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计划生育意愿:北卡罗来纳州墨西哥裔产后妇女的定性探索。

Family planning intentions: a qualitative exploration of postpartum women of Mexican descent in North Carolina.

机构信息

Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, University of North Carolina, Chapel Hill, NC 27514, USA.

出版信息

Contraception. 2013 Nov;88(5):624-8. doi: 10.1016/j.contraception.2013.05.008. Epub 2013 May 22.

DOI:10.1016/j.contraception.2013.05.008
PMID:23790435
Abstract

BACKGROUND

North Carolina has one of the fastest growing Mexican-American populations, yet health care providers have minimal information on how to address the family planning needs of this population.

STUDY DESIGN

We conducted semistructured interviews with postpartum Mexican-American women, aged 18-35 years, within 1 month of delivery. Salient themes were identified, coded and analyzed.

RESULTS

Twenty women were interviewed. The majority had firmly held family size intentions: most desired to have 2 to 4 children with 2 to 5 years between births. Partners' preferences and the family size in which the participant was raised were factors that most influenced their family size preference. First-generation Mexican-American participants were more likely to have a partner whose intentions are influenced by the gender(s) of their children compared with participants born in Mexico. Participants desired longer intrapartum intervals for optimal infant development, with financial considerations cited less frequently.

CONCLUSION

Postpartum women of Mexican descent articulate consistent family planning intentions. Partners' desires may challenge the achievement of these intentions. Providers can encourage the most effective forms of contraception to promote ideal and intended family size.

摘要

背景

北卡罗来纳州是墨西哥裔美国人人口增长最快的州之一,但医疗保健提供者对如何满足这一人群的计划生育需求知之甚少。

研究设计

我们对产后年龄在 18-35 岁之间、分娩后 1 个月内的墨西哥裔美国女性进行了半结构式访谈。确定了突出的主题、编码和分析。

结果

对 20 名妇女进行了访谈。大多数人都有坚定的家庭规模意向:大多数人希望生育 2 到 4 个孩子,生育间隔 2 到 5 年。伴侣的偏好和参与者成长过程中的家庭规模是影响他们家庭规模偏好的因素。与在墨西哥出生的参与者相比,第一代墨西哥裔美国参与者的伴侣更有可能受到其子女性别的影响。参与者希望产程间隔更长,以促进婴儿最佳发育,较少考虑经济因素。

结论

墨西哥裔产后妇女明确表达了一致的计划生育意向。伴侣的愿望可能会挑战这些意图的实现。提供者可以鼓励最有效的避孕形式,以促进理想和预期的家庭规模。

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Contraception. 2013 Nov;88(5):624-8. doi: 10.1016/j.contraception.2013.05.008. Epub 2013 May 22.
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