Bayley Julie, Brown Katherine, Wallace Louise
Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Priory Street, Coventry CV1 5FB, UK.
Eur J Contracept Reprod Health Care. 2009 Jun;14(3):196-206. doi: 10.1080/13625180902741444.
To explore teenagers' beliefs about emergency contraception (EC) within a Theory of Planned Behaviour (TPB) framework.
Six single sex focus groups comprising a total of 25 female and 23 male pupils aged 13-16 years conducted in schools in Central England.
Attitudes to emergency contraception (EC) were mainly positive about the rewards of avoiding teenage pregnancy. Participants had positive beliefs about the effectiveness of EC, although knowledge of crucial time limits varied. EC use was more socially acceptable than teenage pregnancy, yet both outcomes were perceived negatively. Motivation to comply with social pressure was influenced by the appraisal of individuals' intentions. Participants reported high self efficacy in accessing EC, but had concerns over confidentiality and access.
Desire to avoid pregnancy was high in this group, but practical factors and attitudes may be more important for those ambivalent about pregnancy. Adolescents perceive accessing EC as difficult, are concerned about confidentiality, and anticipate negative reactions from staff. Data support the TPB as a suitable framework for understanding attitudes to EC use. Further research should apply quantitative TPB measures to EC use in a wider teenage sample in order to identify potential psychological factors to target in an intervention.
在计划行为理论（TPB）框架内探讨青少年对紧急避孕（EC）的看法。
在英格兰中部的学校开展了6个单性别焦点小组，共有25名13 - 16岁的女学生和23名男学生参与。
对紧急避孕（EC）的态度主要是对避免青少年怀孕的益处持积极态度。参与者对紧急避孕的有效性持积极看法，尽管对关键时间限制的了解各不相同。使用紧急避孕比青少年怀孕在社会上更容易被接受，但这两种结果都被负面看待。遵守社会压力的动机受个体意图评估的影响。参与者报告在获取紧急避孕方面自我效能感较高，但担心保密性和获取途径。
该群体中避免怀孕的意愿较高，但对于那些对怀孕态度矛盾的人来说，实际因素和态度可能更为重要。青少年认为获取紧急避孕困难，担心保密性，并预期工作人员会有负面反应。数据支持计划行为理论作为理解紧急避孕使用态度的合适框架。进一步的研究应将计划行为理论的定量测量方法应用于更广泛青少年样本中的紧急避孕使用情况，以便确定干预中可针对的潜在心理因素。
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