It's Not Planned, But Is It Okay? The Acceptability of Unplanned Pregnancy Among Young People
It's Not Planned, But Is It Okay? The Acceptability of Unplanned Pregnancy Among Young People
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DOI：
10.1016/j.whi.2018.07.001
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发表时间：
2018-09-01
影响因子：
3.2
通讯作者：
Villasenor, Elodia
中科院分区：
文献类型：
--
作者：
Gomez, Anu Manchikanti;Arteaga, Stephanie;Villasenor, Elodia
背景：众所周知，目前的怀孕意愿衡量标准未能体现夫妻生活经历和生殖决策的复杂性。尽管存在局限性，这些措施仍指导项目、政策和临床实践。在此，我们探讨了预期怀孕的可接受性，它反映了个人是否预期考虑意外怀孕是受欢迎的、可控的或可以接受的。方法：对 50 名年轻（18-24 岁）女性及其男性伴侣（N = 100）进行个人定性访谈，以阐明预期怀孕的愿望和对怀孕计划的看法。我们使用主题方法分析了当前不希望怀孕的参与者子样本 (n = 88) 的数据。结果：尽管缺乏怀孕愿望，但 37 名参与者表示怀孕是可以接受的。怀孕可接受性的原因有几个主题，包括为孩子做好准备、关系稳定、了解为人父母需要做什么，以及对怀孕计划采取“无论发生什么”的方法。值得注意的是，怀孕可接受性的许多原因也被描述为缺乏可接受性的原因。例如，尽管样本中的许多父母认为怀孕是可以接受的，因为他们了解抚养孩子所需的时间和资源，但其他父母也因为同样的原因认为怀孕是不可接受的。 结论：可接受性抓住了对怀孕的预期观点的细微差别，以及当前意图语言和框架经常忽视的对年轻人生活的意义。此外，可接受性可能是一种与年轻人的观点和生活产生共鸣的结构，对他们来说，积极怀孕计划的概念并不重要。 (C) 2018 年雅各布斯妇女健康研究所。由爱思唯尔公司出版
Background: It is well-established that current measures of pregnancy intentions fail to capture the complexity of couples' lived experiences and decisions regarding reproductive decision making. Despite limitations, these measures guide programs, policy, and clinical practice. Herein, we explore prospective pregnancy acceptability, which captures whether individuals anticipate considering an unexpected pregnancy welcomed, manageable, or okay.Methods: Individual qualitative interviews were conducted with 50 young (ages 18-24 years) women and their male partners (N = 100) to elucidate prospective pregnancy desires and perspectives on pregnancy planning. Using a thematic approach, we analyzed data from a subsample (n = 88) of participants who did not currently desire a pregnancy.Results: Despite lack of pregnancy desire, 37 participants indicated that a pregnancy would be acceptable. Several themes emerged as reasons for pregnancy acceptability, including feeling prepared for children, relational stability, having knowledge of what it takes to parent, and taking a "whatever happens" approach toward pregnancy planning. Notably, a number of reasons for pregnancy acceptability were also described as reasons for lack of acceptability. For example, although many parents in the sample found pregnancy acceptable owing to their knowledge of the time and resources that raising children required, other parents found pregnancy unacceptable for this same reason.Conclusions: Acceptability captures nuances of prospective views on pregnancy and what it means for young people's lives that current intentions language and framing often neglects. Additionally, acceptability may be a construct that resonates with the perspectives and lives of young people for whom the notion of active pregnancy planning is not salient. (C) 2018 Jacobs Institute of Women's Health. Published by Elsevier Inc.