Changes in expectation of relationship permanence, pregnancy acceptability and desire, and contraceptive use over time among young Latino/a women and men: An exploratory analysis.
Changes in expectation of relationship permanence, pregnancy acceptability and desire, and contraceptive use over time among young Latino/a women and men: An exploratory analysis.
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DOI：
10.1016/j.contraception.2020.09.006
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发表时间：
2021-01
期刊：
影响因子：
2.9
通讯作者：
Gómez AM
中科院分区：
文献类型：
--
作者：
Arcara J;Arteaga S;Burny I;Gómez AM
我们纵向评估关系持久性的预期变化之间的关联，一个措施，包括关系的持续时间和承诺怀孕的愿望和可接受性，以及美国年轻的拉丁美洲人/作为高效的避孕措施的使用。我们使用多变量逻辑回归分析了关系因素变化、怀孕可接受性和愿望以及在一项纵向研究中299名美国拉丁裔女性和男性（年龄18-34岁）在6个月内使用避孕方法之间的关联（留存率：32.4%）。发现终点时妊娠比基线时更难接受的受访者更有可能在终点时使用高效避孕措施（OR 2.97，95%CI 1.09，8.08）。估计关系持久性增加超过一个标准差的平均值的受访者是4.90倍（95%CI 1.17，20.55）更有可能使用高效避孕措施在终点，相比那些没有改变的关系持久性的估计。在这一纵向研究的年轻成年拉丁美洲人/作为在关系中，我们发现之间的关联在受访者的看法的变化，怀孕的可接受性和期望的持久性，他们的关系和高效的避孕药具的使用。我们的研究结果重申了关系动态，怀孕取向，避孕和时间之间复杂，交织的联系。降低怀孕的可接受性（但不是欲望）的意义，使用高效避孕措施表明承认怀孕的可接受性在避孕咨询的重要性，特别是因为供应商更有可能直接拉丁美洲/一个年轻的成年人对方法，可能无法满足他们的避孕愿望。包括讨论年轻人对关系持久性的期望也可能在咨询中有意义。
We longitudinally assess associations between changes in expectation of relationship permanence—a measure that incorporates both relationship duration and commitment—pregnancy desire and acceptability, and highly effective contraception use among young U.S. Latino/as. We used multivariable logistic regression to analyze associations between changes in relationship factors, pregnancy acceptability and desire, and contraceptive method use over 6 months among 299 U.S. Latino/a women and men (ages 18-34) in relationships in a longitudinal study (retention rate: 32.4%). Respondents who found a pregnancy less acceptable at endline than at baseline were more likely to use highly effective contraception at endline (OR 2.97, 95% CI 1.09,8.08). Respondents estimating an increase in relationship permanence more than one standard deviation of the mean were 4.90 (95% CI 1.17,20.55) times more likely to use highly effective contraception at endline, compared to those without a change in estimation of relationship permanence. In this longitudinal study of young adult Latino/as in relationships, we found associations between changes in respondents’ perceptions of the acceptability of a pregnancy and expectation of the permanence of their relationship and highly effective contraceptive use. Our findings reiterate the complicated, intertwined links between relationship dynamics, pregnancy orientation, contraception, and time. The significance of decreased pregnancy acceptability (but not desire) for using highly effective contraception suggests the importance of acknowledging pregnancy acceptability in contraceptive counseling, particularly because providers are more likely to direct Latino/a young adults towards methods that may not fulfill their contraceptive desires. Including discussion of young people’s expectations of relationship permanence may also be meaningful in counseling.
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影响因子：
3.7
作者：
Burkill S;Copas A;Couper MP;Clifton S;Prah P;Datta J;Conrad F;Wellings K;Johnson AM;Erens B
通讯作者：
Erens B
影响因子：
1.5
作者：
Dehlendorf, Christine;Krajewski, Colleen;Borrero, Sonya
通讯作者：
Borrero, Sonya
影响因子：
5.8
作者：
Jones, Rachel K.;Tapales, Athena;Frost, Jennifer
通讯作者：
Frost, Jennifer
DOI：
10.2307/351903
发表时间：
1980-01-01
期刊：
JOURNAL OF MARRIAGE AND THE FAMILY
影响因子：
--
作者：
LARZELERE, RE;HUSTON, TL
通讯作者：
HUSTON, TL
影响因子：
2.9
作者：
Kusunoki, Yasamin;Barber, Jennifer S.
通讯作者：
Barber, Jennifer S.