Ay P, Hidiroglu S, Topuzoglu A, Ucar M Solakoglu, Kose O O, Save D
Department of Public Health, School of Medicine, Marmara University, Istanbul, Turkey.
Eur J Contracept Reprod Health Care. 2007 Jun;12(2):154-61. doi: 10.1080/13625180701300822.
To evaluate the health concerns and the perceived non-contraceptive benefits of modern contraceptive methods through utilizing qualitative methods.
Six focus group discussions were carried out with a total of 53 married women in a socio-economically disadvantaged community in Istanbul, Turkey.
Women had a vague knowledge of the mechanism of menstruation. Some women believed that the uterus was filled with blood -- termed 'dirty blood' -- which should be eliminated during menstruation in order to stay healthy. For this reason, amenorrhoea was recognized as the important disadvantage of the progestin-only injectable contraceptives. While the participants mentioned fallacious and exaggerated side effects related to modern methods they did not recognize their non-contraceptive benefits. Most women gained the information concerning side effects through their social networks. Sometimes the information acquired was based on rumours that biased women against the modern contraceptives.
Women outweighed the risks, some of which were fallacious and exaggerated, against the benefits of modern contraceptives. It is crucial to address health concerns of women and what they 'heard' from their peers during counselling sessions. Also the non-contraceptive health benefits of modern methods should be well emphasized. Since informal sources are prevalent, the effectiveness of peer education should be studied in this community.
通过运用定性方法评估现代避孕方法的健康问题及感知到的非避孕益处。
在土耳其伊斯坦布尔一个社会经济条件不利的社区，对53名已婚妇女进行了6次焦点小组讨论。
女性对月经机制了解模糊。一些女性认为子宫充满血液——称为“脏血”——月经期间应排出这些血液以保持健康。因此，闭经被认为是仅含孕激素注射用避孕药的重要缺点。虽然参与者提到了与现代方法相关的错误和夸大的副作用，但他们并未认识到其非避孕益处。大多数女性通过社交网络获得有关副作用的信息。有时所获得的信息基于谣言，使女性对现代避孕药产生偏见。
女性认为现代避孕药的风险大于益处，其中一些风险是错误和夸大的。在咨询过程中解决女性的健康问题以及她们从同龄人那里“听到”的内容至关重要。此外，应充分强调现代方法的非避孕健康益处。由于非正式来源普遍存在，应研究该社区同伴教育的有效性。
