Durant R H, Jay M S, Linder C W, Shoffitt T, Litt I
J Adolesc Health Care. 1984 Jan;5(1):1-6. doi: 10.1016/s0197-0070(84)80237-5.
This paper prospectively tests the influence of a variety of sociomedical and psychosocial factors on compliance with oral contraceptives among adolescent females from a population at high risk for pregnancy. Fifty-six females aged 14-19 yr from a lower socioeconomic background received a battery of pretest measurements and were then given Ortho-Novum 1/35 combined with riboflavin during an initial visit and 1-, 2-, and 4-month follow-ups. Compliance was measured at each follow-up using a Guttman scale consisting of: (1) avoidance of pregnancy, (2) appointment adherence, (3) pill count, and (4) urinary fluorescence for riboflavin. Six factors were found to be significantly associated with noncompliance: (1) multiple sexual partners, (2) appointment being made by the adolescent, (3) low evaluation of personal health, (4) feelings of hopelessness, (5) worry about becoming pregnant, and (6) previous abortion. These findings suggest that certain indicators of sexual activity and social psychological status may help predict noncompliance in some adolescent females.
本文前瞻性地测试了多种社会医学和心理社会因素对来自高妊娠风险人群的青春期女性口服避孕药依从性的影响。56名年龄在14 - 19岁、社会经济背景较低的女性接受了一系列预测试量，然后在初次就诊以及1个月、2个月和4个月随访时给予炔诺酮片1/35与核黄素。每次随访时使用由以下内容组成的古特曼量表测量依从性：（1）避免怀孕，（2）遵守预约，（3）药片计数，以及（4）核黄素的尿液荧光。发现六个因素与不依从显著相关：（1）多个性伴侣，（2）由青少年自己预约，（3）对个人健康评价低，（4）绝望感，（5）担心怀孕，以及（6）既往流产史。这些发现表明，性活动和社会心理状态的某些指标可能有助于预测一些青春期女性的不依从情况。
