Contraceptive risk-taking among substance-using women
Contraceptive risk-taking among substance-using women
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DOI：
10.1177/1473325013498110
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发表时间：
2014-09-01
影响因子：
1.7
通讯作者：
Drescher-Burke, Krista
中科院分区：
文献类型：
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作者：
Drescher-Burke, Krista
与一般人群中的妇女相比，使用药物的妇女使用避孕药具的频率较低，因此意外怀孕的数量较高。此外，吸毒妇女经常利用堕胎作为控制生育数量的手段。一些因素使这一现象复杂化，包括以性换取毒品。本研究分析了在加利福尼亚州旧金山弗朗西斯科接受药物滥用治疗的妇女的访谈数据。访谈探讨了与避孕和堕胎有关的行为以及围绕卖淫的复杂因素。现有的文献在这方面缺乏对这些行为的理论见解。本研究以避孕风险承担理论为基础，探讨该样本的避孕行为。TCRT预测，女性在决策过程中经历了一系列步骤后，将发生避孕风险（即不使用避孕措施），包括权衡避孕和怀孕的成本和收益，估计她怀孕的可能性，以及测量她在风险不成功时堕胎的能力。参与者确定了避孕的许多费用。该理论在很大程度上解释了这一样本的行为，除了怀孕的成本和收益被忽视。对社会工作的影响包括消除避孕的后勤障碍，并通过提供使用避孕的经济激励来增加避孕的好处。
Substance-using women use contraception less frequently than do women in the general population, and as a result have higher numbers of unplanned pregnancies. In addition, substance-using women regularly utilize abortion as a means for controlling their number of births. A number of factors complicate this phenomenon, including sex-for-drugs exchanges. This study analyzed data from interviews with women receiving substance abuse treatment in San Francisco, CA. Interviews explored behaviors associated with contraception and abortion as well as complicating factors surrounding prostitution. The existing literature in this area lacks theoretical insight into these behaviors. In this article, the Theory of Contraceptive Risk Taking (TCRT) is used to explore the behaviors of this sample. The TCRT predicts that contraceptive risk-taking (i.e. not using contraception) will occur after a woman navigates a series of steps in a decision-making process, including weighing costs and benefits of contraception and pregnancy, estimating her probability of becoming pregnant, and measuring her ability to obtain an abortion should her risk be unsuccessful. The participants identified many costs of contraception. The theory largely explained the behavior of this sample, except that pregnancy costs and benefits were overlooked. Implications for social work include eliminating logistical barriers to contraception and increasing benefits to contraception by offering financial incentives to use.