The role of contraceptive attributes in women's contraceptive decision making.
The role of contraceptive attributes in women's contraceptive decision making.
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DOI：
10.1016/j.ajog.2015.01.051
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发表时间：
2015-07
影响因子：
9.8
通讯作者：
Peipert, Jeffrey F.
中科院分区：
文献类型：
--
作者：
Madden, Tessa;Secura, Gina M.;Nease, Robert F.;Politi, Mary C.;Peipert, Jeffrey F.
关键词：
避孕方法具有不同的属性。女性对这些属性的偏好可能会影响避孕决策。我们的目标是确定采用新避孕方法的女性的避孕偏好。我们对女性在加入避孕选择项目时的避孕偏好进行了一项横断面、自我管理的调查。参与者被要求按照三分制对 15 种避孕属性的重要性进行排序（1=“一点也不重要”，2=“比较重要”，“3=非常重要”），然后对选择避孕方法时最重要的 3 个属性进行排序。该调查还包含有关先前避孕经验和避孕药具使用障碍的问题。有关人口和生殖特征的信息是通过 CHOICE 项目基线调查收集的。有 2,590 名女性完成了调查。我们的样本在种族和社会经济上是多样化的。重要性得分最高的方法属性是有效性（平均得分 2.97 [标准差 0.18]）、安全性（2.96 [0.22]）、可承受性（2.61 [0.61]）、该方法是否持久（2.58 [0.61]）以及该方法是否“容易忘记”（2.54 [0.66]）。受访者最有可能将方法排在前三位的属性包括有效性（80.5%）、安全性（64.8%）和方法的副作用（42.7%）。多种避孕属性会影响决策，没有任何单一属性可以驱动大多数女性的决定。定制沟通并帮助女性在属性之间进行复杂的权衡可以更好地支持她们的避孕决定，并可以帮助她们做出价值一致的选择。这个过程可以提高持续性和满意度。
Contraceptive methods have differing attributes. Women’s preferences for these attributes may influence contraceptive decision making. Our objective was to identify women’s contraceptive preferences among women initiating a new contraceptive method. We conducted a cross-sectional, self-administered survey of women’s contraceptive preferences at the time of enrollment into the Contraceptive CHOICE Project. Participants were asked to rank the importance of 15 contraceptive attributes on a three-point scale (1=”not at all important,” 2=”somewhat important,” and “3=very important”) and then to rank the 3 attributes that were the most important when choosing a contraceptive method. The survey also contained questions about prior contraceptive experience and barriers to contraceptive use. Information about demographic and reproductive characteristics was collected through the CHOICE Project baseline survey. There were 2,590 women who completed the survey. Our sample was racially and socioeconomically diverse. Method attributes with the highest importance score were effectiveness (mean score 2.97 [standard deviation 0.18]), safety (2.96 [0.22]), affordability (2.61 [0.61]), whether the method is long-lasting (2.58 [0.61]), and whether the method is “forgettable” (2.54 [0.66]). The attributes most likely to be ranked by respondents among the top three attributes included effectiveness (80.5%), safety (64.8%) and side effects of the method (42.7%). Multiple contraceptive attributes influence decision making and no single attribute drives most women’s decisions. Tailoring communication and helping women make complex trade offs between attributes can better support their contraceptive decisions and may assist them in making value-consistent choices. This process could improve continuation and satisfaction.
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影响因子：
7.2
作者：
Peipert JF;Madden T;Allsworth JE;Secura GM
通讯作者：
Secura GM
DOI：
10.2147/ijwh.s59059
发表时间：
2014
期刊：
International journal of women's health
影响因子：
--
作者：
Mansour D
通讯作者：
Mansour D
影响因子：
6.7
作者：
Finer, Lawrence B.;Jerman, Jenna;Kavanaugh, Megan L.
通讯作者：
Kavanaugh, Megan L.
影响因子：
2.9
作者：
Garbers, Samantha;Meserve, Allison;Chiasson, Mary Ann
通讯作者：
Chiasson, Mary Ann
影响因子：
5.8
作者：
Lessard, Lauren N.;Karasek, Deborah;Foster, Diana Greene
通讯作者：
Foster, Diana Greene