Original research article A survey of women obtaining emergency contraception: are they interested in using the copper IUD? ☆,☆☆,★

作者: Shawn E. Gurtcheff , Caren Frost , Sara E. Simonsen , David K. Turok , Erin Handley

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摘要: Background: This study aims to determine if women presenting for emergency contraception (EC) at family planning clinics may be interested in using the copper intrauterine device (IUD) EC. Study Design: convenience sample survey was offered who presented EC four participating urban Utah. Anonymous written questionnaires were distributed. The outcome variable of interest IUD Results: Of respondents, 320 (34.0%) 941 said they would an method that long term, highly effective and reversible. Interested not significantly different from noninterested relation age, marital status, education, household income, gravidity, previous abortions, sexually transmitted infections (STIs) or relationship status. One hundred twenty (37.5% those 12.8% all surveyed) wait hour, undergo a pelvic exam get still want knowing it IUD. However, only 12.3% these could also pay $350 more device. Multivariable regression found following predictors among users: non-Hispanic minorities (OR=2.12, 95% CI=1.14–3.93), desire never pregnant future (OR=2.87, CI=1.38–5.66) adoption (OR=1.96, CI=1.00– 5.73) abortion (OR=2.68, CI=1.24–4.14) when Conclusion: While one third users surveyed long-term, contraception, small portion Cost is potential barrier.

参考文章(17)
Sara E. Simonsen, David K. Turok, Nicole Marshall, Trends in levonorgestrel emergency contraception use, births, and abortions: the Utah experience. The Medscape Journal of Medicine. ,vol. 11, pp. 30- 30 ,(2009)
Jie Shen, Yan Che, Emily Showell, Ke Chen, Linan Cheng, Interventions for emergency contraception Cochrane Database of Systematic Reviews. ,vol. 8, pp. 0- 0 ,(2017) , 10.1002/14651858.CD001324.PUB5
REBECCA H. ALLEN, ALISA B. GOLDBERG, Emergency contraception: a clinical review. Clinical Obstetrics and Gynecology. ,vol. 50, pp. 927- 936 ,(2007) , 10.1097/GRF.0B013E318159C4FC
Anna Glasier, David Baird, The Effects of Self-Administering Emergency Contraception The New England Journal of Medicine. ,vol. 339, pp. 1- 4 ,(1998) , 10.1056/NEJM199807023390101
Lawrence B. Finer, Stanley K. Henshaw, Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health. ,vol. 38, pp. 90- 96 ,(2006) , 10.1363/3809006
Elizabeth G. Raymond, James Trussell, Chelsea B. Polis, Population effect of increased access to emergency contraceptive pills: a systematic review. Obstetrics & Gynecology. ,vol. 109, pp. 181- 188 ,(2007) , 10.1097/01.AOG.0000250904.06923.4A
Tina R. Raine, Cynthia C. Harper, Corinne H. Rocca, Richard Fischer, Nancy Padian, Jeffrey D. Klausner, Philip D. Darney, Direct access to emergency contraception through pharmacies and effect on unintended pregnancy and STIs: a randomized controlled trial. JAMA. ,vol. 293, pp. 54- 62 ,(2005) , 10.1001/JAMA.293.1.54
Monica Fasoli, Fabio Parazzini, Gabriela Cecchetti, Carlo La Vecchia, Post-coital contraception: an overview of published studies Contraception. ,vol. 39, pp. 459- 468 ,(1989) , 10.1016/0010-7824(89)90123-6
Eleanor Bimla Schwarz, Megan Kavanaugh, Erika Douglas, Tamara Dubowitz, Mitchell D. Creinin, Interest in intrauterine contraception among seekers of emergency contraception and pregnancy testing. Obstetrics & Gynecology. ,vol. 113, pp. 833- 839 ,(2009) , 10.1097/AOG.0B013E31819C856C
Petra M. Sander, Elizabeth G. Raymond, Mark A. Weaver, Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection American Journal of Obstetrics and Gynecology. ,vol. 201, pp. 146.e1- 146.e6 ,(2009) , 10.1016/J.AJOG.2009.05.015