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乌干达产后妇女过早恢复性生活的相关因素。

Factors associated with early resumption of sexual intercourse among postnatal women in Uganda.

作者信息

Alum Alice C, Kizza Irene B, Osingada Charles P, Katende Godfrey, Kaye Dan K

机构信息

Department of Nursing, School of Health Sciences, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda.

Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, P.O. Box 66, Alkhod, PC 123, Muscat, Oman.

出版信息

Reprod Health. 2015 Nov 19;12:107. doi: 10.1186/s12978-015-0089-5.

Abstract

BACKGROUND

Despite being a key component to be addressed during postnatal period, sexuality has long been a subject of secrecy and taboo in Africa. Resumption of sexual intercourse after giving birth has been shown to reduce extramarital affairs and consequently reduce risk of sexually transmitted infections like HIV/AIDS. Consequences of early resumption of sexual intercourse include unwanted pregnancy, genital trauma and puerperal infection. The objective of the study was to assess prevalence and factors associated with early resumption of sexual intercourse among postnatal mothers attending postnatal clinic at a National referral Hospital in Uganda.

METHODOLOGY

A cross-sectional study that employed an interviewer-administered questionnaire was conducted among 374 women who delivered six months prior to conducting the study. The independent variables included socio-demographic characteristics of the participant, socio-demographic characteristics of the spouse, perceived cultural norms, medical history, mode of delivery, and postpartum complications. The dependent variable was timing of resumption of sexual intercourse after childbirth (before or after six weeks postpartum). Data were analysed using SPSS version 16.0.

RESULTS

The study showed that 105 participants (21.6%) had resumed sexual intercourse before 6 weeks after childbirth. The participants' education level, occupation, and parity; education level of the spouse, age of baby and use of family planning were the factors associated with early resumption of sexual intercourse after child birth (before six weeks postpartum) (p < 0.05).

CONCLUSION

Many women resumed sexual intercourse after six weeks. Women with high income, low parity, who ever-used contraception or had a spouse with high education level were more likely to have early resumption of sexual intercourse.

摘要

背景

尽管性是产后需要关注的关键内容,但在非洲,性长期以来一直是个隐秘且禁忌的话题。产后恢复性生活已被证明可减少婚外情,从而降低感染艾滋病毒/艾滋病等性传播感染的风险。过早恢复性生活的后果包括意外怀孕、生殖器创伤和产褥感染。本研究的目的是评估乌干达一家国家转诊医院产后诊所中产后母亲过早恢复性生活的患病率及相关因素。

方法

对在开展研究前六个月分娩的374名女性进行了一项采用访谈式问卷的横断面研究。自变量包括参与者的社会人口学特征、配偶的社会人口学特征、感知的文化规范、病史、分娩方式和产后并发症。因变量是产后恢复性生活的时间(产后六周之前或之后)。使用SPSS 16.0版对数据进行分析。

结果

研究表明,105名参与者(21.6%)在产后六周前恢复了性生活。参与者的教育水平、职业和胎次;配偶的教育水平、婴儿年龄和计划生育的使用情况是与产后过早恢复性生活(产后六周之前)相关的因素(p < 0.05)。

结论

许多女性在六周后恢复了性生活。高收入、低胎次、曾使用过避孕措施或配偶教育水平高的女性更有可能过早恢复性生活。

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