亲密伴侣暴力幸存者对紧急避孕药的知晓、认知、看法及使用情况
Knowledge, Awareness, Perceptions, and Use of Emergency Contraceptives among Survivors of Intimate Partner Violence.
作者信息
Wilder Kathleen J, Guise Jeane-Marie, Perrin Nancy A, Hanson Ginger C, Hernandez Rebecca, Glass Nancy
机构信息
Department of OB/GYN, Northern Navajo Medical Center, Indian Health Service, Shiprock, NM 87420, USA.
出版信息
Obstet Gynecol Int. 2009;2009:625465. doi: 10.1155/2009/625465. Epub 2009 Oct 12.
The study examines emergency contraception (EC) knowledge, awareness, perceptions, and prior use and identifies predictors of EC use among a sample of survivors of intimate partner violence (IPV). The majority (66.2%) of 154 survivors at risk of pregnancy reported EC awareness, only 15.3% reported prior EC use. Logistic regression identified perceived abusive intimate partner approval (OR = 2.25; 95% CI = 1.15-4.41) and lack of moral/religious objections (OR = 12.83; 95% CI = 5.48-30.03) as the strongest predictors of EC use. Health care provider interventions acknowledging barriers to EC use, such as partner approval, and education that improves awareness of and knowledge about EC, may have the impact of empowering survivors in their reproductive choices, reducing unwanted pregnancies.
该研究调查了紧急避孕（EC）的知识、意识、认知以及既往使用情况，并确定亲密伴侣暴力（IPV）幸存者样本中紧急避孕使用的预测因素。在154名有怀孕风险的幸存者中，大多数（66.2%）表示知晓紧急避孕，只有15.3%报告曾使用过紧急避孕。逻辑回归分析确定，认为虐待性亲密伴侣表示同意（比值比[OR]=2.25；95%置信区间[CI]=1.15 - 4.41）以及没有道德/宗教方面的反对意见（OR = 12.83；95% CI = 5.48 - 30.03）是紧急避孕使用的最强预测因素。医疗保健提供者的干预措施，承认诸如伴侣同意等紧急避孕使用的障碍，并开展提高对紧急避孕的认识和知识的教育，可能会增强幸存者在生殖选择方面的自主权，减少意外怀孕。
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