School of Medicine, The University of Jordan, P O Box 2194, Amman, 11941, Jordan.
Obstetrics and Gynecology Department, The Royal Medical Services, Amman, Jordan.
BMC Womens Health. 2022 Jun 2;22(1):204. doi: 10.1186/s12905-022-01784-0.
In the Muslim world, the use and acceptance of long-term and permanent contraceptives were limited. Our aim was to investigate those limiting factors so we can help making these methods widely available and acceptable to the society.
There were 1365 women from Facebook groups in the period 08/10/2020-8/11/2020. Participants were married women, living in Jordan. This was a cross-sectional study. Statistical Package for Social Sciences (SPSS), version 16, software was used for statistical analysis (Chicago, Illinois, USA).
Among participants, 22.3% had never used any contraceptives. Non-hormonal IUCD was the most commonly used method. There was a statistically significant association between the use of hormonal IUCD and women's age, marriage duration, education and number of children (p < 0.0001). Tubal ligation was adopted by only 44 (3.22%) participants. 19.68% of participants declined tubal ligation merely due to religious issues. Women who completed only high school level of education underwent tubal ligation significantly more than those with university (Bachelor) and post-university (Master or PhD) degrees (p < 0.0001 and 0.026, respectively). Only 1.83% of women's partners underwent vasectomy, the majority of these vasectomies (72.0%) were done because of the need for lifelong contraception. Around 17% of women's partners had poor knowledge about vasectomy. Further, women's employment status (housewives or full-time employees) was found to be the only variable that affected acceptance of vasectomy (p = 0.0047).
Women endured a heavy burden of contraception. Cultural and religious taboos influenced tubal ligation. Vasectomy was still very rarely adopted by men due to the lack of knowledge about the procedure. Our results raised the need for further dissemination of contraception knowledge and counselling through the primary care and maternity centers, mosques and media in official, comprehensive and integrated programs. Future research is needed in the field of permanent contraceptive methods.
在穆斯林世界，长期和永久性避孕措施的使用和接受程度有限。我们的目的是调查这些限制因素，以便我们能够帮助这些方法在社会中广泛普及和接受。
2020 年 10 月 8 日至 10 月 11 日期间，我们对来自 Facebook 群组的 1365 名已婚、居住在约旦的女性进行了调查。这是一项横断面研究。使用社会科学统计软件包（SPSS），版本 16（美国伊利诺伊州芝加哥）进行统计分析。
参与者中，22.3%的人从未使用过任何避孕药具。非激素宫内节育器是最常用的方法。激素宫内节育器的使用与妇女的年龄、婚姻持续时间、教育程度和子女数量之间存在统计学显著关联（p<0.0001）。只有 44 名（3.22%）参与者采用了输卵管结扎术。19.68%的参与者仅仅因为宗教问题而拒绝输卵管结扎术。仅完成高中学历教育的女性接受输卵管结扎术的比例明显高于拥有大学（学士）和研究生（硕士或博士）学历的女性（p<0.0001 和 0.026）。仅有 1.83%的女性伴侣接受了输精管切除术，其中大多数（72.0%）是因为需要终生避孕。大约 17%的女性伴侣对输精管切除术知之甚少。此外，女性的就业状况（家庭主妇或全职员工）是影响接受输精管切除术的唯一变量（p=0.0047）。
女性承担着沉重的避孕负担。文化和宗教禁忌影响了输卵管结扎术的接受度。由于对手术缺乏了解，男性很少采用输精管切除术。我们的研究结果表明，需要通过初级保健和妇产科中心、清真寺和媒体，以官方、全面和综合的方案进一步传播避孕知识和咨询服务。需要进一步研究永久性避孕方法。
