Journal of Family Medicine and Primary Care最新文献

{"title":"Infertility and risk of ovarian cancer: A systematic review and meta analysis.","authors":"Indra Sambasivam, H Gladius Jennifer, Saravanan Chinnaiyan","doi":"10.4103/jfmpc.jfmpc_227_24","DOIUrl":"10.4103/jfmpc.jfmpc_227_24","url":null,"abstract":"<p><p>Post-modernization has increased infertility globally. Infertility can cause ovarian, breast, and endometrial cancers. Recent studies have shown that a substantial proportion of couples undergoing infertility treatment develop cancer. However, existing studies yielded inconsistent results. Therefore, we conducted a meta-analysis to determine whether infertility increases the risk of ovarian cancer. Our systematic review and meta-analysis intended to identify the association between ovarian cancer and infertility based on the existing research. In accordance with PRISMA guidelines, this review contains studies on infertility and ovarian cancer as an outcome measure among ovarian cancer groups and those not having cancer. Two authors independently retrieved the articles through electronic databases such as PubMed and Scopus. This review includes 25 studies published worldwide between 2001 and 2022. This systematic review has been registered with the International Prospective Registry of Systematic Reviews (PROSPERO) (CRD CRD42021288860). The systematic review included 25 articles, while the meta-analysis included four. In total, data from 84,49,557 participants in 25 studies were extracted (21 cohort studies and 4 case-control studies). The global prevalence of ovarian cancer among women with a history of infertility was 0.5%. The calculated OR of developing ovarian cancer as a result of infertility was 1.35 (95% CI: 0.92-1.97). The pooled odds ratio of developing ovarian cancer as a result of infertility drug use was 0.93 (95% CI: 0.94-2.46). Pooled effect was shown to be stable and reliable by cumulative meta-analysis. The current meta-analysis showed that women who used infertility drugs had a higher risk of developing OC than those having a history of infertility.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"15-21"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights on youth sports: Key issues.","authors":"Abhimanyu Vasudeva, Nishat Ahmed Sheikh","doi":"10.4103/jfmpc.jfmpc_1386_24","DOIUrl":"10.4103/jfmpc.jfmpc_1386_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"508"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health profile assessment of school children of Jodhpur District of Rajasthan.","authors":"Shazia Shafi, Pankaja Raghav, K H Naveen, Yachana Chowdhary, Ashish Pundhir","doi":"10.4103/jfmpc.jfmpc_681_24","DOIUrl":"10.4103/jfmpc.jfmpc_681_24","url":null,"abstract":"<p><strong>Background: </strong>The health and nutritional status of young children is an index of national investment within the development of its future manpower. There is a limited data available on health profile among adolescents in India. Thus, this study was undertaken with the target of assessing the nutritional status and morbidity pattern of school children Jodhpur district of Rajasthan. The objectives of this study were to assess the health profile including general physical examination, anthropometric measurements, morbidity pattern and addiction among school-going children of Jodhpur.</p><p><strong>Material and methods: </strong>A school-based observational cross-sectional study was carried out among the nearby schools pertaining to our urban and rural health centres associated with the Department of Community Medicine and Family Medicine, AIIMS Jodhpur.</p><p><strong>Result: </strong>A total of 525 school children participated in the study. On general physical examination, it was observed that the majority (4.1%) of the school children from rural area were seen with 'flag sign' in comparison with those in urban region. Fluorosis was observed in the majority (60.2%) in rural schools in comparison with urban and this was found to be statistically significant (<i>P</i> = 0.000). The majority (21, 0.04%) of them were suffering from hearing loss, among them (13,61.9%) were from rural area in comparison with (08, 38.1%) in urban and this difference was found to be statistically significant. (0.000*). Anaemia was observed in (210, 40.0%) of the school children.</p><p><strong>Conclusion: </strong>The study brings out the need for intensified and targeted school health awareness programmes for school-going children and utilization of various services.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"70-77"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The internet gaming disorder and its associated factors among college students at Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia: A cross-sectional study.","authors":"Khalid Bin Abdulrahman, Tariq Y Alhomoud, Ismail S Alateeq, Faisal N Al-Mohaisen, Musab S Alshamrani, Saleh I Alhathlul, Mohammed Abdulaziz Khamsah","doi":"10.4103/jfmpc.jfmpc_736_24","DOIUrl":"10.4103/jfmpc.jfmpc_736_24","url":null,"abstract":"<p><strong>Background: </strong>Internet gaming disorder (IGD) or video gaming has been considered by World Health Organization (WHO) and American Psychiatric Association (APA) as a disease. WHO defines IGD as a disease with a pattern of uncontrollable gaming behavior, characterized by increasing priority given to gaming over other activities to the point that gaming takes precedence over most interests and activities of daily living.