妇女选择宫内节育器避孕方法的影响因素

Irisanna Tambunan, U. Sabarudin, H. Sukandar
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摘要

印度尼西亚长期避孕特别是宫内节育器(IUD)的使用率仍然相对较低,西爪哇就是其中之一。影响宫内节育器使用的因素是社会人口学、社会心理学和计划生育知识,但关于这些因素的信息在西爪哇仍然有限。本研究的目的是确定社会人口因素、社会心理学和西爪哇省西万隆县伦邦地区妇女对宫内节育器的知识水平的影响。本定量研究采用病例对照方法。样本采用多阶段随机抽样技术,分为病例组和对照组,共108人。数据收集采用问卷调查。双变量统计分析采用卡方检验,多变量分析采用多元Logistic回归分析。结果显示,社会人口学因素对宫内节育器选择有显著影响,其中:教育(p = 0.013)、就业(p = 0.014);社会心理因素:对理想子女数量的感知(p值= 0.037)、夫妻沟通(p值<0.001);关于宫内节育器的益处、副作用(p <0.001)和副作用(p = 0.033)的知识因素。多变量分析结果显示,工作状态是影响兰邦地区妇女选择宫内节育器的最主要因素(OR = 2.99 (95% CI): 2.49(1.14 ~ 7.89)。预计卫生工作者将重新启动该方案,以增加社区的知识,从而改变妇女选择宫内节育器避孕方法的观点。关键词:因素,宫内节育器,知识,社会人口学,社会心理学。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
WOMEN’S INFLUENCING FACTORS IN CHOOSING THE IUD CONTRACEPTION METHOD
The use of long-term contraception especially the Intra-Uterine Device (IUD) in Indonesia is still relatively low, one of which is West Java. Factors that influence the use of IUDs are sociodemographic, sociopsychological, and knowledge about family planning, but information about these factors is still limited in West Java. The purpose of this study was to determine the effect of sociodemographic factors, sociopsychology, and the level of knowledge about the IUD in women at Lembang District, West Bandung Regency, which is part of West Java Province. This quantitative research applied a case-control approach. Samples were selected by the Multistage random sampling technique, it divided into cases and control groups totaling 108 respondents. Data collection used a questionnaire. Bivariate statistical analysis was the Chi-square test , multivariable analysis was the Multiple Logistic Regression analysis. The results showed a significant influence of these factors on the choice of the IUD method including Sociodemographic factors: education (value p = 0.013), employment (value p = 0.014); Sociopsychological factors: perception of the ideal number of children (value p = 0.037), husband and wife communication (value p <0.001); knowledge factors about the benefits of the IUD, side effects of the IUD (value p <0.001) and side effects of the IUD (value p = 0.033). Multivariable analysis results showed that the working status was the most influential factor in choosing the IUDs in Lembang District (OR = 2.99 (95% CI): 2.49 (1.14-7.89). It is expected that health workers reactivated the program to increase knowledge in the community so it would change the perspective of women in choosing the IUD contraception method. Keywords : Factors, IUDs, knowledge, sociodemography, sociopsychology.
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