"想象怀孕"：加利福尼亚一个农业社区的拉丁裔新成人对怀孕、堕胎和养育子女的看法

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110585

AE Bryson, PS Nordstrom Miranda, MS Zerofsky, AB Baez De Luna, AM Minnis, M Raymond-Flesch

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引用次数: 0

摘要

方法在一项混合方法的前瞻性队列研究中，对从八年级开始跟踪调查的新兴成年人进行了访谈（5/2023-1/2024），选择了一个子集以实现当前关系经历的变化。结果 41 名参与者（18-21 岁；女性 21 人，男性 18 人，非二元性 2 人；第一代移民 12%，第二代移民 71%，第三代移民 17%）接受了访谈。参与者报告的目前避孕的原因包括教育目标、成熟度、"还没准备好"、经济状况、不想让父母失望以及其他个人目标。当被要求想象自己（或伴侣）现在是否怀孕时，许多人表示有负面情绪（"......怀孕是现在最糟糕的事情"），而很少有人表示有正面情绪。参与者在堕胎（"......我只是觉得我必须堕胎，因为我甚至不能照顾好自己"）和养育孩子（"我想如果我有了孩子，我会非常想养育他并参与他的生活"）之间各执一词。领养很少被讨论，只是在无法堕胎的情况下作为第二选择出现。家庭价值观、支持系统和未来目标是驱动想象中的怀孕决定的关键因素。结论我们捕捉到了那些通常在堕胎研究中代表性不足的人对怀孕、堕胎和养育子女的观点，包括新兴成人、男性和非二元个体以及具有移民身份的人。此类研究对于了解这些人群如何在不断变化的人工流产政策环境中驾驭其性健康和生殖健康至关重要。

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“IMAGINE A PREGNANCY”: PERSPECTIVES ON PREGNANCY, ABORTION, AND PARENTING OF LATINE EMERGING ADULTS IN AN AGRICULTURAL COMMUNITY IN CALIFORNIA

Objectives

We aimed to describe perspectives on pregnancy, abortion, and parenting among Latine emerging adults.

Methods

In a mixed-methods prospective cohort study of emerging adults followed since eighth grade, interviews were conducted (5/2023-1/2024) with a subset selected to achieve variation in current relationship experience. Directed content and inductive analyses of transcripts were completed.

Results

Forty-one participants (ages 18-21 years; n=21 female, n=18 male, n=2 non-binary; 12% first generation, 71% second generation, and 17% third generation immigrants) were interviewed. Participant-reported reasons to prevent pregnancy currently included educational goals, maturity, “not ready”, finances, desire not to disappoint parents, and other personal goals. When asked to imagine if they (or their partner) were pregnant now, many reported negative feelings (“…being pregnant would be the worst thing right now”), while few reported positive feelings. Participants were split between preferring abortion (“…I just feel like I would have to abort it just because I can’t even take care of myself”) and parenting (“I think if I had a child, I would really want to raise it and be involved in its life”). Adoption was rarely discussed and arose as a second-tier option if abortion was not available. Family values, support systems, and future goals were critical factors driving imagined pregnancy decisions.

Conclusions

We captured perspectives on pregnancy, abortion, and parenting of those typically underrepresented in abortion research, including emerging adults, male and non-binary individuals, and those with immigrant identities. Such research is critical to understanding how these populations are navigating their sexual and reproductive health in an evolving abortion policy landscape.

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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.