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残疾妇女对有效计划生育服务的障碍的认知。

Perceptions of barriers to effective family planning services among women with disabilities.

机构信息

University of Virginia School of Nursing, 225 Jeanette Lancaster Avenue, Charlottesville, VA, 22903, USA.

University of Missouri Sinclair School of Nursing, S421 Sinclair School of Nursing, Columbia, MO, 65211, USA.

出版信息

Disabil Health J. 2021 Jul;14(3):101055. doi: 10.1016/j.dhjo.2020.101055. Epub 2020 Dec 23.

Abstract

BACKGROUND

Women with disabilities have the same rights as women without disabilities to prevent unintended pregnancy, yet little is known about their experiences in accessing family planning methods.

OBJECTIVE

This qualitative descriptive study explored perceptions of barriers to effective family planning services among women with disabilities.

METHOD

Semi-structured, open-ended interviews were conducted with 31 women with diverse disabilities as part of a larger study investigating risks and facilitators of unintended pregnancy among women with disabilities across the United States.

RESULTS

Analysis revealed multiple barriers experienced by women with disabilities in accessing effective family planning services needed to prevent unintended pregnancy. Barriers included physical or system barriers, financial limitations, and nonresponsive healthcare providers. Women also identified difficulties in finding appropriate family planning methods, both related and unrelated to disability.

CONCLUSIONS

This is the first in-depth exploration of barriers to accessing family planning services and challenges to finding effective family planning options among women with disabilities. The findings underscore the need for targeted interventions, improved provider training, and policy changes to optimize reproductive healthcare, improve access to family planning services, and prevent unintended pregnancy among women of childbearing age with diverse disabilities.

摘要

背景

残疾女性与非残疾女性享有同样的权利,可以防止意外怀孕,但对于她们在获得计划生育方法方面的经验却知之甚少。

目的

本定性描述研究探讨了残疾女性对有效计划生育服务障碍的看法。

方法

作为一项更大规模研究的一部分,对美国各地残疾女性意外怀孕的风险和促进因素进行了调查,本研究采用半结构式、开放式访谈的方式对 31 名具有不同残疾的女性进行了访谈。

结果

分析揭示了残疾女性在获得有效计划生育服务以防止意外怀孕方面面临的多种障碍。这些障碍包括身体或系统障碍、经济限制以及医护人员反应不及时。女性还发现很难找到合适的计划生育方法,包括与残疾相关和不相关的方法。

结论

这是首次深入探讨残疾女性在获得计划生育服务方面的障碍,以及在寻找有效的计划生育选择方面面临的挑战。研究结果强调需要采取有针对性的干预措施、改进提供者培训和政策改革,以优化生殖保健、改善计划生育服务的获取,并防止有不同残疾的育龄女性发生意外怀孕。

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