社会经济贫困与单次门诊接受长效可逆避孕药具之间的关系。

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY Contraception Pub Date : 2025-01-01 Epub Date: 2024-09-13 DOI:10.1016/j.contraception.2024.110705

Mary D. Carmody , Danielle G. Tsevat , Lindsey Yates , Gretchen Stuart , Kavita S. Arora

{"title":"社会经济贫困与单次门诊接受长效可逆避孕药具之间的关系。","authors":"Mary D. Carmody , Danielle G. Tsevat , Lindsey Yates , Gretchen Stuart , Kavita S. Arora","doi":"10.1016/j.contraception.2024.110705","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).</div></div><div><h3>Study design</h3><div>We utilized Poisson regression to determine the association between area deprivation and single-visit LARC insertion within a state-wide healthcare system between 2019–2021.</div></div><div><h3>Results</h3><div>Among our cohort (<em>N</em> = 4417), 68.60% of patients desiring LARC obtained single-visit LARC. Participants living in high deprivation areas were less likely to receive single-visit LARC (aRR 0.72, 95% CI 0.65–0.80).</div></div><div><h3>Conclusions</h3><div>Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.</div></div><div><h3>Implications</h3><div>While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"141 ","pages":"Article 110705"},"PeriodicalIF":2.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The association between socio-economic deprivation and receipt of long-acting reversible contraception at a single clinic visit\",\"authors\":\"Mary D. Carmody , Danielle G. Tsevat , Lindsey Yates , Gretchen Stuart , Kavita S. Arora\",\"doi\":\"10.1016/j.contraception.2024.110705\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).</div></div><div><h3>Study design</h3><div>We utilized Poisson regression to determine the association between area deprivation and single-visit LARC insertion within a state-wide healthcare system between 2019–2021.</div></div><div><h3>Results</h3><div>Among our cohort (<em>N</em> = 4417), 68.60% of patients desiring LARC obtained single-visit LARC. Participants living in high deprivation areas were less likely to receive single-visit LARC (aRR 0.72, 95% CI 0.65–0.80).</div></div><div><h3>Conclusions</h3><div>Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.</div></div><div><h3>Implications</h3><div>While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.</div></div>\",\"PeriodicalId\":10762,\"journal\":{\"name\":\"Contraception\",\"volume\":\"141 \",\"pages\":\"Article 110705\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contraception\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0010782424004050\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0010782424004050","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/13 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

研究目的：确定居住在高度贫困地区与获得单次长效可逆避孕药具之间的关系：研究设计：研究设计：我们利用泊松回归法确定了2019-2021年间全州医疗保健系统中地区贫困与单次就诊LARC植入之间的关系：在我们的队列（N=4,417）中，68.60%需要LARC的患者获得了单次LARC，23.70%生活在高贫困地区。生活在高贫困地区的参与者接受单次LARC的可能性较低（aRR为0.72，95% CI为0.65-0.80）：结论：需要减少社会经济贫困地区患者获得理想医疗服务的障碍，以减少生殖医疗服务中的不公平现象：虽然应普遍改善单次就诊 LARC 的可及性，但仍需注意减少为 ADI 较高的患者提供护理的临床机构的障碍，并最终帮助限制生殖保健方面的进一步不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

The association between socio-economic deprivation and receipt of long-acting reversible contraception at a single clinic visit

Objectives

To determine the relationship between area deprivation index (ADI) and obtaining single-visit long-acting reversible contraception (LARC).

Study design

We utilized Poisson regression to determine the association between area deprivation and single-visit LARC insertion within a state-wide healthcare system between 2019–2021.

Results

Among our cohort (N = 4417), 68.60% of patients desiring LARC obtained single-visit LARC. Participants living in high deprivation areas were less likely to receive single-visit LARC (aRR 0.72, 95% CI 0.65–0.80).

Conclusions

Living in areas of high deprivation is independently negatively associated with obtaining a single-visit LARC.

Implications

While access to single-visit LARC should be universally improved, reducing barriers for patientswith a higher ADI may help limit inequities in reproductive healthcare.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.