Center of Excellence for Trauma and Emergencies, Aga Khan University, Karachi, Pakistan
Community Health Sciences, Aga Khan University, Karachi, Pakistan.
BMJ Open. 2023 Nov 23;13(11):e075490. doi: 10.1136/bmjopen-2023-075490.
This study aimed to determine the factors associated with continuation of hormonal contraceptive methods among married women of Gilgit, Pakistan at least 6 months after their initiation.
Unmatched case-control study.
Community settings of Gilgit, Pakistan from 1 April 2021 to 30 July 2021.
The cases were married women of reproductive age who, at the time of interview, were using a hormonal method of contraception for at least 6 months continuously, and controls were married women of reproductive age who had used a hormonal method in the past and currently were using a non-hormonal method for at least 6 months.
OR for continuation of hormonal contraceptive.
The factors significantly associated with continuous use of hormonal contraceptive methods for our sample from Gilgit were the family planning centre's distance from home (adjusted OR (AOR) 6.33, 95% CI 3.74 to 10.71), satisfaction with current method used (AOR 3.64, 95% CI 2.06 to 6.44), visits to the family planning centre to avail services (AOR 1.86, 95% CI 1.07 to 3.45) and relatively older age of women (AOR 1.07, 95% CI 1.02 to 1.12). In addition, women with formal education (AOR 0.27, 95% CI 0.12 to 0.6) were less likely to use a modern contraceptive method.
Continuation of using a hormonal method was associated with easy access to family planning centres, satisfaction with the current method and frequent visits to the family planning centres. Continuation of using a hormonal method was also seen in women with low education status. The importance of the presence of family planning centres near residential areas cannot be emphasised more. This does not only provide easy access to family planning methods, but also reassure women of continuation of modern methods when they face any unpleasant effects while using these.
本研究旨在确定与巴基斯坦吉尔吉特已婚女性在开始使用激素避孕方法至少 6 个月后继续使用该方法相关的因素。
配对病例对照研究。
2021 年 4 月 1 日至 2021 年 7 月 30 日，巴基斯坦吉尔吉特的社区环境。
病例组为正在使用激素避孕方法且至少连续使用 6 个月的育龄已婚女性，对照组为过去使用过激素避孕方法且目前至少连续使用 6 个月的非激素避孕方法的育龄已婚女性。
继续使用激素避孕方法的比值比。
对于我们来自吉尔吉特的样本，与持续使用激素避孕方法显著相关的因素包括家庭计划中心离家的距离（调整后的比值比（AOR）6.33，95%置信区间 3.74 至 10.71）、对当前使用方法的满意度（AOR 3.64，95%置信区间 2.06 至 6.44）、到家庭计划中心就诊以获得服务的次数（AOR 1.86，95%置信区间 1.07 至 3.45）和女性相对较年长（AOR 1.07，95%置信区间 1.02 至 1.12）。此外，具有正规教育背景的女性（AOR 0.27，95%置信区间 0.12 至 0.6）不太可能使用现代避孕方法。
容易获得计划生育中心、对当前方法的满意度和经常到计划生育中心就诊与继续使用激素方法有关。教育程度较低的女性也继续使用激素方法。强调计划生育中心在居民区附近的存在是非常重要的。这不仅提供了获得计划生育方法的便利，还能在女性使用这些方法时出现任何不良反应时，让她们安心继续使用现代方法。
