Provider Bias in Long-Acting Reversible Contraception (LARC) Promotion and Removal: Perceptions of Young Adult Women
Provider Bias in Long-Acting Reversible Contraception (LARC) Promotion and Removal: Perceptions of Young Adult Women
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DOI：
10.2105/ajph.2016.303393
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发表时间：
2016-11-01
影响因子：
12.7
通讯作者：
Ryder, Kristin M.
中科院分区：
文献类型：
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作者：
Higgins, Jenny A.;Kramer, Renee D.;Ryder, Kristin M.
长效可逆避孕（LARC）是有效和可接受的。然而，在LARC推广中存在潜在的提供者偏见问题。没有研究记录避孕药具使用者对提供者对LARC的影响和偏见的态度或经历。我们在2014年收集了定性数据，以解决这一差距。参与者是威斯康星州戴恩县50名有任何避孕史（包括LARC）的年轻成年妇女。妇女经常将提供者描述为避孕信息的可靠来源。然而，一些妇女报告说，她们对避孕选择或移除的偏好没有得到尊重。此外，许多与会者认为，提供者向社会边缘化妇女推荐LARC的比例过高。我们鼓励避孕咨询和移除协议，直接解决历史上的生殖不公，尊重患者的意愿。
Long-acting reversible contraception (LARC) is effective and acceptable. However, concern exists about potential provider bias in LARC promotion. No study has documented contraceptive users' attitudes toward or experiences with provider influence and bias regarding LARC.We collected qualitative data in 2014 to address this gap. Participants were 50 young adult women with any history of contraceptive use (including LARC) in Dane County, Wisconsin. Women often described providers as a trusted source of contraceptive information. However, several women reported that their preferences regarding contraceptive selection or removal were not honored. Furthermore, many participants believed that providers recommend LARC disproportionately to socially marginalized women.We encourage contraceptive counseling and removal protocols that directly address historical reproductive injustices and that honor patients' wishes.