Preferences Of Young Women Research Articles

Young women's preferences for contraceptive education: The importance of the clinician in three U.S. health centers in 2017-2018

ObjectiveWe explored women's preferences for contraceptive education and assess the role of the clinician in delivering this education in three U.S. health centers in 2017-2018. Study designWe recruited women ages 16 to 29 presenting for gynecologic care at 3 clinical sites. Respondents completed a survey about preferences for receipt of contraceptive information and trustworthiness of information sources. ResultsWe included 270 respondents’ surveys (77.6% of approached). Clinicians were the most preferred (87.0%) and trusted (83.5%) source of contraceptive information, and 69.0% said a clinician's recommendation made a source more trustworthy. ConclusionsClinicians are a trusted source of contraceptive information; their recommendations of other educational resources may improve acceptance by patients.

Family building preferences among young women with invasive breast cancer.

e24057 Background: The American Society of Clinical Oncology guidelines recommend discussing the possibility of infertility in cancer patients of childbearing age being treated with gonadotoxic therapies. This prospective study examines the reproductive history and future family building preferences of young women with breast cancer. Methods: This is an Institutional Review Board approved prospective study of women < 45 years of age with non-metastatic invasive breast cancer who completed a questionnaire on reproductive history and family building preferences between April 2013 and December 2019. Questionnaires were administered at initial diagnosis and then annually. Results: Baseline questionnaires were completed by 164 women with a median age of 39 years old (range 20-45); 110 (59%) completed the 1 year follow up survey. Clinicopathologic features and treatment are shown in the table. The majority of women (n = 90, 55%) were parous and many had previous infertility (n = 60, 37%) at time of diagnosis. Most women (n = 87, 53%) wanted additional children or were unsure. Interest in embryo and/or oocyte cryopreservation was common (n = 51, 31%) as was interest in adoption (n = 52, 32%). Of the 110 women who completed the one year follow-up, 39 (35%) saw a reproductive endocrinologist, including 22 (20%) who elected embryo (n = 14) or oocyte (n = 8) cryopreservation. Overall, 88 (80%) women declined fertility preservation. The most common reasons included worrying about delay in cancer treatment (n = 10, 9%), fear of hormonal exposure (n = 7, 6%), and feeling rushed into making a decision (n = 6, 6%). Of 92 women with available data regarding satisfaction with their decision to pursue fertility preservation or not, 84% (n = 77) reported satisfaction whereas 14% (n = 15) reported mixed feelings or regret. Conclusions: Young women with breast cancer expressed a significant interest in family building options. However, pursuit of fertility preservation was uncommon despite a high rate of prior infertility in this cohort of mostly parous women. Decisional satisfaction was common. Further study of factors contributing to patient decision-making regarding fertility preservation and alternative family building options is warranted. Clinical trial information: NCT01788839 . [Table: see text]

Poczucie godności osobistej a struktura wartości polskich studentek

The issue of dignity seems to be returning in the scientific reflection in the context of cultural and civilization changes. In recent decades they relate to a large extent the role and tasks of the modern woman. The problem of this work concentrate on the question about the relationship between the sense of personal dignity and the preferences of young women’s values/goals. 197 students aged 19-24 were examined and the following tools were used: the Self-esteem of Self-Dignity (KPWG), Portrait Questionnaire Values (PVQ-R3) and a questionnaire. The results allow to conclude that people with a high sense of dignity prefer the values associated with the development, while women with low sense of personal dignity - values associated with the adjustment.

Urban young women's preferences for intervention strategies to promote physical and mental health preconception: A Healthy Life Trajectories Initiative (HeLTI).

