为什么伊朗已婚妇女选择体外排精而不是口服避孕药？来自伊朗的一项定性研究。
Why Iranian married women use withdrawal instead of oral contraceptives? A qualitative study from Iran.
机构信息
Department of Health Education, Tarbiat Modares University, Tehran, Iran.
出版信息
BMC Public Health. 2010 May 28;10:289. doi: 10.1186/1471-2458-10-289.
BACKGROUND
Withdrawal as a method of birth control is still used in Iran. The aim of this study was to explore married women's perspectives and attitudes on withdrawal use instead of oral contraceptive (OC) in Tehran, Iran.
METHODS
This was a qualitative study. Participants were 50 married women, not currently pregnant, not desiring pregnancy and who had been using withdrawal for contraception. Face-to face interviews were conducted to collect data. Content analysis was performed to analyze the data.
RESULTS
Four major themes were extracted from the interviews: advantages, disadvantages, barriers for OC use, and husband-related factors. Advantages of withdrawal use were identified as: easy to use, convenient, ease of access, natural. Even those participants who had experienced unwanted pregnancy while using withdrawal, relied on withdrawal as their contraceptive method. Disadvantages of OC included concerns about side effects. Barriers related to use of OC included the need for medical advice, vaginal examination and daily use. Husband-related factors included: the husband wanted to be the primary decision maker on the number of children and that he preferred withdrawal.
CONCLUSION
Health providers should address misunderstandings that exist about OC and highlight the non-contraceptive health benefits of OC to balance the information provided for women. We suggest that not only women but also their spouses be advised in family planning programs.
背景
在伊朗，停药法仍然被用作一种避孕方法。本研究旨在探讨已婚妇女对在德黑兰使用停药法代替口服避孕药（OC）的看法和态度。
方法
这是一项定性研究。参与者为 50 名已婚妇女，她们目前没有怀孕，不希望怀孕，并且一直在使用停药法避孕。通过面对面访谈收集数据。采用内容分析法对数据进行分析。
结果
访谈中提取出四个主要主题：优点、缺点、使用 OC 的障碍以及与丈夫相关的因素。停药法的优点包括：使用方便、方便、易于获得、自然。即使那些在使用停药法时经历过意外怀孕的参与者，也依赖停药法作为避孕方法。OC 的缺点包括对副作用的担忧。使用 OC 的障碍包括需要医疗建议、阴道检查和每日使用。与丈夫相关的因素包括：丈夫希望成为孩子数量的主要决策者，并且他更喜欢停药法。
结论
卫生保健提供者应解决关于 OC 的误解，并强调 OC 的非避孕健康益处，以平衡为妇女提供的信息。我们建议在计划生育项目中不仅要对妇女，还要对其配偶进行咨询。
Zotero 插件