Bhat P N, Halli S S
Population Research Centre, JSS Institute of Economic Research, Dharwad, India.
J Biosoc Sci. 1998 Jul;30(3):297-319. doi: 10.1017/s0021932098002971.
This paper studies the correlates of IUD continuation, particularly in relation to quality of service provided in Karnataka, South India, by using a discrete-time logit model. Provision of follow-up services had a moderate influence on continuation, and medical check-up at insertion influenced the experience of side effects. But these effects were trivial in comparison with the overriding influence of motivational variables and of reported side effects. The IUD is retained for a limited duration in rural India where it is used mainly as a spacing device by lowly motivated young women who discontinue the method at the slightest feeling of discomfort or abnormality. If the IUD were recommended to older women for limiting childbearing by emphasizing its reversibility, it would enhance the method's popularity and improve the levels of contraceptive use among younger women.
本文运用离散时间logit模型，研究宫内节育器（IUD）续用的相关因素，特别是与印度南部卡纳塔克邦所提供的服务质量的关系。提供随访服务对续用有一定影响，放置时的医学检查会影响副作用体验。但与动机变量和所报告副作用的压倒性影响相比，这些影响微不足道。在印度农村地区，IUD的使用期限有限，主要被动机不足的年轻女性用作生育间隔方法，她们稍有不适或异常感觉就会停用该方法。如果向年长女性推荐IUD以限制生育，并强调其可逆性，将会提高该方法的普及程度，并提升年轻女性的避孕使用率。
