韩国口服避孕药使用教育的必要性：2007-2009 年第四次韩国国家健康和营养检查调查结果。

Necessity of education for oral contraceptive use in Korea: results from the fourth Korean national health and nutrition examination survey 2007-2009.

机构信息

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Gynecol Obstet Invest. 2013;76(1):44-50. doi: 10.1159/000351106. Epub 2013 May 31.

Abstract

BACKGROUND/AIMS: To compare the prevalence of contraindications to oral contraceptive (OC) use between OC users and nonusers and to identify high-risk groups related to contraindications to OC use among OC users.

METHODS

This health-interview survey is part of the Fourth Korean National Health and Nutrition Examination Survey 2007-2009. Of 13,561 women who participated in the survey, 672 were OC users and 3,720 were OC nonusers. The adjusted proportions of contraindications to OC use were measured according to the current OC use status. Factors associated with contraindications to OC use among OC users were identified using multivariate analysis.

RESULTS

The prevalence of contraindications to OC use was higher in OC users than in OC nonusers (12.6 vs. 7.8%, p < 0.001). The adjusted proportion of women who were smokers and aged ≥ 35 years was greater in OC users than in OC nonusers (5.8 vs. 1.9%, p < 0.001). Among OC users, the 40-50 age group, lower education level, and a BMI ≥ 25 had higher odds of having contraindications.

CONCLUSION

Education programs for OC use are urgently required to improve knowledge about correct use of and contraindications to OC use.

摘要

背景/目的：比较口服避孕药（OC）使用者和非使用者之间 OC 使用禁忌的流行情况，并确定 OC 使用者中与 OC 使用禁忌相关的高危人群。

方法

本健康访谈调查是 2007-2009 年第四次韩国国家健康和营养检查调查的一部分。在参与调查的 13561 名女性中，有 672 名 OC 使用者和 3720 名 OC 非使用者。根据当前 OC 使用情况，测量了 OC 使用禁忌的调整后比例。使用多变量分析确定了 OC 使用者中与 OC 使用禁忌相关的因素。

结果

OC 使用者中 OC 使用禁忌的流行率高于 OC 非使用者（12.6%比 7.8%，p<0.001）。OC 使用者中吸烟者和年龄≥35 岁的女性调整后比例大于 OC 非使用者（5.8%比 1.9%，p<0.001）。在 OC 使用者中，40-50 岁年龄组、较低的教育水平和 BMI≥25 与存在禁忌的可能性更高相关。