Missed Opportunities to Address Pregnancy Prevention With Young Men in Primary Care.

Missed Opportunities to Address Pregnancy Prevention With Young Men in Primary Care.
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DOI:
10.1177/0009922818793351
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发表时间:
2018-11
影响因子:
1.6
通讯作者:
Marcell AV
Marcell AV
中科院分区:
医学4区
文献类型:
--
作者:
Wheeler NJ;Pilgrim N;Jennings JM;Sanders R;Page KR;Loosier PS;Dittus PJ;Marcell AV

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年轻男性(15-24岁)有怀孕预防需求,但关于他们是否在初级保健中学习怀孕预防知识知之甚少。在访问结束时,对2014年4月至2016年9月在某市初级保健中心就诊的190名年轻男性进行了评估,内容包括对避孕知识的感知了解、背景和就诊特征、避孕护理收据以及最后一次性行为的避孕需求。大多数参与者是非西班牙裔黑人(92%),年龄在15-19岁(54%),接受体检(52%),以及确诊的患者(87%)。很少有参与者认为他们学到了避孕知识(32%),无论是否有性行为(33%)(26%)。泊松回归模型确定,知觉到的避孕知识与年轻男子在最后一次性行为中的怀孕预防、护理接受和避孕需求独立相关。调查结果突出表明,有必要改善服务提供者向年轻男子提供的避孕服务。
Young men (aged 15-24) have pregnancy prevention needs, yet little is known about whether they perceive learning about pregnancy prevention in primary care. A sample of 190 young men seen in primary care in one city from April 2014 to September 2016 were assessed at the visit end on perceived learning about pregnancy prevention, background and visit characteristics, pregnancy prevention care receipt, and contraception needs at last sex. The majority of participants were non-Hispanic Black (92%), aged 15-19 (54%), seen for a physical exam (52%), and established patients (87%). Few participants perceived they learned about pregnancy prevention (32%), regardless of sexual activity (33%) or not (26%). Poisson regression models determined that perceived learning about pregnancy prevention was independently associated with young men’s pregnancy prevention care receipt and contraception needs at last sex. Findings highlight the need to improve providers’ delivery of pregnancy prevention services to young men.
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