Factors influencing the contraceptive method choice: A university hospital experience
Yıl: 2012 Cilt: 13 Sayı: 2 Sayfa Aralığı: 102 - 125 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Factors influencing the contraceptive method choice: A university hospital experience
Öz: Amaç: Kontraseptif yöntem seçimini etkileyen faktörlerin analizi. Gereç ve Yöntemler: Bir yıllık süre içerisinde kliniğimize başvuran 4022 olgunun, kontraseptif yöntem seçimleri incelendi. Mevcut kontraseptif seçimleri ve yaş, medeni hal, eğitim seviyesi, gebelik, kürtaj durumları arasındaki ilişki değerlendirildi. Bulgular: Kontraseptif yöntem kullanan olgular, çalışma popülasyonunun %33’ünü oluşturmaktadır. En çok tercih edilen yöntem rahim içi araç (%46.4) iken, diğer yöntemler sırasıyla; kondom %19.2, geri çekme %16.4, tubal sterilizasyon %11, oral kontraseptifler %5.7, depo enjeksiyonlar ve implantlar %1.2 oranında kullanılmaktadırlar. Kondom diğer metotlara göre daha genç yaş grubunda tercih edilmekte iken (OR:0.956, %95 CI:0.936-0.976, p<0.001), tubal sterilizasyonun daha ileri yaş olgular tarafından tercih edildiği saptandı (p<0.001, OR:1.091, %95 CI:1.062-1.122). Eğitim seviyeleri, oral kontraseptif (%76.3, OR:5.970, %95 CI:3.233-11.022), tubal sterilizasyon (%59.6, OR:4.110, %95 CI:2.694-6.271), depo enjeksiyon ve implant (%62.5, OR:3.279, %95 CI:1.033-10.402) kullanıcılarında diğer gruplara göre anlamlı oranda yüksek saptandı (p<0.001). Sonuçlar: Bu sonuçlar daha iyi bir aile planlaması sistemi ve danışmanlığı ile hem kontrasepsiyon oranının artırılması hem de daha etkin yöntemlerin kullanımının yaygınlaştırılması gerektiğini göstermektedir.
Anahtar Kelime: Konular:
Kontraseptif yöntem seçimini etkileyen faktörler: Bir üniversite hastanesi deneyimi
Öz: Objective: To analyze the factors influencing behavior of women in choosing contraceptive methods. Material and Methods: A total of 4022 women who were admitted to our clinic in a year, were the subjects in this current study for contraception choices. Relationship between the current contraceptive choice and the age, marital status, educational level, gravidity and induced abortions were evaluated. Results: Current users of any contraceptive methods were found to make up thirty-three percent of the entire study population. The most preferred method of contraception was an intrauterine device (46.4%), followed by, condom (19.2%), coitus interruptus (16.4%), tubal sterilization (11%), oral contraceptives (5.7%) and lastly the “other methods” that consisted of depot injectables and implants (1.2%). Among other contraceptive methods, the condom was found to be used mostly by the younger age group (OR:0.956, 95% CI:0.936-0.976, p<0.001), while tubal sterilization was preferred mainly by the elderly population (p<0.001, OR:1.091, 95% CI:1.062-1.122). Women that have a higher educational level, were found to use OC (76.3%, OR:5.970, 95% CI:3.233- 11.022), tubal sterilization (59.6%, OR:4.110, 95% CI:2.694-6.271) and other methods (62.5%, OR:3.279, 95% CI:1.033-10.402) more commonly than the low educational group (p<0.001). Conclusion: These results demonstrated that the rates of both contraception utilization and the usage of more effective methods of contraception need to be increased by providing better family planning systems and counselling opportunities.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Salter C, Johnston HB, Hengen N. Care for postabortion complication; Saving women’s life. Population Report, Series L, No. 10. Baltimore: Johns Hopkins School of Public Health, Population Information Program, 1997.
- 2. Paxman J, Rizo A, Brown L, Benson J. The clandestine epidemic: the practice of unsafe abortion in Latin America. Stud Fam Plan 1993; 24: 206-14. [CrossRef]
- 3. Sathar ZA, Chidambaram VC. Differentials in contraceptive use. Voorburg, Netherlands: International Statistical Institute, 1984.
- 4. Mosher WD, Jones J. Use of contraception in the United States: 1982-2008. Vital Health Stat 23. 2010; 29: 1-44.
- 5. Turan JM, Bulut A, Nalbant H. The quality of family planning services in two low-income district of Istanbul. Turk J Popul Stud. 1997; 19: 3-24.
