Desire to avoid pregnancy and contraceptive use among female methadone patients in Los Angeles
Desire to avoid pregnancy and contraceptive use among female methadone patients in Los Angeles
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DOI：
10.1016/j.contraception.2021.01.019
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发表时间：
2021-04-03
期刊：
影响因子：
2.9
通讯作者：
Rocca, Corinne H.
中科院分区：
文献类型：
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作者：
Gipson, Jessica D.;Bornstein, Marta;Rocca, Corinne H.
目的：阿片类药物使用障碍 (OUD) 在美国女性中呈上升趋势。研究表明，与一般人群相比，患有 OUD 的女性意外怀孕的比例更高。在对这一人群中怀孕考虑因素的复杂性进行形成性深入研究后，我们收集了接受美沙酮治疗的女性的怀孕偏好和避孕方法的信息。研究设计：我们对 2018 年在洛杉矶接受美沙酮诊所就诊的女性进行了调查。我们使用避免怀孕愿望 (DAP) 量表，这是一个 14 项工具（0-4；4 = 避免怀孕的最高愿望）来捕获 3 个领域的怀孕偏好：认知愿望、情感感受和预期后果。我们进行了因子分析、描述性分析以及线性和逻辑回归来评估 DAP 量表，并检查怀孕偏好、社会人口学特征和避孕药具使用之间的关系。 结果：女性 (n = 46) 表达了各种怀孕偏好（DAP 评分范围：0.4-4.0；平均值：2.24；标准差：1.02；Cronbach's alpha = 0.92）。总体而言，40% 的人在上次性行为时采取了避孕措施。与更愿意怀孕的女性相比，更倾向于避免怀孕的女性在最后一次性行为中采取避孕措施的可能性稍高（比值比 = 1.73；p = 0.09）。结论：与其他人群的研究结果类似，OUD 女性样本对避免怀孕意愿量表的反应显示了广泛的怀孕偏好。在该样本中，怀孕偏好与避孕措施的使用略有相关，这表明 DAP 可以提供有关怀孕偏好的有用见解，从而促进该人群的避孕和孕前咨询。 (C) 2021 Elsevier Inc. 保留所有权利。
Objective: Opioid use disorder (OUD) is increasing among U.S. women. Research indicates higher levels of unintended pregnancy among women with OUD as compared to the general population. Following formative in-depth research documenting the complexity of considerations around pregnancy in this population, we collected information on pregnancy preferences and contraceptive use among women attending methadone treatment.Study design: We surveyed women attending methadone clinics in Los Angeles in 2018. We used the Desire to Avoid Pregnancy (DAP) Scale, a 14-item instrument (0-4; 4 = highest desire to avoid pregnancy) to capture pregnancy preferences across 3 domains: cognitive desires, affective feelings, and anticipated consequences. We conducted factor analysis, descriptive analyses, and linear and logistic regressions to assess the DAP scale and to examine relationships between pregnancy preferences, sociodemographic characteristics, and contraceptive use.Results: Women (n = 46) expressed the full range of pregnancy preferences (DAP score range: 0.4-4.0; mean: 2.24, standard deviation: 1.02; Cronbach's alpha = 0.92). Overall, 40% used contraception at last sex. Women who reported a greater preference to avoid pregnancy were marginally more likely to use contraception at last sex as compared to women who were more open to pregnancy (odds ratio = 1.73; p = 0.09).Conclusions: Similar to findings from other populations, responses to the Desire to Avoid Pregnancy scale among a sample of women with OUD revealed a broad range of pregnancy preferences. Pregnancy preferences were marginally associated with contraceptive use in this sample suggesting that the DAP may provide useful insights on pregnancy preferences that may facilitate contraceptive and preconception counseling in this population. (C) 2021 Elsevier Inc. All rights reserved.