Meyers A B, Rhodes J E
Department of Psychology, University of Illinois at Urbana-Champaign 61820, USA.
Am J Community Psychol. 1995 Feb;23(1):99-115. doi: 10.1007/BF02506924.
Side effects of oral contraceptives are a noteworthy problem, particularly among low-income young women who reside in inner-city communities. The problem may be compounded by inadequate family planning services, particularly when such services are provided by general medical practices with high volumes of clients. This study examined the prevalence and correlates of pill-related side effects, with particular attention to the role of clinic characteristics. Participants were 177 pregnant and parenting African American adolescents and young women (average age = 18.34). The experience of a pill-related side effect was the most frequently cited barrier to birth control use, and it was significantly related to contraceptive behavior. Finally, although participants attending comprehensive clinics experienced more barriers to medical service use than those attending neighborhood clinics, they reported fewer problems with pill-related side effects and better psychological functioning. Implications for future research and policy are discussed.
口服避孕药的副作用是一个值得关注的问题，尤其是在居住于市中心社区的低收入年轻女性中。计划生育服务不足可能会使这个问题更加复杂，特别是当此类服务由客户量大的普通医疗诊所提供时。本研究调查了与避孕药相关副作用的发生率及其相关因素，特别关注诊所特征所起的作用。研究对象为177名怀孕及育有子女的非裔美国青少年和年轻女性（平均年龄 = 18.34岁）。与避孕药相关的副作用经历是最常被提及的使用避孕措施的障碍，并且它与避孕行为显著相关。最后，尽管在综合诊所就诊的参与者比在社区诊所就诊的参与者在使用医疗服务方面遇到更多障碍，但他们报告的与避孕药相关的副作用问题较少，且心理功能更好。文中讨论了对未来研究和政策的启示。
