Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States.
Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States; OHSU-Portland State University School of Public Health, Portland, OR, United States; National Institute of Public Health, Center for Population Health Research, Cuernavaca, Mexico.
Contraception. 2021 Apr;103(4):276-281. doi: 10.1016/j.contraception.2021.01.005. Epub 2021 Jan 14.
We sought to assess how women interpret the information they find online about the overall safety and risk of infertility associated with abortion and cesarean delivery (CD).
We conducted an exploratory, prospective study tracking the internet searches of 100 reproductive-aged individuals who identify as women. We directed participants to search for information about either (1) whether surgical abortion or CD is safe or (2) the risk of infertility following surgical abortion or CD. Our data collection had 3 phases: baseline survey, directed internet search, and a postsearch survey. We analyzed participants' pre- and postsurvey responses using bivariate tests and analyzed within-subject changes. We evaluated the sites they visited based on expert ratings of site content based on trustworthiness and slant.
Women perceived abortion as safer and less likely to cause infertility after their web searches than before (70% perceived abortion in the United States as very/completely safe presearch vs 92% postsearch; p < 0.02). Women's perceptions about CD did not change. Participants sought information from web pages that experts largely deemed trustworthy and lacking in slant.
Women's perceptions about abortion safety and risk can be influenced by information they find online; perceptions about CD safety and risk may be less influenced by online information.
Disseminating high quality, user-friendly abortion information on highly ranked and easily findable websites can help women find evidence-based information and influence knowledge about abortion.
我们旨在评估女性如何解读她们在网上找到的关于与流产和剖宫产(CD)相关的整体安全性和不孕风险的信息。
我们进行了一项探索性、前瞻性研究,跟踪了 100 名年龄在生育期内、自认为是女性的个体的互联网搜索情况。我们指导参与者搜索关于以下两种情况的信息:(1)手术流产或 CD 是否安全;或(2)手术流产或 CD 后不孕的风险。我们的数据收集分为三个阶段:基线调查、定向互联网搜索和搜索后调查。我们使用双变量检验和个体内变化分析来分析参与者在调查前后的回答。我们根据专家对网站内容的可信度和倾向性的评分,评估他们访问的网站。
与搜索前相比,女性在搜索后认为流产更安全,且不太可能导致不孕(70%的女性在搜索前认为美国的流产非常/完全安全,而搜索后则有 92%的女性这么认为;p<0.02)。关于 CD 的看法没有变化。参与者从专家普遍认为可信且无偏见的网页上搜索信息。
女性对流产安全性和风险的看法可能会受到她们在网上找到的信息的影响;而对 CD 安全性和风险的看法可能较少受到网上信息的影响。
在排名高且易于找到的网站上传播高质量、用户友好的流产信息,可以帮助女性找到基于证据的信息,并影响她们对流产的了解。