Journal of pediatric and adolescent gynecology · 2015
Barriers to Long-Acting Reversible Contraceptive Uptake Among Homeless Young Women.
СтатьяНазвание и аннотация: Перевод в очереди
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Dasari Mohini, Borrero Sonya, Akers Aletha Y, Sucato Gina S, Dick Rebecca, Hicks Angela, Miller Elizabeth
Аннотация
STUDY OBJECTIVE: To identify barriers to long-acting reversible contraception (LARC) uptake among homeless young women.
DESIGN: In this mixed methods study surveys and guided interviews were used to explore women's contraceptive and reproductive experiences, interactions with the health care system, and their histories of homelessness.
SETTING: All surveys and interviews were conducted at a homeless drop-in center or shelter.
PARTICIPANTS: Fifteen women between 18 and 24 years of age with a past year history of homelessness.
INTERVENTIONS: None.
MAIN OUTCOME MEASURES: Perceived barriers to contraceptive use, including knowledge and access barriers and interactions with the health care system around reproductive health.
RESULTS: Confusion about the possibility of early termination of LARC, and the perception that providers deliberately withhold selective information about contraceptive options to bias contraceptive decision-making, were 2 key new findings. Women also reported interest in visual aids accompanying verbal contraceptive counseling. Pregnancy attitudes and history of reproductive and sexual coercion also influenced contraceptive decision-making and reported interest in LARC methods.
CONCLUSION: Comprehensive counseling about all contraceptive options, including LARC, are important for targeting the perceived gaps in contraceptive education and care among homeless young women.
DESIGN: In this mixed methods study surveys and guided interviews were used to explore women's contraceptive and reproductive experiences, interactions with the health care system, and their histories of homelessness.
SETTING: All surveys and interviews were conducted at a homeless drop-in center or shelter.
PARTICIPANTS: Fifteen women between 18 and 24 years of age with a past year history of homelessness.
INTERVENTIONS: None.
MAIN OUTCOME MEASURES: Perceived barriers to contraceptive use, including knowledge and access barriers and interactions with the health care system around reproductive health.
RESULTS: Confusion about the possibility of early termination of LARC, and the perception that providers deliberately withhold selective information about contraceptive options to bias contraceptive decision-making, were 2 key new findings. Women also reported interest in visual aids accompanying verbal contraceptive counseling. Pregnancy attitudes and history of reproductive and sexual coercion also influenced contraceptive decision-making and reported interest in LARC methods.
CONCLUSION: Comprehensive counseling about all contraceptive options, including LARC, are important for targeting the perceived gaps in contraceptive education and care among homeless young women.