CONTRACEPTION IN WOMEN WITH IDDM - AN EPIDEMIOLOGIC-STUDY
CONTRACEPTION IN WOMEN WITH IDDM - AN EPIDEMIOLOGIC-STUDY
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DOI：
10.2337/diacare.15.11.1585
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发表时间：
1992-11-01
期刊：
影响因子：
16.2
通讯作者：
ESHOJ, O
中科院分区：
文献类型：
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作者：
KJAER, K;HAGEN, C;ESHOJ, O
目的 - 研究对于患有糖尿病的女性是否有合适的避孕方法 研究设计和方法 - 对丹麦菲英县所有 18 至 49 岁 IDDM 女性 (n = 261) 和年龄可比的对照组 (n = 287) 进行了避孕药具使用情况的问卷调查。数据收集时间为 1987 年至 1990 年。94% 的糖尿病女性和 88% 的对照组受试者有反应。结果 - 糖尿病女性 (77.1%) 的避孕总体使用情况与对照组 (73.6%) 几乎相同。与对照组相比，使用 OCP (P < 0.005) 和伴侣绝育 (P < 0.05) 的糖尿病女性明显较少，而接受绝育的糖尿病女性较多 (P < 0.0005)。糖尿病避孕药使用者中，宫内节育器、女性绝育术、避孕套、OCP各占约20%。使用 OCP 的糖尿病女性主要是年轻人，而且大多数从未怀孕过；其中约 20% 使用高剂量制剂。老年糖尿病女性经常采用绝育术，而且这些女性大多数有两个或更多的孩子；使用宫内节育器的糖尿病女性中有 27% 未怀孕。此外，18% 的人使用了不合适的高失败率方法。结论 - 我们的研究表明，糖尿病女性在避孕方面没有得到充分的建议。
OBJECTIVE - To study whether suitable contraceptive methods to women with diabRESEARCH DESIGN AND METHODS - A questionnaire survey on the use of contraceptives in all 18-to-49-yr-old women (n = 261) with IDDM in Funen County, Denmark, and an age-comparable control group, (n = 287) was performed. Data were collected from 1987 to 1990. Response was achieved from 94% diabetic women and 88% control subjects.RESULTS - The overall use of contraception in diabetic women (77.1%) was almost identical to that of control subjects (73.6%). Compared with control subjects, significantly fewer diabetic women were using the OCP (P < 0.005) and partner sterilization (P < 0.05), whereas more diabetic women were sterilized (P < 0.0005). Among diabetic contraceptive users, the IUD, female sterilization, condoms, and the OCP each accounted for roughly 20%. Diabetic women using the OCP were predominantly young, and most had never been pregnant; approximately 20% of them used high-dose formulations. Sterilization was frequently used by older diabetic women, and most of these women had 2 or more children; 27% of the diabetic women using an IUD were nulligravidae. Further, 18% used a method with an unsuitable high failure rate.CONCLUSIONS - Our study demonstrates that diabetic women are not sufficiently advised concerning use of contraception.