青春期女性的避孕偏好是否能预测方法的使用和满意度？对北加州计划生育客户的调查。
Do Adolescent Women's Contraceptive Preferences Predict Method Use and Satisfaction? A Survey of Northern California Family Planning Clients.
机构信息
Department of Pediatrics, University of California Los Angeles, Los Angeles, California.
Planned Parenthood Northern California, San Francisco, California.
出版信息
J Adolesc Health. 2019 May;64(5):640-647. doi: 10.1016/j.jadohealth.2018.10.291. Epub 2019 Jan 4.
PURPOSE
Contraceptive satisfaction may influence not only contraceptive use but also long-term engagement in care. We investigated the extent to which adolescent and young women's desired contraceptive features are associated with their current contraceptive method and if the presence of preferred features in their current method is associated with satisfaction.
METHODS
We performed a secondary analysis of a cross-sectional survey at five Northern California family planning clinics, including women aged 13-24 years. Descriptive statistics and multivariate logistic regression identified associations between desired features and sociodemographic characteristics. Multivariate logistic regression was used to examine associations between desired features and current contraceptive method, as well as the presence of desired features and satisfaction with current method.
RESULTS
Among 814 participants, the features most frequently rated "very important" included effectiveness (87%, n = 685), safety (85%, n = 664), and side effects (72%, n = 562). Contraceptive feature preferences varied by age, race/ethnicity, intimate partner violence history, and sexually transmitted infection history. Having a preference for a specific contraceptive feature was not associated with using a method with that feature, except for sexually transmitted infection prevention (adjusted odds ratio [aOR]: 1.59, confidence interval [CI; 1.18-2.16]). However, respondents with preferences for effectiveness, partner independence, or privacy who used methods that were congruent with their preferences were more likely to express satisfaction (aOR: 1.57, CI [1.03-2.37], aOR: 1.75 [1.03-2.96], and aOR: 1.81 [1.01-3.23]).
CONCLUSION
Adolescent and young women have varied contraceptive preferences that are associated with demographics and reproductive health experiences. Adolescent and young women's use of contraceptive methods that matched their preferences may improve satisfaction and engagement in care.
目的
避孕满意度不仅可能影响避孕措施的使用，还可能影响长期护理的参与度。我们调查了青少年和年轻女性对避孕方法的期望特征与她们目前避孕方法之间的关联程度，以及当前方法中是否存在首选特征与满意度之间的关联。
方法
我们对加利福尼亚州北部的五家计划生育诊所的横断面调查进行了二次分析，包括年龄在 13-24 岁的女性。描述性统计和多变量逻辑回归确定了期望特征与社会人口统计学特征之间的关联。多变量逻辑回归用于检查期望特征与当前避孕方法之间的关联，以及期望特征的存在与对当前方法的满意度之间的关联。
结果
在 814 名参与者中，最常被评为“非常重要”的特征包括有效性（87%，n=685）、安全性（85%，n=664）和副作用（72%，n=562）。避孕特征偏好因年龄、种族/族裔、亲密伴侣暴力史和性传播感染史而异。对特定避孕方法的偏好与使用具有该特征的方法之间没有关联，除了预防性传播感染（调整后的优势比[aOR]：1.59，置信区间[CI]；1.18-2.16）。然而，对有效性、伴侣独立性或隐私有偏好且使用与偏好一致的方法的受访者更有可能表达满意（aOR：1.57，CI [1.03-2.37]，aOR：1.75 [1.03-2.96]，aOR：1.81 [1.01-3.23]）。
结论
青少年和年轻女性对避孕方法有不同的偏好，这些偏好与人口统计学和生殖健康经历有关。青少年和年轻女性使用与偏好相匹配的避孕方法可能会提高满意度并参与护理。
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