A Qualitative Study Exploring Contraceptive Practices and Barriers to Long-Acting Reversible Contraceptive Use in a Sample of Adolescents Living in the Southern United States
A Qualitative Study Exploring Contraceptive Practices and Barriers to Long-Acting Reversible Contraceptive Use in a Sample of Adolescents Living in the Southern United States
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DOI：
10.1016/j.jpag.2018.07.006
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发表时间：
2018-12-01
影响因子：
1.8
通讯作者：
Simpson, Tina
中科院分区：
文献类型：
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作者：
Coates, Charrelle;Gordon, Catherine M.;Simpson, Tina
研究目的：为了了解避孕的做法，在南方腹地的女性青少年，并确定他们使用长效可逆避孕（LARC）的障碍设计：半结构化访谈进行了讨论，目前的避孕选择，影响因素的选择，LARC的认识，关注，和障碍，使用LARC。访谈进行录音，转录，并分析使用定性内容分析，以确定themes.Setting：青春期医学诊所在城市学术医疗中心在美国南部地区的Deep。参与者：性活跃的女孩年龄在14和21岁之间，目前没有使用LARC。干预措施和主要成果措施：在半结构化访谈中产生的主题。结果：15名参与者接受了采访，平均年龄为17岁。其中15人是非洲裔美国人。15人中有13人目前正在使用非LARC方法，15人中有2人没有使用任何避孕方法。避孕选择的驱动因素是认为易于使用，预防怀孕的愿望，并寻求缓解月经的担忧。15名参与者中有13人知道LARC，其中11人（73%）注意到信息来自医疗保健提供者。目前和未来使用LARC的障碍包括对副作用、LARC无效性、器械寿命和LARC侵入性的担忧。63%的参与者指出，他们不会考虑在未来使用LARC。结论：越来越多地使用LARC超越意识。对有效性、未来生育能力、器械持续时间和感知侵入性的担忧是青少年的障碍。需要进一步研究，以确定如何解决这些障碍，因为它涉及到咨询性活跃的女孩使用LARC。
Study Objective: To understand contraceptive practices of female adolescents in the Deep South and determine barriers to their use of long-acting reversible contraception (LARC).Design: Semistructured interviews were conducted that addressed current contraceptive choice, factors influencing choice, LARC awareness, concerns, and barriers to using LARC. Interviews were audio recorded, transcribed, and analyzed using qualitative content analysis to identify themes.Setting: Adolescent medicine clinic in an urban academic medical center in the Deep South region of the United States.Participants: Sexually active girls between the ages of 14 and 21 years who were not currently using LARC.Interventions and Main Outcome Measures: Themes generated during semistructured interviews.Results: Fifteen participants were interviewed with a mean age of 17 years. Fourteen of 15 were African American. Thirteen of 15 were currently using non-LARC methods and 2 of 15 were not using any contraceptive method. Contraceptive choice was driven by perceived ease of use, desire for pregnancy prevention, and seeking relief of menstrual concerns. Thirteen of 15 participants were aware of LARC with 11 of 15 (73%) noting information came from a health care provider. Barriers to current and future LARC use included concerns about side effects, LARC ineffectiveness, device longevity, and LARC invasiveness. Sixty-three percent of participants noted that they would not consider using a LARC in the future.Conclusion: Increasing use of LARC goes beyond awareness. Concerns about effectiveness, future fertility, duration of devices, and perceived invasiveness represent barriers for adolescents. Further research is needed to determine how to address these barriers because it pertains to counseling of sexually active girls on the use of LARC.