基于医疗保健提供者的避孕胁迫:了解美国的避孕方式 患者体验和描述测量影响的患者体验
Laura E T Swan1, Lindsay M Cannon2
1Department of Population Health Sciences, University of Wisconsin-Madison, Madison 53706, WI, USA.
强迫避孕是很常见的,影响超过三分之一的人一生. 一个新的检查清单衡量了避孕护理中的胁迫,在最近的一项研究中显示了可靠性和有效性.
科学领域:
- 生殖健康 生殖健康
- 医学社会学 医学社会学
- 心理测量 心理测量 心理测量
背景情况:
- 人们越来越担心在避孕护理方面存在强迫行为,但其频率和表现未得到充分研究.
- 缺乏确定的定量方法来衡量避孕胁迫.
研究的目的:
- 描述避孕强迫经历的频率和细微差别.
- 引入和心理测试一项新措施:避孕护理强制检查清单.
主要方法:
- 对美国1197名生育年龄的个人 (出生时被分配为女性) 进行的一项调查,调查了他们在2023年初的避孕护理经历.
- 对开放式描述的分析,以了解胁迫细微差别.
- 对"强迫使用避孕措施检查清单"进行心理测试,包括因素分析和可靠性/有效性评估.
主要成果:
- 超过18%的参与者在最后一次避孕咨询中报告了强迫行为,超过42%的人在一生中报告了这种情况.
- 被迫使用或继续使用避孕药是最常见的胁迫形式 (14.62%的终身频率).
- "强迫避孕护理检查清单"显示了双重维度,强大的可靠性 (项目间相关性,p < 0.001),并通过与计划生育质量和医疗保健歧视措施的关联来构建有效性.
结论:
- 避孕强制是普遍存在的,并以各种方式表现出来,例如强制使用避孕药等特定方法是常见的.
- "避孕护理强制性检查清单"是衡量避孕强制性的有效和可靠工具.
- 调查结果强调需要进一步研究和完善检查清单,以提高避孕护理质量和减少胁迫.
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