This study aimed to qualitatively investigate young women's preferences for preconception intervention strategies to promote physical and mental health in a rapidly transitioning, urban setting. Four semi-structured focus group discussions were conducted with young women (n = 29, 18–24 years old) from Soweto, South Africa. Qualitative data were thematically analysed. Two main themes were identified: 1) challenges and needs of intervention beneficiaries; and 2) preferences for intervention strategies (content and delivery). The challenges participants mentioned could be classified as those relating to social pressure, identity, and socioeconomic circumstances. Mental health support appeared to be a greater need than physical health, and this featured in their preferences for intervention content, although a number of physical health topics were also mentioned (healthy eating and contraception). Participants had mixed preferences for intervention materials, ranging from printed to electronic and mobile resources. Their preferences for intervention activities ranged from educational sessions, to fun and interactive practical activities, and activities they could take home. Community health workers (CHWs) were the preferred agent of delivery for interventions, though participants emphasised the importance of CHWs having appropriate interpersonal skills and own life experience. Some women preferred one-on-one sessions with a CHW, while others preferred group sessions. While recognising the value of family sessions, young women were less enthusiastic about this approach. These findings provide valuable formative data for developing effective interventions to optimise young women's preconception health in urban Africa. These contextual realities should be acknowledged when addressing key physical and mental health issues facing young women.

Sexual and Reproductive Health Care Utilization and Preferences of Young Women With Cystic Fibrosis

Sexual and Reproductive Health Care Utilization and Preferences of Young Women With Cystic Fibrosis

Be Positive Be Healthe: Development and Implementation of a Targeted e-Health Weight Loss Program for Young Women.

Greater numbers of women are entering young adulthood overweight, but traditional weight loss programs do not appeal to them. This article describes the development and evaluation of an e-health weight loss intervention for young women (18-30 years of age). Young women's preferences for a targeted weight loss program were investigated via a cross-sectional online survey. A 3-month targeted weight loss program for young women was developed based on the formative research. A single-arm pre-post study was conducted to evaluate the acceptability of the intervention (process evaluation survey and objective usage data) and to estimate the treatments' effects on weight-related outcomes from baseline to 3 months. Online survey respondents (n = 274) indicated preferences for various technologies (Web site, online quizzes with e-mail feedback and goal setting, an online discussion forum, smartphone application, e-mail newsletters, and text messages). Eighteen (mean ± standard deviation [SD] age, 22.8 ± 3.2 years; body mass index, 27.3 ± 1.6 kg/m(2)) women entered the pre-post study. Mean satisfaction was 3.4 ± 1.0 (maximum of 5), and 66.7% of participants completed the study. Significant reductions in mean ± SD weight (-1.5 ± 2.4 kg; p = 0.02) and waist circumference (-0.7 ± 1.4 cm; p = 0.04) were observed. Due to lower than anticipated participant satisfaction, modifications to the program content and modes of delivery are required to ensure a higher proportion of young women complete and actively engage with the program. The positive effects of treatment on weight-related outcomes supports further refinement and evaluation of targeted, e-health weight loss interventions for young women.

Hormonal contraception and regulation of menstruation: a study of young women's attitudes towards ‘having a period’

BackgroundIrregular bleeding is one of the most common side effects of hormonal contraception and a key reason for the discontinuation of hormonal methods.Study designA qualitative study in which 12 young...

The importance of choice in the rollout of ARV-based prevention to user groups in Kenya and South Africa: a qualitative study.

IntroductionStakeholders continue to discuss the appropriateness of antiretroviral-based pre-exposure prophylaxis (PrEP) for HIV prevention among sub-Saharan African and other women. In particular, women need formulations they can adhere to given that effectiveness has been found to correlate with adherence. Evidence from family planning shows that contraceptive use, continuation and adherence may be increased by expanding choices. To explore the potential role of choice in women's use of HIV prevention methods, we conducted a secondary analysis of research with female sex workers (FSWs) and men and women in serodiscordant couples (SDCs) in Kenya, and adolescent and young women in South Africa. Our objective here is to present their interest in and preferences for PrEP formulations – pills, gel and injectable.MethodsIn this qualitative study, in Kenya we conducted three focus groups with FSWs, and three with SDCs. In South Africa, we conducted two focus groups with adolescent girls, and two with young women. All focus groups were audio-recorded, transcribed and translated into English as needed. We structurally and thematically coded transcripts using a codebook and QSR NVivo 9.0; generated code reports; and conducted inductive thematic analysis to identify major trends and themes.ResultsAll groups expressed strong interest in PrEP products. In Kenya, FSWs said the products might help them earn more money, because they would feel safer accepting more clients or having sex without condoms for a higher price. SDCs said the products might replace condoms and reanimate couples’ sex lives. Most sex workers and SDCs preferred an injectable because it would last longer, required little intervention and was private. In South Africa, adolescent girls believed it would be possible to obtain the products more privately than condoms. Young women were excited about PrEP but concerned about interactions with alcohol and drug use, which often precede sex. Adolescents did not prefer a particular formulation but noted benefits and limitations of each; young women's preferences also varied.ConclusionsThe circumstances and preferences of sub-Saharan African women are likely to vary within and across groups and to change over time, highlighting the importance of choice in HIV prevention methods.

