青少年和年轻女性对宫内节育器的态度和信念。
Attitudes and beliefs about the intrauterine device among teenagers and young women.
机构信息
Department of Obstetrics and Gynecology, Kaiser Permanente, Vallejo, CA 94589, USA.
出版信息
Contraception. 2010 Aug;82(2):178-82. doi: 10.1016/j.contraception.2010.02.020. Epub 2010 Apr 13.
BACKGROUND
Little is known about attitudes and beliefs among teenagers and young women about the intrauterine device (IUD).
STUDY DESIGN
We surveyed 252 women, ages 14-27 years, presenting for appointments at an urban family planning clinic about demographics, sexual and birth control history, and opinions about the IUD.
RESULTS
Fifty-five percent had not heard of the IUD. Participants who were parous were 4.4 times more likely to be interested in the IUD than nulliparous participants. Independent of parity, participants who had heard of the IUD from a health care provider were 2.7 times more likely to be interested in using the method. The study population was at high risk for sexually transmitted infections (STIs); however, 82% of participants predicted that they would increase or experience no change in their condom use with an IUD in place.
CONCLUSIONS
Health care providers should be encouraged to talk to teenagers and young women who are at high risk for unintended pregnancy, both parous and nulliparous, about using the IUD.
背景
对于青少年和年轻女性对宫内节育器（IUD）的态度和看法知之甚少。
研究设计
我们调查了 252 名年龄在 14-27 岁之间的女性，她们在一家城市计划生育诊所就诊，了解人口统计学、性和避孕史以及对 IUD 的看法。
结果
55%的人没有听说过 IUD。与未生育的参与者相比，已生育的参与者对 IUD 更感兴趣，是其 4.4 倍。独立于生育情况，曾从医疗保健提供者那里听说过 IUD 的参与者对使用该方法更感兴趣的可能性是其 2.7 倍。研究人群有很高的性传播感染（STI）风险；然而，82%的参与者预测，如果使用 IUD，他们的避孕套使用率将增加或保持不变。
结论
应鼓励医疗保健提供者与有意外怀孕高风险的青少年和年轻女性（包括已生育和未生育的女性）讨论使用 IUD。
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