Livingood William C, Bull Katryne Lukens, Biegner Staci, Kaunitz Andrew M, Howard LaRonda, Jefferson Vanessa, Geisselmaier Pia Julia, Michel Isabelle, Bilello Lori
Office of Research Affairs, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
Department of Public Health, University of North Florida, Jacksonville, Florida.
F S Rep. 2022 Feb 23;3(2 Suppl):80-90. doi: 10.1016/j.xfre.2022.02.005. eCollection 2022 May.
To study urban, predominantly Black women's expressed opinions and beliefs related to the use of contraceptives to better inform implementation strategies designed to increase the use of highly effective contraceptives among minoritized and low-income women.
Focus group interviews with women, in conjunction with a community-based organization providing programs for underserved women with a mission of improved women and infant health.
Focus groups were conducted, and women were recruited from clinical sites in predominantly African American urban neighborhoods in a southeastern US city.
Self-identified 18-35-year-old women recruited from clinical sites in the urban core of the city with an 80% African American population.
No interventions tested
Black women's opinions and concerns about contraception.
Key insights from the focus group results for healthcare providers include the following: the importance of framing discussions with patients within the context of the patients' goals; need to acknowledge and respect the support systems that women rely on for child birthing and childcare; recognition of the clinician's role as a trusted and respected source of information; and need to understand and be prepared to address much of the inaccurate and misleading information that can interfere with the patients' optimal choices for contraception.
A critical component for applying the implementation science theory to increase the use of evidence-based practices, such as implementation of highly effective contraceptives, requires understanding women's perspectives of the factors influencing their decisions to use highly effective contraceptives. This study provides important insights into the following: the potential barriers inherent in minoritized women's concerns about contraceptives and how these insights can inform implementation strategies such as patient-centered counseling and education to overcome those barriers.
研究以城市为主、以黑人女性为主的群体对使用避孕药具表达的意见和信念，以便更好地为旨在增加少数族裔和低收入女性使用高效避孕药具的实施策略提供信息。
对女性进行焦点小组访谈，并与一个社区组织合作，该组织为服务不足的女性提供项目，其使命是改善妇女和婴儿健康。
进行了焦点小组访谈，女性从美国东南部一个城市以非裔美国人为主的城市社区的临床场所招募。
从该市城市核心区临床场所招募的自我认定为18至35岁的女性，该地区非裔美国人占80%。
未测试干预措施
黑人女性对避孕的意见和担忧。
焦点小组结果为医疗保健提供者提供的关键见解如下：在患者目标背景下与患者进行讨论的重要性；需要承认并尊重女性在分娩和育儿方面所依赖的支持系统；认识到临床医生作为可靠且受尊重的信息来源的角色；需要理解并准备好应对许多可能干扰患者最佳避孕选择的不准确和误导性信息。
应用实施科学理论以增加循证实践（如实施高效避孕药具）的使用的一个关键组成部分，需要了解女性对影响她们使用高效避孕药具决策的因素的看法。本研究为以下方面提供了重要见解：少数族裔女性对避孕药具的担忧中固有的潜在障碍，以及这些见解如何为以患者为中心的咨询和教育等实施策略提供信息以克服这些障碍。
