Abstract:
OBJECTIVE:Evaluating decisional certainty is an important component of medical care, including preabortion care. However, minimal research has examined how to measure certainty with reliability and validity among women seeking abortion. We examine whether the Decisional Conflict Scale (DCS), a measure widely used in other health specialties and considered the gold standard for measuring this construct, and the Taft-Baker Scale (TBS), a measure developed by abortion counselors, are valid and reliable for use with women seeking abortion and predict the decision to continue the pregnancy. METHODS:Eligible women at four family planning facilities in Utah completed baseline demographic surveys and scales before their abortion information visit and follow-up interviews 3 weeks later. For each scale, we calculated mean scores and explored factors associated with high uncertainty. We evaluated internal reliability using Cronbach's alpha and assessed predictive validity by examining whether higher scale scores, indicative of decisional uncertainty or conflict, were associated with still being pregnant at follow-up. RESULTS:Five hundred women completed baseline surveys; two-thirds (63%) completed follow-up, at which time 11% were still pregnant. Mean scores on the DCS (15.5/100) and TBS (12.4/100) indicated low uncertainty, with acceptable reliability (α=.93 and .72, respectively). Higher scores on each scale were significantly and positively associated with still being pregnant at follow-up in both unadjusted and adjusted analyses. CONCLUSION:The DCS and TBS demonstrate acceptable reliability and validity among women seeking abortion care. Comparing scores on the DCS in this population to other studies of decision making suggests that the level of uncertainty in abortion decision making is comparable to or lower than other health decisions. IMPLICATIONS:The high levels of decisional certainty found in this study challenge the narrative that abortion decision making is exceptional compared to other healthcare decisions and requires additional protection such as laws mandating waiting periods, counseling and ultrasound viewing.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Ralph LJ,Foster DG,Kimport K,Turok D,Roberts SCMdoi
10.1016/j.contraception.2016.09.008subject
Has Abstractpub_date
2017-03-01 00:00:00pages
269-278issue
3eissn
0010-7824issn
1879-0518pii
S0010-7824(16)30410-3journal_volume
95pub_type
杂志文章,多中心研究相关文献
CONTRACEPTION文献大全abstract::A study was conducted to evaluate the effect of NORPLANT use on hemoglobin levels (HB), packed cell volume (PCV) and menstrual bleeding patterns. NORPLANT insertions were performed on 50 healthy volunteers in Ilorin, Nigeria, between January-March 1986. Whole blood samples were collected at admission, 6-month and 12-m...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(89)90059-0
更新日期:1989-03-01 00:00:00
abstract::Combination oral contraceptive (COC) users have reduced risks of ovarian and endometrial cancer, but COCs have not reduced breast cancer risk. We have previously argued that a hormonal contraceptive with substantially lower doses of sex-steroids should reduce breast cancer risk by decreasing the breast epithelial cell...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0010-7824(93)90095-o
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:The study was undertaken to determine the side effects, including depression, of oral contraceptives (OCs) in adolescent girls. METHODS:We conducted a randomized trial of OCs for dysmenorrhea, which assessed side effects and depression. Seventy-six adolescents received an OC (20 microg of ethinyl estradiol/1...
journal_title:Contraception
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.contraception.2006.09.008
更新日期:2007-04-01 00:00:00
abstract::A morphometric study was undertaken to quantitate vessel numbers in uterine biopsies from a control group of patients, patients with dysfunctional uterine bleeding and patients taking low dose norethisterone or levonorgestrel. Vessels were counted at the endometrial/myometrial junction and in the functional endometriu...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(86)80016-6
更新日期:1986-12-01 00:00:00
abstract:OBJECTIVES:The present study aims to prospectively evaluate quality of life (QoL) of women using 52-mg levonorgestrel intrauterine system (LNG-IUS) for contraception determined through the Sociedad Española de Contracepción (Spanish contraception Society) (SEC)-QoL, a questionnaire specifically designed to assess the i...
