Clare Camille, Squire Mary-Beatrice, Alvarez Karem, Meisler Julia, Fraser Candice
Obstetrics and Gynecology, New York Medical College/Metropolitan Hospital 1901 First Avenue Room 4B5, New York, NY 10029,United States of America.
Obstetrics and Gynecology, New York Medical College/Metropolitan Hospital 1901 First Avenue Room 4B5, New York, United States of America.
Int J Adolesc Med Health. 2016 Oct 15;30(4):/j/ijamh.2018.30.issue-4/ijamh-2016-0098/ijamh-2016-0098.xml. doi: 10.1515/ijamh-2016-0098.
The United States has the highest rate of adolescent pregnancy of the industrialized nations. Previously reported patient barriers to the use of contraception included an ambivalence about pregnancy; method side effects; difficulty using methods; lack of satisfaction with methods; concerns about safety; expense; and a lack of knowledge about long-acting reversible contraception (LARC). This survey aims to determine if there are additional barriers to contraception use and adherence among an ethnically diverse urban population.
A 16-item survey with good interrater reliability was utilized in a pilot study to assess patient demographics, and contraceptive methods was distributed to female patients aged 13-21 years at Metropolitan Hospital Center from January to October of 2014. Data analysis was performed using the χ2-square analysis, ϕ-coefficient, Contingency Coefficient, Cramer's V, and Satterthwaite methods of analyses.
Concerns about contraceptive method side effects, more specifically, weight gain, irregular bleeding and long-term health risks, and worries about parents discovering their contraceptive habits were the major barriers to contraceptive use.
The identification of these barriers is critical in order to reduce the high rates of pregnancy in adolescents. Educating parents and their teenagers regarding the most effective methods may increase compliance and adherence. This study offers further support for the use of LARC to overcome perceived patient barriers.
在工业化国家中，美国青少年怀孕率最高。此前报道的患者使用避孕措施的障碍包括对怀孕矛盾的态度；方法的副作用；使用方法困难；对方法不满意；对安全性的担忧；费用；以及对长效可逆避孕法（LARC）缺乏了解。本次调查旨在确定在不同种族的城市人口中，使用和坚持避孕措施是否存在其他障碍。
在一项试点研究中，采用了一项具有良好评分者间信度的16项调查问卷，以评估患者人口统计学特征，并将其分发给2014年1月至10月在大都会医院中心就诊的13至21岁女性患者。数据分析采用卡方分析、φ系数、列联系数、克莱默V系数和萨特思韦特分析方法。
对避孕方法副作用的担忧，更具体地说是体重增加、不规则出血和长期健康风险，以及担心父母发现其避孕习惯，是避孕措施使用的主要障碍。
识别这些障碍对于降低青少年的高怀孕率至关重要。对父母及其青少年进行关于最有效方法的教育可能会提高依从性和坚持性。本研究为使用长效可逆避孕法克服患者感知到的障碍提供了进一步支持。
