Partner Roles in Contraceptive Use: What Do Adolescent Mothers Say?

Partner Roles in Contraceptive Use: What Do Adolescent Mothers Say?
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DOI:
10.1016/j.jpag.2012.08.003
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发表时间:
2012-12-01
影响因子:
1.8
通讯作者:
Gilliam, Melissa L.
Gilliam, Melissa L.
中科院分区:
医学4区
文献类型:
--
作者:
Lewis, Dinah A.;Martins, Summer L.;Gilliam, Melissa L.

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研究目的:要研究的作用,性伴侣在青少年母亲的使用非性交依赖避孕方法在posterior period.Design/Setting/Participants:40名非洲裔美国青少年母亲完成了调查和定性访谈,在产后的第一年作为一个更大的纵向研究的一部分,在芝加哥,伊利诺伊州。分析了与避孕和性伴侣有关的主题。主要结果测量:青少年母亲关于伴侣在使用非性交依赖性避孕方法(即,结果:伴侣在很大程度上支持使用非性交依赖性避孕方法,但支持机制差异很大,从倡导特定方法到促进参与者继续使用他们选择的方法。不支持的伴侣要么对特定方法的安全性和副作用表示担忧,要么希望在不久的将来再要一个孩子。参与者重视这些偏好,以不同程度上,使他们的避孕decisions.Conclusions:青少年母亲的合作伙伴在产后避孕decisions. Conclusions发挥不同的作用。因此,它们有可能抑制和促进非性交依赖性避孕的使用。需要进行定量研究,以进一步评估伴侣态度和支持行为等因素如何影响青少年母亲开始和继续避孕。
Study Objective: To examine the role of sexual partners in adolescent mothers' use of non-coital dependent contraceptive methods in the postpartum period.Design/Setting/Participants: 40 African American adolescent mothers completed surveys and qualitative interviews during the first postpartum year as part of a larger longitudinal study in Chicago, Illinois. Themes related to contraception and sexual partners were analyzed.Main Outcome Measures: Adolescent mothers' reports of partners' roles in the use of non-coital dependent contraceptive methods (i.e., oral contraceptives, intrauterine contraception, and depot medroxyprogesterone acetate).Results: Partners largely supported the use of non-coital dependent contraceptive methods, yet mechanisms of support varied greatly, from advocating for specific methods to facilitating participants' continuation of their chosen method. Unsupportive partners either expressed concerns about the safety and side effects of specific methods or desired another child in the near future. Participants valued these preferences to different degrees when making their contraceptive decisions.Conclusions: Partners of adolescent mothers play varying roles in postpartum contraceptive decisions. They thus have the potential both to inhibit and to facilitate the use of non-coital dependent contraception. Quantitative research is needed to further evaluate how partner attitudes and support behaviors, among other factors, affect contraceptive initiation and continuation among adolescent mothers.