Aladag Nihal, Filiz Muge, Topsever Pinar, Apaydin Petek, Gorpelioglu Suleyman
Kocaeli University Faculty of Medicine, Family Medicine Department, Kocaeli, Turkey.
Eur J Contracept Reprod Health Care. 2006 Jun;11(2):81-8. doi: 10.1080/13625180500456916.
To determine the differences in and factors related to satisfaction between barrier (male condom) and non-barrier method users.
A semi-structured questionnaire was used for collecting data for this cross-sectional survey. The questionnaires were completed via one-on-one interviews by the researchers. The study group was selected using stratified random sampling. Exclusion criteria were, being unmarried, pregnant, in postmenopausal status and using traditional methods. A total of 434 currently married women using modern contraceptive methods participated in the study. Contraceptive users were dichotomized into two groups as non-barrier method users and barrier method users.
About half of the participants (n = 191, 44%) were barrier method users. Their mean age was 33.7 +/- 7.3 years, 66.6% (n = 131) were well educated and reported significantly less pregnancies, given births, living children and abortions (reproductive history events) than non-barrier users. Barrier method users were significantly more likely to be satisfied with their contraceptive method of choice (OR: 2.4; 95% CI 1.2-5.2). Among barrier method users, deciding the type of the contraceptive method themselves had significant effect on satisfaction.
In our study, satisfaction was mostly affected by heavy side effects and health risks of the methods resulting in less satisfaction with the contraceptive method among non-barrier method users. Other factors which may influence satisfaction deserve further investigation.
确定屏障法（男用避孕套）使用者与非屏障法使用者在满意度方面的差异及相关因素。
本横断面调查采用半结构化问卷收集数据。问卷由研究人员通过一对一访谈完成。研究组采用分层随机抽样选取。排除标准为未婚、怀孕、处于绝经后状态以及使用传统方法。共有434名目前使用现代避孕方法的已婚妇女参与了研究。避孕方法使用者被分为非屏障法使用者和屏障法使用者两组。
约一半的参与者（n = 191，44%）为屏障法使用者。她们的平均年龄为33.7±7.3岁，66.6%（n = 131）受过良好教育，且与非屏障法使用者相比，她们报告的怀孕、生育、存活子女及流产（生殖史事件）显著更少。屏障法使用者对其选择的避孕方法满意度显著更高（比值比：2.4；95%置信区间1.2 - 5.2）。在屏障法使用者中，自行决定避孕方法类型对满意度有显著影响。
在我们的研究中，满意度主要受方法的严重副作用和健康风险影响，这导致非屏障法使用者对避孕方法的满意度较低。其他可能影响满意度的因素值得进一步研究。
