"We never thought of a vasectomy": a qualitative study of men and women's counseling around sterilization
"We never thought of a vasectomy": a qualitative study of men and women's counseling around sterilization
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DOI：
10.1016/j.contraception.2012.10.022
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发表时间：
2013-09-01
期刊：
影响因子：
2.9
通讯作者：
Dehlendorf, Christine
中科院分区：
文献类型：
--
作者：
Shih, Grace;Dube, Kate;Dehlendorf, Christine
背景：绝育是美国最常用的避孕方法；然而，很少有人知道提供者是如何建议这些程序的，或者病人想要的信息。在本研究中，我们探讨男性和女性绝育咨询的经验和他们对理想绝育咨询的看法。研究设计：对37对年龄在25岁至55岁之间的异性恋夫妇进行了深入的个人和团体访谈。每对夫妇都达到了他们想要的家庭规模。访谈使用NVivo软件进行记录和转录，并使用改进的扎根理论进行分析。结果：男性和女性在绝育咨询的经历上存在差异。女性通常接受女性绝育的咨询，而不是输精管切除术，而男性很少与他们的提供者讨论任何一种形式的绝育。男性和女性都希望了解更多关于绝育的信息。结论：对育龄夫妇的避孕咨询通常不包括男性或输精管结扎术的选择，尽管这种方法在安全性、有效性和成本方面具有优势。计划生育和初级保健提供者在确保夫妇了解他们的所有选择并能够就其避孕措施作出知情决定方面发挥着重要作用。(C) 2013爱思唯尔公司版权所有。
Background: Sterilization is the most commonly used method of contraception in the United States; however, little is known about how providers counsel about these procedures or the information patients desire. In this study, we explore male and female experiences of sterilization counseling and their perspectives on ideal sterilization counseling.Study design: In-depth individual and group interviews were conducted with 37 heterosexual couples between the ages of 25 and 55 years. Each couple had reached their desired family size. Interviews were recorded and transcribed using NVivo software and analyzed using modified grounded theory.Results: Men and women differed in their experiences of sterilization counseling. Women commonly received counseling on female sterilization but not vasectomy, while men rarely discussed either form of sterilization with their providers. Both men and women desired more information about sterilization.Conclusions: Contraceptive counseling of couples who have completed childbearing does not routinely include men or the option of vasectomy, despite the advantages of this method with respect to safety, efficacy and cost. Family planning and primary care providers have an important role in ensuring that couples are aware of all their options and can make an informed decision about their contraception. (C) 2013 Elsevier Inc. All rights reserved.