School of Health and Social Development, Faculty of Health, Deakin University, Melbourne, Australia.
Department of Health Sciences and Biostatistics, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia.
Eur J Contracept Reprod Health Care. 2021 Aug;26(4):284-290. doi: 10.1080/13625187.2021.1884220. Epub 2021 Feb 19.
Unintended pregnancy and an unmet need for modern contraception remain high among adolescent girls and women in Cambodia. Qualitative descriptive research was conducted to explore the barriers to contraceptive use among young women in urban Cambodia.
Semi-structured interviews were conducted among 30 adolescent girls and women aged 16-27 years, using purposive and snowball sampling strategies until data saturation was achieved. The audio-recorded interviews were transcribed verbatim and quality-checked. Inductive thematic data analysis was conducted. The results are presented using Bronfenbrenner's theoretical social ecological model.
The emerging major and minor themes indicate misconceptions about hormonal contraception as well as women's preference for using oral contraceptive pills for family planning after an unintended pregnancy. Women had low autonomy in choosing a contraceptive method, as their partners or husbands tended to prefer the withdrawal method. Young women faced cultural and supply chain barriers in accessing short- and long-acting reversible modern contraceptive methods at health centres.
Cambodian women aged 16-27 years are a vulnerable group who have low autonomy and sexual and reproductive health literacy and also face gender inequality.
柬埔寨青少年女孩和妇女的意外怀孕率和对现代避孕方法的未满足需求仍然很高。本研究采用定性描述性研究方法，探索柬埔寨城市年轻女性使用避孕药具的障碍。
采用目的性和滚雪球抽样策略，对 30 名年龄在 16-27 岁的青少年女孩和妇女进行半结构式访谈，直到达到数据饱和。对录音的访谈进行逐字转录并进行质量检查。采用归纳主题数据分析。结果采用 Bronfenbrenner 的理论社会生态模型呈现。
主要和次要主题的出现表明，人们对激素避孕药具存在误解，以及妇女在意外怀孕后更喜欢使用口服避孕药进行计划生育。在选择避孕方法方面，妇女的自主权较低，因为她们的伴侣或丈夫倾向于选择体外排精法。年轻妇女在卫生中心获取短期和长期有效的现代可逆避孕方法时面临文化和供应链障碍。
16-27 岁的柬埔寨妇女是一个弱势群体，她们自主权较低，性健康和生殖健康知识有限，并且面临性别不平等。
