Opportunity, satisfaction, and regret: Trying long-acting reversible contraception in a unique scientific circumstance.
Opportunity, satisfaction, and regret: Trying long-acting reversible contraception in a unique scientific circumstance.
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机会、满足和遗憾：在独特的科学环境下尝试长效可逆避孕。
DOI：
10.1080/03630242.2018.1478363
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发表时间：
2019
期刊：
影响因子：
1.6
通讯作者：
Hubacher,David
中科院分区：
文献类型：
--
作者：
Burke,HollyM;Packer,CatherineA;Spector,HannahL;Hubacher,David
增加使用长效可逆避孕药（LARC）可以减少意外怀孕。然而，采用LARC存在重大障碍，特别是前期费用高昂。2014年在北卡罗来纳州，我们采访了34名有目的地选择的参与者（年龄在20-30岁之间），他们参加了一项部分随机患者偏好试验，以了解他们在这个独特的试验背景下对避孕的经验和态度。LARC的成本在参与者的决策中很重要。经历意外怀孕促使女性转向LARC。没有一个尝试过LARC的参与者后悔，即使是那些有副作用的参与者，也有几个参与者后悔停止了LARC。对插入和取出的担忧并没有影响未来尝试LARC的意愿。与会者讨论了在选择避孕方法时负担得起和控制感的重要性。成本，再加上LARC是否适合他们的不确定性，可能会阻止年轻女性尝试LARC。应使人们负担得起宫内避孕器和植入物，使妇女能够试用，而无需承担重大的经济负担。负担得起可能会增加吸收，这将减少意外怀孕。停止LARC的遗憾比尝试LARC的遗憾更常见。提供者应向年轻妇女提供LARC和咨询，以支持继续。
Increased use of long-acting reversible contraception (LARC) can reduce unintended pregnancies. However, significant barriers exist to LARC uptake, particularly high up-front costs. In North Carolina in 2014, we interviewed thirty-four purposively selected participants (aged 20–30 years) enrolled in a partially randomized patient preference trial to learn about their experiences with and attitudes toward contraception in this unique trial context. Cost of LARC was important in participants’ decision-making. Experiencing an unintended pregnancy motivated women to switch to LARC. No participants who tried LARC, even those who experienced side effects, regretted it. Several participants regretted discontinuing their LARC. Concerns about insertion and removal did not influence future willingness to try LARC. Participants discussed the importance of affordability and feeling in control when choosing a contraceptive method. Cost, combined with uncertainty over whether LARC is the right method for them, may deter young women from trying LARC. Intrauterine devices (IUDs) and implants should be made affordable so that women can try them without significant financial commitment. Affordability will likely increase uptake, which will reduce unintended pregnancies. Regret from discontinuing LARC was more frequently reported than regret from trying LARC. Providers should offer young women LARC and counsel to support continuation.