Iftikhar Rahila, Aba Al Khail Bahaa Abdulrahman
Family and Community Medicine Department, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Patient Prefer Adherence. 2015 Mar 10;9:401-11. doi: 10.2147/PPA.S67171. eCollection 2015.
Oral contraceptive pills (OCPs) are one of the most reliable methods of contraception. However, lack of knowledge about oral contraceptive use and inconsistent pill-taking might result in decreased efficacy. The study reported here aimed to explore women's knowledge about oral contraceptive use and assess the factors associated with knowledge about OCPs among users.
This cross-sectional survey was conducted at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between April and June 2014. We included married, non-pregnant women >18 years old who had used a combined 21-day OCP for at least 3 months prior to recruitment. A questionnaire was used to collect the participants' demographic information. It also assessed their knowledge about OCPs. Data were entered into and analyzed using SPSS software.
A total of 357 women were recruited. Of these, 57.7% reported they knew what to do after missing one or two pills, but only 18.3% knew exactly what to do after missing more than two pills consecutively. Postgraduate women had a significantly higher knowledge score than illiterate women (P=0.002) and those who had completed at least primary education (P=0.001). Conversely, there was no difference in knowledge scores between Saudi and expatriate women (P=0.2). Monthly incomes (P=0.2) and mode of OCP selection (P=0.2) were also not significantly associated with knowledge scores.
Women had poor knowledge about OCP use. Appropriate measures should be taken to educate women about proper oral contraceptive use.
口服避孕药是最可靠的避孕方法之一。然而，对口服避孕药使用知识的缺乏以及服药不规律可能会导致避孕效果降低。本文报道的这项研究旨在探索女性对口服避孕药使用的知识，并评估使用者中与口服避孕药知识相关的因素。
这项横断面调查于2014年4月至6月在沙特阿拉伯吉达的阿卜杜勒阿齐兹国王大学医院进行。我们纳入了年龄大于18岁、已婚、非怀孕且在招募前至少连续3个月使用21天复方口服避孕药的女性。使用问卷收集参与者的人口统计学信息。问卷还评估了她们对口服避孕药的知识。数据录入SPSS软件并进行分析。
共招募了357名女性。其中，57.7%的女性表示她们知道漏服一两片药后该怎么做，但只有18.3%的女性确切知道连续漏服两片以上药后该怎么做。研究生学历的女性的知识得分显著高于文盲女性（P = 0.002）以及至少完成小学教育的女性（P = 0.001）。相反，沙特女性和外籍女性的知识得分没有差异（P = 0.2）。月收入（P = 0.2）和口服避孕药的选择方式（P = 0.2）也与知识得分没有显著关联。
女性对口服避孕药的使用知识掌握较差。应采取适当措施对女性进行关于正确使用口服避孕药的教育。
