Assessing attitudes about emergency contraception among urban, minority adolescent girls: An in-depth interview study
Assessing attitudes about emergency contraception among urban, minority adolescent girls: An in-depth interview study
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DOI：
10.1542/peds.2008-0009
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发表时间：
2008-08-01
期刊：
影响因子：
8
通讯作者：
Schwarz, Donald F.
中科院分区：
文献类型：
--
作者：
Mollen, Cynthia J.;Barg, Frances K.;Schwarz, Donald F.
目标。本研究的目的是了解城市、少数民族青春期女孩对紧急避孕药使用意向的知识、态度和信念，并找出使用紧急避孕药的障碍。我们对15至19岁在儿童医院急诊科寻求治疗的健康、居住在城市、讲英语的黑人青少年进行了一项深入的、半结构化的访谈研究。有目的的抽样被用来招募性活跃和非性活跃的青少年以及有和没有怀孕史的青少年。继续招生，直到关键主题达到饱和。参与者在急诊科就诊后返回接受1小时的采访。访谈包括基于计划行为结构理论的半结构化问题：态度(包括知识)、主观规范和感知行为控制，以及人口统计数据收集。采访被录音和转录。成绩单由两名研究团队成员使用改进的扎根理论方法进行编码。结果：需要30次访谈才能达到饱和。参与者的平均年龄为16.4岁；53%的人报告有性行为，17%的人报告有孕产史。关于紧急避孕药存在具体的知识差距，包括对建议的服药时间框架的误解。每一种构造都注意到几个主要主题。使用紧急避孕药的意向受到以下相互矛盾的态度的影响：紧急避孕药比避孕药见效快，使用紧急避孕药的人不负责任；家人和朋友是重要的影响因素，他们有不知情但总体上支持的意见；青少年因为年龄小和对保密的担忧，认为行为控制有限。结论：城市，少数民族青春期女孩对紧急避孕药有误解，受到与她们亲近的人的意见的影响，并对具体的障碍表示担忧。这些发现可以为旨在解决紧急避孕药使用障碍的具体干预措施提供信息，这些障碍对这一年轻女性群体来说是最重要的。
OBJECTIVE. The purpose of this work was to explore the knowledge, attitudes, and beliefs of urban, minority adolescent girls about intention to use emergency contraception pills and to identify barriers to emergency contraception pill use.PATIENTS AND METHODS. We conducted an in-depth, semistructured interview study of healthy, urban-dwelling, English-speaking 15- to 19-year-old black adolescents seeking care in a children's hospital emergency department. Purposive sampling was used to recruit sexually active and nonsexually active adolescents and those with and without a history of pregnancy. Enrollment continued until saturation of key themes was achieved. Participants returned after their emergency department visit for a 1-hour interview. The interview consisted of semistructured questions based on the theory of planned behavior constructs: attitudes (including knowledge), subjective norms, and perceived behavioral control, as well as demographic data collection. Interviews were recorded and transcribed. Transcripts were coded by 2 members of the study team by using a modified grounded-theory method.RESULTS. Thirty interviews were required for saturation. Mean participant age was 16.4 years; 53% reported being sexually active, and 17% reported a history of pregnancy. Specific knowledge gaps exist about emergency contraception pills, including misconceptions about the recommended time frame for taking the medication. Several major themes were noted for each of the constructs. Intention to use emergency contraception pills is affected by the conflicting attitudes that the emergency contraception pill works faster than birth control pills and that those who use emergency contraception pills are irresponsible; family and friends are important influences and have uninformed but generally supportive opinions; and adolescents have a perception of limited behavioral control because of their young age and concerns about confidentiality.CONCLUSIONS. Urban, minority adolescent girls have misconceptions about emergency contraception pills, are affected by the opinions of those close to them, and express concern about specific barriers. These findings can inform specific interventions aimed at addressing the barriers to emergency contraception pill use that are of most importance to this population of young women.