Contraceptive Features Preferred by Women At High Risk of Unintended Pregnancy
Contraceptive Features Preferred by Women At High Risk of Unintended Pregnancy
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DOI：
10.1363/4419412
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发表时间：
2012-09-01
影响因子：
5.8
通讯作者：
Foster, Diana Greene
中科院分区：
文献类型：
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作者：
Lessard, Lauren N.;Karasek, Deborah;Foster, Diana Greene
背景：现有的避孕药具不能满足许多妇女的需要，典型使用失败、转换方法和停止使用的比率很高就是明证。为了提高妇女对避孕方法的满意度，确定他们喜欢什么样的功能，以及如何满足这些偏好的可用方法和正在开发的方法是至关重要的.METHODS：18避孕方法功能的重要性，由574名妇女寻求堕胎，一组在高风险的无保护性交和意外怀孕，在2010年在美国各地的六个诊所。对于每一个可用的和潜在的方法，目前的功能的数量进行了评估，这些是“非常重要的”妇女的百分比calculated.RESULTS：三个避孕功能认为非常重要的最大比例的妇女的有效性（84%），缺乏副作用（78%）和负担能力（76%）。对于91%的女性来说，没有一种方法具有她们认为非常重要的所有功能。女性认为戒指和海绵的特征非常重要的比例最高（各为67%）。一些简化的获取方式和新的避孕技术有可能满足妇女的偏好。例如，非处方避孕药有71%的极其重要的特征，非处方避孕药有68%;目前可用的处方避孕药有60%。结论：妇女想要的避孕特征在目前可用的方法中很大程度上缺乏。开发和推广更符合女性偏好的方法可能有助于提高满意度，从而鼓励持续有效的使用。性与生殖健康观点，2012，44（3）：194-200，doi：10.1363/4419412
CONTEXT: Available contraceptives are not meeting many women's needs, as is evident by high levels of typical-use failure, method switching and discontinuation. To improve women's satisfaction with contraceptive methods, determining what features they prefer and how these preferences are satisfied by available methods and methods under development is crucial.METHODS: The importance of 18 contraceptive method features was rated by 574 women seeking abortions-a group at high risk of having unprotected intercourse and unintended pregnancies-at six clinics across the United States in 2010. For each available and potential method, the number of features present was assessed, and the percentage of these that were "extremely important" to women was calculated.RESULTS: The three contraceptive features deemed extremely important by the largest proportions of women were effectiveness (84%), lack of side effects (78%) and affordability (76%). For 91% of women, no method had all of the features they thought were extremely important. The ring and the sponge had the highest percentage of features that women deemed extremely important (67% each). Some streamlined modes of access and new contraceptive technologies have the potential to satisfy women's preferences. For example, an over-the-counter pill would have 71% of extremely important features, and an over-the-counter pericoital pill, 68%; currently available prescription pills have 60%.CONCLUSION: The contraceptive features women want are largely absent from currently available methods. Developing and promoting methods that are more aligned with women's preferences presumably could help increase satisfaction and thereby encourage consistent and effective use. Perspectives on Sexual and Reproductive Health, 2012, 44(3):194-200, doi: 10.1363/4419412