Cushman L F, Davidson A R, Kalmuss D, Heartwell S, Rulin M
Center for Population and Family Health, Columbia University School of Public Health, New York, NY, USA.
Contraception. 1996 May;53(5):285-91.
This study documents the counseling experiences and beliefs about Norplant implants that are held by an ethnically diverse sample of low income clinic patients in the United States. Virtually all implant acceptors, but only about half of those choosing other contraceptives, receive information about the Norplant system during clinic-based counseling. Exposure to group counseling and to a film regarding Norplant implants are associated with high levels of knowledge among acceptors. Several important patterns emerge in comparing the beliefs of patients choosing the Norplant system with those of patients choosing other methods of birth control. Substantial proportions of the latter group adhere to several inaccurate beliefs about the method, associating its use with: long-term health problems, problems for future babies, future fertility problems, infection, and high cost. These outcomes in particular, as well as several others described, should be systematically addressed and reviewed in contraceptive counseling.
本研究记录了美国低收入诊所中不同种族的患者对诺普兰皮下埋植剂的咨询经历和看法。几乎所有接受皮下埋植剂的人，但只有约一半选择其他避孕方法的人，在基于诊所的咨询过程中获得了有关诺普兰系统的信息。接受团体咨询和观看关于诺普兰皮下埋植剂的影片与接受者的高知识水平相关。在比较选择诺普兰系统的患者与选择其他避孕方法的患者的看法时，出现了几个重要模式。后一组中有相当比例的人坚持对该方法的一些错误看法，将其使用与以下方面联系起来：长期健康问题、对未来婴儿的问题、未来生育问题、感染和高成本。尤其这些结果以及所描述的其他几个结果，应在避孕咨询中得到系统的解决和审查。
