在无家可归的妇女中探索产后怀孕预防行为:混合方法分析
Annalynn M Galvin1, Rebecca E Bergh1, Scott T Walters2
1Department of Research, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas.
Journal of midwifery & women's health
|February 7, 2025
概括
无家可归的妇女面临着预防产后怀孕的障碍,包括负担能力和伴侣的影响. 了解这些独特的挑战对于有效的生殖健康干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会学 社会学 社会学
背景情况:
- 与稳定的住房妇女相比,无家可归的妇女有更高的意外怀孕风险.
- 独特的障碍可能会阻止这一群体参与产后怀孕预防.
研究的目的:
- 检查为什么无家可归的妇女可能不参与产后怀孕预防的原因.
- 确定影响脆弱人群中产后避孕使用的因素.
主要方法:
- 进行了一项连续的解释性混合方法研究.
- 分析了来自怀孕风险评估监测系统 (n=99,138) 的定量数据和半结构面试 (n=12) 的定性数据.
- 通过以女性为中心的概念框架,研究结果被三角化.
主要成果:
- 不使用产后避孕的统计学上显著的原因包括目前怀孕,目前禁欲,无法负担避孕和伴侣的不认可.
- 定性主题揭示了内部因素 (感知怀孕风险,当前情况适合孩子),外部因素 (伴侣想要更多的孩子),怀孕的感知 (对未来孩子的渴望) 和计划的突出性.
结论:
- 几个关键原因阻碍了无家可归妇女的分娩后怀孕预防参与.
- 干预措施应支持个性化的性和生殖健康目标,考虑住房和家庭资源.
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