Oral Contractptive Use on the U.S.-Mexico Border: A Qualitative Study

美国-墨西哥边境的口腔收缩使用：定性研究

• 批准号: 6983797
• 负责人: KRISTINE L HOPKINS
• 金额: $ 7.5万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-20 至 2007-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6983797
• 关键词: Mexican Americans; Mexico; United States; behavioral /social science research tag; caucasian American; clinical research; family structure /dynamics; female; geographic difference; health behavior; health care service utilization; health economics; health services research tag; human subject; interview; motivation; oral contraceptives; pharmacy; questionnaires; racial /ethnic difference; sex partner; socioeconomics; therapy compliance; women' s health

DESCRIPTION (provided by applicant): The contraceptive experiences of Mexican immigrant and Mexican-Americans remain a poorly understood phenomenon. While we know that fertility differentials exist between Mexican origin and non-Hispanic white women, our understanding of the differentials is still limited. Moreover, we know little about motivations of Mexican origin women to procure contraceptives in 1 versus another point of service. And, while a considerable amount is known about the rates of oral contraceptive compliance and continuation, especially for the general populations in developed countries, we know virtually nothing about the processes through which women experience oral contraceptive use, especially low-income Mexican immigrant and Mexican-American women in the US. Finally, while strong evidence suggests that social networks increase knowledge about contraception in a variety of settings, we know extremely little about the workings of the social networks of Mexican origin women in the US. regarding contraceptive use. Women who live on the US-Mexico border have an alternate source of prescription contraception not available to most Americans: they can cross to Mexico to buy their pills over-the-counter (OTC) in Mexican pharmacies at a fraction of the cost of equivalent pills in the US. We propose, therefore, to take advantage of the natural experiment that the US-Mexico border provides to explore what motivates Mexican origin women in the US to obtain their pills from different sources-US family planning clinics or Mexican pharmacies-and to obtain a deep and detailed understanding of how these women experience their pill use. We will accomplish these goals through a series of in-depth and follow-up interviews with Hispanic women: 20 who get their pills OTC in pharmacies in Ciudad Juarez, Mexico and 20 who obtain them from family planning clinics in El Paso, Texas.

描述（由申请人提供）：墨西哥移民和墨西哥裔美国人的避孕经历仍然是一种鲜为人知的现象。尽管我们知道墨西哥与非西班牙裔白人妇女之间存在生育差异，但我们对差异的理解仍然是有限的。此外，我们对墨西哥起源女性在1与另一个服务点采购避孕药的动机一无所知。而且，尽管对口服避孕的合规性和延续率有相当多的了解，尤其是对于发达国家的一般人群，但我们几乎对妇女经历口服避孕药的过程，尤其是墨西哥墨西哥低收入的墨西哥移民和墨西哥妇女的过程一无所知。最后，尽管有力的证据表明，社交网络增加了各种环境中避孕的知识，但我们对美国墨西哥起源妇女的社交网络的运作知之甚少。关于避孕药的使用。居住在美国墨西哥边境的妇女有大多数美国人无法使用的处方避孕来源：她们可以越过墨西哥在墨西哥药店购买药丸（OTC），而在美国的等效药丸成本的一小部分。因此，我们建议利用美墨边境提供的自然实验，以探索促使美国墨西哥起源妇女从不同来源 - 美国的计划clance诊所或墨西哥药房获得药丸的原因，并获得对这些妇女如何体验药丸的深刻了解。我们将通过对西班牙裔妇女进行的一系列深入和后续采访来实现这些目标：20岁的女性在墨西哥华雷斯市的药房中获得药丸OTC，并从德克萨斯州埃尔帕索市的计划生育诊所获得了他们的。