Barriers to contraceptive services.
Barriers to contraceptive services.
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避孕服务的障碍。
DOI：
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发表时间：
1987
期刊：
影响因子：
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通讯作者：
J. Forrest
中科院分区：
文献类型：
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作者：
J. Silverman;A. Torres;J. Forrest
在美国，每年超过1/2的怀孕是意外的，其中1/2以堕胎告终。为了确定低收入妇女避孕药具的供应情况、需要和偏好，对居住在4个城市地区的760名18-35岁妇女进行了电话调查，并对4个社区的所有计划生育诊所和私人妇产科医生以及妇女提到的其他医生和诊所进行了邮件调查。虽然94%的妇女说她们在某个时候使用过某种避孕方法，但23%的妇女目前没有采取避孕措施。不使用和使用不太有效的方法似乎都是由与方法有关的恐惧、对现有方法的不喜欢以及对避孕的普遍负面情绪造成的。可以避免不太有效的方法，因为女性认为它们提供的保护较少，并且不喜欢它们依赖性交的特性。很少有报告说，结构性或与提供者有关的问题，如费用，是使用避孕药具的障碍。使用诊所的主要障碍是许多妇女显然认为诊所不提供个性化护理，提供的护理质量低于私人医生。私人医生被避免，因为高成本和他们较少接受医疗补助或Medi-Cal报销。鼓励对避孕方法采取更有利的态度，并改善廉价，个性化的计划生育服务的获取和知识，似乎是促进美国低收入妇女更好地避孕的关键因素。
More than 1/2 of the pregnancies that occur each year in the US are unintended and 1/2 of these end in abortion. An attempt was made to determine the contraceptive availability, needs and preferences of low-income women via a telephone survey of 760 women, 18-35 years of age, living in 4 urban locations and a mail survey of all family planning clinics and private obstetrician-gynecologists in each of the 4 communities, as well as other physicians and clinics mentioned by the women. Although 94% of the women said they had used some contraceptive method at some time, 23% were not currently practicing contraception. Both nonuse and the use of less effective methods appear to be caused by method-related fears, dislike of available methods, and a general negative feeling about contraception. Less effective methods may be avoided because women view them as offering less protection and dislike their coitus-dependent qualities. Structural or provider-related concerns, such as cost, were seldom reported as barriers to contraceptive use. The primary barrier to clinic use is the apparent belief of many women that clinics do not offer personalized care and provide lower quality care than private physicians. Private physicians are avoided because of high cost and their lesser acceptance of Medicaid or Medi-Cal reimbursement. Encouraging more favorable attitudes toward contraceptive methods and improving access to and knowledge of inexpensive, personalized family planning services appear to be critical factors in fostering better contraceptive practice among low-income women in the US.