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Martin-Payo R, Fernandez-Alvarez MDM, Gonzalez-Mendez X, Muñoz-Mancisidor A, Lopez-Dicastillo O. Young Women's Needs Regarding Sexual Preventive Behaviours and Unwanted Pregnancies. Healthcare (Basel) 2024; 12:425. [PMID: 38391801 PMCID: PMC10888484 DOI: 10.3390/healthcare12040425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 02/02/2024] [Accepted: 02/05/2024] [Indexed: 02/24/2024] Open
Abstract
Unwanted pregnancies are considered a public health problem that affects women's mental health and quality of life. The aim of this paper was to access university students' understanding and behaviours regarding unwanted pregnancies and identify their needs to prevent them. Qualitative descriptive design was used, and 13 semi-structured interviews were carried out. Women between 18 and 20 years old participated. They discussed a lack of training for themselves, their partners, and their families, their desire to have access to non-in-person health care resources, and their belief that contraception was expensive. Emotional aspects were relevant, affecting the way communication is established with those close to them and with health professionals. Despite the existence of access to sexual health resources, the findings show the existence of needs related to the prevention of unwanted pregnancies. The findings are presented grouping the main identified needs as "related to capability", "related to opportunity", and "related to motivation". Among the aspects to consider when designing interventions to prevent unwanted pregnancies are the feelings shown by these women, the inclusion of couples and family members in educational programs, and access to non-face-to-face health resources and less expensive contraceptive methods. Interventions for social support and understanding of women are necessary both to prevent unwanted pregnancies and to support adolescents with unwanted pregnancies by avoiding criminalization or blame.
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Affiliation(s)
- Ruben Martin-Payo
- Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, 33006 Oviedo, Spain
- PRECAM Research Group, Instituto de Investigación Sanitaria del Principado de Asturias, 33011 Oviedo, Spain
| | - María Del Mar Fernandez-Alvarez
- Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, 33006 Oviedo, Spain
- PRECAM Research Group, Instituto de Investigación Sanitaria del Principado de Asturias, 33011 Oviedo, Spain
| | - Xana Gonzalez-Mendez
- Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, 33006 Oviedo, Spain
- PRECAM Research Group, Instituto de Investigación Sanitaria del Principado de Asturias, 33011 Oviedo, Spain
- Atención Primaria, Área Sanitaria 3, Servicio de Salud del Principado de Asturias, 33401 Aviles, Spain
| | - Aránzazu Muñoz-Mancisidor
- Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, 33006 Oviedo, Spain
- PRECAM Research Group, Instituto de Investigación Sanitaria del Principado de Asturias, 33011 Oviedo, Spain
- Unidad Materno-Infantil, Área Sanitaria 3, Servicio de Salud del Principado de Asturias, 33401 Aviles, Spain
| | - Olga Lopez-Dicastillo
- Departamento de Ciencias de la Salud, Facultad de Ciencias de la Salud, Universidad Pública de Navarra-UPNA, 31008 Pamplona, Spain
- IdiSNA-Instituto de Investigación Sanitaria de Navarra, 31008 Pamplona, Spain
- CreaP Research Group, Universidad Pública de Navarra-UPNA, 31008 Pamplona, Spain
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Burke HM, Ridgeway K, Murray K, Mickler A, Thomas R, Williams K. Reproductive empowerment and contraceptive self-care: a systematic review. Sex Reprod Health Matters 2022; 29:2090057. [PMID: 35892261 PMCID: PMC9336472 DOI: 10.1080/26410397.2022.2090057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- Holly M. Burke
- Scientist, FHI 360, Reproductive, Maternal, Newborn, and Child Health division, Durham, NC, USA. Correspondence:
| | - Kathleen Ridgeway
- Research Associate, FHI 360, Health Services Research division, Durham, NC, USA
| | - Kate Murray
- Research Associate, FHI 360, Reproductive, Maternal, Newborn, and Child Health division, Durham, NC, USA
| | - Alexandria Mickler
- Program Analyst, USAID/Public Health Institute, Office of Population and Reproductive Health, Washington, DC, USA
| | - Reana Thomas
- Technical Officer, FHI 360, Research Utilization division, Durham, NC, USA
| | - Katie Williams
- MPH Candidate, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Fellow, FHI 360, Durham, NC, USA
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