups over this period. Non-Hispanic White women increased their use of LARC (APR = 2.89; 95 % CI: 1.58–5.29) and women who have never been married decreased their use of barrier methods (APR = 0.51; 95 % CI: 0.33–0.77). Contraceptive use in Florida continues to be low overall with some shift towards more effective long-term methods. New efforts are needed to promote and increase family planning practices, which include the use of effective contraceptives.