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[心理社会学视角下口服避孕药的副作用。对345名女性的实证研究结果]

[Side-effects of oral contraceptives under psychological-sociological aspects. Results of an empirical study on 345 women].

作者信息

Wenderlein J M

出版信息

Fortschr Med. 1976 Jun 3;94(16):942-8.

PMID:964848
Abstract

Do women without experience in taking oral contraceptives expect more side-effects than women, who use this contraceptive method, ever experienced? This question was examined on 345 women in pregnancy and childbed Psychological and sociological data, as personality factors, general well-being, school education, intelligence and age were evaluated. The attitude towards the pill depended on the families opinion of the pill, fear of cancer, knowledge about the pill and experience of menstruation. Half of the women had never taken the pill. Those women expected more side-effects than women, who had taken the pill had experienced (p less than 0,05). Those women who had never taken the pill stated frequently, that their partner (p less than 0,001) and mother (p less than 0,001) rejected the pill. Three fourth of women without experiences in taking the pill doubted thepill to be safe. Two thirds of these women were anxious the pill might cause cancer. Four fifth of the questioned women thought a pregnancy would mean more stress than taking the pill, women without experience in taking the pill more frequently thought the pill to be more disturbing (p less than 0,01). Women who had never taken the pill, suffered more often from reduced well-being (p less than 0,05) and were also more often introverted (p less than 0,1). The more irregular and painful menstruations were, the more women accepted the pill (p less than 0,01). Women with experience in taking the pill had often higher intelligence (p less than 0,05) and a higher education level (p less than 0,01). This is important for the interpretation of the results. The results were statistically checked by the x2-method.

摘要

未曾服用过口服避孕药的女性是否比使用这种避孕方法的女性预期会有更多副作用?对345名孕期和产后女性进行了该问题的调查。对心理和社会学数据,如个性因素、总体幸福感、学校教育、智力和年龄进行了评估。对避孕药的态度取决于家庭对避孕药的看法、对癌症的恐惧、对避孕药的了解以及月经经历。一半的女性从未服用过避孕药。这些女性预期的副作用比服用过避孕药的女性所经历的更多(p<0.05)。那些从未服用过避孕药的女性经常表示,她们的伴侣(p<0.001)和母亲(p<0.001)反对服用避孕药。四分之三未曾服用过避孕药的女性怀疑避孕药是否安全。这些女性中有三分之二担心避孕药可能会致癌。五分之四被调查的女性认为怀孕比服用避孕药压力更大,未曾服用过避孕药的女性更频繁地认为避孕药更令人困扰(p<0.01)。从未服用过避孕药的女性更常出现幸福感降低(p<0.05),也更常表现为内向(p<0.1)。月经越不规律和疼痛,女性越能接受避孕药(p<0.01)。有服用避孕药经验的女性往往智力更高(p<0.05)且教育水平更高(p<0.01)。这对结果的解释很重要。结果通过x²方法进行了统计学检验。

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