UNASSIGNED:为了确定美国低收入女性避孕方法使用者和非使用者中由于成本而导致的避孕偏好未得到满足的流行率,以及访问之间的关联,和经验,避孕和这个结果。
UNASSIGNED:我们利用2015-2019年全国家庭成长调查的数据,对目前避孕使用者(N=3178)和非使用者(N=1073)的15至49岁低收入女性的全国代表性样本中由于成本原因未满足的避孕偏好进行简单和多变量逻辑回归分析。
未经评估:总的来说,23%的女性避孕药使用者表示他们会使用不同的方法,39%的非用户报告说他们会开始使用一种方法,如果成本不是问题。控制用户特征,最近接受过公共支持的避孕护理的低收入避孕使用者报告说,由于费用原因,未实现的避孕偏好水平明显高于那些没有获得SRH护理的人(aOR=1.6,CI1.0-2.5),而私人(aOR=0.6,CI0.4-0.9)或公共(aOR=0.7,CI0.5-1.0)健康保险与该结果的显著较低水平相关.最近接受过公共支持的避孕护理的非避孕使用者也报告了该结果的稍高水平(aOR=2.2,CI1.0-5.1)。最近接受以人为中心的避孕咨询的避孕使用者由于成本原因,避孕偏好未实现的几率略低(aOR=0.6,CI0.4-1.0)。
UNASSIGNED:成本是避孕使用者和非使用者使用首选避孕方法的障碍;健康保险和以人为中心的避孕咨询可以帮助避孕使用者克服成本障碍并实现其避孕偏好。
UNASSIGNED:与系统级别的避孕药具获取有关的因素-特别是避孕药具的补贴和经验-影响成本是否成为个人避孕偏好的障碍。提供以患者为中心的护理并为所有人提供健康保险,可以帮助减轻成本障碍,并使个人能够实现其避孕偏好。
UNASSIGNED: To identify prevalence of unfulfilled contraceptive preferences due to cost among low-income United States female contraceptive method users and nonusers, and associations between access to, and experience with, contraceptive care and this outcome.
UNASSIGNED: We drew on data from the 2015-2019 National Surveys of Family Growth to conduct simple and multivariable logistic regression analyses on unfulfilled contraceptive preferences due to cost among nationally representative samples of low-income women ages 15 to 49 who were current contraceptive users (N = 3178) and nonusers (N = 1073).
UNASSIGNED: Overall, 23% of female contraceptive users reported they would use a different method, and 39% of nonusers reported they would start using a method, if cost were not an issue. Controlling for user characteristics, low-income contraceptive users who received recent publicly supported contraceptive care reported significantly higher levels of unfulfilled contraceptive preferences due to cost than those without any access to SRH care (aOR = 1.6, CI 1.0-2.5), while having private (aOR = 0.6, CI 0.4-0.9) or public (aOR = 0.7, CI 0.5-1.0) health insurance was associated with significantly lower levels of this outcome. Nonusers of contraception who had recently received publicly supported contraceptive care also reported marginally higher levels of this outcome (aOR = 2.2, CI 1.0-5.1). Contraceptive users who received recent person-centered contraceptive counseling had marginally lower odds of unfulfilled contraceptive preferences due to cost (aOR = 0.6, CI 0.4-1.0).
UNASSIGNED: Cost is a barrier to using preferred contraception for both contraceptive users and nonusers; health insurance coverage and person-centered contraceptive counseling may help contraceptive users to overcome cost barriers and realize their contraceptive preferences.
UNASSIGNED: Factors related to contraceptive access at the systems level-specifically the subsidization and experience of contraceptive care-impact whether cost serves as a barrier to individuals\' contraceptive preferences. Delivery of patient-centered care and shoring up health insurance coverage for all can help to mitigate cost barriers and enable individuals to realize their contraceptive preferences.