Yee Lynn M, Simon Melissa A
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA, USA.
J Health Care Poor Underserved. 2011 Nov;22(4):1387-400. doi: 10.1353/hpu.2011.0144.
Using in-depth qualitative methods, we investigated negative contraception counseling experiences, including those felt to be coercive or discriminatory, in a population of postpartum urban minority women.
Brief surveys and semi-structured interviews were conducted with 30 consenting postpartum women who had received care at a Medicaid-funded obstetrics clinic. In-person one-on-one interviews were then reviewed for themes using an iterative process of qualitative analysis.
In this sample of African American (63%) and Hispanic (37%) women (median age 26), 73% had unplanned pregnancies. Features of negative counseling experiences included having insufficient, non-physician-directed and impersonal counseling. Most women had experienced episodes of poor communication with providers; 10 described feeling coerced or perceiving racially-based discrimination in counseling.
Negative experiences with contraceptive counseling may affect contraception utilization. Contraceptive education should respect each individual's autonomy, culture, and values.
我们采用深入的定性研究方法，对城市少数族裔产后女性群体中负面的避孕咨询经历进行了调查，这些经历包括那些被认为具有强制性或歧视性的经历。
对30名在医疗补助资助的产科诊所接受过护理的产后女性进行了简短调查和半结构化访谈。随后，通过定性分析的迭代过程，对面对面的一对一访谈进行主题审查。
在这个以非裔美国人（63%）和西班牙裔（37%）女性为主（中位年龄26岁）的样本中，73%的女性有意外怀孕经历。负面咨询经历的特征包括咨询不足、非医生主导以及缺乏人情味。大多数女性都经历过与医护人员沟通不畅的情况；10名女性表示在咨询过程中感到被强迫或察觉到基于种族的歧视。
避孕咨询的负面经历可能会影响避孕措施的使用。避孕教育应尊重每个人的自主权、文化和价值观。
