Understanding contraceptive failure: an analysis of qualitative narratives.
Understanding contraceptive failure: an analysis of qualitative narratives.
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了解避孕失败：定性叙述分析。
DOI：
10.1080/23293691.2022.2090304
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Kavanaugh,MeganL
中科院分区：
文献类型：
--
作者：
Frohwirth,Lori;Mueller,Jennifer;Anderson,Ragnar;Williams,Patrice;Kochhar,Shivani;Castle,SKate;Kavanaugh,MeganL
大多数美国妇女想要避免怀孕使用避孕措施，但避孕失败是常见的。在健康信念模型（HBM）的指导下，我们对描述避孕失败的女性（n= 69）进行了二次定性分析，以研究为什么以及如何发生这种结果。我们发现了避孕失败的三个主要驱动因素（健康素养和信仰，合作伙伴和关系以及结构性障碍），我们确定了这些驱动因素导致避孕失败并导致怀孕的途径。这些研究结果对如何更好地支持个人在临床避孕讨论中选择首选避孕方法具有一定的意义。
Most American women wanting to avoid pregnancy use contraception, yet contraceptive failures are common. Guided by the Health Belief Model (HBM), we conducted a secondary qualitative analysis of interviews with women who described experiencing a contraceptive failure (n= 69) to examine why and how this outcome occurs. We found three primary drivers of contraceptive failures (health literacy and beliefs, partners and relationships, and structural barriers), and we identified pathways through which these drivers led to contraceptive failures that resulted in pregnancy. These findings have implications for how individuals can be better supported to select their preferred contraception during clinical contraceptive discussions.