作者: Julia E. Kohn , Priscilla M. Lopez , Hannah R. Simons
DOI: 10.1016/J.CONTRACEPTION.2015.02.006
关键词: Overweight 、 Levonorgestrel 、 Cross-sectional study 、 Physical therapy 、 Demography 、 Emergency contraception 、 Obesity 、 Family planning 、 Body mass index 、 Population 、 Medicine
摘要: Abstract Objectives As obesity may affect the efficacy of some contraceptives, we examined weight, body mass index (BMI) and prevalence among female contraceptive clients at 231 U.S. health centers. A secondary aim was to analyze differences in method use by status. Study design Cross-sectional study using de-identified electronic record data from family planning We analyzed visits made 147,336 females aged 15–44 years 2013. Results total 46.1% had BMI ≥ 25. Mean weight 154.4 lb (S.D.= 41.9); mean 26.1 (S.D.= 6.6). 40% ≥ 26, when levonorgestrel emergency contraception become less effective. Obese higher odds a tier 1 or 3 lower 2 hormonal than non-obese clients. Conclusions About half would be categorized as overweight obese. Contraceptive choices differed Implications this population were All women — regardless size should receive unbiased, evidence-based counseling on full range options so that they can make informed choices.