INFLUENCE OF PSYCHOSOCIAL FACTORS ON ADOLESCENT COMPLIANCE WITH ORAL-CONTRACEPTIVES
INFLUENCE OF PSYCHOSOCIAL FACTORS ON ADOLESCENT COMPLIANCE WITH ORAL-CONTRACEPTIVES
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DOI：
10.1016/s0197-0070(84)80237-5
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发表时间：
1984-01-01
影响因子：
7.6
通讯作者：
LITT, I
中科院分区：
文献类型：
--
作者：
DURANT, RH;JAY, MS;LITT, I
本文前瞻性测试了各种社会医学和心理社会因素对怀孕高危人群中青春期女性口服避孕药依从性的影响。56名年龄在14-19岁、社会经济背景较低的女性接受了一系列测试前测量，然后在初次访问期间给予orthoo - novum 1/35联合核黄素，随访1、2和4个月。在每次随访中使用Guttman量表测量依从性，该量表包括：避免怀孕，预约依从性，药片计数和尿核黄素荧光。六个因素被发现与不服从行为有显著关联：多个性伴侣、青少年预约、对个人健康的低评价、绝望的感觉、担心怀孕和曾经堕胎。某些性活动指标和社会心理状况可能有助于预测一些青春期女性的不服从行为。
This paper prospectively tests the influence of a variety of sociomedical and psychosocial factors on compliance with oral contraceptives among adolescent females from a population at high risk for pregnancy. Fifty-six females aged 14-19 yr from a lower socioeconomic background received a battery of pretest measurements and were then given Ortho-Novum 1/35 combined with riboflavin during an initial visit and 1, 2 and 4 mo. follow-ups. Compliance was measured at each follow-up using a Guttman scale consisting of: avoidance of pregnancy, appointment adherence, pill count, and urinary fluorescence for riboflavin. Six factors were found to be significantly associated with noncompliance: multiple sexual partners, appointment being made by the adolescent, low evaluation of personal health, feelings of hopelessness, worry about becoming pregnant, and previous abortion. Certain indicators of sexual activity and social psychological status may help predict noncompliance in some adolescent females.