Original article Depo Now Preventing Unintended Pregnancies…原文预防意外怀孕.pdfVIP

Journal of Adolescent Health 40 (2007) 22–28 Original article Depo Now: Preventing Unintended Pregnancies among Adolescents and Young Adults a, a a Vaughn I. Rickert, Psy.D. *, Lorraine Tiezzi, M.S. , Judy Lipshutz, M.S.W., R.N. , Jacquelyn Leóna a a,b , Roger D. Vaughan, Dr.P.H. , and Carolyn Westhoff, M.D., M.S. aMailman School of Public Health at Columbia University, New York, New York bCollege of Physician and Surgeons at Columbia University, New York, New York Manuscript received August 25, 2006; manuscript accepted October 20, 2006 Abstract Purpose: We compared the immediate administration of DMPA (Depo Now) to the immediate use of short-term hormonal methods that served as a “bridge method” until later DMPA initiation. We examined whether Depo Now, as compared to initiating with a bridge method (pills, transdermal patch, or vaginal ring), resulted in greater DMPA continuation at six months. Methods: Young women aged 14 to 26 years seeking to use DMPA were randomized (nonblinded) after meeting eligibility criteria to either the Depo Now (n 101) or bridge method (n 232) group. Depo Now subjects received their first injection of DMPA at the conclusion of their first