Contraceptive Decision-Making and the Importance of Side Effect Information Among a Sample of Latinas.
Contraceptive Decision-Making and the Importance of Side Effect Information Among a Sample of Latinas.
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DOI：
10.1089/whr.2021.0115
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Carvajal DN
中科院分区：
文献类型：
--
作者：
Cicerchia G;Reid LD;Carvajal DN
背景：与非拉丁裔白色女性相比，拉丁裔美国人的避孕率较低，并且报告了更多的负面咨询经历。以患者为中心的避孕咨询方法是拉丁美洲人所期望的，也与患者满意度相关;然而，临床医生可能并不总是使用最能支持边缘化群体决策的咨询方法。目的：检查拉丁裔对医生就避孕副作用进行沟通的期望、个人对副作用了解的重要性，以及这些与避孕药使用和使用一致性的关联。材料与方法：103名自认为年龄在15-29岁之间的拉丁裔人在两个城市联邦合格的卫生中心完成了一项调查，测量与避孕药具使用和一致性相关的因素。双变量分析用于评估人口统计学和避孕信息偏好。使用双侧Fisher精确检验评估分类变量之间的关联。使用双侧t检验比较连续变量。结果如下：大多数受访者（85%）希望医生告诉他们避孕的副作用，并报告说，无论目前避孕药具的使用情况如何，这些信息对使用避孕药具都很重要。在不一致和非使用者中，副作用知识的重要性取决于对医生信息共享的期望（p < 0.05）。结论：关于副作用的信息共享的医生和患者的副作用知识的期望是很重要的避孕决策过程中，这拉丁美洲组，无论避孕药具的使用。从事避孕咨询的临床医生应重点提供有关所讨论方法副作用的清晰、准确的信息，以促进知情决策，并为这一弱势群体提供公平、以患者为中心的避孕护理。
Context: U.S. Latinas have lower rates of contraceptive use and report more negative counseling experiences compared to non-Latina white women. Patient-centered approaches to contraceptive counseling are desired among Latinas and are also associated with patient satisfaction; yet, clinicians may not always use counseling methods that best support decision-making among marginalized groups. Objective: To examine Latinas' expectations of physician communication about contraceptive side effects, reported importance of personal knowledge about side effects, and the association of these with contraceptive use and use consistency. Materials and Methods: One hundred three self-identified Latinas aged 15–29 years at two urban federally qualified health centers completed a survey measuring factors associated with contraceptive use and consistency. Bivariate analysis was used to assess demographic and contraceptive information preferences. Associations between categorical variables were assessed using two-sided Fisher's exact tests. Continuous variables were compared using two-sided t-test. Results: The majority of respondents (85%) expected physicians to tell them about birth control side effects and reported that this information is important to use contraception, regardless of current contraceptive use. Among inconsistent and nonusers, importance of knowledge of side effects depended on expectations of information-sharing from physicians (p < 0.05). Conclusions: Expectations regarding side effect information-sharing by physicians and patient knowledge of side effects are important for the contraceptive decision-making process of this Latina group, regardless of contraceptive use. Clinicians engaging in contraceptive counseling should focus on providing clear and accurate information about side effects of discussed methods to facilitate informed decision-making and equitable, patient-centered contraceptive care for this vulnerable population.
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影响因子：
1.5
作者：
Dehlendorf, Christine;Krajewski, Colleen;Borrero, Sonya
通讯作者：
Borrero, Sonya
影响因子：
--
作者：
Carvajal, Diana N.;Mudafort, Paola C. Rivera;Blank, Arthur E.
通讯作者：
Blank, Arthur E.
影响因子：
3.5
作者：
Dehlendorf, Christine;Diedrich, Justin;Steinauer, Jody
通讯作者：
Steinauer, Jody
影响因子：
3.5
作者：
Borrero, Sonya;Schwarz, Eleanor B.;Ibrahim, Said
通讯作者：
Ibrahim, Said
影响因子：
2.3
作者：
Guendelman, S;Denny, C;Chetkovich, C
通讯作者：
Chetkovich, C