</p><p><strong>Objectives: </strong>This research aims to estimate the prevalence and examine the association of IGD scores with gender, age, sleeping hours, academic performance, and occurrence of arguing with others post-gaming among college students.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in October 2022 at (IMSIU), Riyadh, Saudi Arabia. A total of 1005 college students filled out an online self-administered questionnaire developed based on an extensive literature review and pilot study.</p><p><strong>Results: </strong>More than two-thirds (76.1%) of students are active gamers. The majority (65.8%) reported no effects of gaming on daily activities. yet, one-third considered games as the most daily time-consuming activity. The majority are playing games to relieve stress. Interestingly, male and senior students had the highest IGD scores (<i>P</i> = 0.017, <i>P</i> = 0.072, respectively). Unfortunately, there were associations between high IGD scores and having fewer sleeping hours as well as low academic performance (<i>P</i> = 0.046, <i>P</i> = 0.047, respectively). Negative social effects include arguing after gaming was significantly linked with higher IGD scores (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>IGD was prevalent among college students. There was no impact of games on students' daily activities; however, gaming was the most time-consuming part of daily activity for the remaining students. Most college students were playing games to feel better. Higher IGD score was associated with male, senior students, less sleeping hours, poor academic performance, and post-gaming arguments with others.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"184-195"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family adoption program (FAP) as a learning tool-perceptions of students and faculty of community medicine.","authors":"Rajyalakshmi Chepuru, Kuppli Sai Sushma, Sarada Vadlamani, Rongala V Manasa, Bodhi Srividya Vennam","doi":"10.4103/jfmpc.jfmpc_510_24","DOIUrl":"10.4103/jfmpc.jfmpc_510_24","url":null,"abstract":"<p><strong>Introduction: </strong>The family adoption program, a newer initiative in the medical education curriculum, provides a learning opportunity toward community-based health care to Indian Medical Graduates. However, it has its own challenges and opportunities. The Objective of the study is to understand the perceptions of faculty and students regarding this program.</p><p><strong>Material and methods: </strong>A descriptive cross-sectional study was done among the faculty of Department of Community Medicine and phase 1 medical undergraduates of the selected medical colleges. A pretested semi-structured questionnaire was administered in Google Forms. The responses received from the participants in Google Forms were retrieved and analyzed using MS Excel and SPSS version 25.</p><p><strong>Results: </strong>About 48 faculty of designation ranging from senior resident to professor participated in the study. A total of 190 students in phase 1 MBBS participated in the study. Out of 150 students, 86 (44%) were from private medical colleges and 104 (55%) were from government medical colleges. The perception of the faculty and students regarding FAP was taken in a Likert scale. Most of them agreed that it is a good academic tool to learn communication skills, identify health problems in the community and various determinants of health, develop creative thinking and reasoning. The faculty mentioned that they faced challenges in arranging logistics. The faculty also made some recommendations to improve the program.</p><p><strong>Conclusion: </strong>The current study showed despite the challenges faced during the implementation of the FAP program, it will empower the students and faculty for better training, community-oriented research, and community-oriented medical education in the long run.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"51-55"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of factors predicting the nutritional status of geriatric people in Tabuk, Saudi Arabia.","authors":"Samar Lafi Aljohani","doi":"10.4103/jfmpc.jfmpc_1683_23","DOIUrl":"10.4103/jfmpc.jfmpc_1683_23","url":null,"abstract":"<p><strong>Background: </strong>On a global level, geriatric malnutrition is a substantial problem as it has many adverse health outcomes including increased morbidity and death rates, in addition to poor health-related quality of life. This study aims to assess the nutritional status of patients attending geriatric clinics at hospitals.</p><p><strong>Material and methods: </strong>An observational cross-sectional study was conducted in Tabuk city, northern Saudi Arabia, among geriatric patients aged over 60 years who attended geriatric clinics throughout the study period (December, 2022 to February, 2023). A validated self-administered questionnaire was used in data collection. It includes demographic, habitual, and medical characteristics of the participants, anthropometric data (weight and height), and the validated short form of Mini Nutritional Assessment tool to assess their nutritional status.