"因人而异......也因情况而定"：影响美国东南部黑人和拉丁裔社区对堕胎方法偏好的因素

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110570

HV McMahon, P Bhandari, IC Stevenson, T Vyavahare, S Ayala, T Hailstorks, I Hairston, Z Jah, D Dixon Diallo, EA Mosley

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引用次数: 0

摘要

方法我们对佐治亚州的黑人和拉美裔妇女进行了深度访谈（32 人）和焦点小组（30 人），并对堕胎服务提供者和社区组织领导进行了关键信息提供者访谈（12 人）。我们使用斯特劳斯和科尔宾的基础理论协议对数据进行了分析。我们通过方法三角测量验证了由此产生的模型。结果参与者将对隐私和耻辱感、可及性、安全性、时间和疼痛的感知列为人工流产方法偏好的核心决定因素。与程序性人工流产相比，药物流产在很大程度上被认为更私密、更容易获得、污名化程度更低；然而，一些参与者担心药物流产会让人感到孤独。参与者对安全和疼痛的概念则更为多样。许多人认为程序性人工流产是侵入性的，因此本身风险更高、更痛苦，而另一些人则担心药物流产过程中在没有临床医生监督的情况下流产会更不安全，并产生更持久的疼痛。对理想时间的看法也不尽相同：一些人喜欢程序性流产的恢复时间较短，即使需要较长的预约时间，而另一些人则对药物流产的时间控制和较短的等待时间深有感触。人工流产患者咨询中应考虑隐私和耻辱感、可及性、安全性、时间和疼痛等因素，以进一步增强知情决策的能力。同样，程序性流产和药物流产的可及性对于促进患者自主权和满足个人需求也至关重要。

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“IT DEPENDS ON THE PERSON AND…ON THE SITUATION TOO”: FACTORS INFLUENCING ABORTION METHOD PREFERENCES AMONG BLACK AND LATINX COMMUNITIES IN THE US SOUTHEAST

Objectives

We aimed to qualitatively explore factors influencing abortion method preferences among Black and Latinx communities in the US Southeast.

Methods

We conducted in-depth interviews (n=32) and focus groups (n=30) with Black and Latinx women in Georgia, as well as key informant interviews (n=12) with abortion providers and community-based organization leaders. Data were analyzed using Strauss and Corbin’s Grounded Theory protocol. We validated the resulting model through methodological triangulation.

Results

Participants named perceptions of privacy and stigma, accessibility, safety, timing, and pain as core determinants of abortion method preferences. Medication abortion was largely characterized as more private, more accessible, and less stigmatizing than procedural abortion; however, some participants were concerned that medication abortion could feel lonely. Participants’ conceptualizations of safety and pain were more varied. While many viewed procedural abortion as invasive and therefore inherently higher risk and more painful, others worried that passing a pregnancy without clinician oversight during a medication abortion could be less safe and produce longer-lasting pain. Views on ideal timing also differed: Some liked that procedural abortion had a shorter recovery time even if it required longer appointments, while others felt strongly about the control of timing and shorter waits associated with medication abortion.

Conclusions

There are a number of factors that influence abortion method preferences among Black and Latinx communities. Considerations of privacy and stigma, accessibility, safety, timing, and pain should be addressed in abortion patient counseling to further empower informed decision making. Likewise, it is critical that both procedural and medication abortion are accessible to promote patient autonomy and meet individuals’ needs.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.