西班牙潘普洛纳初级卫生保健中心女性对计划生育方法作用机制的态度调查
Women's attitudes towards mechanisms of action of family planning methods: survey in primary health centres in Pamplona, Spain.
作者信息
de Irala Jokin, Lopez del Burgo Cristina, Lopez de Fez Carmen M, Arredondo Jorge, Mikolajczyk Rafael T, Stanford Joseph B
机构信息
Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Irunlarrea 1, 31008 Pamplona, Spain.
出版信息
BMC Womens Health. 2007 Jun 27;7:10. doi: 10.1186/1472-6874-7-10.
BACKGROUND
Informed consent in family planning includes knowledge of mechanism of action. Some methods of family planning occasionally work after fertilization. Knowing about postfertilization effects may be important to some women before choosing a certain family planning method. The objective of this survey is to explore women's attitudes towards postfertilization effects of family planning methods, and beliefs and characteristics possibly associated with those attitudes.
METHODS
Cross-sectional survey in a sample of 755 potentially fertile women, aged 18-49, from Primary Care Health Centres in Pamplona, Spain. Participants were given a 30-item, self-administered, anonymous questionnaire about family planning methods and medical and surgical abortion. Logistic regression was used to identify variables associated with women's attitudes towards postfertilization effects.
RESULTS
The response rate was 80%. The majority of women were married, held an academic degree and had no children. Forty percent of women would not consider using a method that may work after fertilization but before implantation and 57% would not consider using one that may work after implantation. While 35.3% of the sample would stop using a method if they learned that it sometimes works after fertilization, this percentage increased to 56.3% when referring to a method that sometimes works after implantation. Women who believe that human life begins at fertilization and those who consider it is important to distinguish between natural and induced embryo loss were less likely to consider the use of a method with postfertilization effects.
CONCLUSION
Information about potential postfertilization effects of family planning methods may influence women's acceptance and choice of a particular family planning method. Additional studies in other populations are necessary to evaluate whether these beliefs are important to those populations.
背景
计划生育中的知情同意包括对作用机制的了解。一些计划生育方法偶尔在受精后仍起作用。在选择某种计划生育方法之前，了解受精后的影响对一些女性可能很重要。本调查的目的是探讨女性对计划生育方法受精后影响的态度，以及可能与这些态度相关的信念和特征。
方法
对来自西班牙潘普洛纳初级保健健康中心的755名年龄在18至49岁之间的潜在可育女性进行横断面调查。参与者收到一份30项的自填式匿名问卷，内容涉及计划生育方法以及药物流产和手术流产。采用逻辑回归来确定与女性对受精后影响态度相关的变量。
结果
回复率为80%。大多数女性已婚，拥有学术学位且没有孩子。40%的女性不会考虑使用在受精后但着床前可能起作用的方法，57%的女性不会考虑使用在着床后可能起作用的方法。虽然35.3%的样本表示如果得知某种方法有时在受精后仍起作用就会停止使用，但当提及某种有时在着床后仍起作用的方法时，这一比例增至56.3%。认为人类生命始于受精的女性以及认为区分自然胚胎丢失和人工诱导胚胎丢失很重要的女性，不太可能考虑使用有受精后影响的方法。
结论
关于计划生育方法潜在受精后影响的信息可能会影响女性对特定计划生育方法的接受度和选择。有必要在其他人群中进行更多研究，以评估这些信念对那些人群是否重要。
Zotero 插件