</p><p><strong>Results: </strong>The study included 307 geriatric patients out of targeted 362 (response rate = 84.8%). The age of almost half of them (49.2%) ranged between 60 and 69 years, and males constituted 56.4% of them. Overall, 17.3% of the participants were malnourished, whereas 41.4% were at risk of malnutrition. Results of multivariate logistic regression analysis revealed that compared to married participants, widowed participants were at higher significant risk for malnutrition [adjusted odds ratio (aOR): 2.59, 95% confidence interval (CI): 1.01-6.85, <i>P</i> = 0.049]. Compared with participants who were living alone, those living with their spouse were at 86% lower risk for malnutrition (aOR: 0.14, 95% CI: 0.03-0.62, <i>P</i> = 0.010). Overweight and obese subjects were at significant lower risk for malnutrition as compared to underweight subjects (aOR: 0.04, 95% CI: 0.01-0.44, <i>P</i> = 0.008 and aOR: 0.05, 95% CI: 0.01-0.54, <i>P</i> = 0.013, respectively). Participants who never practiced exercise or practiced it irregularly were at higher risk for malnutrition as opposed to those who practice physical activity regularly (aOR: 3.45, 95% CI: 1.42-8.38, <i>P</i> = 0.006 and aOR: 3.60, 95% CI: 1.48-8.77, <i>P</i> = 0.005, respectively). Patients with more than three chronic disease/heath problems were at 4-fold risk for developing malnutrition as compared to those without history of chronic diseases/health problems (aOR: 4.0, 95% CI: 1.31-12.17, <i>P</i> = 0.015).</p><p><strong>Conclusion: </strong>Malnutrition is a public health problem affecting a considerable proportion of geriatric people in Tabuk, southern Saudi Arabia, with some modifiable risk factors associated with malnutrition.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"268-275"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are all tuberculosis deaths correctly attributed due to tuberculosis? Analysis of causes of death (COD) using verbal autopsy: A cross-sectional study in Puducherry.","authors":"Reenaa Mohan, M Rajalakshmi, G Kalaiselvan","doi":"10.4103/jfmpc.jfmpc_1108_24","DOIUrl":"10.4103/jfmpc.jfmpc_1108_24","url":null,"abstract":"<p><strong>Background: </strong>State Task Force National Tuberculosis Elimination Programme (STF-NTEP) wanted to ascertain the cause of death of tuberculosis (TB) patients was due to TB. Hence, this study was done to determine the cause of death among TB patients using verbal autopsy.</p><p><strong>Material and method: </strong>The community-based cross-sectional study was conducted among the closest caregivers of the reported TB death cases using a verbal autopsy questionnaire. A list of TB deaths was extracted from Puducherry's State Tuberculosis Office (STO). The VA questionnaires were reviewed by two trained faculties and experts independently who were also asked to code the cause of death according to the International Classification of Diseases - 10^th Revision. Data were analysed using the SPSS software receiver operator curve (ROC) curve and Cohen's kappa statistics with 95% confidence interval (CI) were applied to compare agreement between the raters.</p><p><strong>Results: </strong>Out of 307 TB deaths, 143 were contacted and the remaining were migrated, missing or not available. Among them 34.9% of the declared TB deaths are not due to TB. Cohen's kappa = 0.4; 95% CI: (0.858-0.985) showed moderate agreement between the raters. Experts' review was used as a reference standard to compare rater agreements. The Predictive accuracy of Rater 2 (area under the curve [AUC] -0.953; <i>P</i> value <0.001) was slightly higher than Rater 1 (AUC -0.942; <i>P</i> value <0.001).</p><p><strong>Conclusion: </strong>The findings of the study have clearly indicated that 34.9% of the declared TB deaths are not due to TB.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"290-295"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central obesity is a burden even in normal weight adolescents of a non-metropolitan Indian City: A case for alarm and action for prevention and control.","authors":"Tabassum Nawab, Zulfia Khan, Iqbal M Khan, Mohammad A Ansari","doi":"10.4103/jfmpc.jfmpc_967_24","DOIUrl":"10.4103/jfmpc.jfmpc_967_24","url":null,"abstract":"<p><strong>Introduction: </strong>Central obesity (CO) leads to increased cardiovascular and metabolic risks in children and adolescents. The evidence on prevalence of central obesity and its correlates are lacking among adolescents in India.</p><p><strong>Objectives: </strong>(1) To estimate the prevalence of central obesity in school-going adolescents, (2) To determine the association between central obesity and generalized obesity (GO) among adolescents, and (3) To determine the correlates of central obesity.</p><p><strong>Methods: </strong>Totally, 660 adolescents, selected using systematic random sampling, in four urban schools in Aligarh were interviewed using pre-designed questionnaire and Global Physical Activity Questionnaire. Height, weight, and waist circumference (WC) were measured. Body mass index (BMI) was calculated. CO was defined as >90^th age-and-sex-specific percentile of WC and GO by BMI-for-age-and-sex percentiles given by WHO Growth Reference 2007. Chi-square test and logistic regression analysis were done using IBM SPSS version 20.0.</p><p><strong>Results: </strong>Overall prevalence of central obesity was found to be 28.5% [CI: 25.2-32.0], almost double of generalized obesity (14.6%, 95%CI: 12.1-17.6). The prevalence was significantly higher among girls (33.6%, 95%CI: 28.3-39.3) than in boys (24.7%, 95%CI: 20.7-29.3) and in the affluent group (38.8%, 95%CI: 33.7-44.1) than in non-affluent (18.2%, 95%CI: 14.4-22.7). More than 1/4^th of normal weight adolescents [27.2% (99/364)] also had CO. Increased fast food intake (OR: 4.1; 95% CI = 2.1-8.1), low Physical Activity Level (OR: 2.4; 95% CI = 1.3-4.3) and more than 10 hours sedentary time spent per day (OR: 2.2; 95% CI = 1.1-4.8) were independent determinants of CO.