Managing unplanned pregnancies in five countries: Perspectives on contraception and abortion decisions
Managing unplanned pregnancies in five countries: Perspectives on contraception and abortion decisions
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DOI：
10.1080/17441692.2011.597413
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发表时间：
2011-01-01
影响因子：
3.3
通讯作者：
Shellenberg, Kristen M.
中科院分区：
文献类型：
--
作者：
Tsui, Amy O.;Casterline, John;Shellenberg, Kristen M.
为什么人工流产在现代避孕措施随处可得的环境中很常见？这项研究分析了从焦点小组讨论和对来自美国、尼日利亚、巴基斯坦、秘鲁和墨西哥这五个国家低收入地区的女性和男性的深入采访中收集的定性数据，以更好地了解夫妇如何管理他们的怀孕风险。在所有的环境中，女性和男性在开始性关系或性交之前很少权衡避孕和堕胎的利弊。避孕被视为独立于堕胎，只有当前者被援引为避免重复堕胎的首选手段时，两者才被联系在一起。对于妇女来说，避孕方法被认为是可疑的，因为它们被认为有副作用，而堕胎经历往往给她们带来重大的个人风险，引发了社会耻辱的幽灵，并激励了更好的避孕做法。在所有的环境中，男性伴侣在怀孕决定和管理中都扮演着重要的角色。尽管样本量小的研究本身存在局限性，但这些叙述揭示了有效使用避孕措施的心理社会障碍，并确定了怀孕决策中的结点，可以构建未来的调查。
Why is induced abortion common in environments in which modern contraception is readily available? This study analyses qualitative data collected from focus group discussions and in-depth interviews with women and men from low-income areas in five countries the United States, Nigeria, Pakistan, Peru and Mexico - to better understand how couples manage their pregnancy risk. Across all settings, women and men rarely weigh the advantages and disadvantages of contraception and abortion before beginning a sexual relationship or engaging in sexual intercourse. Contraception is viewed independently of abortion, and the two are linked only when the former is invoked as a preferred means to avoiding repeat abortion. For women, contraceptive methods are viewed as suspect because of perceived side effects, while abortion experience, often at significant personal risk to them, raises the spectre of social stigma and motivates better practice of contraception. In all settings, male partners figure importantly in pregnancy decisions and management. Although there are inherent study limitations of small sample sizes, the narratives reveal psychosocial barriers to effective contraceptive use and identify nodal points in pregnancy decision-making that can structure future investigations.