Improving Access to Long-Acting Contraceptive Methods and Reducing Unplanned Pregnancy Among Women with Substance Use Disorders
Improving Access to Long-Acting Contraceptive Methods and Reducing Unplanned Pregnancy Among Women with Substance Use Disorders
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DOI：
10.4137/sart.s34555
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发表时间：
2016-01-01
影响因子：
2.1
通讯作者：
Day, Carolyn A.
中科院分区：
文献类型：
--
作者：
Black, Kirsten I.;Day, Carolyn A.
关于怀孕期间物质使用的后果已经写了很多，但对预防物质使用障碍（SUD）妇女意外怀孕的关注要少得多。我们研究了关于SUD女性妊娠发生率的文献，增加这一人群使用长效可逆避孕（LARC）方法的临床和经济效益，以及目前增加使用和吸收的障碍。SUD妇女意外怀孕率高，身体和心理结果差，强调需要增加这些妇女获得和采用LARC方法。确定了少数研究，重点是通过主要在药物治疗计划中提供的综合避孕服务，改善避孕药具的获得，特别是LARC。然而，仍然存在一些障碍，突出表明在这一领域需要进行更多的研究。
Much has been written about the consequences of substance use in pregnancy, but there has been far less focus on the prevention of unintended pregnancies in women with substance use disorders (SUDs). We examine the literature on pregnancy incidence for women with SUDs, the clinical and economic benefits of increasing access to long-acting reversible contraceptive (LARC) methods in this population, and the current hurdles to increased access and uptake. High rates of unintended pregnancies and poor physical and psychosocial outcomes among women with SUDs underscore the need for increased access to, and uptake of, LARC methods among these women. A small number of studies that focused on improving access to contraception, especially LARC, via integrated contraception services predominantly provided in drug treatment programs were identified. However, a number of barriers remain, highlighting that much more research is needed in this area.