Attitudes and Preferences of Young Women With Low and High Fear of Childbirth

We examined constructions of labor and birth for 461 Canadian women who attended the University of British Columbia (Canada) and participated in an online survey about pregnancy and birth, using a combination of Likert items and open-ended questions. We performed a content analysis of women's open-ended responses about their feelings toward birth and analyzed comments of women with high and low fear of childbirth separately. Students with high fear of birth described childbirth as a frightening and painful ordeal and viewed obstetric interventions as a means to make labor and birth more manageable. Students with low fear constructed birth as a natural event and regarded interventions more critically. Students in both groups supported women's autonomous maternity care decisions. Our findings contribute to care providers' and educators' knowledge about preferences and fears expressed by the next generation of maternity care consumers and potential strategies to reduce their fear of childbirth.

Fertile imaginations: young men’s reproductive attitudes and preferences

Background: Declining fertility rates are often attributed to lack of interest in having children by new generations of men and women. However, the extent to which fertility decline is the result of entirely unconstrained personal choice is open to question. While there is a growing body of research demonstrating that young women continue to value having children, young men’s perspectives remain relatively unexamined. Objective: This article aimed to contribute to understanding of contemporary fertility trends by investigating the reproductive attitudes and preferences of young adult men. Methods: 399 single, childless, Australian men aged 18–25 years completed a survey which measured their desired number of children, personal importance of fatherhood and identified reasons for and against having a child. An open‐ended question also assessed participants’ perceptions of the fatherhood role in the context of their future lives. Results: The overwhelming majority of men (96%) wanted to have children, and these men rated the reasons for fatherhood as significantly more influential than the reasons against parenthood. Among men that wanted to remain childfree (4%), the reasons for and against parenthood were rated as equally important. Difficulties in fulfilling the ‘ideal’ fatherhood role (for example, effectively combining involved fatherhood with obligations to provide for the family) were anticipated by many men and were a source of considerable concern. Conclusions: Overall, the men surveyed tended to place a high, positive value on having children, providing further evidence of misalignment between declining fertility rates and the preferences of young women and men.

Behavioral and Relational Contexts of Adolescent Desire, Wanting, and Pleasure: Undergraduate Women's Retrospective Accounts

Studies of adolescent female sexuality often focus on coitus to the exclusion of noncoital behaviors, the relational context of sexual interactions, and adolescent women's subjective perceptions of their experiences. In this study, 38 undergraduate women's retrospective accounts of their adolescent heterosexual experiences were examined. Generalized estimating equation models were used to test the relation of diverse heterosexual behaviors and relationship types to participants' subjective perceptions of desire, wanting, and pleasure. Of the sexual behaviors, coitus was the strongest predictor of participants' subjective perceptions. Compared to coitus, erotic touching, manual stimulation, and fellatio were significantly less predictive; there were no differences between coitus and cunnilingus or coitus and kissing. Of the relationships (serious, dating, “friends with benefits” [FWBs], and “hookups”), FWBs was the strongest predictor of participants' desire, wanting, and pleasure; in comparison, hookups were significantly less predictive. These findings offer insight into the sexual behaviors and preferences of young women, as well as distinctions between types of non-romantic sexual relationships.

