Worthington Amber K, Burke Erin E, Shirazi Talia N, Leahy Carly
Department of Communication, University of Alaska Anchorage, Anchorage, Alaska, USA.
Modern Fertility, San Francisco, California, USA.
Womens Health Rep (New Rochelle). 2020 Sep 24;1(1):402-412. doi: 10.1089/whr.2020.0063. eCollection 2020.
Women have faced persistent problems accessing reproductive health care. New applications of health technologies to reproductive health, specifically online fertility specialist consultations and reproductive hormone self-collection tests (SCTs), present unique opportunities to overcome these issues. This article uses the technology acceptance model to examine factors that influence women's intentions to use these new reproductive health technologies. Participants ( = 327 US women) completed an online survey assessing perceptions related to both of these reproductive health technologies, including usefulness, ease of use, risk, trust, subjective norms, and personal responsibility, to learn about fertility. Participants indicated high perceptions of usefulness, ease of use, and trust, as well as low perceptions of risk and subjective norms for both online fertility consultations (OFCs) and reproductive hormone SCTs. Women indicated low perceptions of responsibility to use OFCs, but high perceptions of responsibility to use reproductive hormone SCTs. Structural equation modeling indicated that intentions to use OFCs were predicted by usefulness, subjective norms, and responsibility; intentions to use reproductive hormone SCTs were predicted by usefulness, ease of use, subjective norms, and responsibility. Fertility specialist consultations and reproductive hormone testing can provide women with essential fertility information that facilitates informed reproductive decisions; however, these services have historically been difficult to access. Widespread uptake of new reproductive health technologies could promote positive advances in women's reproductive health outcomes.
女性在获得生殖健康护理方面一直面临问题。健康技术在生殖健康方面的新应用，特别是在线生育专家咨询和生殖激素自我采集检测（SCT），为克服这些问题提供了独特的机会。本文使用技术接受模型来研究影响女性使用这些新生殖健康技术意愿的因素。参与者（n = 327名美国女性）完成了一项在线调查，评估与这两种生殖健康技术相关的认知，包括有用性、易用性、风险、信任、主观规范和个人责任，以了解生育情况。参与者对在线生育咨询（OFC）和生殖激素SCT的有用性、易用性和信任度评价较高，对风险和主观规范的评价较低。女性对使用OFC的责任感评价较低，但对使用生殖激素SCT的责任感评价较高。结构方程模型表明，使用OFC的意愿由有用性、主观规范和责任感预测；使用生殖激素SCT的意愿由有用性、易用性、主观规范和责任感预测。生育专家咨询和生殖激素检测可以为女性提供重要的生育信息，有助于她们做出明智的生殖决策；然而，这些服务历来难以获得。新生殖健康技术的广泛应用可能会推动女性生殖健康结果的积极进展。
