"If I know I am on the pill and I get pregnant, it's an act of God": women's views on fatalism, agency and pregnancy
"If I know I am on the pill and I get pregnant, it's an act of God": women's views on fatalism, agency and pregnancy
复制标题
DOI：
10.1016/j.contraception.2016.02.005
复制
发表时间：
2016-06-01
期刊：
影响因子：
2.9
通讯作者：
Blades, Nakeisha M.
中科院分区：
文献类型：
--
作者：
Jones, Rachel K.;Frohwirth, Lori F.;Blades, Nakeisha M.
目的：宿命论认为外部力量可以控制事件。怀孕和预防怀孕在许多女性的生活中扮演着重要的角色，我们试图了解宿命论是否以及如何影响她们对这些问题的思考。我们用NVivo分析了记录目前的分析重点是妇女讨论宿命论和怀孕的方式，在回答一个直接的问题，因为它是自发的。结果：大多数受访者表示宿命论和非宿命论的观点混合怀孕。许多人认为，“命运”、“命运”和/或上帝在怀孕中发挥了作用，但大多数人也断言，怀孕风险可以大大降低，最常见的是使用避孕药具。宿命论有时起着积极的作用，例如作为处理意外怀孕的一种机制。宿命论的观点并不妨碍避孕药具的使用。相反，一些使用高效方法的妇女说，如果她们怀孕了，她们会把它解释为怀孕是“注定要发生的”。“最后，一些妇女说，没有保证一个女人可以怀孕时，她想，这表明，某种程度的宿命论可能是不可避免的，当谈到怀孕。结论：宿命论和机构不应被视为对立的观点，当谈到怀孕和怀孕预防;有宿命论的观点怀孕并不排除避孕的使用。鉴于妇女不能完全控制想要的怀孕，甚至不能完全控制怀孕的预防，对生育率的某种宿命论是一种合乎逻辑和务实的反应。研究和临床实践都需要认识到，宿命论和避孕药具的使用往往并不冲突。(C)2016作者爱思唯尔公司出版。.
Objectives: Fatalism is the idea that outside forces have control over events. Pregnancy and pregnancy prevention play a prominent role in many women's lives, and we sought to understand if and how fatalism informed their thinking about these issues.Study design: We conducted in-depth interviews with 52 unmarried women between the ages of 18 and 30. We used NVivo to analyze the transcripts. The current analysis focuses on the ways that women discussed fatalism and pregnancy both in response to a direct question and as it came up spontaneously.Results: The majority of respondents expressed a mix of fatalistic and non-fatalistic views about pregnancy. Many related that "fate," "destiny" and/or God play a role in pregnancy, but most also asserted that pregnancy risk could be substantially reduced, most commonly by using contraception. Fatalism sometimes served a positive function, for example as a mechanism to deal with an unintended pregnancy. Having a fatalistic outlook did not preclude contraceptive use. Rather, some women using highly effective methods related that if they were to become pregnant, they would interpret it as a sign that the pregnancy was "meant to happen." Finally some women related that there was no guarantee a woman could get pregnant when she wanted to, suggesting that some degree of fatalism may be inevitable when it comes to pregnancy.Conclusions: Fatalism and agency should not be viewed as opposing outlooks when it comes to pregnancy and pregnancy prevention; having fatalistic views about pregnancy does not preclude contraceptive use.Implications: Given that women do not have total control over attainment of a wanted pregnancy or even prevention of pregnancy, some amount of fatalism about fertility is a logical and pragmatic response. Both research and clinical practice need to recognize that fatalism and contraceptive use are often not in conflict. (C) 2016 The Authors. Published by Elsevier Inc. .