Campo Shelly, Kohler Connie, Askelson Natoshia M, Ortiz Cristina, Losch Mary
University of Iowa, Iowa City, IA, USA
University of Alabama-Birmingham, AL, USA.
J Transcult Nurs. 2015 Nov;26(5):466-72. doi: 10.1177/1043659614524784. Epub 2014 May 14.
Little is known about barriers that Latinas in the United States face in preventing unintended pregnancies beyond those of language and cost. This study examined factors inhibiting contraceptive use among 18- to 30-year-old Latinas in the Midwest.
Individual interviews (N = 31) were conducted in Spanish with Latinas residing across the state. The interview protocol included questions about contraceptives and unintended pregnancies. Interviews were recorded, transcribed, translated, and coded for themes related to barriers.
The majority of the barriers were related to communication but not English proficiency. Respondents talked about specific situations and experiences in which communication presented obstacles to using contraceptives.
While language and cost are important barriers, attention needs to be paid to the other communication issues that women face related to culture, religion, partners, family, and spontaneity.
Health care providers need to address the range of communication barriers that affect Latinas' contraceptive use.
除语言和成本因素外，对于美国拉丁裔女性在预防意外怀孕方面所面临的障碍，人们知之甚少。本研究调查了美国中西部地区18至30岁拉丁裔女性中抑制避孕措施使用的因素。
用西班牙语对该州各地居住的拉丁裔女性进行了个人访谈（N = 31）。访谈提纲包括有关避孕措施和意外怀孕的问题。访谈进行了录音、转录、翻译，并针对与障碍相关的主题进行了编码。
大多数障碍与沟通有关，但与英语熟练程度无关。受访者谈到了沟通在使用避孕措施时造成障碍的具体情况和经历。
虽然语言和成本是重要障碍，但需要关注女性在文化、宗教、伴侣、家庭和自发性方面面临的其他沟通问题。
医疗保健提供者需要解决影响拉丁裔女性避孕措施使用的一系列沟通障碍。
