"Everything I Know I Learned from My Mother...or Not": Perspectives of African-American and White Women on Decisions About Tubal Sterilization
"Everything I Know I Learned from My Mother...or Not": Perspectives of African-American and White Women on Decisions About Tubal Sterilization
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DOI：
10.1007/s11606-008-0887-3
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发表时间：
2009-03-01
影响因子：
5.7
通讯作者：
Ibrahim, Said A.
中科院分区：
文献类型：
--
作者：
Borrero, Sonya;Nikolajski, Cara;Ibrahim, Said A.
自女性绝育作为一种避孕方法出现以来，非裔美国女性的女性绝育率高于白色女性。这种种族差异的原因尚不清楚，本研究的目的是（1）探讨是什么因素塑造了黑人和白色妇女关于输卵管绝育作为一种避孕方法的决定，（2）产生关于种族与决策过程关系的假设。在每一次录音过程中，参与者被要求讨论妇女选择绝育作为避孕方法的原因。研究的参与者是24名非洲人，美国妇女和14名白色妇女。会议的成绩单进行了定性分析，特别注意的因素，可能是独特的每一个种族群体。个人因素塑造了黑人和白色妇女的决定，关于输卵管灭菌偏好一种方便，高效的避孕方法是两个种族群体的妇女接受输卵管绝育术的主要原因。我们还确定了社会文化差异，这可能解释了为什么黑人妇女比白色妇女更有可能选择输卵管绝育术而不是其他避孕方法。一个出乎意料的，但在临床上很重要的发现是，妇女经常报告说，她们的医生和医疗保健系统是获得所需程序的障碍。社会文化差异可能有助于解释为什么黑人和白色妇女选择不同的避孕方法。
African-American women have had higher rates of female sterilization compared to white women since its emergence as a contraceptive method. The reasons underlying this observed racial difference are unknown.The goals of this study were to (1) explore what factors shape black and white women's decisions about tubal sterilization as a contraceptive method and (2) generate hypotheses about the relationship of race to the decision-making process.We conducted six focus groups stratified by tubal sterilization status and race. During each of the audio-recorded sessions, participants were asked to discuss reasons that women choose sterilization as a contraceptive method.The participants of the study were 24 African-American women and 14 white women.Transcripts of the sessions were qualitatively analyzed with particular attention to factors that might be unique to each of the two racial groups.Personal factors shaped black and white women's decisions regarding tubal sterilization. Preference for a convenient, highly effective contraceptive method was the main reason to get a tubal sterilization for women of both racial groups. We also identified socio-cultural differences that might explain why black women are more likely than white women to choose tubal sterilization over other contraceptive methods. An unanticipated, but clinically important, finding was that women often reported feeling that their doctors and the health-care system served as barriers to obtaining the desired procedure.Socio-cultural differences may help explain why black and white women choose different contraceptive methods.