Young L K, Farquhar C M, McCowan L M, Roberts H E, Taylor J
Department of Obstetrics & Gynaecology, University of Auckland School of Medicine.
N Z Med J. 1994 May 25;107(978):189-92.
The aim of the study was to assess the contraceptive knowledge and practices of women attending the abortion service at Epsom day unit, Green Lane Hospital.
Women attending the unit in December 1992 and January 1993 were asked to take part in the study. A questionnaire was administered to consenting women to assess demographic details and previous contraceptive education. If a contraceptive method was used the reason for failure was explored and if no method was used the reason for non use was explored.
Sixty-one percent of women were using a contraceptive method in the month of conception. The condom was used by 48% and the pill by 42%. Eight percent of women had never used contraception and 30% were not using a method in the month of conception. Forty-three percent had a household income of less than $22,000 and financial barriers were the reason for non use in 32% of those not using a method. Of women who did not use contraception, only 11% used emergency contraception, whereas 78% of those surveyed said they knew about emergency contraception. Sixty-three percent of women said they had received enough contraceptive education to select and use a method effectively. Pacific Island women were least likely to have received adequate contraceptive education or to have been using a method of contraception.
A number of technical problems were identified with condom use. These problems need to be emphasised by sexuality education programmes and contraceptive prescribers. Omitting pills, diarrhoea, vomiting and drug interactions were important causes of pill failure. The seven day rule needs more emphasis when teaching women how to take the pill and when antibiotics are prescribed. Costs were an important barrier to the use of contraception for a significant proportion of women. Section 99 approval should be utilised more readily and the provision of free contraception, especially to low income groups, needs to be urgently explored.
本研究旨在评估在格林巷医院埃普索姆日间病房接受堕胎服务的女性的避孕知识和避孕措施使用情况。
邀请1992年12月和1993年1月在该病房就诊的女性参与研究。向同意参与的女性发放问卷，以评估其人口统计学细节和之前接受的避孕教育情况。若使用了避孕方法，则探究失败原因；若未使用任何方法，则探究未使用的原因。
61%的女性在受孕当月使用了避孕方法。其中，48%的女性使用避孕套，42%的女性使用避孕药。8%的女性从未使用过避孕措施，30%的女性在受孕当月未采取避孕措施。43%的女性家庭收入低于22,000美元，在未采取避孕措施的女性中，32%表示经济障碍是未使用避孕措施的原因。在未使用避孕措施的女性中，只有11%使用了紧急避孕，而78%的受访者表示知道紧急避孕。63%的女性表示她们接受了足够的避孕教育，能够有效地选择和使用避孕方法。太平洋岛裔女性接受充分避孕教育或使用避孕方法的可能性最小。
研究发现避孕套使用存在一些技术问题。性教育项目和避孕药处方者应强调这些问题。漏服避孕药、腹泻、呕吐和药物相互作用是避孕药失效的重要原因。在教导女性如何服用避孕药以及开具抗生素处方时，需要更加强调“七日规则”。对相当一部分女性来说，费用是使用避孕措施的重要障碍。应更积极地利用第99条批准，并且迫切需要探索为低收入群体提供免费避孕措施的方法。
