Family Planning Providers' Perspectives On Dual Protection
Identifieur interne : 000361 ( Istex/Corpus ); précédent : 000360; suivant : 000362Family Planning Providers' Perspectives On Dual Protection
Auteurs : Joanne E. Mantell ; Susie Hoffman ; Theresa M. Exner ; Zena A. Stein ; Kim AtkinsSource :
- Perspectives on Sexual and Reproductive Health [ 1538-6341 ] ; 2003-03.
English descriptors
- KwdEn :
- Abdool karim, American journal, Barrier methods, Cates, Clinic, Community healthcare network, Condom, Contraception, Contraceptive, Contraceptive methods, Dual protection, Emergency contraception, Family planning, Family planning clients, Family planning clinics, Family planning perspectives, Family planning providers, Family planning services, Female condom, Female condoms, Good candidate, Good candidates, Hormonal, Hormonal methods, International family planning perspectives, Last resort, Male condom, Male condoms, Mantell, Many women, Other options, Pregnancy, Pregnancy prevention, Pregnancy risk, Primary method, Provider, Providers need training, Reproductive, Reproductive health, Risk assessment, Several providers, Spermicide, Std, Unintended, Unintended pregnancy.
- Teeft :
- Abdool karim, American journal, Barrier methods, Cates, Clinic, Community healthcare network, Condom, Contraception, Contraceptive, Contraceptive methods, Dual protection, Emergency contraception, Family planning, Family planning clients, Family planning clinics, Family planning perspectives, Family planning providers, Family planning services, Female condom, Female condoms, Good candidate, Good candidates, Hormonal, Hormonal methods, International family planning perspectives, Last resort, Male condom, Male condoms, Mantell, Many women, Other options, Pregnancy, Pregnancy prevention, Pregnancy risk, Primary method, Provider, Providers need training, Reproductive, Reproductive health, Risk assessment, Several providers, Spermicide, Std, Unintended, Unintended pregnancy.
Abstract
CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In‐depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1998, 22 health care providers from a large New York City agency offering contraceptive and STD services described how they balanced STD and pregnancy concerns, viewed risk assessment and assessed various contraceptive methods. RESULTS: STD prevention was seen as an integral part of family planning counseling, and most providers believed that risk assessment should be conducted universally. Providers viewed dual protection as use of condoms along with an effective contraceptive; few advocated use of the male or female condom alone. The female condom was believed to be a disease prevention method of last resort and was considered appropriate only for specific groups of women. Although providers lacked understanding about the effectiveness of the female condom and how to counsel clients concerning its use, they expressed interest in learning more. CONCLUSIONS: Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods.
Url:
DOI: 10.1363/3507103
Links to Exploration step
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<front><div type="abstract" xml:lang="en">CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In‐depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1998, 22 health care providers from a large New York City agency offering contraceptive and STD services described how they balanced STD and pregnancy concerns, viewed risk assessment and assessed various contraceptive methods. RESULTS: STD prevention was seen as an integral part of family planning counseling, and most providers believed that risk assessment should be conducted universally. Providers viewed dual protection as use of condoms along with an effective contraceptive; few advocated use of the male or female condom alone. The female condom was believed to be a disease prevention method of last resort and was considered appropriate only for specific groups of women. Although providers lacked understanding about the effectiveness of the female condom and how to counsel clients concerning its use, they expressed interest in learning more. CONCLUSIONS: Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods.</div>
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<abstract>CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In‐depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1998, 22 health care providers from a large New York City agency offering contraceptive and STD services described how they balanced STD and pregnancy concerns, viewed risk assessment and assessed various contraceptive methods. RESULTS: STD prevention was seen as an integral part of family planning counseling, and most providers believed that risk assessment should be conducted universally. Providers viewed dual protection as use of condoms along with an effective contraceptive; few advocated use of the male or female condom alone. The female condom was believed to be a disease prevention method of last resort and was considered appropriate only for specific groups of women. Although providers lacked understanding about the effectiveness of the female condom and how to counsel clients concerning its use, they expressed interest in learning more. CONCLUSIONS: Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods.</abstract>
