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患者的偏好还是提供者的压力? 强制避孕护理与首选避孕使用之间的关系
Laura E T Swan1, Lindsay M Cannon2, Madison Lands3
1Reproductive Equity Action Lab, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI 53706, USA.
Healthcare (Basel, Switzerland)
|January 25, 2025
概括
由提供者施压不使用避孕的患者不太可能使用他们喜欢的避孕方法. 这凸显了需要公正,以患者为中心的避孕咨询,以确保生殖自主性.
科学领域:
- 生殖健康 生殖健康
- 以患者为中心的护理
- 避孕咨询 避孕咨询 避孕咨询
背景情况:
- 提供者过度影响避孕决定的避孕胁迫,与以患者为中心的护理相矛盾.
- 避孕胁迫对患者生活和避孕结果的影响仍未得到充分研究.
- 这项研究调查了经历避孕胁迫和首选避孕使用之间的联系.
研究的目的:
- 检查经历避孕胁迫和以患者为中心的结果之间的关联:首选的避孕使用.
- 了解提供者对使用或不使用避孕措施的压力如何影响避孕选择.
- 在经历过强迫的患者中识别未满足避孕需求的模式.
主要方法:
- 在美国调查了1197名生殖年龄的个人,他们之前曾与医疗保健提供者讨论过避孕措施.
- 利用奇方位和回归分析来评估避孕胁迫和首选避孕使用之间的关系.
- 对参与者经历强迫和未满足偏好的人来说,绘制了当前与首选的避孕方法的映射.
主要成果:
- 下降胁迫 (不使用避孕措施的压力) 与使用首选避孕方法的可能性较低显著相关.
- 上升胁迫 (使用避孕药的压力) 与首选避孕药的使用没有显著的关联.
- 观察到的未满足需求模式包括在不喜欢时使用口服避孕药和希望永久避孕但没有接受它.
结论:
- 患有提供者对使用避孕措施施加压力的患者,不太可能达到他们喜欢的避孕方法.
- 确保生殖自主性需要全面的避孕护理,以患者为中心,不受偏见.
- 在避孕咨询中解决强制性做法对于改善患者的治疗结果和尊重生殖权利至关重要.
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