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Contraceptive Decision Making Among Latina Immigrants: Developing Theory-Based Survey Items
Diana N Carvajal1, Paola C Rivera Mudafort2, Beth Barnet1
112264University of Maryland, Baltimore, MD, USA.
Summary
This study developed a survey to understand factors influencing contraceptive decisions for immigrant Latinas. The validated survey helps providers offer patient-centered counseling to improve reproductive health.
Area of Science:
- Reproductive Health
- Health Disparities
- Sociology
Background:
- Contraception is vital for reproductive autonomy, but many Latinas face barriers to consistent use.
- Decision-making regarding contraception is complex and influenced by individual priorities.
- Existing survey tools may not adequately capture the nuances for diverse populations like Latinas.
Purpose of the Study:
- To develop an ethnically responsive, patient-centered, and content-valid survey.
- To measure factors influencing contraceptive decision-making specifically among immigrant Latinas.
- To address a gap in understanding reproductive health needs within this demographic.
Main Methods:
- Utilized the theory of planned behavior as a framework.
- Drafted initial survey items based on formative research.
- Employed content validation and cognitive interviewing with the target population.
Main Results:
- Developed a 27-item survey reflecting key factors and contexts.
- Items were content-validated by immigrant Latinas.
- The survey captures culturally relevant influences on contraceptive choices.
Conclusions:
- The validated survey is a significant contribution to understanding contraceptive decision-making in an understudied population.
- Findings can inform patient-centered counseling for healthcare providers.
- The survey can be used to evaluate interventions aimed at improving contraceptive care for Latinas.
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