Withdrawal attitudes and experiences: a qualitative perspective among young urban adults.
CONTEXT: Withdrawal is a widely used pregnancy prevention practice, but is popularly regarded as ineffective. An in-depth study of withdrawal behaviors would improve understanding of its role in reproductive health care. METHODS: Ninety-five ethnically diverse males and females aged 18-25, recruited...
| Publicado en: | Perspectives on Sexual & Reproductive Health Vol. 42; no. 2; pp. 102 - 110 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2010
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105023420&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105023420 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386341 K87 jtl: Perspectives on Sexual & Reproductive Health issn: 15386341 maglogo: Y pubinfo: dt: Jun2010 vid: 42 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105023420 2010679891 10.1363/4210210 NLM20618749 105023420 ppf: 102 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Withdrawal attitudes and experiences: a qualitative perspective among young urban adults. aug: au: Whittaker PG Merkh RD Henry-Moss D Hock-Long L affil: Associate research director, Family Planning Council, Philadelphia, PA sug: subj: Sexual Intercourse Contraception Methods Contraception Methods Urban Areas Adolescence Adult Ajzen's Theory of Planned Behavior Black Persons Data Analysis Software Female Funding Source Hispanic Americans Human Interviews Male Physician-Patient Relations Q-Sort Qualitative Studies White Persons Adolescent: 13-18 years Adult: 19-44 years Female Male ab: CONTEXT: Withdrawal is a widely used pregnancy prevention practice, but is popularly regarded as ineffective. An in-depth study of withdrawal behaviors would improve understanding of its role in reproductive health care. METHODS: Ninety-five ethnically diverse males and females aged 18-25, recruited through family planning clinics and community outreach in a large U.S. city, participated in semistructured, open-ended interviews in 2006 and 2007. Interviews examined up to six heterosexual relationships and focused on contraceptive attitudes, norms and experiences. Transcripts were reviewed and coded, and key themes related to withdrawal were identified. RESULTS: Withdrawal was a popular contraceptive technique, but opinions on its effectiveness were mixed. Some participants (especially women) expressed anxiety concerning pregnancy risk due to perceived ineffectiveness of withdrawal, and women were concerned about their partner's capacity to consistently withdraw prior to ejaculation. Others described confidence and skill in using withdrawal, and considered it effective. Reasons for use of withdrawal included convenience and dissatisfaction with hormonal contraceptives and condoms. Withdrawal was described as an expected alternative to condoms in both casual and long-term relationships, and as a secondary, or backup, method with use of hormonal contraceptives or condoms. Participants had rarely discussed withdrawal with health care providers; knowledge about the method had generally come from less reliable sources, including peers. CONCLUSIONS: Health care provider discussions with patients about withdrawal could give greater insight into risk behaviors. More informed prevention counseling messages would be helped by better effectiveness estimates and understanding of factors most likely to result in withdrawal failure. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|