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避孕咨询:一项关于挪威女性经历与观点的横断面研究。

Contraceptive consultations: A cross-sectional study of Norwegian women's experiences and opinions.

作者信息

Forsberg Kristin E, Lassemo Ragnhild, Lukasse Mirjam

机构信息

Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway.

Akershus University Hospital, Nordbyhagen, Norway.

出版信息

Eur J Midwifery. 2019 Jun 26;3:12. doi: 10.18332/ejm/109773. eCollection 2019.

Abstract

INTRODUCTION

Access to contraceptive consultations and the content of these consultations are important to achieve a safe and satisfying sexual life and successful reproduction when desired. The aim of this study was to investigate Norwegian women's experiences of and opinions on contraceptive consultations.

METHODS

We conducted a cross-sectional study with a questionnaire distributed via Facebook with 1917 respondents of age ≥15 years. Descriptive analyses were used.

RESULTS

Few women found it hard to access consultations (5%). Across all age groups, side effects were the most common topic that women (69%) wanted more information about. Concern about side effects was also the most frequent reason given (27%) for not using hormonal contraceptives. Among women aged 25-34 years, 54% wanted to know more about different available contraceptives. The majority of women deemed issues of sexual wellbeing important to address during a contraceptive consultation. Few women reported that these topics had been raised. Just under half of the women found it appropriate to see a midwife for contraceptive/sexual health consultations. Only one-third knew that midwives can prescribe and administer long-acting reversible contraceptives (LARCs).

CONCLUSIONS

Women want contraceptive consultations to include more information on side effects and available hormonal contraceptives. Women want to be asked about their sexual health and wellbeing during contraceptive consultations. Women should be made aware that midwives can provide contraceptive services including LARCs.

摘要

引言

获得避孕咨询服务以及这些咨询的内容对于实现安全且满意的性生活以及在期望时成功生育非常重要。本研究的目的是调查挪威女性对避孕咨询的体验和看法。

方法

我们通过脸书分发问卷进行了一项横断面研究,有1917名年龄≥15岁的受访者。采用描述性分析。

结果

很少有女性觉得难以获得咨询服务(5%)。在所有年龄组中,副作用是女性(69%)希望获得更多信息的最常见话题。对副作用的担忧也是不使用激素避孕法最常给出的原因(27%)。在25 - 34岁的女性中,54%希望更多地了解不同的可用避孕方法。大多数女性认为性健康问题在避孕咨询中很重要,需要加以解决。很少有女性报告说这些话题被提及过。不到一半的女性认为找助产士进行避孕/性健康咨询是合适的。只有三分之一的人知道助产士可以开处方并提供长效可逆避孕法(LARC)。

结论

女性希望避孕咨询能包含更多关于副作用和可用激素避孕法的信息。女性希望在避孕咨询中被问及她们的性健康状况。应该让女性意识到助产士可以提供包括长效可逆避孕法在内的避孕服务。

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本文引用的文献

1
Contraceptive counselling and care: a personalized interactive approach.避孕咨询与护理:个性化互动方法
Eur J Contracept Reprod Health Care. 2017 Dec;22(6):418-423. doi: 10.1080/13625187.2017.1414793. Epub 2018 Jan 11.
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Association of Hormonal Contraception With Suicide Attempts and Suicides.激素避孕与自杀未遂和自杀的关联。
Am J Psychiatry. 2018 Apr 1;175(4):336-342. doi: 10.1176/appi.ajp.2017.17060616. Epub 2017 Nov 17.
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Contraceptive use in the Nordic countries.北欧国家的避孕措施使用情况。
Acta Obstet Gynecol Scand. 2017 Jan;96(1):19-28. doi: 10.1111/aogs.13055.
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Association of Hormonal Contraception With Depression.激素避孕与抑郁的关联。
JAMA Psychiatry. 2016 Nov 1;73(11):1154-1162. doi: 10.1001/jamapsychiatry.2016.2387.
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Etiology, diagnosis, and clinical management of vulvodynia.外阴痛的病因、诊断及临床管理
Int J Womens Health. 2014 May 2;6:437-49. doi: 10.2147/IJWH.S37660. eCollection 2014.
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Principles of contraceptive care: choice, acceptability and access.避孕护理原则:选择、可接受性和可及性。
Best Pract Res Clin Obstet Gynaecol. 2009 Apr;23(2):177-85. doi: 10.1016/j.bpobgyn.2008.11.006. Epub 2009 Jan 13.

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