Forrest J D, Frost J J
Alan Guttrnacher Institute (AGI), New York, USA.
Fam Plann Perspect. 1996 Nov-Dec;28(6):246-55, 277.
A 1995 telephone survey of 1,852 low-income women aged 18-34 who were sexually active and at risk of unintended pregnancy found that 83% were currently practicing contraception. They were more likely to do so if they held positive attitudes toward contraceptive use, if they talked frequently about intimate matters with their partners and girlfriends and if they were very satisfied with the services they received at their last gynecologic visit. Seventy percent of current users said they were very satisfied with their method. Women whose last visit was to a clinic, who were very satisfied with the care they received and who used the pill or a long-acting method were more likely than others to report being very satisfied with their contraceptive. Women very satisfied with their gynecologic care were more likely to use oral contraceptives and to take them consistently, but were less likely to report that their partner used condoms or, if they did, used them consistently. Most women had made a medical visit for gynecologic or contraceptive care in the past year (86%), and 80% were very satisfied overall with their care at their last visit. Women were more likely to be very satisfied if the staff was courteous, helpful and respectful and made an effort to find out their needs, if their clinician's gender matched their own preference and if the facility was clean and services were organized.
1995年对18至34岁有性行为且有意外怀孕风险的1852名低收入女性进行的电话调查发现,83%的女性目前正在采取避孕措施。如果她们对避孕持积极态度、经常与伴侣和女性朋友谈论私密问题,以及对上次妇科就诊时所接受的服务非常满意,那么她们采取避孕措施的可能性就更大。70%的现有使用者表示对自己所采用的方法非常满意。上次就诊是去诊所、对所接受的护理非常满意且使用避孕药或长效避孕方法的女性,比其他人更有可能报告对自己的避孕措施非常满意。对妇科护理非常满意的女性更有可能使用口服避孕药并持续服用,但不太可能报告其伴侣使用避孕套,或者即便伴侣使用避孕套也不太可能报告伴侣会持续使用。大多数女性在过去一年中因妇科或避孕护理进行过就诊(86%),80%的女性总体上对上次就诊时所接受的护理非常满意。如果工作人员礼貌、乐于助人且尊重他人,并努力了解她们的需求,如果临床医生的性别符合她们自己的偏好,以及如果医疗机构干净且服务有条理,那么女性就更有可能非常满意。