کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1079224 950491 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cervical Cancer Screening, Pelvic Examinations, and Contraceptive Use Among Adolescent and Young Adult Females
ترجمه فارسی عنوان
غربالگری سرطان دهانه رحم، آزمایشات لگن و استفاده از روش پیشگیری از بارداری در میان زنان بزرگسال و نوجوانان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeThe purpose of this study was to characterize the association between pelvic examination and adolescent contraceptive method use in two time periods in the 2006–2010 National Survey of Family Growth (NSFG).MethodsUsing data from the 2006–2010 NSFG, we used descriptive statistics and multivariable regression models to examine the association between pelvic examination and/or Pap smear and use of effective or highly effective contraceptive methods during two time periods (2006–2008 and 2008–2010). We used the design characteristics of the NSFG to produce population estimates.ResultsMore than half (57.3%) of our target population reported that they had a pelvic examination and/or Pap smear in the preceding 12 months. After considering health service use, pregnancy history, and demographic characteristics, receipt of pelvic/Pap remained significantly associated with use of effective or highly effective methods of contraception. Adjusted odds ratio = 1.86; 95% confidence interval (CI), 1.17–2.97. When we examined the relationship between pelvic/Pap and use of effective or highly effective methods within time periods, we found that the odds of effective contraception use were higher among adolescents who had received a Pap/pelvic examination in Period 1 (June 2006–May 2008) but not in Period 2 (June 2008–May 2010). Odds ratio = 3.05; 95% CI, 1.53–6.03 and odds ratio = 1.52; 95% CI, .88–2.62, Periods 1 and 2 respectively.ConclusionsThis finding provides some reassurance that although indications for pelvic examination and Pap smear among adolescents have decreased, the previously documented association between pelvic examination and effective or highly effective contraception appears to have decreased.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Adolescent Health - Volume 57, Issue 2, August 2015, Pages 169–173
نویسندگان
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