Korkut Burcu, Sevinç Nergiz, Adahan Didem
Department of Family Medicine, Karabük University Training and Research Hospital, Karabük, TUR.
Department of Public Health, Karabük University Faculty of Medicine, Karabük, TUR.
Cureus. 2022 Apr 11;14(4):e24045. doi: 10.7759/cureus.24045. eCollection 2022 Apr.
Background This study aimed to assess the obstetric characteristics of refugee women and evaluate their knowledge and usage of contraception methods. Methodology This retrospective, cross-sectional study included 400 married refugee women aged 18-49 years who presented to the Foreigners Outpatient Clinic between 2018 and 2020. In the Foreigners Outpatient Clinic, a health worker filled in a 23-question form for all refugee women to obtain their obstetric history and information regarding contraception methods. The 23-item form comprised 11 questions about the sociodemographic characteristics of refugee women, seven questions about their obstetric history, and five questions about their knowledge and attitudes about contraception methods. Statistical analyses were performed using the data obtained from these forms filed in the outpatient clinic. Descriptive data were presented as frequency, percentage distribution, mean, and standard deviation. Results The average age of the participants was 31.36 ± 8.36 years, with 52.8% of the participants being Afghan women. Overall, 70% of participants were either only literate, learned to read and write without ever going to school, or were primary school graduates. Moreover, 61.1% of refugee women aged ≤18 years at the time of first birth were Somali, Sudanese, and Saudi Arabian nationals, significantly outnumbering other refugee women (p = 0.03). The rate of having ≥three children among Pakistani participants was 90.0%, which was statistically significantly higher (p = 0.04). The proportion of Afghan women who received counseling on family planning was lower (p = 0.04). There was no statistically significant difference between refugee women's knowledge of using a contraception method (p = 0.09). As a contraception method, the most significant use of injection was by refugee women from Somalia, Sudan, and Saudi Arabia (p = 0.03); tubal ligation was used by Afghan women (p = 0.01); and implanted by Pakistani women (p = 0.01). No difference was found in the use of condoms, pills, and intrauterine devices. Conclusions On evaluating the obstetric characteristics of refugee women, it was determined that the number of pregnancies and the rate of giving first birth at the age of 18 and under were high. On the other hand, there was no difference between refugee women regarding condom and pill use; however, it was observed that the rate of using these methods at some point in their lives was high. Hence, it can be concluded that immigration seriously affects women's reproductive health, makes it difficult to obtain protection methods, and paves the way for having unplanned and large numbers of children.
背景 本研究旨在评估难民妇女的产科特征，并评估她们对避孕方法的了解和使用情况。方法 这项回顾性横断面研究纳入了2018年至2020年间到外国人门诊就诊的400名年龄在18至49岁之间的已婚难民妇女。在外国人门诊，一名医护人员为所有难民妇女填写了一份包含23个问题的表格，以获取她们的产科病史和有关避孕方法的信息。这份23项的表格包括11个关于难民妇女社会人口学特征的问题、7个关于她们产科病史的问题以及5个关于她们对避孕方法的了解和态度的问题。使用从门诊存档的这些表格中获得的数据进行统计分析。描述性数据以频率、百分比分布、均值和标准差表示。结果 参与者的平均年龄为31.36±8.36岁，其中52.8%的参与者为阿富汗妇女。总体而言，70%的参与者仅识字、没上过学但学会了读写或为小学毕业生。此外，首次生育时年龄≤18岁的难民妇女中，61.1%是索马里、苏丹和沙特阿拉伯国籍，明显多于其他难民妇女（p = 0.03）。巴基斯坦参与者中生育≥3个孩子的比例为90.0%，在统计学上显著更高（p = 0.04）。接受计划生育咨询的阿富汗妇女比例较低（p = 0.04）。难民妇女在避孕方法使用知识方面没有统计学上的显著差异（p = 0.09）。作为一种避孕方法，注射剂使用最多的是来自索马里、苏丹和沙特阿拉伯的难民妇女（p = 0.03）；输卵管结扎术由阿富汗妇女使用（p = 0.01）；植入物由巴基斯坦妇女使用（p = 0.01）。在避孕套、避孕药片和宫内节育器的使用方面未发现差异。结论 在评估难民妇女的产科特征时，确定怀孕次数以及18岁及以下首次生育的比例较高。另一方面，难民妇女在避孕套和避孕药片的使用方面没有差异；然而，观察到她们在生命中的某个阶段使用这些方法的比例较高。因此，可以得出结论，移民严重影响妇女的生殖健康，使得难以获得保护方法，并为意外生育和生育大量子女铺平了道路。
