Views and experiences of long-acting reversible contraception among ethnic minorities in high-income countries: a systematic review of qualitative studies.

IF 3.4 3区 医学 Q1 FAMILY STUDIES
Sumayyah Ahmed, Abigail McLoughlin Dymond, Michele Correa, Merlin L Willcox
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Abstract

BackgroundEthnic minorities in high-income countries have higher rates of unintended pregnancies but are less likely to use highly efficacious long-acting reversible contraception (LARC). The reasons for this are unclear.

Aim: To understand the views and experiences of ethnic minorities within high-income countries about LARC.

Methodology: Medline, CINAHL, EMBASE and Sociological Abstracts were searched systematically to find qualitative articles about views on LARC. Titles and abstracts were screened to select qualitative studies about LARC whose participants were mainly from ethnic minorities in high-income countries. Quality assessment was conducted using the Critical Appraisal Skills Programme (CASP) tool. Thematic synthesis was conducted.

Results: Seventeen studies (19 articles) met the inclusion criteria, 14 of which were from the USA (227 participants identified as Latina, 222 Black, 15 multiracial, 4 Asian). Two studies included 32 Chinese women in the UK and Australia and one included 20 Aboriginal women in Australia. Factors influencing uptake of LARC included side effects, convenience, and perceived efficacy of LARC compared with other methods; women's ideas, concerns and expectations; and external influences (partner, family/friends, health professionals and society). Convenience of LARC, control over reproductive decisions, and desire to prevent pregnancy were the main facilitators. Barriers included specific cultural concerns about irregular bleeding, concerns about racial discrimination, and family/friends having negative views on LARC.

Conclusions: Ethnic minority women often have additional needs and concerns about LARC compared with the White majority. Further research is needed to develop and evaluate customised respectful counselling on contraception options for ethnic minority women and their partners.

高收入国家少数民族对长效可逆避孕的看法和经验:定性研究的系统综述。
背景高收入国家的少数民族意外怀孕率较高,但使用高效长效可逆避孕(LARC)的可能性较小。原因尚不清楚。目的:了解高收入国家少数民族对LARC的看法和经验。方法:系统检索Medline、CINAHL、EMBASE和社会学文摘,寻找关于LARC观点的定性文章。对标题和摘要进行筛选,以选择关于LARC的定性研究,这些研究的参与者主要来自高收入国家的少数民族。使用关键评估技能计划(CASP)工具进行质量评估。进行了专题综合。结果:17项研究(19篇文章)符合纳入标准,其中14项来自美国(227名参与者为拉丁裔,222名黑人,15名多种族,4名亚裔)。两项研究包括英国和澳大利亚的32名中国女性,一项研究包括澳大利亚的20名土著女性。影响LARC吸收的因素包括与其他方法相比,LARC的副作用、方便性和感知疗效;妇女的想法、关切和期望;以及外部影响(伴侣、家人/朋友、卫生专业人员和社会)。LARC的便利性、对生育决策的控制以及预防怀孕的愿望是主要的促进因素。障碍包括对不规则出血的特定文化担忧、对种族歧视的担忧以及家人/朋友对LARC的负面看法。结论:与大多数白人相比,少数族裔女性对LARC往往有额外的需求和担忧。需要进一步研究,为少数民族妇女及其伴侣制定和评估关于避孕选择的定制尊重咨询。
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
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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