无子女人群的永久性避孕：一项探索性研究。

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-11-08 DOI:10.1016/j.contraception.2024.110746

Ashley B. Parker , Jessica E. Morse , Amy G. Bryant

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引用次数: 0

摘要

研究目的研究设计：我们对美国 18 岁及以上、无亲生子女、正在寻求或曾经寻求过永久避孕手术的人群进行了横断面调查。参与者完成了通过社交媒体平台（包括 Reddit、TikTok 和 Facebook）发布的在线 REDCap 调查：400名受访者完成了调查，其中151人（38%）接受了永久避孕手术，44人（11%）已找到医生实施手术，但尚未接受手术，32人（8%）无法找到医生实施手术，83人（21%）正在寻找医生，90人（22%）尚未寻找医生。受访者主要为白人（88%），女性（83%），性取向多样（异性恋 42%，双性恋 41%）。寻求永久避孕的原因包括不想要孩子（96%）、害怕怀孕/生孩子（70%）、世界现状（68%）、环境原因（59%）和医疗原因（32%）。接受治疗的障碍包括手术费用（30%）和找不到愿意实施手术的医生（42%）。在 151 名接受过永久性避孕手术的受访者中，有 70 人（46%）找过不止一位医生做手术。在接受过永久性避孕手术的受访者中，97%的人对 "你认为绝育作为一种永久性的节育方法对你来说是一个好的选择吗？"的回答是 "是"：无子女者寻求绝育的原因多种多样，其后悔的风险可能低于文献中报道的采取永久性避孕措施的准绝育者：临床医生应了解不想要孩子的患者采取永久性避孕措施的障碍。为寻求永久性避孕的患者提供以患者为中心的个性化护理，可确保患者不会面临不必要的护理障碍，并能感受到自己的生殖偏好得到倾听和授权。

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Permanent contraception in the childfree population: An exploratory study

Objectives

This study aimed to describe the childfree population seeking permanent contraception, identify barriers to receiving care, and characterize the incidence of regret.

Study design

We conducted a cross-sectional survey of people in the United States, aged 18 years and older, without biological children, and who are seeking or have previously sought a permanent contraception procedure. Participants completed an online REDCap survey distributed over social media platforms, including Reddit, TikTok, and Facebook.

Results

A total of 400 respondents completed the survey, of whom 151 (38%) underwent a permanent contraception procedure, 44 (11%) had found a doctor to perform a procedure but not yet undergone it, 32 (8%) had been unable to find a doctor to do the procedure, 83 (21%) were seeking a doctor, and 90 (22%) had not yet sought a doctor.

Respondents were predominantly White (88%), identified as women (83%), and were diverse in sexual orientation (heterosexual 42%, bisexual 41%). Reasons for seeking permanent contraception included not wanting children (96%), fear of pregnancy/childbirth (70%), the current state of the world (68%), environmental reasons (59%), and medical reasons (32%). Barriers to care included cost of the procedure (30%) and inability to find a doctor who would perform the procedure (42%).

Of the 151 respondents who had undergone a permanent contraception procedure, 70 (46%) asked more than one doctor for the procedure. Of those with permanent contraception, 97% answered “yes” to “Do you think sterilization as a permanent method of birth control was a good choice for you?”

Conclusions

Childfree individuals have a variety of reasons for seeking sterilization and may be at a lower risk of regret than reported in the literature for parous people with permanent contraception.

Implications

Clinicians should be aware of the barriers to permanent contraception for patients who do not desire to have children. Providing patient-centered, individualized care to patients seeking permanent contraception can ensure that patients do not face unnecessary barriers to care and feel heard and empowered to enact their reproductive preferences.

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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.