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Mother-Daughter Dyads' Perceptions of Contraception
Caroline L Katzman1, Jessica C Sims2, Julen N Harris3
1Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York; New York-Presbyterian Hospital, New York, New York.
Mothers and daughters discuss contraception sources, finding healthcare providers and schools most reliable. Engaging caregivers supports adolescent decision-making, even with parental consent laws.
Area of Science:
- Adolescent Health
- Reproductive Health
- Family Dynamics
Background:
- Parental consent laws are increasingly required for adolescent contraception.
- Understanding mother-daughter communication regarding contraception is crucial.
Purpose of the Study:
- To explore mother-daughter perceptions of contraception information sources.
- To describe dyadic interactions during contraception discussions.
Main Methods:
- 11 mother-daughter dyads were recruited from an adolescent medicine clinic.
- Semistructured joint interviews were conducted, recorded, transcribed, and coded.
Main Results:
- Contraception information came from mothers, healthcare providers (HCPs), friends, family, school, and self-learning.
- HCPs and schools were trusted sources; internet/social media were viewed as potentially inaccurate.
- Conversations often started with menstrual management, with minimal conflict noted.
Conclusions:
- Accurate contraception information and health literacy are vital for adolescents.
- Menstrual management is an accessible topic to initiate contraception discussions.
- Engaging caregivers aids adolescent contraceptive decision-making, irrespective of legal requirements.
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