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<monogr><title level="j" type="main">Perspectives on Sexual and Reproductive Health</title>
<title level="j" type="alt">PERSPECTIVES ON SEXUAL REPRODUCTIVE HEALTH</title>
<idno type="pISSN">1538-6341</idno>
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<profileDesc><abstract xml:lang="en" style="main"><p>
<hi rend="italic"><hi rend="bold">CONTEXT</hi>
: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In‐depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited.</hi>
</p>
<p>
<hi rend="italic"><hi rend="bold">METHODS</hi>
: In semistructured interviews conducted in 1998, 22 health care providers from a large New York City agency offering contraceptive and STD services described how they balanced STD and pregnancy concerns, viewed risk assessment and assessed various contraceptive methods.</hi>
</p>
<p>
<hi rend="italic"><hi rend="bold">RESULTS</hi>
: STD prevention was seen as an integral part of family planning counseling, and most providers believed that risk assessment should be conducted universally. Providers viewed dual protection as use of condoms along with an effective contraceptive; few advocated use of the male or female condom alone. The female condom was believed to be a disease prevention method of last resort and was considered appropriate only for specific groups of women. Although providers lacked understanding about the effectiveness of the female condom and how to counsel clients concerning its use, they expressed interest in learning more.</hi>
</p>
<p>
<hi rend="italic"><hi rend="bold">CONCLUSIONS</hi>
: Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods.</hi>
</p>
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<correspondenceTo>Author contact: <email>jmantell@cnvlz.com</email>
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<titleGroup><title type="main">Family Planning Providers' Perspectives On Dual Protection</title>
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<creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Susie</givenNames>
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<creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Theresa M.</givenNames>
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<affiliationGroup><affiliation xml:id="a1" countryCode="US"><unparsedAffiliation>Joanne E. Mantell, Susie Hoffman and Theresa M. Exner are research scientists, and at the time of the study, Zena A. Stein was codirector, all at the HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York. Kim Atkins is senior vice resident, Community Healthcare Network, New York.</unparsedAffiliation>
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<abstractGroup><abstract type="main" xml:lang="en"><p> <i><b>CONTEXT</b>
: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In‐depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited.</i>
</p>
<p> <i><b>METHODS</b>
: In semistructured interviews conducted in 1998, 22 health care providers from a large New York City agency offering contraceptive and STD services described how they balanced STD and pregnancy concerns, viewed risk assessment and assessed various contraceptive methods.</i>
</p>
<p> <i><b>RESULTS</b>
: STD prevention was seen as an integral part of family planning counseling, and most providers believed that risk assessment should be conducted universally. Providers viewed dual protection as use of condoms along with an effective contraceptive; few advocated use of the male or female condom alone. The female condom was believed to be a disease prevention method of last resort and was considered appropriate only for specific groups of women. Although providers lacked understanding about the effectiveness of the female condom and how to counsel clients concerning its use, they expressed interest in learning more.</i>
</p>
<p> <i><b>CONCLUSIONS</b>
: Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods.</i>
</p>
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<abstract lang="en">CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In‐depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1998, 22 health care providers from a large New York City agency offering contraceptive and STD services described how they balanced STD and pregnancy concerns, viewed risk assessment and assessed various contraceptive methods. RESULTS: STD prevention was seen as an integral part of family planning counseling, and most providers believed that risk assessment should be conducted universally. Providers viewed dual protection as use of condoms along with an effective contraceptive; few advocated use of the male or female condom alone. The female condom was believed to be a disease prevention method of last resort and was considered appropriate only for specific groups of women. Although providers lacked understanding about the effectiveness of the female condom and how to counsel clients concerning its use, they expressed interest in learning more. CONCLUSIONS: Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods.</abstract>
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