Pregnancy Ambivalence and Long-Acting Reversible Contraceptive (LARC) Use Among Young Adult Women: A Qualitative Study.
Pregnancy Ambivalence and Long-Acting Reversible Contraceptive (LARC) Use Among Young Adult Women: A Qualitative Study.
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DOI：
10.1363/psrh.12025
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发表时间：
2017-09
影响因子：
5.8
通讯作者：
Higgins JA
中科院分区：
文献类型：
--
作者：
Higgins JA
许多年轻人不清楚他们有多想要孩子，或者有多不想要孩子。然而，妊娠矛盾心理在长效可逆避孕（LARC）方法（宫内节育器和植入物）的使用中是一个未被充分研究的因素，这是目前最有效的方法。2014年，调查人员在威斯康星州戴恩县对50名年龄在18-29岁的女性进行了6个焦点小组和12次访谈；参与者要么是大学生，要么是接受公共援助的社区居民。采用一种改进的扎根理论方法对数据进行分析。出现了四个主题。首先，参与者描述了一个怀孕欲望谱：那些强烈想要避免怀孕的人最容易接受LARC方法，而那些欲望不太明确或混合的人则担心这些方法会防止可能不受欢迎的“意外”怀孕。其次，在想要孩子的几年内，女性认为LARC方法过于“永久性”，尽管意识到它们的可逆性。第三，年龄和人生阶段是重要的因素：年轻女性和那些正在上学或刚开始工作的女性比其他人更有可能考虑这些方法，因为她们有更明确的动机来避免怀孕。最后，关系阶段影响了对LARC方法的接受度：处于新关系中的女性比处于长期关系中的女性更容易接受，她们想象着有一天会和伴侣生孩子。有效性并不是妇女选择和使用避孕方法的唯一因素。个人偏好将导致一些妇女选择非larc方法，即使她们被充分告知她们的选择。
Many young adults are unclear about how much they want to have, or prevent having, a baby. However, pregnancy ambivalence is an underexamined factor in the uptake of long-acting reversible contraceptive (LARC) methods—IUDs and implants—the most effective methods available. In 2014, investigators conducted six focus groups and 12 interviews with 50 women aged 18–29 in Dane County, Wisconsin; participants were either university students or community residents receiving public assistance. A modified grounded theory approach was used to analyze the data. Four themes emerged. First, participants described a pregnancy desire spectrum: Those strongly motivated to avoid pregnancy were most receptive to LARC methods, while those with less clear or mixed desires worried that these methods would prevent “accidental” pregnancies that might not be unwelcome. Second, women within a few years of wanting children perceived LARC methods as too “permanent,” despite awareness of their reversibility. Third, age and life stage were important factors: Younger women and those attending school or beginning careers were more likely than others to consider these methods because they had clearer motivations to avoid pregnancy. Finally, relationship stage influenced receptiveness to LARC methods: Women in newer relationships were more receptive than were those in longer term relationships who imagined having a baby with their partner someday. Effectiveness is not the only factor in women’s selection and use of contraceptive methods. Individual preferences will lead some women to choose non-LARC methods even when fully informed of their options.
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