</p><p><strong>Conclusion: </strong>Central obesity among school-going adolescents of a non-metropolitan Indian city is alarmingly high and a burden even in one-fourth of normal weight adolescents. Screening for CO among adolescents by primary physicians, pediatricians, and through School Health Programme is recommended. Behavior change communication regarding risk factors for CO is advocated.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"283-289"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of structured health education program on knowledge regarding forensic nursing among B.Sc. (Hons.) Nursing third- and fourth-year students of the College of Nursing, AIIMS Raipur.","authors":"Prem Chander, Binu Mathew, Priyanka Choudhary, Rekha, Priyanka Choudhary, Ritu Majumdar, Roji Mandal, Rupal Yadav","doi":"10.4103/jfmpc.jfmpc_1157_23","DOIUrl":"10.4103/jfmpc.jfmpc_1157_23","url":null,"abstract":"<p><strong>Background: </strong>Forensic nursing is a nursing specialty and sub-specialties that focus on nursing practice who care for victims and offenders, living and deceased at the clinical legal interface.</p><p><strong>Aims: </strong>The aim of the article is to assess the effectiveness of health education on knowledge regarding forensic nursing among B.Sc. (Hons.) Nursing third- and fourth-year students of the College of Nursing, AIIMS Raipur.</p><p><strong>Settings and design: </strong>The study was conducted at the College of Nursing, AIIMS Raipur.</p><p><strong>Methods and material: </strong>Pre-experimental one-group pretest and posttest design without the control group was adopted. The sample size was 100 and selected using nonprobability convenience sampling technique. The data were collected by self-structured questionnaire through offline mode to assess the knowledge about forensic nursing. At the end of pretest, structured health education program was given, after seven days posttest was conducted.</p><p><strong>Statistical analysis used: </strong>Data were collected and analyzed by using both descriptive and inferential statistics.</p><p><strong>Results: </strong>In pretest, 72% students had poor knowledge and 28% had good knowledge. In posttest, there was a significant increase, only 21% had good knowledge and 79% had excellent knowledge regarding forensic nursing. The mean score of pretests was 10.18 and the mean score of posttests was 23.15 and the mean improvement was 12.97, the paired <i>t</i> value obtained for knowledge was 31.85 which was found significant at 0.05 level (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Result of the study demonstrated that health education program was effective in improving the knowledge among students regarding forensic nursing. The results concluded that the importance of specific training in forensic nursing and support the need of development of a curricular unit in this area for inclusion in nursing curricula.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"317-321"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude and acceptability for long-acting reversible contraceptive (LARC) methods among women attending contraception counselling sessions: A cross-sectional study.","authors":"Paridhi Gupta, Reeta Mahey, Neha Varun, Maninder Kaur, Arun Kumar, Satyam Yadav","doi":"10.4103/jfmpc.jfmpc_780_24","DOIUrl":"10.4103/jfmpc.jfmpc_780_24","url":null,"abstract":"<p><strong>Aims: </strong>To study the knowledge, attitude, and acceptability of Long-acting Reversible Contraceptive (LARC) methods among women attending contraception counselling sessions.</p><p><strong>Settings and design: </strong>A cross-sectional study conducted in the family planning clinic of a tertiary care hospital.</p><p><strong>Methods and material: </strong>Women aged 18-45 years attending contraception counselling sessions were included. Baseline knowledge about LARC methods was assessed. They were given information about LARC methods. Acceptability was assessed on a scale of 0-10.</p><p><strong>Results: </strong>Among four LARC methods, awareness about copper intrauterine devices (CuIUD), DMPA injection, subdermal implant and Mirena was 95%, 55.50%, 27% and 3%, respectively. Around 4% were unaware of the LARC method. Of total, 76.50% women procured the LARC methods information from health care workers, whereas 40% attained from friends, family members, neighbors, or colleagues. After counseling, the majority (58%) were willing for subdermal implant. About 27.50% and 13.50% were willing for copper IUD insertion and injection DMPA, respectively. None was willing for Mirena. Acceptability of various LARC methods was scaled on an acceptability score from 0 to 10. For Cu IUD, implanon and DMPA, the acceptability score was 10 in 50%, 40.17% and 25%, respectively.</p><p><strong>Conclusions: </strong>There are still gaps of knowledge about benefits and safety of available LARC methods. To improve wide coverage and more acceptability of LARC methods, involvement of health care workers and addition of subdermal implants to contraceptive counseling should be considered.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"160-166"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}