Young Adult Couples' Decision Making Regarding Emergency Contraceptive Pills
Young Adult Couples' Decision Making Regarding Emergency Contraceptive Pills
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DOI：
10.1111/j.1547-5069.2010.01381.x
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发表时间：
2011-03-01
影响因子：
3.4
通讯作者：
Humphreys, Janice
中科院分区：
文献类型：
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作者：
Beaulieu, Richard;Kools, Susan M.;Humphreys, Janice
目的：意外怀孕是全世界年轻人面临的一个重大公共卫生问题。本研究的目的是探索和更好地理解情侣关系中的年轻人紧急避孕药（ECP）使用明显不足的原因。理论理性：在扎根理论的后现代解释中，现实的社会建构和主观性对经验意义的影响导致了可能随着时间、背景和情况而变化的部分真理的发展。方法：扎根理论方法指导半结构化面对面访谈和数据分析。通过公告招募了 22 名年龄在 18 至 25 岁的夫妇。 结果：构建了四个显着且相互关联的条件，以帮助解释年轻夫妇在使用 ECP 决策时所涉及的复杂性：(a) 避孕决策责任的转移：在完美世界与生物现实中； (b) 关系权力：控制-脆弱连续体； (c) 妇女对自己身体的自主权； (d) 关于 ECP 的相互冲突的观点。结论：从事实践的医疗保健专业人员包括年轻人，在讨论避孕时需要了解可能的夫妻动态。应鼓励处于支持关系的客户与伴侣就其避孕需求（包括可能的 ECP 使用）进行开诚布公的沟通。 临床相关性：本研究的结果有助于建立与年轻人使用 ECP 相关的决策的知识体系。
Purpose: Unintended pregnancy is a significant public health problem among young people worldwide. The purpose of this study was to explore and better understand the reasons for the apparent underuse of emergency contraceptive pills (ECP) in young people in coupled relationships.Theoretical Rational: In postmodern explications of grounded theory, social construction of realities and the influence of subjectivities on the meanings of experiences lead to the development of partial truths that may change with time, context, and situation.Methods: Grounded theory methods guided semi-structured face-to-face interviews and data analysis. Twenty-two couples aged 18 to 25 years old were recruited through public notices.Findings: Four salient and interrelated conditions were constructed to help explain the complexities involved in young couples decision making regarding ECP use: (a) the shifting locus of responsibility for contraceptive decision making: in a perfect world versus biological reality; (b) relationship power: control-vulnerability continuum; (c) a woman's autonomy over her own body; and (d) conflicting views on ECP.Conclusions: Healthcare professionals whose practice includes young people need to be aware of possible couple dynamics when discussing contraception. Clients in supportive relationships should be encouraged to engage in open communication with their partners about their contraception needs, including possible ECP use.Clinical Relevance: The results of this study contribute to the body of knowledge with regard to decision making related to ECP use in young adults.