Contraceptive Decision Making Among Latina Immigrants: Developing Theory-Based Survey Items.

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hispanic Health Care International Pub Date : 2020-12-01 Epub Date: 2019-10-24 DOI:10.1177/1540415319883422
Diana N Carvajal, Paola C Rivera Mudafort, Beth Barnet, Arthur E Blank
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引用次数: 4

Abstract

Background: Contraception is important for reproductive autonomy, yet many Latinas do not use contraception consistently despite research reporting a desire to do so. Factors varying in priority and value come into play during contraceptive decision making. When measuring these, relevant survey items may vary by populations.

Aim: This study focused on developing an ethnically responsive, patient-centered, content-valid survey for measuring factors that influence contraceptive decision making among immigrant Latinas.

Method: Nonpregnant self-identified Latinas ages 15 to 24 years in Baltimore, MD, were recruited from a family planning facility. Using the theory of planned behavior as a theoretical framework and prior formative research, initial survey items were drafted (Step 1). Content validation and cognitive interviewing procedures (Step 2 and Step 3) were used to develop final items.

Results: Final items (27) were content-validated by the target population; items reflect important factors and relevant contexts affecting contraceptive decision making among Latinas in Baltimore.

Discussion: These theory-based items provide an important contribution to the literature because they measure and explore factors related to contraceptive decision making in an understudied population. Providers might consider these factors during counseling to build patient-centered communication. These items might serve to measure responses to theory of planned behavior-based interventions designed to improve the contraceptive counseling of Latinas.

拉丁裔移民的避孕决策:基于理论的调查项目开发
背景:避孕对于生殖自主是很重要的,然而许多拉丁美洲人并没有坚持使用避孕措施,尽管研究报告有这样做的愿望。不同的优先级和价值因素在避孕决策中起作用。在测量这些时,相关的调查项目可能因人群而异。目的:本研究的重点是开发一个种族响应,以患者为中心,内容有效的调查,以测量影响拉丁裔移民避孕决策的因素。方法:在马里兰州巴尔的摩市,年龄在15至24岁的未怀孕的拉丁裔女性从计划生育机构招募。使用计划行为理论作为理论框架和先前的形成性研究,起草了初始调查项目(步骤1)。使用内容验证和认知访谈程序(步骤2和步骤3)来制定最终项目。结果:最终项目(27项)得到目标人群的内容验证;项目反映了影响巴尔的摩拉丁裔避孕决策的重要因素和相关背景。讨论:这些基于理论的项目为文献提供了重要的贡献,因为它们在未充分研究的人群中测量和探索与避孕决策相关的因素。提供者在咨询时可能会考虑这些因素,以建立以病人为中心的沟通。这些项目可以用来衡量对旨在改善拉丁裔避孕咨询的计划行为干预理论的反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hispanic Health Care International
Hispanic Health Care International Nursing-Nursing (all)
CiteScore
2.20
自引率
0.00%
发文量
22
期刊介绍: Visit Hispanic Health Care International Online on IngentaConnect to view tables of contents. This peer-reviewed journal serves as an interdisciplinary forum for the dissemination of information for clinical practice, education, research, and policy on issues concerning Hispanic/Latino populations in the United States. A unique feature of Hispanic Health Care International is the availability of all abstracts in both English and Spanish. Each article is reviewed by at least two experts on the topic. The interdisciplinary editorial board comprises experts in a variety of clinical, policy, and research areas.
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