在急诊室开始避孕:青少年的观点
Tara Ketterer1, Erin Sieke2, Jungwon Min3
1Policylab, Children's Hospital of Philadelphia (CHOP), Roberts Center for Pediatric Research, Philadelphia, Pennsylvania.
概括
青少年的避孕意图受到先前经验,教育机会和安全问题的影响. 社交媒体和同行/家庭讨论是青少年寻求避孕的关键信息来源.
科学领域:
- 青少年健康 青少年健康
- 生殖健康 生殖健康
- 公共卫生 公共卫生
背景情况:
- 在急诊室的青少年女性面临意外怀孕的风险.
- 了解影响避孕使用的因素对于这一群体至关重要.
研究的目的:
- 确定影响儿科急诊部 (ED) 青少年女性避孕意图和行为的因素.
主要方法:
- 在前性队列研究中嵌入的定性访谈研究.
- 利用生态扩展的计划行为理论,专家意见和文献评论来指导采访.
- 采访被记录,转录,编码和分析以获得主题和.
主要成果:
- 之前的避孕经验和患者与临床医生的互动影响了卫生系统的因素.
- 避孕教育,知识/错误信息,青少年怀孕规范和社交媒体影响了社区的影响.
- 态度是由副作用的担忧,动机和青少年怀孕信仰所塑造的.
- 同龄人和家庭影响了主观规范,而ED咨询影响了感知到的行为控制.
结论:
- 以前的互动,受教育机会有限,错误信息和安全问题影响了青少年开始使用避孕药.
- 社交媒体和同龄人/家庭是避孕信息的主要来源.
- 对于青少年ED群体的干预设计应考虑这些已识别的因素,以最大限度地获得益处.
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