Miskeen Elhadi, Korkoman Sultana, Alhassoun Norah Khaled, Aljuhani Rafeef Fahad, Alqahtani Rawan Ali Hamad, Alwabari Salsabeel Salman, Alamri Mohannad S, Alshahrani Abdullah M, Alhalafi Abdullah Hassan, Almalki Shehab, Al Fifi Jabir, Elnour Suaad, ALmuqrin Farah Fahad, Al Ali Yaqin Ali, Karkaman Mohammed Jalwi, Al-Shahrani Abdullah M
Department of obstetrics and gynecology, College of Medicine, University of Bisha, P. O. Box 731, Bisha, 61922, Saudi Arabia.
Medical student College of Medicine, University of Bisha, Bisha, Saudi Arabia.
BMC Womens Health. 2025 May 13;25(1):222. doi: 10.1186/s12905-025-03737-9.
Family planning (FP) is an essential intervention to improve the health and well-being of women and their children. Understanding the determinants of FP decisions among Saudi women is critical to the success of FP efforts. This study aims to assess socio-cultural factors related to women's family planning decisions in Saudi Arabia (SA).
A cross-sectional survey-based study examined a convenient sample of 1489 ever-married women living in SA. A structured online questionnaire was developed to assess the personal and socio-demographic characteristics of the sample as well as their fertility and FP preferences, practices, and experiences. Participants were approached through different social media platforms.
Women's reported ever use of contraceptive method was 64.1%. Challenges women face in trying to use contraceptive methods were side-effects of the method (40%) and partner opposition (19%). Women's ever use of contraception was significantly different according to their age group, residence, occupation, income level, duration of marriage, number of children, reaching their desired number of children, having challenges in using contraception (p < 0.001), their career goals (p = 0.005) and access to FP (p = 0.030). Logistic regression results for the factors influencing the decision toward family planning showed the significant factors: marital status (odd 1.28, p-value = 0.042, 95% CI 1.02-1.61), having a supportive husband (odds 1.35, p-value = 0.018, 95% CI 1.08-1.69), and family and societal expectations (odds 1.32, p-value = 0.034 and 95% CI 1.04-1.68).
This study contributes essential insights into the socio-cultural factors influencing FP decisions among Saudi women. The identified determinants, including economic considerations, spousal support, and societal expectations, provide a foundation for tailored interventions to promote informed and autonomous FP choices. These findings ultimately contributed to women's and their children's health and well-being in SA.
计划生育是改善妇女及其子女健康和福祉的一项重要干预措施。了解沙特女性计划生育决策的决定因素对于计划生育工作的成功至关重要。本研究旨在评估沙特阿拉伯与女性计划生育决策相关的社会文化因素。
一项基于横断面调查的研究对居住在沙特阿拉伯的1489名已婚女性的便利样本进行了调查。设计了一份结构化在线问卷，以评估样本的个人和社会人口学特征以及她们的生育意愿、计划生育偏好、做法和经历。通过不同社交媒体平台联系参与者。
女性报告的曾使用避孕方法的比例为64.1%。女性在尝试使用避孕方法时面临的挑战包括方法的副作用（40%）和伴侣的反对（19%）。根据年龄组、居住地、职业、收入水平、婚姻持续时间、子女数量、达到期望子女数量、使用避孕方法有困难（p < 0.001）、职业目标（p = 0.005）以及获得计划生育服务的情况（p = 0.030），女性的曾使用避孕情况存在显著差异。影响计划生育决策的因素的逻辑回归结果显示了显著因素：婚姻状况（优势比1.28，p值 = 0.042，95%置信区间1.02 - 1.61）、有支持自己的丈夫（优势比1.35，p值 = 0.018，95%置信区间1.08 - 1.69）以及家庭和社会期望（优势比1.32，p值 = 0.034，95%置信区间1.04 - 1.68）。
本研究为影响沙特女性计划生育决策的社会文化因素提供了重要见解。所确定的决定因素，包括经济考量、配偶支持和社会期望，为量身定制干预措施以促进明智和自主的计划生育选择奠定了基础。这些发现最终有助于沙特阿拉伯女性及其子女的健康和福祉。
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