Cory Ryan James, Mawson Rebecca, Linton Emma, Al-Bazz Dalal Y, Fryer Kate, Ma Richard, Mitchell Caroline Anne
Division of Population Health, The University of Sheffield, Sheffield, UK.
Division of Population Health, The University of Sheffield, Sheffield, UK
BMJ Sex Reprod Health. 2025 Jan 6;51(1):64-73. doi: 10.1136/bmjsrh-2024-202488.
Accessible contraception is critical for promoting the health and well-being of women and their families. In the UK, contraception is free at the point of access, but only 55% of pregnancies are planned, with negative implications for maternal and infant outcomes. In general, women from ethnic minorities use contraceptives less than white women. Barriers to the uptake of contraceptives have been identified, including perceived poor information from healthcare professionals and concerns about side effects. However, most studies do not include representative proportions of women from ethnic minorities. Evidence suggests that ethnic minority (EM) women feel targeted and coerced by healthcare professionals regarding contraception.
A systematic search of Medline, Embase, and PsycINFO via Ovid, CINAHL, and Web of Science was conducted to identify primary qualitative and mixed-methods studies exploring ethnic minority women's experience of contraception in the UK. The data were charted using thematic analysis, using both summary and synthesis.
16 studies met the inclusion criteria, including the perspectives of 717 participants from an ethnic minority. Four overarching themes were developed: contraceptive knowledge, beliefs, family, and services. Similar to women in general, ethnic minority women have concerns about side effects, especially infertility, value the perspectives of their peers and male partners, and express a preference for female healthcare professionals. Novel perspectives included conflicting ideas about the influence of religion and stereotyping of ethnic minority women. Culturally competent consultations and a better understanding of hormonal hesitancy are essential.
可及的避孕措施对于促进女性及其家庭的健康和福祉至关重要。在英国，避孕措施在获取时是免费的，但只有55%的怀孕是计划内的，这对母婴结局有负面影响。总体而言，少数族裔女性使用避孕药具的比例低于白人女性。已确定了避孕药具使用方面的障碍，包括认为医疗保健专业人员提供的信息不足以及对副作用的担忧。然而，大多数研究并未纳入具有代表性比例的少数族裔女性。有证据表明，少数族裔（EM）女性在避孕方面感到受到医疗保健专业人员的针对性对待和胁迫。
通过Ovid、CINAHL和Web of Science对Medline、Embase和PsycINFO进行系统检索，以识别探索英国少数族裔女性避孕经历的主要定性和混合方法研究。使用主题分析对数据进行图表绘制，采用总结和综合的方法。
16项研究符合纳入标准，包括717名少数族裔参与者的观点。形成了四个总体主题：避孕知识、观念、家庭和服务。与一般女性类似，少数族裔女性也担心副作用，尤其是不孕，重视同龄人和男性伴侣的观点，并表示更喜欢女性医疗保健专业人员。新的观点包括关于宗教影响的相互冲突的观念以及对少数族裔女性的刻板印象。具备文化能力的咨询和对激素犹豫的更好理解至关重要。
