Warasna Beesan, Rajabi Naeema, Mustafa Balqees, Najjar Anas, Daraghmeh Sojod, Ma'ali Anwar, Sawalha Maryam, Ali Abrar, Ateeq Aya, Ghannam Bara'a, Ashhab Belal, Kharoufeh Georgette, Qiq Muhannad, Abu Sharar Salam, Al-Atrash Samaa, Amro Ahmad
Faculty of Medicine, Al-Quds University, Jerusalem, occupied Palestinian territory.
Faculty of Pharmacy, Al-Quds University, Jerusalem, occupied Palestinian territory.
Lancet. 2021 Jul;398 Suppl 1:S45. doi: 10.1016/S0140-6736(21)01531-2.
Contraceptives have documented efficiency, but outcomes are highly dependent on women's understanding of how they should be used. We assessed the knowledge and attitudes of married Palestinian women about contraceptives and understanding of use of the available methods and side-effects.
This cross-sectional study involved married Palestinian women of childbearing age (18-50 years), and was done between Jan 20, 2017, and Jan, 1, 2018. A stratified random sample of 900 women was selected from each Palestinian governorate in the West Bank and East Jerusalem, with the number selected based on population size. An interviewer-assisted questionnaire was completed by each participant.
833 women were selected to participate and 771 (93%) completed the questionnaire. 123 (16%) of women reported not using any method of contraception. Among those who used contraception, intrauterine devices were most commonly used (312 [41%] of 771), followed by oral contraceptives (162 [21%]). Progestagen-only pills were the most frequently used type of oral contraceptive (45 [28%] of 162). Female sterilisation was used as a birth control method by 19 (3%) of 771 women. Investigation of the reasons behind contraception use showed that organisation of pregnancies was most common (511 [79%] of 648), followed by having too many children (131 [20%]) and economic reasons (73 [11%]). Regarding attitudes and beliefs towards contraceptive use, of the 771 participants, 49 (6%) believed that religion forbids their use and 112 (14·5%) considered them socially unacceptable. The study revealed poor scores for knowledge about use and possible side effects of contraceptives (mean 8·2 [SD 2·9] correct answers to 14 questions).
Most Palestinian women have used contraceptives, but poor knowledge of how to use them and side-effects is apparent. The attitudes of Palestinian women and their partners towards contraceptives indicates general acceptance of their use. A strength of our study is that it included representative sample of Palestinian women and our results and conclusions reflect the knowledge and attitudes towards contraceptives in Palestinian society.
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避孕药具已被证明有效，但其效果高度依赖于女性对其使用方法的理解。我们评估了已婚巴勒斯坦妇女对避孕药具的知识和态度，以及她们对现有避孕方法及其副作用的使用理解。
这项横断面研究涉及年龄在18至50岁之间的已婚巴勒斯坦育龄妇女，于2017年1月20日至2018年1月1日期间进行。从约旦河西岸和东耶路撒冷的每个巴勒斯坦省份中选取900名妇女作为分层随机样本，选取数量根据人口规模确定。每位参与者完成一份由访员协助的问卷。
833名妇女被选中参与研究，771名（93%）完成了问卷。123名（16%）妇女报告未使用任何避孕方法。在使用避孕措施的妇女中，宫内节育器是最常用的（771名中的312名[41%]），其次是口服避孕药（162名[21%]）。仅含孕激素的药丸是最常用的口服避孕药类型（162名中的45名[28%]）。771名妇女中有19名（3%）采用女性绝育作为避孕方法。对使用避孕措施背后原因的调查显示，安排怀孕是最常见的（648名中的511名[79%]），其次是孩子太多（131名[20%]）和经济原因（73名[11%]）。关于对避孕措施使用的态度和信念，在771名参与者中，49名（6%）认为宗教禁止使用，112名（14.5%）认为在社会上不可接受。该研究显示，关于避孕措施使用和可能副作用的知识得分较低（14个问题的平均正确答案数为8.2[标准差2.9]）。
大多数巴勒斯坦妇女使用过避孕药具，但对其使用方法和副作用的了解明显不足。巴勒斯坦妇女及其伴侣对避孕药具的态度表明总体上接受其使用。我们研究的一个优点是纳入了巴勒斯坦妇女的代表性样本，我们的结果和结论反映了巴勒斯坦社会对避孕药具的知识和态度。
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