Awareness and Use of Contraceptive Methods and Perceptions of Long-Acting Reversible Contraception Among White and Non-White Women
Awareness and Use of Contraceptive Methods and Perceptions of Long-Acting Reversible Contraception Among White and Non-White Women
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DOI：
10.1089/jwh.2020.8642
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发表时间：
2020-12-09
影响因子：
3.5
通讯作者：
South-Paul, Jeannette
中科院分区：
文献类型：
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作者：
Lin, Chyongchiou J.;Maier, John;South-Paul, Jeannette
背景：在美国，意外怀孕继续占所有怀孕的一半，主要是由于不正确或不一致使用避孕方法。长效可逆避孕（LARC）方法安全高效，但未得到充分利用。LARC使用率低可能是由于教育不足、误解和文化因素，如种族、民族或宗教。这项研究调查了在家庭保健中心寻求护理的妇女在避孕意识和使用方面的种族差异。材料和方法：采用焦点小组来确定参与者在避孕选择方面的反复主题，并开展一项调查，由来自七个家庭保健中心的18-45岁的未怀孕女性患者完成。结果：在465名参与者中，210名（46.2%）为非白人，大多数类型的节育意识普遍较高。白人妇女对各种避孕药具的认识明显高于非白人妇女（p < 0.001）。在大多数类型的避孕药中，白人女性的使用率明显高于非白人女性，但注射激素的使用率明显高于非白人女性（46.0%比28.5%;p < 0.001）。使用LARC的原因没有因类型和种族而异，但不使用LARC的原因因种族和具体方法而异。结论：白人和非白人妇女对避孕方法的认识、使用和认知模式存在差异。通过了解影响避孕意识、使用和认知的因素，临床医生可以更好地解决女性患者的避孕需求和担忧。临床试验# NCT 03486743。
Background: Unintended pregnancies continue to account for half of all pregnancies in the United States, primarily due to incorrect or inconsistent use of contraception methods. Long-acting reversible contraception (LARC) methods are safe and highly effective, yet underutilized. Low uptake of LARC may be due to inadequate education, misconceptions, and cultural factors such as race, ethnicity, or religion. This study examined racial differences in contraceptive awareness and use among women seeking care at family health centers.Materials and Methods: Focus groups were used to identify recurrent themes in contraceptive choice of participants and develop a survey, completed by nonpregnant female patients 18-45 years of age from seven family health centers.Results: Among a total of 465 participants, 210 (46.2%) of whom were non-white, awareness of most types of birth control was generally high. Awareness of all types of contraceptives was significantly higher among white than non-white women (p < 0.001). Across most types of contraceptives, use was significantly higher among white women than non-white women with the exception of injectable hormones which were used significantly more often by non-white women (46.0% vs. 28.5%; p < 0.001). Reasons for using LARC did not vary by type nor by race but reasons for not using LARC varied by race and by specific method.Conclusions: Differing patterns of awareness, use, and perceptions of contraceptive methods between white and non-white women were revealed. By understanding factors that influence contraceptive awareness, use, and perceptions, clinicians can better address the contraceptive needs and concerns of their female patients. Clinical Trial # NCT 03486743.