"I did not plan … that is what hurts": Pregnancy intentions and contraceptive use among pregnant young women in KwaZulu-Natal, South Africa.
"I did not plan … that is what hurts": Pregnancy intentions and contraceptive use among pregnant young women in KwaZulu-Natal, South Africa.
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DOI：
10.2989/16085906.2021.1914693
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发表时间：
2021-07
影响因子：
1.2
通讯作者：
Psaros, Christina
中科院分区：
文献类型：
--
作者：
Coleman, Jessica N.;Milford, Cecilia;Mosery, Nzwakie;Choi, Karmel W.;Greener, Letitia Rambally;Matthews, Lynn T.;Harrison, Abigail;Bangsberg, David R.;Safren, Steven A.;Smit, Jennifer A.;Psaros, Christina
Unintended pregnancy impacts many young women in South Africa, and rates of consistent contraceptive use among this population are suboptimal. Limited empirical work has investigated reasons for inconsistency between pregnancy intention and contraceptive use behaviour with data collected during pregnancy. We explored pregnancy intentions and discordance between intentions and contraceptive use prior to conception among young pregnant women in KwaZulu-Natal, South Africa. In-depth qualitative interviews were conducted with 35 women during pregnancy (mean age = 19.3; range = 18–21) in 2011 and 2012. Data were analysed using content analysis. All participants reported unintended pregnancies; almost half were not using contraception near conception. Reasons for not intending to become pregnant spanned personal, social, health, and economic domains. Participants living with HIV (n = 13) expressed specific concerns related to impacts of pregnancy on HIV disease management and fear of transmission of HIV to the infant. Discordance between pregnancy intentions and contraceptive use prior to conception was attributed to personal, social, health and structural domains. Findings indicate a need for interventions that address barriers to contraceptive use in order to minimise unintended pregnancy and support safe, desired pregnancies among young women.
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影响因子：
2.6
作者：
Christofides NJ;Jewkes RK;Dunkle KL;McCarty F;Jama Shai N;Nduna M;Sterk C
通讯作者：
Sterk C
影响因子：
2.2
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Mkhwanazi, Nolwazi
影响因子：
1.2
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Crankshaw, Tamaryn L.;Smit, Jennifer A.;Beksinska, Mags E.
通讯作者：
Beksinska, Mags E.
影响因子：
2.2
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通讯作者：
Maharaj, Pranitha
影响因子：
3.1
作者：
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通讯作者：
Moodley D