Under (implicit) pressure: young Black and Latina women's perceptions of contraceptive care

Gómez, Anu Manchikanti; Wapman, Mikaela

doi:10.1016/j.contraception.2017.07.007

Cited by 181 publications

(183 citation statements)

References 29 publications

Supporting

Mentioning

170

Contrasting

Unclassified

Order By: Relevance

“…Women who did not desire an ongoing contraceptive method thus appreciated when they did not feel pressured to adopt a method or a particular method and were disappointed when clinic staff did not seem to respect their preferences. Patients' experiences and concerns about "pushiness" have previously been described in the literature as a feeling of "implicit pressure," where patients perceive the provider has a goal that she leave with a particular contraceptive method (Gomez & Wapman, 2017). We find that, for some women, being in a clinic environment that ensured autonomous decision making and was not "pushy" came as a welcomed surprise.…”

Section: Discussionmentioning

confidence: 61%

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

Biggs

Kimport

Mays

et al. 2019

Women's Health Issues

View full text Add to dashboard Cite

Objectives: Research aimed at understanding women's experiences accessing emergency contraception (EC) services and the extent to which providers support women's autonomous contraceptive decision making is limited. This study explores young women's experiences with contraceptive counseling when accessing EC at family planning specialty clinics that serve young adult and adolescent patients. Methods: We conducted 22 in-depth telephone interviews with women ages 15-25 years who had recently accessed EC at two San Francisco Bay Area youth-serving clinics about their thoughts and experiences using and accessing contraception. We analyzed transcripts thematically, using inductive qualitative analytic methods to identify patterns across the interviews. Results: Most respondents described their recent clinic visit to access EC positively. Specifically, they expressed appreciation about receiving comprehensive information about other methods of contraception without pressure, judgment, or the expectation that they adopt a particular method. They also pointed to the influence of prior health care experiences in which they felt pressured or judged, leading them to avoid accessing future reproductive health services. Conclusions: We found that young women seeking EC appreciated learning about other contraceptive methods, but do not want to feel pressured to adopt a method in addition to EC. Findings highlight the importance of respecting young women's contraceptive decisions for building and maintaining provider trust and suggest that contraceptive counseling approaches that prioritize specific methods may reduce some young women's trust in providers and use of reproductive health services.

show abstract

Section: Discussionmentioning

confidence: 61%

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

Biggs

Kimport

Mays

et al. 2019

Women's Health Issues

View full text Add to dashboard Cite

show abstract

“…However, 19 of the 26 manuscripts did not provide enough information for us to adequately assess potential researcher bias in elements such as the research question or participant recruitment. Some articles were based on posthoc analyses related to patient–provider interactions . Studies varied in their analytic rigor and in the clarity with which the analytic strategy was described.…”

Section: Resultsmentioning

confidence: 99%

“…Some U.S. teenagers reported that providers were either under‐ or overenthusiastic about the ring, or did not mention the ring as an option at all . In a study exploring the implicit bias that many patients perceive from their providers, one young adult reported feeling pressured to have an IUD inserted; she explained that her provider had given her more information about the IUD than about other methods, and had demonstrated a flat affect when speaking about such options as the ring . A young adult in a different U.S. study felt pressured to use the ring because her provider said it was a great method; she anticipated that she would not like it, was proven correct after trying it and discontinued use after one week …”

Section: Resultsmentioning

confidence: 99%

A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings: Implications for New Technologies

Vargas

Midoun

Guillen

et al. 2019

Perspect Sexual Reproductive

View full text Add to dashboard Cite

CONTEXT Vaginal rings are available for contraception and hormone replacement, and are being developed as HIV/STD or multipurpose prevention technologies. A comprehensive understanding of women's expectations of and experiences with rings is urgently needed to inform product development and to optimize ring use. METHODS Three databases (PubMed, Global Health and CINAHL) were searched for English‐language, peer‐reviewed articles published between January 1996 and November 2017 that reported qualitative data on barriers to and facilitators of use of female‐controlled contraceptive methods. Data on study methods, findings and conclusions pertaining to contraceptive rings were extracted, organized and analyzed. RESULTS Twenty‐six articles, all published since 2008, met the inclusion criteria. Seven studies focused largely or entirely on rings (and involved current, former or potential users), while the others focused on other contraceptive methods but included ring‐specific data. Familiarity with the ring was low, and women commonly had initial concerns about the method—often related to insertion and removal, cleanliness and discomfort with touching their vagina—that were typically overcome over time. Other major themes were issues related to ring use and discontinuation, the importance of ring‐related properties and characteristics, and considerations related to sexual partners and health care providers. CONCLUSIONS Qualitative data have the potential to inform ring design and promotion. Future research should further explore women's expectations and experiences with the ring, the value of involving male partners in ring evaluation, and evaluation of interventions to improve patient–provider communication concerning ring choice and use.

show abstract

“…These findings are consistent with studies examining contraceptive preferences among young adult women and adolescents. [45][46][47] The language around contraception and the women's subjectivity of their own contraceptive choices and behavior is inconsistent with widely accepted scientific data about safety. For instance, women in one study reported thinking that contraception would both increase their risk of cancer and cause harm to later fertility, whereas numerous high-level studies have shown that contraception can decrease the relative risk of many types of cancer and is protective of future fertility.…”

Section: Discussionmentioning

confidence: 99%

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Alspaugh

Barroso

Reibel

et al. 2019

J Midwife Womens Health

View full text Add to dashboard Cite

Introduction: Unintended pregnancy rates will remain high until researchers explore the lived experience of women's relationships with contraception. This integrative review examines the extant qualitative literature on women's contraception to illuminate common themes in women's perspectives through the lens of the feminist poststructuralist framework. Methods: A literature review of PubMed and CINAHL databases was completed for English-language studies conducted in the United States from January 2008 through September 2018 that qualitatively examined women's perceptions, beliefs, and attitudes regarding contraception. Reports, dissertations, mixed-methods research, and literature reviews were excluded. The sample, methods, and findings of 19 studies were reviewed. Themes were identified using the 5 major tenets of the feminist poststructuralist framework: discourse, power, language, subjectivity, and agency. Results: Themes of power imbalance between partners and health care providers; societal and communal discourses on femininity and motherhood; distrust of hormonal contraception; the ability to enhance personal agency through contraceptive decision making; and a need for open, patient-focused communication arose from the 19 studies included in the review. Discussion: Using a feminist poststructuralist framework to examine women's contraceptive perceptions illuminates and magnifies the many ways in which contraceptive beliefs and use are dependent on gender roles and power dynamics. Gaps in knowledge specific to older women and exploration of women's subjectivity should be addressed. Clinicians should evaluate the power structures inherent to their practice while providing woman-focused, evidence-based contraceptive education.

show abstract

Under (implicit) pressure: young Black and Latina women's perceptions of contraceptive care

Cited by 181 publications

References 29 publications

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings: Implications for New Technologies

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Contact Info

Product

Resources

About