The Sexual Acceptability of Intrauterine Contraception: A Qualitative Study of Young Adult Women
The Sexual Acceptability of Intrauterine Contraception: A Qualitative Study of Young Adult Women
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DOI：
10.1363/47e4515
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发表时间：
2015-09-01
影响因子：
5.8
通讯作者：
Bennett, Eliza A.
中科院分区：
文献类型：
--
作者：
Higgins, Jenny A.;Ryder, Kristin;Bennett, Eliza A.
宫内节育器是非常有效的，但不经常使用的年轻成年妇女，谁不成比例地经历意外怀孕。研究还没有研究宫内节育器的使用如何影响性行为，这反过来又会影响方法的可接受性，持续性和营销努力。2014年，我们对50名年龄在18岁至29岁之间的女性进行了焦点小组讨论和采访，她们要么是威斯康星州的学生，要么是来自周边社区接受公共援助的女性。探索他们对使用宫内节育器是否以及如何影响性体验的想法。一个修改后的扎根理论的方法被用来确定共同的主题方面的经验和预期的性接受的IUD.RESULTS：六个主题出现：安全（IUD的功效可以减少性抑制），自发性（宫内节育器可以允许自由流动的性行为），出血和痉挛的性方面（宫内节育器的副作用会影响性行为），激素缺乏（宫内节育器含有低水平的激素或没有激素，比避孕药等激素方法减少性欲），弦（IUD的弦会降低伴侣的性体验）和停滞（IUD的使用对性没有影响）。一些报道的性方面的宫内节育器的使用是消极的，但大多数是积极的，并描述了曾经使用者的方法满意度和从未使用者的开放性使用的method.Discussion：未来的研究和干预措施应出席性的可接受性的问题：积极的性方面的宫内节育器可以推广使用，和咨询有关性的关注，可以增加妇女的意愿尝试的方法。
CONTEXT: The IUD is extremely effective but infrequently used by young adult women, who disproportionately experience unintended pregnancies. Research has not examined how IUD use may affect sexuality, which could in turn affect method acceptability, continuation and marketing efforts.METHODS: Focus group discussions and interviews were conducted in 2014 with 50 women between the ages of 18 and 29-either University of Wisconsin students or women from the surrounding community who received public assistance-to explore their thoughts about whether and how IUD use can affect sexual experiences. A modified grounded theory approach was used to identify common themes in terms of both experienced and anticipated sexual acceptability of the IUD.RESULTS: Six themes emerged: security (IUD's efficacy can reduce sexual inhibition), spontaneity (IUD can allow for free-flowing sex), sexual aspects of bleeding and cramping (IUD's side effects can affect sex), scarcity of hormones (IUD has a low level of or no hormones, and reduces libido less than hormonal methods, such as the pill), string (IUD's string can detract from a partner's sexual experience) and stasis (IUD use can have no impact on sex). Some reported sexual aspects of IUD use were negative, but most were positive and described ever-users' method satisfaction and never-users' openness to use the method.DISCUSSION: Future research and interventions should attend to issues of sexual acceptability: Positive sexual aspects of the IUD could be used promotionally, and counseling about sexual concerns could increase women's willingness to try the method.