Sundby J, Svanemyr J, Maehre T
Section for Medical Anthropology, Institute of General Practice and Community Medicine, University of Oslo, P.O. Box 1130, Blindern, N-0317 Oslo, Norway.
Patient Educ Couns. 1999 Sep;38(1):11-9. doi: 10.1016/s0738-3991(98)00113-x.
Despite relatively easy access to contraceptives, a liberal attitude to pregnancies out of wedlock and a widespread family planning education in schools, too a high number of adolescent women in Oslo, the capital of Norway, become pregnant and resort to abortions. The aim of this study was to identify some new entry points to sexuality, contraceptive, abortion and post-abortion counselling. Using a qualitative approach, we interviewed 102 young women in Oslo who were seeking either an abortion or contraceptives. The study demonstrated that contraceptive awareness is good, but that there are different levels of consistency in contraceptive use among women, and that even women with few partners and fairly good contraceptive compliance sometimes experience unplanned pregnancy. The study reviews some issues of importance where communication with young women could be improved. These issues include better formal information about OCs, increased information on emergency contraception, better condom promotion, and an attempt to involve better informed adults, including paramedical professional counselling. In addition, contraceptive prescriptions should accord to the type of behaviour and the relationships the young women have.
尽管获取避孕药具相对容易,对非婚生育持宽容态度,且学校广泛开展了计划生育教育,但挪威首都奥斯陆仍有大量青春期女性怀孕并选择堕胎。本研究的目的是找出一些性、避孕、堕胎及堕胎后咨询的新切入点。我们采用定性研究方法,对奥斯陆102名寻求堕胎或避孕服务的年轻女性进行了访谈。该研究表明,女性对避孕的认知良好,但在避孕措施的使用上存在不同程度的连贯性,而且即使性伴侣较少且避孕依从性较好的女性有时也会意外怀孕。该研究审视了一些重要问题,在与年轻女性的沟通方面这些问题有待改善。这些问题包括提供关于口服避孕药的更完善的正规信息、增加紧急避孕的信息、更好地推广避孕套,以及尝试让信息更灵通的成年人参与其中,包括辅助医疗专业咨询。此外,避孕处方应根据年轻女性的行为类型和恋爱关系来开具。