No Perfect Method: Exploring How Past Contraceptive Methods Influence Current Attitudes Toward Intrauterine Devices
No Perfect Method: Exploring How Past Contraceptive Methods Influence Current Attitudes Toward Intrauterine Devices
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DOI：
10.1007/s10508-019-1424-7
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发表时间：
2020-05-01
影响因子：
3.8
通讯作者：
West, Erica
中科院分区：
文献类型：
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作者：
Gomez, Anu Manchikanti;Arteaga, Stephanie;West, Erica
很少有关于避孕决策的研究从整体角度来了解女性在整个生殖生命过程中的避孕历程。该分析调查了黑人和拉丁裔女性过去使用和获取避孕药具的经历如何影响她们对未来使用宫内节育器 (IUD) 的感受和态度。我们利用深度访谈的数据，探讨了 2013 年在旧金山湾区收集的 38 名年轻黑人和拉丁裔女性的避孕决策以及对宫内节育器的了解、兴趣和态度。在这里，我们重点研究了 32 名未使用或以前未使用过宫内节育器的女性子样本的宫内节育器决策过程。总体而言，我们发现过去的避孕经历和对未来使用宫内节育器的态度之间存在密切联系。值得注意的是，参与者在解释他们对宫内节育器使用的兴趣或缺乏兴趣时，经常引用以前方法的副作用经历，并将他们积极经历的避孕属性与宫内节育器的属性之间建立联系。少数参与者表示对他们目前的方法感到满意，导致对考虑使用宫内节育器缺乏兴趣。超过一半的参与者表示不信任，要么是因为以前的负面互动和提供者推荐的方法避孕失败，要么是因为家人和朋友对宫内节育器的负面经历。这种不信任加剧了她们对宫内节育器缺乏兴趣。这些发现强调了在更广泛的生殖旅程背景下制定避孕决策的重要性。
Little research on contraceptive decision-making takes a holistic perspective to understand women's contraceptive journeys throughout the reproductive life course. This analysis investigated how Black and Latina women's past experiences with contraceptive use and acquisition impact their feelings and attitudes toward future use of intrauterine devices (IUDs). We utilized data from in-depth interviews that explored contraceptive decision-making and knowledge of, interest in, and attitudes toward IUDs among 38 young Black and Latina women collected in 2013 in the San Francisco Bay Area. Here, we focused on the IUD decision-making process among a subsample of 32 women who were not using or had not previously used an IUD. Overall, we found a strong link between past contraceptive experiences and attitudes regarding future use of IUDs. Notably, participants often referenced experiences of side effects with previous methods when explaining their interest-or lack thereof-in IUD use, as well as made links between contraceptive attributes they had experienced positively and attributes of the IUD. A minority of participants described being satisfied with their current method, resulting in a lack of interest in considering IUD use. More than half of participants described distrust, either in healthcare providers owing to previous negative interactions and contraceptive failures of provider-recommended methods or owing to family members' and friends' negative experiences with IUDs. This distrust undergirded their lack of interest in the IUD. These findings highlight the importance of locating contraceptive decision-making in the broader context of reproductive journeys.