College of Public Health, University of South Florida, Tampa, Florida.
J Midwifery Womens Health. 2021 Nov;66(6):758-771. doi: 10.1111/jmwh.13280. Epub 2021 Sep 7.
Long-acting reversible contraception (LARC; including intrauterine devices and implants) is recommended as the first-line contraceptive choice by several professional organizations (eg, American College of Obstetricians and Gynecologists); however, rates of uptake are lower than those of other contraceptive methods. A young woman's social network may influence the decision to use LARC. The purpose of this review was to determine the role of health care providers (HCPs), family, peers, and sexual partner(s) on young women's decisions to initiate LARC.
Several databases (PubMed, CINAHL, and PsycINFO) were searched for articles published between 2000 and 2020 that studied the social network influences of HCPs, family, peers, and sexual partner(s) on LARC initiation among women in the United States aged 18 to 25. A narrative synthesis of the included articles was conducted.
Twenty-nine articles met the inclusion criteria (21 qualitative, 6 quantitative, 2 mixed methods). HCPs are an important influence on a young woman's LARC decision-making. Peers and family also have a role but were often sources of negative or inaccurate information. Gaps in the literature were identified, including a lack of data on implant users and a dearth of studies on the role of sexual partner influence; most studies were not guided by theory.
HCPs are integral to LARC initiation and may be more influential than other social network members. Future research should focus on understanding how social network members interact to result in LARC initiation. Gaining insight into these influences may improve existing interventions or contribute to the development of new interventions and ultimately promote LARC use among young women.
长效可逆避孕方法（LARC；包括宫内节育器和植入物）被多个专业组织（例如，美国妇产科医师学会）推荐为首选避孕方法；然而，其使用率低于其他避孕方法。年轻女性的社交网络可能会影响其使用 LARC 的决定。本综述旨在确定医疗保健提供者（HCPs）、家庭、同龄人以及性伴侣对年轻女性开始使用 LARC 的决策的影响。
检索了 2000 年至 2020 年期间发表的研究美国 18 至 25 岁女性的 HCPs、家庭、同龄人以及性伴侣对 LARC 起始影响的社交网络的文章，数据库包括 PubMed、CINAHL 和 PsycINFO。对纳入的文章进行了叙述性综合。
29 篇文章符合纳入标准（21 篇定性研究、6 篇定量研究、2 篇混合方法研究）。HCPs 是年轻女性 LARC 决策的重要影响因素。同龄人及家庭也有一定作用，但往往提供的是负面或不准确的信息。文献中存在一些空白，包括缺乏关于植入物使用者的数据以及缺乏关于性伴侣影响的研究；大多数研究没有理论指导。
HCPs 是 LARC 起始的重要组成部分，其影响力可能大于其他社交网络成员。未来的研究应重点了解社交网络成员如何相互作用以促使 LARC 起始。深入了解这些影响因素可能会改进现有的干预措施或有助于新干预措施的开发，并最终促进年轻女性使用 LARC。