journal_title:Contraception
pub_type: 杂志文章,多中心研究
doi:10.1016/j.contraception.2015.12.014
更新日期:2016-04-01 00:00:00
abstract::The objectives of this study were to define the "normal" position of the T-shaped intrauterine device (IUD) in the endometrial cavity, using transvaginal ultrasound, and to compare the IUD's position in women with and without complaints of bleeding and/or pain. Vaginal ultrasound was carried out in women who had used ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(97)00072-3
更新日期:1997-07-01 00:00:00
abstract::The incidence of gonorrhea was investigated in an abortion population. A total of 1021 women participated in this study. Three asymptomatic cases of gonorrhea were detected. None of these women had had gonorrhea before or had a previous abortion. No relation was found between the incidence of gonorrhea and age. The ab...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(80)90028-1
更新日期:1980-10-01 00:00:00
abstract::This investigation describes the synthesis of a biodegradable hydrogel composed of a core surrounded by four concentric sheaths containing dextran, copolymers of polylactide and epsilon-caprolactone. The hydrogel was impregnated with iron (II) d-gluconate dihydrate, which causes complete spermiostasis due to lipid per...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2004.02.015
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To assess patterns of contraceptive use at last intercourse among women with physical or cognitive disabilities compared to women without disabilities. STUDY DESIGN:We analyzed responses to 12 reproductive health questions added by seven states to their 2013 Behavioral Risk Factor Surveillance System questio...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2017.12.008
更新日期:2018-06-01 00:00:00
abstract::A five-year study of NORPLANT II rod implants was undertaken in four large cities and metropolitan areas in eastern China. Designed to test the safety, efficacy and acceptability of these implants, the study involved 1,208 women and was conducted concurrently with a similar study of NORPLANT capsule implants. At the e...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/0010-7824(94)90078-7
更新日期:1994-07-01 00:00:00
abstract::Intramuscular administration of STS 557 (17 alpha C-cyanomethyl-17 beta-hydroxy-estra-4,9(10)-diene-3-one) at a daily dose of 12 mg/monkey for 8 weeks induced severe oligospermia to complete azoospermia by the 9th week of initiation of treatment with concomitant decrease in the serum level of testosterone. The sperm m...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(88)90009-1
更新日期:1988-06-01 00:00:00
abstract:BACKGROUND:Tubal ligation (TL) is considered a very efficient contraceptive method. However, some patients complain of a variety of postoperative symptoms. The objective of this study was to investigate whether ovarian reserve may change after tubal ligation. STUDY DESIGN:This was a prospective cohort study of 80 fert...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2012.09.021
更新日期:2013-12-01 00:00:00
abstract::The effects of Nonoxynol-9 and chlorhexidine on sperm motility were compared using the objective Transmembrane Migration Ratio method. These agents were found to be of similar potency in inhibiting sperm motility. The concentrations which reduced sperm motility by 50% (EC50) were 0.205 mg/ml for Nonoxynol-9 and 0.215 ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(85)90108-8
更新日期:1985-08-01 00:00:00
abstract::A 10% sample of the data from East China from the two-per-thousand fertility and contraception survey of the Chinese State Family Planning Committee was analysed to study determinants of contraceptive choice in three situations: after first surviving delivery; before first abortion after first surviving delivery; and ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(93)90022-y
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:Little is known about attitudes and beliefs among teenagers and young women about the intrauterine device (IUD). STUDY DESIGN:We surveyed 252 women, ages 14-27 years, presenting for appointments at an urban family planning clinic about demographics, sexual and birth control history, and opinions about the I...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2010.02.020
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Between 2006 and 2008, Iowa increased access to family planning services through a Medicaid expansion and a privately funded initiative. During this same time, Iowa expanded access to abortion through telemedicine provision of medical abortion. Despite increased access to abortion services, abortions in Iowa...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2014.10.009
更新日期:2015-02-01 00:00:00
abstract::The pharmacokinetics and pharmacodynamic effects of two doses of norethisterone (5mg and 3mg) used as a 'visiting pill' were investigated. There were no significant differences in the pharmacokinetics of the two doses except for the peak concentration achieved and the bioavailability as assessed by the area under the ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(86)90008-9
更新日期:1986-09-01 00:00:00
