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Contraceptive Attitudes and Beliefs of Women With Sickle Cell Disease: A Qualitative Study.
Roe, Andrea H; Wu, Jessica; McAllister, Arden; Aragoncillo, Shelley; Nunyi, Esofi; Voltaire, Samuelle; Pishko, Allyson; Sayani, Farzana; Cebert, Morine.
Afiliação
  • Roe AH; Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: andrea.roe@uphs.upenn.edu.
  • Wu J; Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • McAllister A; Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Aragoncillo S; Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Nunyi E; Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Voltaire S; Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Pishko A; Department of Hematology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Sayani F; Department of Hematology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Cebert M; Dr. Susan L. Davis, RN, & Richard J. Henley College of Nursing, Sacred Heart University, Fairfield, Connecticut.
Womens Health Issues ; 34(4): 409-416, 2024.
Article em En | MEDLINE | ID: mdl-38704343
ABSTRACT

OBJECTIVES:

We aimed to qualitatively explore factors influencing contraceptive use in women living with sickle cell disease (SCD). STUDY

DESIGN:

We conducted a semi-structured qualitative study using data from interviews with reproductive-aged women with SCD. The Theory of Planned Behavior, which describes an individual's attitudes, subjective norms, and perceived behavioral control as drivers of a health behavior, served as a framework for data collection and thematic analysis.

RESULTS:

We analyzed interviews from 20 participants. Attitudes toward contraception showed skepticism regarding hormonal contraception and concern about adverse effects of contraception related to SCD. The role of subjective norms in contraceptive choice depended on whether participants possessed trusted sources of information, such as health care providers, family, and friends, or whether they relied on themselves alone in their contraceptive decision-making. The influence of health care providers was complicated by inconsistent and sometimes conflicting counseling. Finally, with regard to participants' perceived control in their contraceptive choices, some were motivated to alleviate menstrual pain or prevent SCD-related pregnancy risks, but many reported feeling disempowered in contraceptive decision-making settings because of ways that healthcare providers exerted pressure or responded to participants' demographic characteristics.

CONCLUSIONS:

Women living with SCD are influenced by many factors similar to those documented for other populations when making decisions about contraception. However, SCD amplifies both the importance and risks of contraception and may also complicate individuals' autonomy and contraceptive access. Hematology and reproductive health providers should recognize the risk of coercion, maximize patients' reproductive agency, and coordinate reproductive health counseling for patients with SCD.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Anticoncepção / Comportamento Contraceptivo / Pesquisa Qualitativa / Anemia Falciforme Limite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: Womens Health Issues Assunto da revista: GINECOLOGIA / OBSTETRICIA / SAUDE DA MULHER Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Anticoncepção / Comportamento Contraceptivo / Pesquisa Qualitativa / Anemia Falciforme Limite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: Womens Health Issues Assunto da revista: GINECOLOGIA / OBSTETRICIA / SAUDE DA MULHER Ano de publicação: 2024 Tipo de documento: Article
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