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Erschienen in: Maternal and Child Health Journal 9/2017

19.06.2017

Motivations for Interest, Disinterest and Uncertainty in Intrauterine Device Use Among Young Women

verfasst von: Anu Manchikanti Gomez, Bridget Freihart

Erschienen in: Maternal and Child Health Journal | Ausgabe 9/2017

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Abstract

Objective To elucidate salient contraceptive preferences and priorities as they relate to young women’s interest or lack thereof in intrauterine device (IUD) use. Methods Qualitative data were drawn from a 2012 survey on contraceptive preferences and IUD interest. Among 413 young (ages 18–29) women, open-ended responses describing reasons for interest, disinterest or uncertainty in future IUD use were examined using a thematic analysis approach. Results Most participants were unsure about (49.2%) or not interested in (30.0%) future IUD use. Themes regarding IUD interest related to specific facets of IUD use (e.g., risks and side effects, ease of use), as well as broader influences on contraceptive decision-making (e.g., social influences, alignment with pregnancy intentions). For interested participants, a sense of empowerment pervaded the responses, with many references to the ease of use and lack of requisite maintenance. Uninterested participants were concerned about the internal nature of the IUD, with many describing “horror stories” and fears that the IUD would cause injury or infertility. Unsure participants provided more detailed and complex responses, carefully weighing the advantages and disadvantages of IUD use. Uncertainty was often driven by an acknowledged need for specific information, rather than overall lack of knowledge. Conclusions for Practice In this analysis, many women had a clear sense of their contraceptive preferences, which frequently did not align with IUDs. While continuing to remove barriers to IUD access is critical, patient-centered counseling approaches offer the opportunity to support women in best matching with a method that aligns with their preferences.
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Metadaten
Titel
Motivations for Interest, Disinterest and Uncertainty in Intrauterine Device Use Among Young Women
verfasst von
Anu Manchikanti Gomez
Bridget Freihart
Publikationsdatum
19.06.2017
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 9/2017
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-017-2297-9

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