- 6. Ozalp S, Yalcin OT, Hassa H, Erbay B, Dalan N. Factors affecting the contraceptive choice in a developing country.Int J Gynaecol Obstet. 1999; 65: 53-7. [CrossRef]
- 7. Oddens BJ, Wemer HM, Visser AP, Ketting E. Contraception in Germany: a review. Adv Contracept 1993; 9: 105-6. [CrossRef]
- 8. Martin K, Wu Z. Contraceptive use in Canada: 1984-1995. Fam Plann Perspect 2000; 32: 65-73. [CrossRef]
- 9. Yusuf F, Siedlecky S. Contraceptive use in Australia: evidence from the 1995 National Health Survey. Aust N Z J Obstet Gynaecol. 1999; 39: 58-62. [CrossRef]
- 10. Chandra A, Martinez GM, Mosher WD, Abma JC, Jones J. Fertility, family planning, and reproductive health of U.S. women: Data from the 2002 National Survey of Family Growth. National Center for Health Statistics. Vital Health Stat 2005; 23: 1-162.
- 11. Weldegerima B, Denekew A. Women’s knowledge, preferences, and practices of modern contraceptive methods in Woreta, Ethiopia. Res Social Adm Pharm. 2008; 4: 302-7. [CrossRef]
APA | KAHRAMAN K, GÖÇ G, TAŞKIN S, HAZNEDAR P, Karagözlü S, Kale B, KURTİPEK Z, ÖZMEN B (2012). Factors influencing the contraceptive method choice: A university hospital experience. , 102 - 125. |
Chicago | KAHRAMAN Korhan,GÖÇ Göksu,TAŞKIN Salih,HAZNEDAR Pınar,Karagözlü Selen,Kale Burak,KURTİPEK Zeynep,ÖZMEN Batuhan Factors influencing the contraceptive method choice: A university hospital experience. (2012): 102 - 125. |
MLA | KAHRAMAN Korhan,GÖÇ Göksu,TAŞKIN Salih,HAZNEDAR Pınar,Karagözlü Selen,Kale Burak,KURTİPEK Zeynep,ÖZMEN Batuhan Factors influencing the contraceptive method choice: A university hospital experience. , 2012, ss.102 - 125. |
AMA | KAHRAMAN K,GÖÇ G,TAŞKIN S,HAZNEDAR P,Karagözlü S,Kale B,KURTİPEK Z,ÖZMEN B Factors influencing the contraceptive method choice: A university hospital experience. . 2012; 102 - 125. |
Vancouver | KAHRAMAN K,GÖÇ G,TAŞKIN S,HAZNEDAR P,Karagözlü S,Kale B,KURTİPEK Z,ÖZMEN B Factors influencing the contraceptive method choice: A university hospital experience. . 2012; 102 - 125. |
IEEE | KAHRAMAN K,GÖÇ G,TAŞKIN S,HAZNEDAR P,Karagözlü S,Kale B,KURTİPEK Z,ÖZMEN B "Factors influencing the contraceptive method choice: A university hospital experience." , ss.102 - 125, 2012. |
ISNAD | KAHRAMAN, Korhan vd. "Factors influencing the contraceptive method choice: A university hospital experience". (2012), 102-125. |
APA | KAHRAMAN K, GÖÇ G, TAŞKIN S, HAZNEDAR P, Karagözlü S, Kale B, KURTİPEK Z, ÖZMEN B (2012). Factors influencing the contraceptive method choice: A university hospital experience. Journal of the Turkish-German Gynecological Association, 13(2), 102 - 125. |
Chicago | KAHRAMAN Korhan,GÖÇ Göksu,TAŞKIN Salih,HAZNEDAR Pınar,Karagözlü Selen,Kale Burak,KURTİPEK Zeynep,ÖZMEN Batuhan Factors influencing the contraceptive method choice: A university hospital experience. Journal of the Turkish-German Gynecological Association 13, no.2 (2012): 102 - 125. |
MLA | KAHRAMAN Korhan,GÖÇ Göksu,TAŞKIN Salih,HAZNEDAR Pınar,Karagözlü Selen,Kale Burak,KURTİPEK Zeynep,ÖZMEN Batuhan Factors influencing the contraceptive method choice: A university hospital experience. Journal of the Turkish-German Gynecological Association, vol.13, no.2, 2012, ss.102 - 125. |
AMA | KAHRAMAN K,GÖÇ G,TAŞKIN S,HAZNEDAR P,Karagözlü S,Kale B,KURTİPEK Z,ÖZMEN B Factors influencing the contraceptive method choice: A university hospital experience. Journal of the Turkish-German Gynecological Association. 2012; 13(2): 102 - 125. |
Vancouver | KAHRAMAN K,GÖÇ G,TAŞKIN S,HAZNEDAR P,Karagözlü S,Kale B,KURTİPEK Z,ÖZMEN B Factors influencing the contraceptive method choice: A university hospital experience. Journal of the Turkish-German Gynecological Association. 2012; 13(2): 102 - 125. |
IEEE | KAHRAMAN K,GÖÇ G,TAŞKIN S,HAZNEDAR P,Karagözlü S,Kale B,KURTİPEK Z,ÖZMEN B "Factors influencing the contraceptive method choice: A university hospital experience." Journal of the Turkish-German Gynecological Association, 13, ss.102 - 125, 2012. |
ISNAD | KAHRAMAN, Korhan vd. "Factors influencing the contraceptive method choice: A university hospital experience". Journal of the Turkish-German Gynecological Association 13/2 (2012), 102-125. |