abstract::The effect of eight common local mineral water drinks in Ile-Ife, Nigeria (seven cola and one lemon-based) on sperm motility in vitro was carried out. There was no significant difference in the pH values of all the drinks, the pH ranged between 2.30-2.50. After one minute, Pepsi-Cola had the least inhibitory effect on...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(87)90092-8
更新日期:1987-10-01 00:00:00
abstract:OBJECTIVE:To understand teen birth trends in Georgia by racial and geographic factors. STUDY DESIGN:We analyzed overall birth and repeat teen birth rates by race, urban/rural status and adequacy of obstetric care from 2008 to 2016 using vital records from all Georgia counties. RESULTS:Overall birth rates among teens ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2018.11.007
更新日期:2019-03-01 00:00:00
abstract::A longitudinal study of coagulation parameters was carried out on 100 Singaporean acceptors using Norplant-2 rods for contraceptive purposes. At the end of 2 years of use, results from this study show a return of platelet count to preinsertion level while platelet aggregation remained significantly enhanced. Thus the ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(89)80004-6
更新日期:1989-02-01 00:00:00
abstract:BACKGROUND:Surgical sterilization has many advantages. Previous information on prevalence and correlates was based on surveys of women. STUDY DESIGN:We estimated the prevalence of vasectomy and tubal ligation of partners for male participants in the 2002 National Survey of Family Growth, a nationally representative su...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2010.03.018
更新日期:2010-09-01 00:00:00
abstract::A study of the effect of a low-dose oral contraceptive, Adepal (ethinyl estradiol and levonorgestrel, 30 and 150 micrograms on the 5th to 12th, 40 and 200 micrograms on the 13th to 28th, respectively) on the blood lipids, lipoproteins and fatty acid composition has been conducted on 13 young women before and after six...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(83)90038-0
更新日期:1983-10-01 00:00:00
abstract::This report combines the data obtained in three multicenter efficacy studies with a new triphasic oral contraceptive combination containing desogestrel (DSG) and ethinyl estradiol (EE). The studies were conducted at 40 investigational sites in the United States (38 centers) and Canada (2 centers) in support of the FDA...
journal_title:Contraception
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/0010-7824(93)90078-l
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:To assess the contraceptive performance of the 52-mg 20 μg/day levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena; Bayer Oy, Turku, Finland) among women who maintain the same device without changes after 60 months. STUDY DESIGN:This is a chart review study in which we assessed the charts of 766 wo...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2017.10.007
更新日期:2018-03-01 00:00:00
abstract::This study was undertaken with a view to investigate the possible mechanism(s) of antifertility action of gossypol acetate in rats and hamsters. Adult male rats were treated by gavage with 30 mg/kg/day of gossypol for 7 weeks and adult male hamsters were treated similarly with 20 mg/kg/day gossypol for 8 weeks. The tr...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(89)90066-8
更新日期:1989-03-01 00:00:00
abstract::Scarce data are available on the relation between the effectiveness of intrauterine device (IUD) and the gynecologic features of a woman. A nested case-control study was conducted to determine whether the uterine position and hysterometry affect the pregnancy rate of copper IUD. Seventy-one cases (pregnant women with ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(02)00480-8
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:To describe the role of worksite characteristics, job role and abortion stigma in clinical abortion workers' occupational stress. STUDY DESIGN:We recruited nurses, medical assistants and counseling staff who provide abortion care at five hospitals and four freestanding clinics in Massachusetts. Study instrum...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2018.07.003
更新日期:2018-12-01 00:00:00
abstract::The uterine sound length, the functional length of the cervix including the zone of internal cervical os and the fundus transversal were determined in 795 fertile women in vivo using a measuring device, the Cavimeter. The functional cavity length was calculated by subtracting the functional length of the cervix from t...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(84)80011-6
更新日期:1984-06-01 00:00:00
abstract::The vaginal bleeding patterns observed during the use of the single-rod progestin-only implant, Implanon, compared with those seen during the use of the six-capsule implant, Norplant, have been analyzed. The acceptability of these bleeding patterns was also assessed. An integrated analysis of 13 different trials was d...
journal_title:Contraception
pub_type: 杂志文章,meta分析,收录出版
doi:10.1016/s0010-7824(98)00123-1
更新日期:1998-12-01 00:00:00
abstract::Effect of antiestrogen ormeloxifene on progesterone-induced development of giant mitochondria in uterine glandular epithelial cells in ovariectomized adult Sprague-Dawley rats was investigated. Antiestrogen tamoxifen and antiprogestin onapristone were used for comparison. Well-formed giant mitochondria were observed i...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(96)00197-7
更新日期:1996-10-01 00:00:00