Sharma Aanchal, McCabe Edward, Jani Sona, Gonzalez Anthony, Demissie Seleshi, Lee April
Department of Pediatrics, Staten Island University Hospital, Staten Island, NY, USA.
Department of Developmental Medicine, Boston Childrens Hospital, Boston, MA, USA.
Contracept Reprod Med. 2021 Jan 5;6(1):2. doi: 10.1186/s40834-020-00144-3.
Despite endorsements supporting the use of intrauterine devices (IUDs) for adolescents and young adult women (AYA), they have limited knowledge about them Male partners can influence contraceptive decisions, however their perceived knowledge about IUDs is lower than their objective knowledge. We aim to establish current AYA baseline contraceptive knowledge and attitudes so providers can better target their sexual health educational interventions.
Females and males, aged 13 to 23 years old, from our suburban adolescent clinic, completed an anonymous survey that assessed their knowledge and attitudes towards methods of contraception, with an emphasis on the IUD.
Completed surveys totaled 130 (99 females/31 males). Demographic results revealed 31.3% Black/African-American, 30.5% Latino/Hispanic, 17.6% White, 3.0% Asian, and 14.5% Other. The majority of participants (80%) were sexually active. The majority (69.5%) stated they/their partner were currently using a contraceptive method; only 2.6% used IUDs. Half of females (56.6%) and 10.1% of males had heard of IUDs. Despite this, male and female participants lacked knowledge regarding specific IUD facts. Of the participants who had used emergency contraception (EC), only 6.4% knew the copper IUD could be used for EC.
Contraceptive knowledge deficits, especially regarding the IUD, continue to exist for AYA patients. Many participants stated they required EC despite "satisfaction" with their birth control method(s) and most were unaware that the copper IUD could be used as EC. These discrepancies highlight the importance of comprehensive contraceptive education for AYA patients. Enhanced and consistent contraceptive options counseling can help providers ensure that their AYA patients make well-informed decisions about family planning, thus improving their quality of life.
尽管有诸多支持青少年和年轻成年女性（AYA）使用宫内节育器（IUD）的宣传，但她们对其了解有限。男性伴侣会影响避孕决策，然而他们对IUD的认知低于客观知识水平。我们旨在确立当前AYA的避孕知识和态度基线，以便医疗服务提供者能更好地针对其性健康教育干预措施。
来自我们郊区青少年诊所的13至23岁的女性和男性完成了一项匿名调查，该调查评估了他们对避孕方法的知识和态度，重点是IUD。
共完成130份调查问卷（99名女性/31名男性）。人口统计学结果显示，31.3%为黑人/非裔美国人，30.5%为拉丁裔/西班牙裔，17.6%为白人，3.0%为亚洲人，14.5%为其他种族。大多数参与者（80%）有性行为。大多数（69.5%）表示他们/其伴侣目前正在使用避孕方法；只有2.6%使用IUD。一半的女性（56.6%）和10.1%的男性听说过IUD。尽管如此，男性和女性参与者对IUD的具体事实缺乏了解。在使用过紧急避孕（EC）的参与者中，只有6.4%知道铜IUD可用于紧急避孕。
AYA患者中仍存在避孕知识缺陷，尤其是关于IUD的知识。许多参与者表示，尽管对其避孕方法“满意”，但他们仍需要紧急避孕，而且大多数人不知道铜IUD可用于紧急避孕。这些差异凸显了对AYA患者进行全面避孕教育的重要性。加强并持续进行避孕选择咨询可以帮助医疗服务提供者确保他们的AYA患者在计划生育方面做出明智的决定，从而改善他们的生活质量。
