Low Acceptability of Certain Contraceptive Methods among Young Women
Low Acceptability of Certain Contraceptive Methods among Young Women
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DOI：
10.1016/j.jpag.2017.11.008
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发表时间：
2018-06-01
影响因子：
1.8
通讯作者：
Sheeder, Jeanelle
中科院分区：
文献类型：
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作者：
Hoopes, Andrea J.;Teal, Stephanie B.;Sheeder, Jeanelle
设计：横断面调查。地点：科罗拉多州城市青少年避孕诊所。参与者：2011年8月至2012年4月，13-24岁的女性门诊患者开始避孕。干预措施和主要观察指标：调查参与者报告了他们对口服避孕药、甲羟孕酮、避孕药植入物和宫内节育器的个人可接受性，得分从0(低)到10(高)。0-4分的回答被归类为个人可接受性低。将人口学特征、生育史和亲友避孕满意度纳入多变量和分层Logistic回归模型，以确定不同方法对个人可接受性低的不同预测因素。结果：1067名女性完成了调查。参与者的平均年龄为20(+/-2.6)岁。一半(552/1067)是白人，26%(277/1067)是西班牙裔，8.5%(91/1067)是黑人。在知道口服避孕药的参与者中，52%(/1037)的人报告该方法的可接受性较低，而在知道甲孕酮仓库的参与者中，这一比例为74%(645/876)。报告宫内节育器(37%或303/825)或植入物(43%或356/839)可接受性较低的较少，尽管总体参与者较少听说过这些方法。每种方法都有个人可接受性较低的独特预测因素，然而，对于所有方法模型，显著的预测因素包括在使用该方法时认识某人或有一个朋友不喜欢该方法。结论：本研究中4种最常见避孕方法的个人可接受性较低的年轻女性具有明显的人口统计学和生殖健康特征。亲友的负性避孕经历对避孕效果的影响最大。
Study Objective: To examine what predicts low personal acceptability of 4 different contraceptive methods among young women.Design: Cross-sectional survey.Setting: Urban adolescent contraception clinic in Colorado.Participants: Female clinic patients ages 13-24 initiating contraception from August 2011 to April 2012.Interventions and Main Outcome Measures: Survey participants reported their personal acceptability for oral contraceptive pills, depot medroxyprogesterone, contraceptive implants, and intrauterine devices on a scale from 0 (low) to 10 (high). Responses of 0-4 were categorized as low personal acceptability. Demographic characteristics, reproductive history, and perceived contraceptive satisfaction of friends and family members were incorporated into multivariable and hierarchical logistic regression models to determine distinct predictors of low personal acceptability for each method.Results: Surveys were completed by 1067 women. Participants' mean age was 20 (+/- 2.6) years. Half (552/1067) were white, 26% (277/1067) Hispanic, and 8.5% (91/1067) black. Of participants who were aware of oral contraceptive pills 52% (535/1037) reported low acceptability of this method compared with 74% (645/876) of those aware of depot medroxyprogesterone. Fewer reported low acceptability of intrauterine devices (37% or 303/825) or implant (43% or 356/839), although fewer overall participants had heard of these methods. Each method had unique predictors of low personal acceptability, however, for all method models, significant predictors included knowing someone who had become pregnant while using that method or having a friend who dislikes that method.Conclusion: Young women in this study with low personal acceptability of the 4 most common contraceptive methods had distinct demographic and reproductive health characteristics. Perceived negative experiences of friends and family members using contraception appeared most influential.