What is a 'planned' pregnancy? Empirical data from a British study

What is a 'planned' pregnancy? Empirical data from a British study
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DOI:
10.1016/s0277-9536(01)00187-3
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发表时间:
2002-08-01
影响因子:
5.4
通讯作者:
Wellings, K
Wellings, K
中科院分区:
医学2区
文献类型:
--
作者:
Barrett, G;Wellings, K

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在卫生政策、卫生服务和卫生研究中,术语“计划的”、“计划外的”、“有意的”、“非有意的”、“想要的”和“不想要的”经常用于与怀孕相关的情况。本文描述了英国一项研究的定性阶段有关女性对这些术语的理解的调查结果。我们发现,在讨论怀孕情况时,女性往往不会自发地使用上述术语。当要求解释这些术语时,女性能够做到,但理解上存在很大差异。大多数(但不是全部)能够应用这些条款。女性仅在满足四个关键标准时才使用“计划”一词。打算怀孕和停止避孕本身并不足以应用该术语;合作伙伴协议以及在生活方式/人生阶段上达到正确的时间也是必要的。相比之下,“计划外”是一个广泛使用的术语,涵盖了各种怀孕情况。其他术语则不太受欢迎,“不想要的”是非常不受欢迎的。我们建议,获取有关妇女怀孕情况信息的调查问题不要孤立地依赖上述术语,而且需要在政策和临床环境中更加谨慎地使用这些术语。 (C) 2002 Elsevier Science Ltd. 保留所有权利。
The terms "planned", "unplanned", "intended", "unintended", "wanted" and "unwanted" are often used in relation to pregnancy in health policy, health services and health research. This paper describes the findings relating to women's understanding of these terms from the qualitative stage of a British study. We found that when discussing the circumstances of their pregnancies, women tended not to use the above terms spontaneously. When asked to explain the terms, women were able to do so but there was considerable variation in understanding. Most, but not all, were able to apply the terms. Women applied the term "planned" only if they had met four key criteria. Intending to become pregnant and stopping contraception were not sufficient criteria, in themselves, to apply the term; partner agreement and reaching the right time in terms of lifestyle/life stage were also necessary. In contrast, "unplanned" was a widely applied term and covered a variety of circumstances of pregnancy. The other terms were less favoured, "unwanted" being positively disliked. We recommend that survey questions eliciting information on women's circumstances of pregnancy do not rely on the above terms in isolation and, further, that a more circumspect use of the terms in policy and clinical settings is required. (C) 2002 Elsevier Science Ltd. All rights reserved.