The fertility-related concerns, needs and preferences of younger women with breast cancer: a systematic review

Breast cancer is the most commonly diagnosed type of cancer in reproductive aged women. Adjuvant systemic therapy is recommended in most women and has been demonstrated to reduce the risk of recurrence and increase survival. However, there may be a negative impact of adjuvant systemic therapy on fertility as well as on subsequent quality of life. There are a number of fertility preservation options currently available and relevant information regarding these options should be provided prior to commencing adjuvant treatment. The aim of the review is to identify the fertility-related needs, concerns and preferences of young women with early breast cancer. The databases MEDLINE and EMBASE were searched from 1988 onwards using keywords, and examining reference lists. Of the 499 articles identified, 20 met eligibility criteria and were reviewed. Multiple fertility-related information needs specific to this group regarding menstrual changes and potential infertility attitudes to, and actual decisions made regarding, pregnancy breastfeeding and contraception emerged. Information on fertility-related decisions was rated as important, and the preferred methods for obtaining this information was consultation with a specialist or a decision aid early in the treatment plan. There is limited research about fertility-related needs, and even less on contraceptive preferences and the attitudes of health care providers towards fertility-related issues. No studies describing the development of tools to assist with decisions about fertility-related choices were identified. Young women with early breast cancer have specific fertility- and menopause-related needs and concerns, which are commonly not adequately addressed or discussed prior to commencing adjuvant therapy.

What help do young women want in their efforts to control their weight? Implications for program development

AbstractThe aim of this study was to examine women's views on the usefulness of various types of information and practical sessions on weight control, their preferences for program delivery, and likelihood of participation. Cross‐sectional survey of 462 women aged 18–33 years randomly selected from the community was conducted. We examined the perceived usefulness of various types of information and practical classes on weight control; preferred mode of delivery; willingness to participate. Among the women 82% were interested in trying to lose or control weight. Information on weight control was considered to be more useful than practical sessions. Information about meal planning, cooking and low‐fat recipes and how to manage stress was considered most useful. Fifty‐eight per cent of women reported they would prefer to participate in an individual face‐to‐face program delivered by a health professional. Thirty‐one per cent of women reported it was very likely that they would participate in a program if it included the sort of things they considered useful and was offered in the way they preferred; a further 35% felt it ‘likely’. It appears that health professional‐delivered, individual, information‐based programs appear most popular among this target group. Tailoring the content and delivery mode of weight management programs to young women's preferences may enhance program participation.

Body Image Preference in the United States and Rural Thailand: An Exploratory Study

The authors conducted a field study to examine the female body image preferences of young women and young men in a rural northern province of Thailand and in central California. The Thai participants did not have stronger body image preferences than did the U.S. participants overall. However, the young women preferred a significantly more slender body image than did the young men, F(1, 80) = 14.98, p < .001, and the Respondent Gender x Nationality interaction was also significant, F(1, 80) = 4.42, p = .039. Thai men, as expected, exhibited preferences for figures that were heavier than those preferred by their U.S. counterparts. Thai women, in contrast, exhibited preferences for figures that were thinner than those preferred by their U.S. counterparts or their male countrymen. These results are explained in terms of traditional Thai and U.S. values and in terms of Western cultural influences in modern Thailand.

The Impact of Parental Pressure for Grandchildren on Young People's Entry into Cohabitation and Marriage

This paper examines the influence of parental preferences for grandchildren on young adults' entry into cohabitation and marriage. We also consider the influence of young adults' own fertility preferences on their cohabitation and marriage behaviour. We develop a theoretical framework explaining why these childbearing attitudes influence young people's cohabitation and marriage behaviour. The results show that the childbearing preferences of young women and their mothers affect their choice between cohabitation and marriage, so that wanting many children increases the likelihood of choosing marriage. Young men whose mothers want them to have many children enter any type of co-residential union, either marriage or cohabitation, at a much higher rate than men whose mothers want them to have fewer children. Our results also provide insights into the childbearing behaviour of cohabitating couples.