Young Latinas recall contraceptive use before and after pregnancy: a focus group study.
Young Latinas recall contraceptive use before and after pregnancy: a focus group study.
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DOI：
10.1016/j.jpag.2004.05.003
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发表时间：
2004-08-01
影响因子：
1.8
通讯作者：
Tapia, Beatriz
中科院分区：
文献类型：
--
作者：
Gilliam, Melissa L;Warden, Meredith M;Tapia, Beatriz
研究目的：通过焦点小组对话了解影响年轻、低收入拉丁裔青少年使用和不使用避孕措施的因素。设计：我们在门诊诊所和社区环境中与拉丁裔女性进行了七次焦点小组讨论。使用定性数据分析技术。 背景： 参与者是从芝加哥伊利诺伊大学妇科门诊和 Easter Seals 日托中心招募的。 参与者： 年龄在 18-26 岁之间的拉丁裔女性 (n=40) 被招募。 结果： 由于缺乏信息和家庭观念禁止节育和性活动，性活跃的青少年不使用避孕药具和依赖避孕药具的比例很高。关于不规则使用安全套和戒断避孕的问题。怀孕后，参与者有更多机会获得避孕药具，并且更有决心使用避孕药具。然而，持续使用戒断药和不规则使用激素避孕药可能会使拉丁裔母亲面临再次怀孕的风险。结论：与拉丁裔青少年和年轻人的后续怀孕相比，需要采取不同的方法来预防第一次怀孕。
STUDY OBJECTIVE: To understand factors influencing use and nonuse of contraception in young, low-income Latina adolescents through focus group conversations.DESIGN: We conducted seven focus group discussions with Latino females in an outpatient clinic and community setting. Qualitative data analyses techniques were used.SETTING: Participants were recruited from the outpatient gynecology clinic at the University of Illinois at Chicago, and from the Easter Seals Day Care Center.PARTICIPANTS: Women were recruited if they were Latina and between the ages of 18-26 (n=40).RESULTS: Due to lack of information and family beliefs prohibiting birth control use and sexual activity, sexually active teenagers had high rates of contraceptive non-use and relied on irregular use of condoms and withdrawal for pregnancy prevention. Following pregnancy, participants had greater access to contraception and more determination to use it. Yet, persistent use of withdrawal and irregular use of hormonal contraception may place Latina mothers at risk for repeat pregnancy.CONCLUSIONS: Different approaches are needed for prevention of the first pregnancy compared to subsequent ones among Latino adolescents and young adults.