聋女性对避孕方法的了解:一项定性研究
Gabriela Fuster Barbosa1, Laura Fernandes Berto1, Sandra Dircinha Teixeira de Araujo Moraes1
1Department of Obstetrics and Gynecology, Faculty of Medicine, University of São Paulo, Osasco, São Paulo, Brazil.
概括
聋女性面临着严重的沟通障碍,导致对避孕方法的知识和使用有限,特别是长效可逆避孕药 (LARCs). 避孕套和口服避孕药在这个人群中更为知名和使用.
科学领域:
- 生殖健康 生殖健康
- 听力学 听力学是指听力学.
- 卫生沟通健康沟通
背景情况:
- 有效的沟通对于性和生殖健康 (SRH) 信息获取至关重要.
- 聋人经常在医疗保健机构遇到沟通障碍.
- 了解聋女性关于避孕的具体知识差距对于有针对性的干预至关重要.
研究的目的:
- 分析聋女性对避孕方法的理解和知识.
- 为了识别障碍,使聋妇女获得生殖健康信息的障碍.
- 探索这个人群中各种避孕方法的使用模式.
主要方法:
- 在巴西圣保罗 (2020-2022) 进行了一项定性描述性研究.
- 采访了使用巴西手语 (LIBRAS) 的28名聋女性,使用半结构化问卷.
- 用NVivo软件对转录和解释的LIBRAS访谈进行了内容分析.
主要成果:
- 所有参与者都将沟通障碍 (28/28) 列为低避孕知识的主要因素.
- 熟悉程度有所不同:避孕套 (71%),口服避孕药 (71%),隔膜 (46%),注射剂 (60%),子宫内装置 (57%),皮下植入物 (25%) 和永久避孕 (53%).
- 意外怀孕率为59%;避孕方法的使用包括生育意识 (21%),屏障方法 (17%),短效方法 (21%),LARC (7%),和永久避孕 (14%).
结论:
- 避孕套和口服避孕药最常被研究的聋女性识别和使用.
- 沟通障碍严重阻碍聋女性获得全面的避孕信息.
- 聋女性对长效可逆避孕药 (LARC) 的知识和使用程度显著低,这表明需要改进的关键领域.
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