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: 7081399
• 负责人: KRISTINE L HOPKINS
• 金额: $ 7.32万
• 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 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7081399
• 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个鲜为人知的现象。虽然我们知道墨西哥裔和非西班牙裔白人女性之间存在生育率差异，但我们对这种差异的理解仍然有限。此外，我们对墨西哥裔妇女在一个服务点和另一个服务点购买避孕药具的动机知之甚少。而且，虽然人们对口服避孕药的依从性和继续使用率有相当多的了解，特别是对于发达国家的普通人群，但我们对妇女使用口服避孕药的过程几乎一无所知，特别是低收入墨西哥移民和墨西哥人-在美国的美国妇女。最后，虽然强有力的证据表明社交网络增加了各种环境下的避孕知识，但我们对美国墨西哥裔女性社交网络的运作方式知之甚少。关于避孕药具的使用。居住在美墨边境的女性拥有大多数美国人无法获得的另一种处方避孕药来源：她们可以越境到墨西哥，在墨西哥药店购买非处方药 (OTC)，价格仅为同等价格的一小部分在美国吃药。因此，我们建议利用美墨边境提供的自然实验来探索是什么促使美国的墨西哥裔妇女从不同来源（美国计划生育诊所或墨西哥药房）获取药物，并获得深入的了解。并详细了解这些女性如何使用药物。我们将通过对西班牙裔妇女进行一系列深入的后续采访来实现这些目标：20 名西班牙裔妇女在墨西哥华雷斯城的药房购买非处方药，20 名从德克萨斯州埃尔帕索的计划生育诊所购买。