Jamaica Ministry of Health, Epidemiology Research and Training Unit (ERTU), Kingston, Jamaica.
Department of Community Health and Psychiatry, The University of the West Indies at Mona, Mona, Jamaica.
Women Health. 2021 Mar;61(3):294-302. doi: 10.1080/03630242.2021.1876812. Epub 2021 Jan 24.
Low contraceptive knowledge may limit contraception initiation or continuation and, consequently, could represent an important, modifiable cause of unintended pregnancy. The objective of this analysis was to identify correlates of knowledge among women at risk of unintended pregnancy. We analyzed data from a study of 222 young women attending a public clinic in Kingston in November 2018 to March 2019. We measured contraceptive knowledge with seven questions on method reversibility, ability to use covertly, contraindications, and side effects. We used multivariable linear regression to evaluate the correlates of summary knowledge scores and report beta coefficients, which represent differences in mean summary knowledge scores. The mean knowledge score was low (2.7; range = 0-7). Only 30.2% of the participants correctly identified intrauterine devices as more effective than oral contraception, male condoms, and withdrawal. Women who reported that their provider discussed contraception scored higher (adjusted ß = 0.37, = 0.05) than those not reporting this. Women who perceived implants as very/mostly safe scored higher (adjusted ß = 0.45, = 0.01) than those perceiving the device as mostly/very unsafe. Finally, compared to contraception non-users, women using less-effective contraception had a lower score (adjusted ß = -0.40, = 0.04) while those using effective contraception did not differ in scores (ß = -0.30, = 0.18). Overall, we found poor contraceptive knowledge among young women in Kingston. Providers appeared to hold an important role in women's understanding of contraception.
避孕知识不足可能会限制避孕措施的开始或持续使用，因此，这可能是导致意外怀孕的一个重要且可改变的因素。本分析的目的是确定有意外怀孕风险的女性避孕知识的相关因素。我们分析了 2018 年 11 月至 2019 年 3 月期间在金斯敦一家公共诊所就诊的 222 名年轻女性的研究数据。我们用 7 个问题来衡量关于方法可逆性、隐蔽使用能力、禁忌症和副作用的避孕知识。我们使用多变量线性回归来评估综合知识得分的相关因素，并报告β系数，它代表平均综合知识得分的差异。知识得分较低（2.7；范围 0-7）。只有 30.2%的参与者正确地将宫内节育器识别为比口服避孕药、男用避孕套和体外排精更有效。报告提供者讨论过避孕方法的女性比没有报告的女性得分更高（调整后的 β = 0.37， = 0.05）。认为植入物非常/主要安全的女性比认为该装置非常/主要不安全的女性得分更高（调整后的 β = 0.45， = 0.01）。最后，与非避孕药使用者相比，使用效果较差的避孕药具的女性得分较低（调整后的 β = -0.40， = 0.04），而使用有效避孕药具的女性得分没有差异（β = -0.30， = 0.18）。总体而言，我们发现金斯敦的年轻女性避孕知识不足。提供者似乎在女性对避孕的理解方面发挥了重要作用。
