Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review.
Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review.
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DOI：
10.1016/j.pmedr.2023.102111
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发表时间：
2023-04
影响因子：
2.8
通讯作者：
McFarland, Mary M.
中科院分区：
文献类型：
--
作者：
Charron, Elizabeth;Kent-Marvick, Jacqueline;Gibson, Tyler;Taylor, Eliza;Bouwman, Kelsey;Sani, Gelina M.;Simonsen, Sara E.;Stone, Rebecca H.;Kaiser, Jennifer E.;McFarland, Mary M.
关键词：
使用阿片类药物(WWUO)的妇女获得和使用有效避孕措施的情况不佳。我们绘制了28项研究地图，确定了WWUO的避孕障碍和促进剂。WWUO的避孕障碍和促进者在许多层面上都存在影响。我们没有发现任何包括边缘群体参与者的研究。未来的研究应该针对社区环境中更多样化的人群。现有研究发现，使用阿片类药物(WWUO)的妇女在获得和使用激素和长效可逆避孕(HC-LARC)方面遇到了挑战。这种用途的促进者尚不清楚。我们进行了一项范围审查，以全面绘制美国生殖年龄WWUO中HC-LARC访问和使用的障碍和促进者的文献。根据JBI证据合成手册，对1990年至2021年发表的经验性文献进行文献检索。独立审查员首先按标题和摘要筛选参考文献，然后按全文筛选，并绘制符合条件的文章的图表数据。我们根据一个四级社会生态模型(SEM)对HC-LARC障碍和促进者进行编码和组织，并将每个SEM级别内的结果归类到域中。我们筛选了4617条记录，其中28篇文章聚焦于HC-LARC(n=18)、仅LARC(n=)或测试增加HC-LARC摄取的干预(n=10.4)符合纳入标准。我们在四个结构方程水平(个人、关系、社区、社会)上确定了13个障碍域和11个促进者域。最常被提及的障碍和促进者是方法特征、合作伙伴和提供者关系、交通、医疗保健的可用性和可获得性、成本、保险和污名。未来的研究将受益于招募参与者并在社区环境中收集数据，针对更多样化的人群，并确定邻里、社会和政策障碍和促进者。减少障碍和改善在WWUO之间获取和使用HC-LARC的公平性是一个复杂的、多方面的问题，将需要同时在社会生态等级的多个层面上针对各种因素来实现变化。
Women who use opioids (WWUO) suboptimally access and use effective contraception. We mapped 28 studies identifying contraceptive barriers and facilitators for WWUO. Contraceptive barriers and facilitators for WWUO exist at many levels of influence. We identified no studies that included participants from marginalized groups. Future research should target more diverse populations in community settings. Existing research has found that women who use opioids (WWUO) experience challenges to hormonal and long-acting reversible contraception (HC-LARC) access and use. Facilitators of such use are unclear. We conducted a scoping review to comprehensively map the literature on barriers to and facilitators of HC-LARC access and use in the United States among reproductive-aged WWUO. In accordance with the JBI Manual of Evidence Synthesis, we conducted literature searches for empirical articles published from 1990 to 2021. Independent reviewers screened references, first by titles and abstracts, then by full-text, and charted data of eligible articles. We coded and organized HC-LARC barriers and facilitators according to a four-level social-ecological model (SEM) and categorized findings within each SEM level into domains. We screened 4,617 records, of which 28 articles focusing on HC-LARC (n = 18), LARC only (n = 6), or testing an intervention to increase HC-LARC uptake (n = 4) met inclusion criteria. We identified 13 domains of barriers and 11 domains of facilitators across four SEM levels (individual, relationship, community, societal). The most frequently cited barriers and facilitators were methods characteristics, partner and provider relations, transportation, healthcare availability and accessibility, cost, insurance, and stigma. Future studies would benefit from recruiting participants and collecting data in community settings, targeting more diverse populations, and identifying neighborhood, social, and policy barriers and facilitators. Reducing barriers and improving equity in HC-LARC access and use among WWUO is a complex, multifaceted issue that will require targeting factors simultaneously at multiple levels of the social-ecological hierarchy to effect change.
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影响因子：
2.9
作者：
Brown, Benjamin P.;Chor, Julie;Whitaker, Amy K.
通讯作者：
Whitaker, Amy K.
影响因子：
1.8
作者：
Coates, Charrelle;Gordon, Catherine M.;Simpson, Tina
通讯作者：
Simpson, Tina
影响因子：
2.9
作者：
Gipson, Jessica D.;Bornstein, Marta;Rocca, Corinne H.
通讯作者：
Rocca, Corinne H.
DOI：
10.1177/0890117120927327
发表时间：
2020-11
期刊：
American journal of health promotion : AJHP
影响因子：
--
作者：
Hurley EA;Duello A;Finocchario-Kessler S;Goggin K;Stancil S;Winograd RP;Miller MK
通讯作者：
Miller MK
影响因子：
12.7
作者：
Jarlenski, Marian;Barry, Colleen L.;Kozhimannil, Katy
通讯作者：
Kozhimannil, Katy