在危地马拉高地获取和使用避孕的障碍:计划生育自我效能量表的发展。

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2016-04-27 eCollection Date: 2016-01-01 DOI:10.2147/OAJC.S95674
Emma Richardson, Kenneth R Allison, Dionne Gesink, Albert Berry
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引用次数: 18

摘要

要了解危地马拉土著妇女和非土著妇女在计划生育普及率和计划生育需求未得到满足方面持续存在的不平等,就需要在当地探索土著妇女面临的具体障碍。基于社会认知理论,对来自危地马拉Chimaltenango Patzún农村地区的16名年龄在20-24岁、已婚或同居的年轻女性进行了启发式访谈。采用恒常比较法进行内容分析,确定主要主题。基于这一定性研究,以下障碍被纳入到自我效能量表的开发中:缺乏对方法的了解和可用性,对副作用和不孕的恐惧,丈夫反对计划生育(以及相关的对婚姻问题和遗弃的恐惧),来自姻亲和社区的压力,以及认为使用避孕是一种罪恶。这是拉丁美洲第一个针对年轻成年土著妇女制定的循证自我效能量表,旨在解决计划生育问题。
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Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale.

Understanding the persistent inequalities in the prevalence rates of family planning and unmet need for family planning between indigenous and nonindigenous women in Guatemala requires localized explorations of the specific barriers faced by indigenous women. Based on social cognitive theory, elicitation interviews were carried out with a purposive sample of 16 young women, aged 20-24 years, married or in union, from the rural districts of Patzún, Chimaltenango, Guatemala. Content analysis was carried out using the constant-comparison method to identify the major themes. Based on this qualitative study, the following barriers are incorporated into the development of a self-efficacy scale: lack of knowledge about and availability of methods, fear of side effects and infertility, husbands being against family planning (and related fears of marital problems and abandonment), pressure from in-laws and the community, and the belief that using contraception is a sin. This is the first evidence-informed self-efficacy scale developed with young adult, indigenous women that addresses the issue of family planning in Latin America.

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