Women's preferences for contraceptive counseling and decision making

Little is known about what women value in their interactions with family planning providers and in decision making about contraception. We conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory. While women wanted control o...

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Vydáno v:	Contraception (Stoneham) Ročník 88; číslo 2; s. 250 - 256
Hlavní autoři:	Dehlendorf, Christine, Levy, Kira, Kelley, Allison, Grumbach, Kevin, Steinauer, Jody
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	New York, NY Elsevier Inc 01.08.2013 Elsevier
Témata:	Adult African Continental Ancestry Group Biological and medical sciences Contraception Contraception - adverse effects Contraception - methods Contraception Behavior Contraceptives Counseling Decision Making Ethnic Groups European Continental Ancestry Group Family Planning Services Female Genital system. Reproduction Gynecology. Andrology. Obstetrics Hispanic Americans Humans Medical sciences Middle Aged Obstetrics and Gynecology Patient Preference Patient preferences Pharmacology. Drug treatments Physician-Patient Relations Race/ethnicity Shared decision making Social Networking Patient preferences Shared decision making Contraception Race/ethnicity Counseling Human Decision making Council Ethnic group Biomedical information Preference Race Female Contraceptive Woman
ISSN:	0010-7824, 1879-0518, 1879-0518
On-line přístup:	Získat plný text
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Popis
Shrnutí:	Little is known about what women value in their interactions with family planning providers and in decision making about contraception. We conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory. While women wanted control over the ultimate selection of a method, most also wanted their provider to participate in the decision-making process in a way that emphasized the women's values and preferences. Women desired an intimate, friend-like relationship with their providers and also wanted to receive comprehensive information about options, particularly about side effects. More black and Spanish-speaking Latinas, as compared to whites and English-speaking Latinas, felt that providers should only share their opinion if it is elicited by a patient or if they make their rationale clear to the patient. While, in the absence of medical contraindications, decision making about contraception has often been conceptualized as a woman's autonomous decision, our data indicate that providers of contraceptive counseling can participate in the decision-making process within limits. Differences in preferences seen by race/ethnicity illustrate one example of the importance of individualizing counseling to match women's preferences.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0010-7824 1879-0518 1879-0518
DOI:	10.1016/j.contraception.2012.10.012