Steve Hicks School of Social Work, University of Texas at Austin, Austin, Texas; Population Research Center and the Department of Sociology, University of Texas at Austin, Austin, Texas.
Department of Health Care Organization & Policy, University of Alabama at Birmingham, Birmingham, Alabama.
Womens Health Issues. 2020 May-Jun;30(3):176-183. doi: 10.1016/j.whi.2020.01.004. Epub 2020 Feb 21.
Women's preferences for postabortion contraceptive care vary, and some may experience difficulties realizing their preferences owing to health systems-level barriers. We assessed Mississippi women's interest in postabortion contraceptive counseling and method use and the extent to which their method preferences were met.
In 2016, women ages 18 to 45 completed a self-administered survey at their abortion consultation visit in Mississippi and a follow-up phone survey 4-8 weeks later. Thirty-eight participants were selected for in-depth interviews. We computed the percentage of women who were interested in contraceptive counseling, initiating a method, and who obtained a method at the clinic. We also calculated the percentage who were using their preferred method after abortion and the main reasons they were not using this method. We analyzed transcripts using a theme-based approach.
Of 323 women enrolled, 222 (69%) completed the follow-up survey. Of those completing follow-up, more than one-half (58%) reported that their consultation or abortion visit was the best time for contraceptive counseling, and 69% wanted to initiate contraception at the clinic. Only 10% obtained a method on site, and in-depth interview respondents reported they could not afford or did not like the options available. At the follow-up survey, 23% of respondents were using their preferred method. Women cited cost or lack of insurance coverage and difficulties scheduling appointments with community clinicians as reasons for not using their preferred method.
Mississippi women have a large unmet demand for postabortion contraception. Policies that support on-site provision of contraception at abortion facilities would help women to realize their contraceptive preferences.
女性对流产后避孕措施的偏好各不相同，由于医疗体系层面的障碍，一些女性可能难以实现其偏好。本研究评估了密西西比州女性对流产后避孕咨询和方法使用的兴趣，以及其偏好的方法得到满足的程度。
2016 年，年龄在 18 至 45 岁之间的女性在密西西比州的流产咨询就诊时完成了一份自我管理的调查，4 至 8 周后进行了后续电话调查。选择了 38 名参与者进行深入访谈。我们计算了对避孕咨询、开始使用方法以及在诊所获得方法感兴趣的女性比例。我们还计算了在流产后使用首选方法的女性比例，以及她们未使用该方法的主要原因。我们使用基于主题的方法对转录本进行了分析。
在 323 名入组女性中，222 名（69%）完成了随访调查。在完成随访的女性中，超过一半（58%）报告说她们的咨询或流产就诊是进行避孕咨询的最佳时机，69%的女性希望在诊所开始避孕。只有 10%的女性在现场获得了方法，深度访谈的受访者报告说她们负担不起或不喜欢可用的选择。在随访调查中，23%的受访者正在使用她们首选的方法。女性提到费用或缺乏保险覆盖以及难以与社区临床医生预约是未使用首选方法的原因。
密西西比州女性对流产后避孕有巨大的未满足需求。支持在堕胎设施现场提供避孕措施的政策将有助于女性实现其避孕偏好。
