Perceptions of hormonal contraceptive safety and side effects among low-income Latina and non-Latina women.
Perceptions of hormonal contraceptive safety and side effects among low-income Latina and non-Latina women.
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DOI：
10.1023/a:1026643621387
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发表时间：
2000-12-01
影响因子：
2.3
通讯作者：
Chetkovich, C
中科院分区：
文献类型：
--
作者：
Guendelman, S;Denny, C;Chetkovich, C
目的：我们探讨了在意外怀孕高风险的低收入妇女中口服和注射激素避孕药的安全性和副作用的看法。通过焦点小组和问卷调查确定总体安全性认知、具体健康问题以及这些安全性认知与避孕选择之间的关系，这些问卷调查对象包括非拉丁裔白色人（n = 19）、讲英语的人（n = 21）、和讲西班牙语的拉丁裔妇女（n = 19）。结果：口服和注射避孕药的安全性的不确定性或矛盾的41%和70%的受访者分别报告，而20%的人认为这些方法是最有害的。事实证明，在塑造安全观念方面，来自社交网络的个人经历和故事比医学观点更突出。副作用和对长期健康影响的担忧是共同的主题。虽然白色非拉丁裔女性主要关注身体副作用，但情感副作用也促使拉丁裔女性决定改用避孕药。讲西班牙语的拉丁美洲人不同于讲英语的拉丁美洲人在其他方面的态度，避孕药具的使用率，并获得避孕service.CONCLUSION：低收入的母亲缺乏信心的方法的安全性和口服和注射避孕药的副作用有很多关注。由于这种担忧可能成为避孕药具使用的障碍，因此需要纠正这些观念，以鼓励更有效地使用激素方法并防止意外怀孕。文化上适当的干预措施应侧重于客户-提供者互动、社交网络和获得护理的机会。
OBJECTIVES: We explored perceptions of the safety and side effects of oral and injectable hormonal contraceptives among low-income women at high risk of unintended pregnancy.METHODS: Overall safety perceptions, specific health concerns, and the relationship between these safety perceptions and contraceptive choices were determined by focus groups and questionnaires obtained from white non-Latina (n = 19), English-speaking (n = 21), and Spanish-speaking Latina women (n = 19).RESULTS: Uncertainty or ambivalence about the safety of oral and injectable contraceptives was reported by 41% and 70% of respondents respectively, while 20% considered these methods to be mostly harmful. Personal experiences and stories from social networks proved to be more salient than medical opinions in shaping safety perceptions. Side effects and concerns about long-term health effects were common themes. While white non-Latina women focused predominantly on physical side effects, emotional side effects also contributed to Latinas' decisions about contraceptive switching. Spanish-speaking Latinas differed from English-speaking Latinas in other attitudinal dimensions, contraceptive use prevalence, and access to contraceptive services.CONCLUSION: Low-income mothers lacked confidence in method safety and had many concerns about the side effects of oral and injectable contraceptives. Because such concerns can be a barrier to contraceptive use, these perceptions need to be corrected to encourage more effective use of hormonal methods and to prevent unintended pregnancies. Culturally appropriate interventions should focus on client-provider interactions, social networks, and access to care.