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约旦使用各种避孕方法的女性的生活质量、健康状况及相关因素:对避孕政策的启示

Quality of Life and Health Status of Jordanian Women Users of Various Contraceptive Methods and Associated Factors: Implications for Contraceptive Policies.

作者信息

Gharaibeh Muntaha K, Alsharm Safa, Al Maaitah Rowaida, Heilat Hadeel B, Marayan Lina

机构信息

Department of Maternal, Child and Family Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

Department of Community and Mental Health, Faculty of Nursing, Al Ahliyya Amman University, Amman, Jordan.

出版信息

Patient Prefer Adherence. 2022 Feb 15;16:403-412. doi: 10.2147/PPA.S344822. eCollection 2022.

Abstract

AIM

The study aimed at investigating the differences in health status of women users and non-users of contraceptive methods and assess differences in contraception quality of life (CQoL) according to method used.

METHODS

Across sectional study with 372 women between the ages of 18 and 49 years old were recruited. Participants completed the health status and the CQoL questionnaire, which was validated using factor analysis combining three factor loading measures with a good Cronbach's alpha reliability coefficient.

RESULTS

Results showed that there were no significant differences in health status between users and non-users. There was a significant difference in QoL according to the method used at the p <0.05 level for the three conditions F (2193) = 6.0 and p = 0.003. Post hoc analysis indicated that the total CQoL was significantly higher in IUD users (M = 55.7, SD = 9.6) than users of natural methods (M = 50, SD = 9.0, p < 0.01). In addition, the total CQoL was significantly higher among women from the southern region (M = 56.7, SD = 9.0) than from the northern and mid-regions (M = 49.5, SD = 0.07 and M = 52, SD = 10, respectively, p < 0.01).

CONCLUSION

The physiological changes of women's QoL was affected by the use of the IUD method with significantly lower QoL scores than those who used oral contraceptives and non-hormonal methods. In addition, there was no significant difference in health status between users and non-users of contraceptive methods.

IMPLICATIONS

The study has implications for contraceptive counselling on quality of life of women users of IUD and women from the south region and provides opportunities for the advancement of the reproductive health services in Jordan.

摘要

目的

本研究旨在调查使用和未使用避孕方法的女性的健康状况差异,并根据所使用的方法评估避孕生活质量(CQoL)的差异。

方法

开展了一项横断面研究,招募了372名年龄在18至49岁之间的女性。参与者完成了健康状况和CQoL问卷,该问卷通过将三种因子负荷测量与良好的克朗巴赫α信度系数相结合的因子分析进行了验证。

结果

结果显示,使用者和未使用者在健康状况方面没有显著差异。根据所使用的方法,在p<0.05水平上,三种情况的生活质量存在显著差异,F(2,193)=6.0,p=0.003。事后分析表明,宫内节育器使用者的总CQoL(M=55.7,SD=9.6)显著高于自然避孕法使用者(M=50,SD=9.0,p<0.01)。此外,南部地区女性的总CQoL(M=56.7,SD=9.0)显著高于北部和中部地区的女性(分别为M=49.5,SD=0.07和M=52,SD=10,p<0.01)。

结论

女性生活质量的生理变化受宫内节育器使用方法的影响,其生活质量得分显著低于使用口服避孕药和非激素方法的女性。此外,避孕方法使用者和未使用者在健康状况方面没有显著差异。

启示

该研究对宫内节育器女性使用者和南部地区女性的生活质量避孕咨询具有启示意义,并为约旦生殖健康服务的进步提供了机会。

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本文引用的文献

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The safety of intrauterine devices among young women: a systematic review.年轻女性使用宫内节育器的安全性:一项系统综述。
Contraception. 2017 Jan;95(1):17-39. doi: 10.1016/j.contraception.2016.10.006. Epub 2016 Oct 19.
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Associations between recent contraceptive use and quality of life among women.近期避孕措施使用与女性生活质量之间的关联。
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