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Changes in young women’s contraceptive use in the Netherlands: findings from three sex under the age of 25 surveys

机译:荷兰年轻女性避孕药的变化:在25岁以下的三项性别的调查结果

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Prevention of unintended pregnancy among adolescents and young adults under 25 years is pivotal from an individual as well as societal perspective. In the USA, the use of long-acting reversible contraceptive (LARC) has been shown to increase, with no or little change in the use of short-acting reversible contraceptive (SARC). We assessed trends in no contraceptive, SARC, and LARC use by young women, aged between 12 and 25 years, and differences in trends within demographic groups (age, religion, ethnic background, and educational level) among these young women in the Netherlands. Data of sexually active young women aged 12–25 years from three cross-sectional representative surveys, 2005, 2012, and 2017, were used for this study. In total, 11,229 Dutch young women were included with a median age of 20 years (interquartile range 18–23 years). Overall, the proportion of young women using SARC decreased significantly between 2005 and 2017 from 88 to 76%. LARC use increased significantly between 2005 and 2017 from 3 to 16%. These trends varied by religious groups and educational level, emphasizing potential for tailored preventative measures for these groups. A shift towards LARC use might eventually lead to a further decrease in unwanted pregnancy and potentially abortion because of the lower risk of user errors.
机译:在25岁以下的青少年和年轻人之间预防意外怀孕是从个人和社会角度的关键。在美国,使用长效可逆避孕药(LARC)已经显示出增加,使用短作用可逆避孕药(SARC)没有或几乎没有变化。我们评估了年轻女性在12到25岁之间的避孕,SARC和LACC使用的趋势,以及荷兰这些年轻妇女的人口群(年龄,宗教,种族背景和教育水平)内的趋势差异。从三个横截面代表调查,2005年,2012年和2017年年龄12-25岁的性活跃年轻女性的数据用于本研究。总共有11,229名荷兰少妇被列入20年的中位数(18-23岁)。总体而言,使用SARC的年轻女性的比例在2005年至2017年间明显减少了88%至76%。 LARC使用在2005年至2017年之间显着增加3%至16%。这些趋势因宗教团体和教育水平而异,强调这些群体量身定制的预防措施。由于用户错误的风险较低,因此最终导致劳累使用的转变可能会导致不需要的妊娠和可能堕胎的进一步减少。

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