寻求永久女性避孕的30岁以下无孕患者的经验:一种定性研究
Marielle E Meurice1, Kendahl Wallis-Lang1, Marisa C Hildebrand1
1University of California, San Diego, Division of Complex Family Planning, Department of Obstetrics, Gynecology, and Reproductive Sciences, La Jolla, CA, United States.
Contraception
|July 6, 2025
概括
寻求永久女性避孕的年轻人对无子女身份和在线资源的临床医生支持有价值. 由于对生殖自主权的担忧,多布斯的决定加剧了紧迫性.
科学领域:
- 生殖健康 生殖健康
- 定性研究是指质量研究.
- 卫生社会学 卫生社会学
背景情况:
- 永久性女性避孕是寻求长期避孕的个体的选择.
- 了解寻求这种手术的年轻,未婚人士的经历对于知情的医疗保健至关重要.
- 以前的研究并没有完全捕捉到这一人口群的细微观点.
研究的目的:
- 描述30岁以下的无双人寻求永久女性避孕的经历和动机.
- 确定在获得永久女性避孕的过程中遇到的促进者和障碍.
- 探索社会和政策因素对决策过程的影响.
主要方法:
- 使用半结构化的深度访谈进行的定性研究.
- 招募30岁以下的参与者,在过去两年内在美国接受女性永久避孕.
- 使用社会生态模型分析主题,以了解个人,人际,机构,社区和政策层面的影响.
主要成果:
- 参与者认为没有孩子的身份和先前的避孕经验是激励因素.
- 对身体自主和无孩子身份的个人间支持促进了这一过程,而质疑决策则成为了障碍.
- 在线资源被广泛用于信息和支持,社交媒体发挥了重要作用.
- 机构障碍包括与保险相关的混乱和压力.
- 由于对生殖自主性的担忧,多布斯的决定增加了寻求永久避孕的感知紧迫性.
结论:
- 临床医生接受无子女身份和可访问的在线资源是寻求永久避孕的年轻无子女个体的关键促进因素.
- 导航保险覆盖和解决外部质疑仍然是重大挑战.
- 后多布斯法律格局扩大了永久避孕的紧迫性在这个人口群体中,突出了对生殖自主性的威胁.
- 研究结果强调需要以人为中心的护理政策,以支持生殖选择.
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