Hiremath R N, Yadav A K, Ghodke Sandhya, Yadav Jyoti
Classified Specialist (Community Medicine),Officer Commanding, 121 Field Health Organisation, C/o 56 APO, India.
Classified Specialist (Community Medicine), PhD Scholar (Epidemiology), AIIMS, New Delhi, India.
Med J Armed Forces India. 2018 Apr;74(2):103-107. doi: 10.1016/j.mjafi.2016.12.007. Epub 2017 Jan 17.
Nearly 1.5 billion adolescent girls are entering into child bearing age groups without effective knowledge regarding family planning practices which are essential to maintain their reproductive health. Timely and effective knowledge regarding family planning norms and practices among the young women during their initial married days are vital. Therefore the study was carried out with the aim to find out the factors associated with use of contraceptive among Armed Forces Personnel.
A cross sectional survey was carried out among Armed Forces personnel living in a Military station with pre-validated and pre-tested questionnaire. Data was collected from 221 eligible couples. Univariate and logistic regression were done to find out the variables determining family planning.
Out of 221 couples, 65.2% (144) of couples were practicing some or the other methods of family planning while 34.8% (77) didn't practice any methods. Age, age at marriage, sex of first child, type of family, empowerment and parity of women were significantly associated with contraceptive acceptance in univariate model. However in logistic regression analysis age at marriage, empowerment and parity were significant predictors of family planning. Major reason for not adopting any contraception was want of another child (20, 26%), girl child (18, 23%), male child (18, 23%) and worry about side effects (11, 14.3%).
The study highlights the gap in preferences and practices of contraceptive and emphasized the need to highlight safety of contraceptive during Information, Education and Communication (IEC) campaign.
近15亿青春期女孩步入育龄,但对维持生殖健康至关重要的计划生育措施却缺乏有效认知。年轻女性在初婚阶段及时获得有关计划生育规范和措施的有效知识至关重要。因此,开展这项研究旨在找出武装部队人员中与使用避孕药具相关的因素。
对居住在军事驻地的武装部队人员进行横断面调查,采用预先验证和测试过的问卷。从221对符合条件的夫妇中收集数据。进行单因素分析和逻辑回归分析以找出决定计划生育的变量。
在221对夫妇中,65.2%(144对)的夫妇采用了某种计划生育方法,而34.8%(77对)未采用任何方法。在单因素模型中,年龄、结婚年龄、头胎性别、家庭类型、女性赋权和生育胎次与避孕药具的接受情况显著相关。然而,在逻辑回归分析中,结婚年龄、赋权和生育胎次是计划生育的显著预测因素。未采取任何避孕措施的主要原因是想要再要一个孩子(20人,占26%)、想要女孩(18人,占23%)、想要男孩(18人,占23%)以及担心副作用(11人,占14.3%)。
该研究凸显了避孕药具偏好和使用方面的差距,并强调在信息、教育和宣传(IEC)活动中突出避孕药具安全性的必要性。