Hyppää sisältöön
    • Suomeksi
    • På svenska
    • In English
  • Suomeksi
  • På svenska
  • In English
  • Kirjaudu
JavaScript is disabled for your browser. Some features of this site may not work without it.
Näytä viite 
  •   Kaisu etusivu
  • Suomen Pankki
  • Vertaisarvioidut artikkelit
  • Näytä viite
  •  
  • Suomen Pankki
  • Vertaisarvioidut artikkelit
  • Näytä viite

Long-acting reversible contraception free of charge, method initiation, and abortion rates in Finland

Gyllenberg, Frida; Juselius, Mikael; Gissler, Mika; Heikinheimo, Oskari (07.03.2018)

Gyllenberg, Frida
Juselius, Mikael
Gissler, Mika
Heikinheimo, Oskari

Julkaisusarja

American Journal of Public Health

Volyymi

108

Numero

4 ; April 2018

2018

http://ajph.aphapublications.org/doi/10.2105/AJPH.2017.304280
Näytä kaikki kuvailutiedot

Julkaisun pysyvä osoite on

https://urn.fi/URN:NBN:fi:bof-201803221379
Tiivistelmä
Objectives. To evaluate whether a public program providing long-acting reversible contraceptive (LARC) methods free of charge increases the LARC initiation rate and reduces the unintended pregnancy rate in the general population. Methods. Since 2013, all women in Vantaa, Finland, have been entitled to 1 LARC method free of charge. With time-series analysis between 2000 and 2015, we assessed whether this public program was associated with changes in steady-state mean rates of LARC initiation and abortions. Results. The initiation rate of LARCs (1/1000 women) increased 2.2-fold from 1.9 to 4.2 after the intervention (P < .001). Concomitantly, the abortion rate (1/1000 women) declined by 16% from 1.1 to 0.9 in the total sample (P < .001), by 36% from 1.3 to 0.8 among those aged 15 to 19 years (P < .001), and by 14% from 2.0 to 1.7 among those aged 20 to 24 years (P = .01). Conclusions. The LARC program was associated with increased uptake of LARC methods and fewer abortions in the population. Public Health Implications. Entitling the population to LARC methods free of charge is an effective means to reduce the unmet need of contraception and the need for abortion, especially among women younger than 25 years.

Selaa kokoelmaa

NimekkeetTekijätJulkaisuvuodetJulkaisijatJEL-luokituksetSivukartta

Aineiston tallentajille

Kirjaudu sisäänRekisteröidy
Tietosuojaseloste
Saavutettavuusseloste
Suomen Pankin kirjasto
PL 160
00101 Helsinki
Puh. 09 183 2661
Sijainti: Rauhankatu 19, Helsinki

Palvelun tuottaja
Kansalliskirjasto