자궁내 장치 시술여건에 따른 피임효과에 관한 연구

Abstract

[한글]

An Experimental Study on the Effectiveness of Charged IUD Insertion to Korean

Rural Wives

Tae Chun Chung

Department of Medical Science, The Graduate School, Yonsei University

(Directed by: Professor Jae Mo Yang)

The Intra-Uterine Contraceptive Device(IUD) was first introduced in Korea, in

September, 1963, for a clinical study of birth control, and after ten months the

Government of the Republic of Korea started to support free IUD service throughout

the nation for those wanting to practice family planning. Along with this service,

scientific studies on the effectiveness and acceptance rates of IUD were carried

out.

Yang(1967) reported that a system of utilizing mobile vans in remote areas

increased the IUD acceptance rate in rural Korea. In 1967, Song reported that

organizing a mother's club at the village level in a rural area was found effective

in disseminating information on family planning and in eventually raising the

acceptance rate among rule wives. However Song noticed the rate of early drop-outs

also increased.

The Korean Government(1967), with the results of a nation-wide sampling survey,

reported that the IUD drop-out rate during the first three months was 13.9 per 100

IUD acceptors in both urban and rural areas. Lee(1967) had similar results in the

drop-out rate, 12.0±2.3 per 100 IUD acceptors, after conducting research at

Kumnung country, Kyung-buk province.

In light of the relatively high drop-out rate, more effective methods in the

dissemination of IUD are desirable.

One possible method of increasing the acceptance rate steadily and diminishing

the drop-out rate is the insert IUD at a proper charge instead of free at any times

during the menstrual cycle.

To prove this hypothesis, a three-year field study was conducted at Kangnae-Myun,

Chungbuk province, and the findings of the study are here briefly summarized:

1. At an early stage of the study, 62.8% of the wives in the area had knowledge

about contraceptive methods such as IUD or conventional methods. After completing

the study, 86.1% of the wives acquired knowledge of contraceptives.

2. In a before-survey, 84.7% of interviewed women approved the used of IUD.

Nevertheless only 45.1% of the interviewed women actually accepted IUD during the

study period.

3. For inserting an IUD 100 won asked. 95.4% of the women interviewed in the

before survey approved the charge. However, only 86.7% of all IUD acceptors paid

the expense.

4. Wives who accepted IUD at cost showed no significant differences in

socio-economic and demographic characteristics with free-charged acceptors in the

same area, with Lee's study, and with the national statistics on IUD.

5. The cumulative drop-out rate of wives who accepted IUD at cost by

Potter-Tietze's life table model was lower(11.8 per 100 women at the end of six

months, 18.7 at the end of twelve months and 32.2 at the end of twenty four months)

than that of free-charged acceptors, and than that of Lee's results.

6. Out of charged IUD acceptors, monthly increase of drop-out rate was only 2.0

per 100 women during the first three months. Since then the rate showed no

increase, this being lower than that of charged IUD acceptors.

[영문]

The Intra-Uterine Contraceptive Device(IUD) was first introduced in Korea, in September, 1963, for a clinical study of birth control, and after ten months the Government of the Republic of Korea started to support free IUD service throughout the nation for those wanting to practice family planning. Along with this service, scientific studies on the effectiveness and acceptance rates of IUD were carried out.

Yang(1967) reported that a system of utilizing mobile vans in remote areas increased the IUD acceptance rate in rural Korea. In 1967, Song reported that organizing a mother's club at the village level in a rural area was found effective in disseminating information on family planning and in eventually raising the acceptance rate among rule wives. However Song noticed the rate of early drop-outs also increased.

The Korean Government(1967), with the results of a nation-wide sampling survey, reported that the IUD drop-out rate during the first three months was 13.9 per 100 IUD acceptors in both urban and rural areas. Lee(1967) had similar results in the

drop-out rate, 12.0±2.3 per 100 IUD acceptors, after conducting research at Kumnung country, Kyung-buk province.

In light of the relatively high drop-out rate, more effective methods in the dissemination of IUD are desirable.

One possible method of increasing the acceptance rate steadily and diminishing the drop-out rate is the insert IUD at a proper charge instead of free at any times during the menstrual cycle.

To prove this hypothesis, a three-year field study was conducted at Kangnae-Myun, Chungbuk province, and the findings of the study are here briefly summarized:

1. At an early stage of the study, 62.8% of the wives in the area had knowledge about contraceptive methods such as IUD or conventional methods. After completing the study, 86.1% of the wives acquired knowledge of contraceptives.

2. In a before-survey, 84.7% of interviewed women approved the used of IUD. Nevertheless only 45.1% of the interviewed women actually accepted IUD during the study period.

3. For inserting an IUD 100 won asked. 95.4% of the women interviewed in the before survey approved the charge. However, only 86.7% of all IUD acceptors paid the expense.

4. Wives who accepted IUD at cost showed no significant differences in socio-economic and demographic characteristics with free-charged acceptors in the same area, with Lee's study, and with the national statistics on IUD.

5. The cumulative drop-out rate of wives who accepted IUD at cost by Potter-Tietze's life table model was lower(11.8 per 100 women at the end of six months, 18.7 at the end of twelve months and 32.2 at the end of twenty four months)

than that of free-charged acceptors, and than that of Lee's results.

6. Out of charged IUD acceptors, monthly increase of drop-out rate was only 2.0 per 100 women during the first three months. Since then the rate showed no increase, this being lower than that of charged IUD acceptors.