Contraceptive Decision-Making and the Importance of Side Effect Information Among a Sample of Latinas.
JournalWomen's Health Reports (New Rochelle, N.Y.)
PublisherMary Ann Liebert Inc.
MetadataShow full item record
AbstractContext: U.S. Latinas have lower rates of contraceptive use and report more negative counseling experiences compared to non-Latina white women. Patient-centered approaches to contraceptive counseling are desired among Latinas and are also associated with patient satisfaction; yet, clinicians may not always use counseling methods that best support decision-making among marginalized groups. Objective: To examine Latinas' expectations of physician communication about contraceptive side effects, reported importance of personal knowledge about side effects, and the association of these with contraceptive use and use consistency. Materials and Methods: One hundred three self-identified Latinas aged 15-29 years at two urban federally qualified health centers completed a survey measuring factors associated with contraceptive use and consistency. Bivariate analysis was used to assess demographic and contraceptive information preferences. Associations between categorical variables were assessed using two-sided Fisher's exact tests. Continuous variables were compared using two-sided t-test. Results: The majority of respondents (85%) expected physicians to tell them about birth control side effects and reported that this information is important to use contraception, regardless of current contraceptive use. Among inconsistent and nonusers, importance of knowledge of side effects depended on expectations of information-sharing from physicians (p < 0.05). Conclusions: Expectations regarding side effect information-sharing by physicians and patient knowledge of side effects are important for the contraceptive decision-making process of this Latina group, regardless of contraceptive use. Clinicians engaging in contraceptive counseling should focus on providing clear and accurate information about side effects of discussed methods to facilitate informed decision-making and equitable, patient-centered contraceptive care for this vulnerable population.
Rights/Terms© Gaia Cicerchia et al., 2022; Published by Mary Ann Liebert, Inc.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/18016
- Latina contraceptive decision-making and use: The importance of provider communication and shared decision-making for patient-centered care.
- Authors: Carvajal DN, Klyushnenkova E, Barnet B
- Issue date: 2021 Sep
- How can Primary Care Physicians Best Support Contraceptive Decision Making? A Qualitative Study Exploring the Perspectives of Baltimore Latinas.
- Authors: Carvajal DN, Gioia D, Mudafort ER, Brown PB, Barnet B
- Issue date: 2017 Mar - Apr
- Cluster randomized trial of a patient-centered contraceptive decision support tool, My Birth Control.
- Authors: Dehlendorf C, Fitzpatrick J, Fox E, Holt K, Vittinghoff E, Reed R, Campora MP, Sokoloff A, Kuppermann M
- Issue date: 2019 Jun
- Challenging Stereotypes: A Counter-Narrative of the Contraceptive Experiences of Low-Income Latinas.
- Authors: Carvajal DN, Zambrana RE
- Issue date: 2020
- Women's preferences for contraceptive counseling and decision making.
- Authors: Dehlendorf C, Levy K, Kelley A, Grumbach K, Steinauer J
- Issue date: 2013 Aug