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节育措施对已婚女性生活质量的影响。

Impact of Birth Control Measures on the Quality of Life Among Married Women.

作者信息

Singla Neha, Jyoti Jasdeep K, Sagar Nidhi

机构信息

College of Nursing, All India Institute of Medical Sciences, Raebareli, Raebareli, IND.

College of Nursing, Dayanand Medical College and Hospital, Ludhiana, IND.

出版信息

Cureus. 2025 Apr 2;17(4):e81595. doi: 10.7759/cureus.81595. eCollection 2025 Apr.

Abstract

BACKGROUND

Birth control measures are crucial for women's reproductive health and overall well-being. Effective contraception reduces the risk of unintended pregnancies, potentially improving quality of life. However, in India, utilization of birth control remains suboptimal due to various factors, including concerns about side effects and limited access to information. This study investigates the association between birth control measures and quality of life among married women in Punjab, India.

OBJECTIVES

The primary aim of the study was to assess the birth control measures and quality of life among married women. Furthermore, to find out the association of birth control measures with selected socio-demographic variables.

METHODS

This cross-sectional study enrolled 100 married women of reproductive age (18-45 years) attending antenatal and pediatric outpatient departments at a tertiary care hospital in Punjab. Data collection included socio-demographic characteristics, a clinical profile with birth control measures usage, and a structured five-point Likert scale to assess the quality of life of married women. The collected data was analyzed using IBM SPSS Statistics for Windows, Version 23 (Released 2015; IBM Corp., Armonk, New York, United States), including both descriptive and inferential statistics.

RESULTS

The study of 100 married women revealed a sample predominantly Sikh (59%), with 41% aged 34-40 years and 40% possessing secondary education. Most participants were homemakers (64%), while their spouses were largely employed (92%). A significant majority were mothers (90%), with two children being the most common family size (51.1%). Condoms were the most frequently used contraceptive method (67%), followed by tubectomy (13%), Copper T (Cu T) (12%), and oral contraceptive pills (OCPs) (8%). Overall, 66% reported excellent quality of life. Significant associations were found between contraceptive type and overall (p = 0.03), physical (p < 0.001), social (p < 0.001), and emotional (p < 0.001) well-being, with OCP users reporting higher scores. Furthermore, contraceptive choice was significantly associated with women's education, religion, socio-economic status, number of children, duration of contraceptive use, source of information, and gynecologist consultation (all p < 0.05). However, no significant association was observed between contraceptive method and sexual quality of life (p = 0.92) or satisfaction with the current method (p = 0.44).

CONCLUSION

This study demonstrates a complex interplay between socio-demographic factors, contraceptive choices, and quality of life among married women in Punjab. The findings highlight the importance of accessible and tailored family planning counseling and education to empower women in making informed decisions about contraception and improve their overall well-being. Further research is needed to explore the specific reasons behind contraceptive choices and their long-term impact on quality of life.

摘要

背景

节育措施对女性生殖健康和整体幸福感至关重要。有效的避孕措施可降低意外怀孕的风险,有可能提高生活质量。然而,在印度,由于各种因素,包括对副作用的担忧和信息获取有限,节育措施的利用率仍然不理想。本研究调查了印度旁遮普邦已婚妇女节育措施与生活质量之间的关联。

目的

该研究的主要目的是评估已婚妇女的节育措施和生活质量。此外,找出节育措施与选定的社会人口统计学变量之间的关联。

方法

这项横断面研究纳入了100名年龄在18 - 45岁之间、在旁遮普邦一家三级护理医院的产前和儿科门诊就诊的已婚育龄妇女。数据收集包括社会人口统计学特征、使用节育措施的临床概况,以及用于评估已婚妇女生活质量的结构化五点李克特量表。使用IBM SPSS Statistics for Windows 23版(2015年发布;IBM公司,美国纽约州阿蒙克)对收集到的数据进行分析,包括描述性统计和推断性统计。

结果

对100名已婚妇女的研究显示,样本中锡克教徒占主导(59%),41%的年龄在34 - 40岁之间,40%拥有中等教育程度。大多数参与者是家庭主妇(64%),而她们的配偶大多有工作(92%)。绝大多数是母亲(90%),家庭规模以两个孩子最为常见(51.1%)。避孕套是最常用的避孕方法(67%),其次是输卵管切除术(13%)、铜宫内节育器(Cu T)(12%)和口服避孕药(OCPs)(8%)。总体而言,66%的人报告生活质量极佳。在避孕类型与总体幸福感(p = 0.03)、身体幸福感(p < 0.001)、社会幸福感(p < 0.001)和情感幸福感(p < 0.001)之间发现了显著关联,口服避孕药使用者报告的得分更高。此外,避孕选择与女性的教育程度、宗教信仰、社会经济地位、子女数量、避孕使用时长、信息来源和妇科医生咨询显著相关(所有p < 0.05)。然而,在避孕方法与性生活质量(p = 0.92)或对当前方法的满意度(p = 0.44)之间未观察到显著关联。

结论

本研究表明旁遮普邦已婚妇女的社会人口统计学因素、避孕选择和生活质量之间存在复杂的相互作用。研究结果凸显了提供可及且量身定制的计划生育咨询和教育的重要性,以帮助女性在避孕方面做出明智决策并改善其整体幸福感。需要进一步研究来探索避孕选择背后的具体原因及其对生活质量的长期影响。

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