调查显示：69%的受访者支持ACA的避孕法令

根据一项对2,124例成人的调查结果，对《平价医疗法案》（Affordable Care Act，ACA）下的避孕药覆盖的公众支持率落后于其他预防保健措施。

这项调查是由安娜堡市密西根大学的研究者进行的，发表于4月22日的JAMA杂志（doi:10.1001/jama.2014.4766]），正值最高法院讨论是否要推翻医疗改革法的避孕法令之时。预期将于6月份制定决策。

调查结果显示，总体上，有69%的受访者认为应要求美国的所有健康计划中纳入对避孕药物的覆盖。但对ACA下的其他预防服务法令的支持率更高，包括乳房X线检查和结肠镜（85%）、建议的疫苗（84%）、糖尿病和高胆固醇筛查（82%）以及心理保健（77%）。对避孕药覆盖的支持率最高的是女性、黑种人和西班牙裔受访者、子女在家中生活的父母以及有健康保险的受访者。未见教育和收入的影响，研究者说。

这项调查的结论为，69%的受访者支持ACA的避孕法令，支持率低于其他预防保健措施。

该研究由罗伯特·伍德·约翰逊基金会的临床学者项目和密西根大学卫生系统自助。研究的作者之一Matthew M. Davis博士披露担任密西根社区卫生部门的首席医学长官。未披露其他相关利益关系。

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Public support for contraceptive coverage under the Affordable Care Act lags behind support for other preventive care benefits, according to a survey of 2,124 adults.

The survey, conducted by researchers at the University of Michigan in Ann Arbor and published April 22 in JAMA (doi:10.1001/jama.2014.4766]), comes as the Supreme Court debates whether to strike down the health reform law’s contraceptive mandate. A decision is expected in June.

Overall, 69% of respondents said that all health plans in the United States should be required to include coverage for birth control medications. But support was higher for other preventive services mandated under the ACA, including mammograms and colonoscopies (85%), recommended vaccines (84%), screening tests for diabetes and high cholesterol (82%), and mental health care (77%).

Support for contraceptive coverage was highest among women, black and Hispanic respondents, parents with children living at home, and respondents who had health insurance. Education and income did not play a role, according to the researchers.

The study was funded by the Robert Wood Johnson Foundation Clinical Scholars program and the University of Michigan Health System. Dr. Matthew M. Davis, one of the study authors, reported that he serves as chief medical executive for the Michigan Department of Community Health. No other disclosures were reported.