Youth Perspectives on Pharmacists' Provision of Birth Control: Findings From a Focus Group Study

被引:11
|
作者
Zuniga, Carmela [1 ]
Wollum, Alexandra [1 ]
Katcher, Tonya [2 ]
Grindlay, Kate [1 ]
机构
[1] Ibis Reprod Hlth, 2067 Massachusetts Ave,Suite 320, Cambridge, MA 02140 USA
[2] Advocates Youth, Washington, DC USA
关键词
Adolescents; Youth; Teens; Contraception; Pharmacy; Birth control; Family planning services; Focus groups; CONTROL ACCESS; HEALTH-CARE; ADOLESCENTS; CONFIDENTIALITY; BARRIERS; RISK;
D O I
10.1016/j.jadohealth.2019.05.013
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: Young women face numerous obstacles to accessing contraception, including lack of money, time, or transportation to visit a doctor. In addition, concerns about confidentiality deter many adolescents from seeking contraceptive care. Pharmacists in Washington, D.C. will soon be able to prescribe hormonal birth control, which can potentially increase contraceptive access for adolescents. This study explores the needs and concerns of teens and young women residing in Washington, D.C. to inform implementation of this service. Methods: In this community-based participatory research study, four focus group discussions were conducted in February 2017, two with teen females aged 14-17 years and two with young women aged 18-24 years. A youth advisory council, comprising 13 women aged 16-22 years living in Washington, D.C., helped develop the discussion guide and interpret findings. Data were analyzed thematically by age group using inductive and deductive codes. Results: Young people viewed pharmacies as convenient locations to access contraceptives but expressed concerns about privacy, affordability, and pharmacist approachability. Younger participants viewed these concerns as significant barriers for their peers. Participants suggested pharmacies protect privacy and confidentiality by offering private consultation spaces and clear information about what insurance plans can disclose to parents. Participants also recommended pharmacies create a youth-friendly, nonjudgmental environment and offer pharmacists training on contraceptive counseling for youngwomen. Conclusions: Addressing concerns about privacy, costs, and pharmacist approachability can help ensure that youth seeking contraceptive scan easily access their preferred method. Pharmacies should continuously incorporate young people's feedback to ensure this service remains accessible and acceptable to adolescents. (C) 2019 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码:514 / 519
页数:6
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