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2019年埃塞俄比亚西北部丹吉拉希达塞高中女生对紧急避孕方法的知识、态度和行为评估

Assessment of Knowledge, Attitudes, and Practices Regarding Emergency-Contraception Methods among Female Dangila Hidase High School Students, Northwest Ethiopia, 2019.

作者信息

Mamuye Shiferaw Abeway, Gelaye Wudineh Kihinetu, Nibret Belay Almaz, Gizachew Kefyalew Dagne

机构信息

Department of Pediatric and Child Health Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Open Access J Contracept. 2021 Jan 7;12:1-5. doi: 10.2147/OAJC.S288029. eCollection 2021.

Abstract

BACKGROUND

Emergency contraception is used after intercourse and before potential implantation, offering women a last chance to prevent pregnancy after unprotected sexual intercourse.

OBJECTIVE

This study aimed to assess knowledge, attitudes, and practices regarding emergency contraception among female students at Dangila Hidase high school in northwest Ethiopia.

METHODS

An institution-based cross-sectional study was conducted among female students at Dangila Hidase high school from from May 1 to 30, 2019. Systematic random sampling was used to select study participants. There were 1,219 students in Dangila Hidase high school. Of these, 625 of them were female students. There were 346 female students in grade 9 and 279 students from grade 10. Samples were allocated proportionally to each grade. A pretested self-administered structured questionnaire was used. Data were entered into Epi Info 3.5 and exported to SPSS 24 for analysis.

RESULTS

A total of 262 female students aged 16-19 years were approached, and the response rate was 100%. Among respondents who had heard about emergency contraceptive, pills were the most commonly known method 98, 51.4%) followed by intrauterine contraceptive devices 42, 22.1%). A total of 75 (58.6%) participants had knowledge of the recommended number of pills to be taken. Of the 190 (72.5%) respondents who knew about emergency contraception, 147, 77.4%) had favorable attitudes toward its use. Of those who had had sexual intercourse 70, 26.7%), only 20 (28.6%) had used emergency contraception.

CONCLUSION

Even though there is information available about emergency contraception, there is a gap with regard to the correct time of use. The positive attitudes of the respondents could be an indication of a fertile environment for possible interventions and reduction in maternal morbidity and mortality resulting from unwanted pregnancies and related complications.

摘要

背景

紧急避孕在性交后且在可能着床前使用,为女性在无保护性交后提供防止怀孕的最后机会。

目的

本研究旨在评估埃塞俄比亚西北部丹吉拉希达塞高中女学生对紧急避孕的知识、态度和实践情况。

方法

2019年5月1日至30日在丹吉拉希达塞高中女学生中开展了一项基于机构的横断面研究。采用系统随机抽样选取研究参与者。丹吉拉希达塞高中有1219名学生,其中625名是女学生。九年级有346名女学生,十年级有279名学生。样本按比例分配到每个年级。使用经过预测试的自填式结构化问卷。数据录入Epi Info 3.5并导出到SPSS 24进行分析。

结果

共接触了262名16 - 19岁的女学生,应答率为100%。在听说过紧急避孕的受访者中,最常听说的方法是避孕药(98人,51.4%),其次是宫内节育器(42人,22.1%)。共有75名(58.6%)参与者知道推荐服用的药片数量。在190名(72.5%)知道紧急避孕的受访者中,147名(77.4%)对其使用持积极态度。在有过性交的70名(26.7%)受访者中,只有20名(28.6%)使用过紧急避孕。

结论

尽管有关于紧急避孕的信息,但在正确使用时间方面存在差距。受访者的积极态度可能表明存在一个有利于进行可能干预的环境,有助于降低意外怀孕及相关并发症导致的孕产妇发病率和死亡率。

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本文引用的文献

1
Knowledge, attitude and practice of emergency contraceptives among adama university female students.
Ethiop J Health Sci. 2010 Nov;20(3):195-202. doi: 10.4314/ejhs.v20i3.69449.
3
Unintended pregnancy: worldwide levels, trends, and outcomes.
Stud Fam Plann. 2010 Dec;41(4):241-50. doi: 10.1111/j.1728-4465.2010.00250.x.
4
The estimated incidence of induced abortion in Ethiopia, 2008.
Int Perspect Sex Reprod Health. 2010 Mar;36(1):16-25. doi: 10.1363/ipsrh.36.016.10.

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