Topsever Pinar, Filiz Müge, Aladağ Nihal, Topalli Ruşen, Ciğerli Ozlem, Görpelioğlu Süleyman
Kocaeli University Faculty of Medicine, Department of Family Medicine, Kocaeli, Turkey.
BMC Womens Health. 2006 Aug 6;6:12. doi: 10.1186/1472-6874-6-12.
Family planning counselling which covers knowledge transfer about contraceptive mode of action, by enabling informed choice, improves compliance to and efficiency of contraceptive methods. The objective of this study was to investigate associations between family planning counselling, counsellor and correct knowledge about mode of action of modern contraceptive methods among married women.
For this cross-sectional study, stratified (according to current modern contraceptive method in use) random sampling was performed from the registries of two primary health care centres. Main outcomes were; prevalence of family planning counselling, professional background of the counsellor and correct knowledge about mode of action. A semi-structured questionnaire developed by the researchers was applied via face-to-face interview. The answers about mode of action were categorized as correct vs. incorrect by consensus rating.
Prevalence of counselling and correct knowledge about mode of action was 49.0% and 39.3%, respectively. Higher educated women were significantly more likely to know the mode of action (p < 0.001). Being counselled by a physician (54.1%, n = 120) was not associated with correct knowledge about mode of action (p = 0.79). Non-barrier method users were less educated (p = 0.001), more often counselled (60.8% vs. 8.0%) and less knowledgeable (p < 0.001) about mode of action of their contraceptive method, compared to condom users. Nevertheless, counselled non-barrier method users were significantly more likely to know the correct mode of action of their chosen method (p = 0.021) than counselled condom users.
The beneficial effect of counselling on knowledge about mode of action of the more complicated, medical (non-barrier) contraceptive methods suggests that the use of family planning counselling services in primary health care should be promoted; furthermore, counselling strategies and content should be re-structured for better efficacy.
计划生育咨询涵盖了关于避孕作用方式的知识传授，通过使人们能够做出明智的选择，提高了对避孕方法的依从性和避孕效率。本研究的目的是调查计划生育咨询、咨询者与已婚妇女对现代避孕方法作用方式的正确认知之间的关联。
对于这项横断面研究，从两个初级卫生保健中心的登记册中进行分层（根据当前使用的现代避孕方法）随机抽样。主要结果包括：计划生育咨询的普及率、咨询者的专业背景以及对作用方式的正确认知。研究人员编制的一份半结构化问卷通过面对面访谈进行应用。关于作用方式的答案通过共识评级分为正确与不正确两类。
咨询的普及率和对作用方式的正确认知率分别为49.0%和39.3%。受教育程度较高的女性了解作用方式的可能性显著更高（p < 0.001）。由医生进行咨询（54.1%，n = 120）与对作用方式的正确认知无关（p = 0.79）。与使用避孕套的女性相比，使用非屏障方法的女性受教育程度较低（p = 0.001），接受咨询的频率更高（60.8%对8.0%），对其避孕方法作用方式的了解更少（p < 0.001）。然而，接受咨询的使用非屏障方法的女性比接受咨询的使用避孕套的女性更有可能了解其所选方法的正确作用方式（p = 0.021）。
咨询对更复杂的医学（非屏障）避孕方法作用方式知识的有益影响表明，应在初级卫生保健中推广使用计划生育咨询服务；此外，应重新构建咨询策略和内容以提高效果。
