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一种社会生态方法,用于研究一个新兴拉丁裔州的近期拉丁裔移民中与避孕措施使用相关的因素。

A socio-ecological approach for examining factors related to contraceptive use among recent Latina immigrants in an emerging Latino state.

作者信息

White Kari, Ocampo Michelle, Scarinci Isabel C

机构信息

a Department of Health Care Organization and Policy , University of Alabama at Birmingham , Birmingham , Alabama , USA.

b Department of Psychological Science , University of Arkansas , Fayetteville , Arkansas , USA.

出版信息

Women Health. 2017 Aug;57(7):872-889. doi: 10.1080/03630242.2016.1206056. Epub 2016 Jun 29.

Abstract

Using the Social Ecological Model, the individual, partner, social, and structural factors related to recent Latina immigrants' contraceptive use in an emerging immigrant community were explored. During September 2013-January 2014, door-to-door sampling was used in Birmingham, Alabama to recruit Latina immigrants who had lived in the United States (U.S.) for less than 5 years. Ten women with foreign-born children and 10 with only U.S.-born children completed in-depth interviews about their contraceptive use following migration. Women's narratives revealed interrelated barriers to using highly effective contraception after migrating to the U.S. Women had nuanced concerns about using hormonal contraception, which, when combined with other factors, led them to rely on condoms and withdrawal. Limited partner communication was a barrier to effective method use for some women, but partner attitudes that women should be responsible for contraception were less important. Weak female networks made it difficult for immigrants to learn about the U.S. health-care system, especially those with only U.S.-born children. Even once women accessed services, a full range of highly effective methods was not available or affordable. In emerging communities, integrated strategies that address immigrants' need for information and ensure access to affordable contraception would help women achieve their reproductive life goals.

摘要

运用社会生态模型,探讨了与新兴移民社区中近期拉丁裔移民避孕使用情况相关的个人、伴侣、社会和结构因素。2013年9月至2014年1月期间,在阿拉巴马州伯明翰市采用挨家挨户抽样的方式招募在美国居住不到5年的拉丁裔移民。10名有外国出生子女的女性和10名只有美国出生子女的女性完成了关于她们移民后避孕使用情况的深入访谈。女性的叙述揭示了移民到美国后使用高效避孕方法存在的相互关联的障碍。女性对使用激素避孕有细微的担忧,这与其他因素相结合,导致她们依赖避孕套和体外射精。有限的伴侣沟通对一些女性有效使用避孕方法构成了障碍,但伴侣认为女性应负责避孕的态度影响较小。薄弱的女性社交网络使移民难以了解美国的医疗保健系统,尤其是那些只有美国出生子女的移民。即使女性获得了服务,也无法获得或负担不起全套高效避孕方法。在新兴社区,采取综合策略满足移民对信息的需求并确保获得负担得起的避孕措施,将有助于女性实现她们的生殖生活目标。

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