Contraceptive Decision Making Among Latina Immigrants: Developing Theory-Based Survey Items
Contraceptive Decision Making Among Latina Immigrants: Developing Theory-Based Survey Items
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DOI：
10.1177/1540415319883422
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发表时间：
2020-12-01
影响因子：
--
通讯作者：
Blank, Arthur E.
中科院分区：
文献类型：
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作者：
Carvajal, Diana N.;Mudafort, Paola C. Rivera;Blank, Arthur E.
背景：避孕对生育自主性很重要，但许多拉丁人并没有坚持使用避孕措施，尽管研究报告说他们希望这样做。在避孕决策过程中，各种因素的优先次序和价值各不相同。在衡量这些指标时，相关的调查项目可能因人口而异。目的：本研究的重点是制定一个种族反应，以病人为中心，内容有效的调查测量因素，影响避孕决策的移民拉丁美洲人。方法：从计划生育机构招募自认为在马里兰州巴尔的摩15至24岁的非妊娠拉丁裔。使用计划行为理论作为理论框架和先前的形成性研究，起草了初步调查项目（步骤1）。内容验证和认知访谈程序（步骤2和步骤3）用于开发最终项目。结果：最终项目（27）的内容验证的目标人群，项目反映了重要因素和相关的背景下，影响拉丁美洲人在巴尔的摩的避孕决策。讨论：这些理论为基础的项目提供了一个重要的贡献，因为他们的文献测量和探索相关因素的避孕决策在一个未充分研究的人口。提供者可能会在咨询过程中考虑这些因素，以建立以患者为中心的沟通。这些项目可能有助于衡量对旨在改善拉丁裔避孕咨询的计划性基于行为的干预理论的反应。
Background:Contraception is important for reproductive autonomy, yet many Latinas do not use contraception consistently despite research reporting a desire to do so. Factors varying in priority and value come into play during contraceptive decision making. When measuring these, relevant survey items may vary by populations. Aim:This study focused on developing an ethnically responsive, patient-centered, content-valid survey for measuring factors that influence contraceptive decision making among immigrant Latinas. Method:Nonpregnant self-identified Latinas ages 15 to 24 years in Baltimore, MD, were recruited from a family planning facility. Using the theory of planned behavior as a theoretical framework and prior formative research, initial survey items were drafted (Step 1). Content validation and cognitive interviewing procedures (Step 2 and Step 3) were used to develop final items. Results:Final items (27) were content-validated by the target population; items reflect important factors and relevant contexts affecting contraceptive decision making among Latinas in Baltimore. Discussion:These theory-based items provide an important contribution to the literature because they measure and explore factors related to contraceptive decision making in an understudied population. Providers might consider these factors during counseling to build patient-centered communication. These items might serve to measure responses to theory of planned behavior-based interventions designed to improve the contraceptive counseling of Latinas.