Young women’s reproductive health conversations: Roles of maternal figures and clinical practices


Autoři: Nicole K. Richards aff001;  Elizabeth Crockett aff004;  Christopher P. Morley aff001;  Brooke A. Levandowski aff001
Působiště autorů: Department of Family Medicine, State University of New York Upstate Medical University, Syracuse, New York, United States of America aff001;  Department of Public Health and Preventive Medicine, State University of New York Upstate Medical University, Syracuse, New York, United States of America aff002;  School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada aff003;  REACH CNY, Incorporated, Syracuse, New York, United States of America aff004;  Department of Psychiatry, Upstate University Hospital, Syracuse, New York, United States of America aff005;  Department of Obstetrics and Gynecology, University of Rochester, Rochester, New York, United States of America aff006
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: 10.1371/journal.pone.0228142

Souhrn

Objective

To explore the role of clinical providers and mothers on young women’s ability to have confidential, candid reproductive health conversations with their providers.

Methods

We conducted 14 focus groups with 48 women aged 15–28 years (n = 9), and 32 reproductive healthcare workers (n = 5). Focus groups were audio recorded and transcribed. Data were analyzed using inductive coding and thematic analyses. We examined findings through the lens of paternalism, a theory that illustrates adults’ role in children’s autonomy and wellbeing.

Results

Mothers have a substantial impact on young women’s health values, knowledge, and empowerment. Young women reported bringing information from their mothers into patient-provider health discussions. Clinical best practices included intermingled components of office policies, state laws, and clinical guidelines, which supported health workers’ actions to have confidential conversations. There were variations in how health workers engaged young women in a confidential conversation within the exam room.

Conclusions

Both young women and health workers benefit from situations in which health workers firmly ask the parent to leave the exam room for a private conversation with the patient. Young women reported this improves their comfort in asking the questions they need to make the best decision for themselves. Clinic leadership needs to ensure that confidentiality surrounding young women’s reproductive health is uniform throughout their practice and integrated into patient flow.

Klíčová slova:

Adolescents – Behavioral and social aspects of health – Decision making – Female contraception – Child health – Nurses – Parenting behavior – State law


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