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일 농촌지역 가족계획 풍문과 실천에 관한 연구

Other Titles
 (A) study on family planning rumors & practice in rural communities 
Issue Date
1978
Description
간호학과/석사
Abstract
[한글] 출생력을 저하시키기 위한 도구로서 가족계획 실천율을 상승시키기 위해서는 가족계획 방법 채택 및 실천에 영향을 미치는 많은 요인중에 바람직하지 못한 가족계획에 대한 풍문이 저해하는 요소로 고려되어지고 있다. 보다 효과적인 가족계획 사업을 수행하기 위하여 우리나라 농촌지역에 유포되어 있는 가족계획 풍문의 실태를 파악하고, 실천과의 관계를 검토함을 일반적 목적으로 하였다. 이 일반적 목적을 달성하기 위하여 다음과 같은 구체적인 목적을 갖는다 . 1. 피임방법 및 풍문 유형별로 풍문실태를 파악한다. 2. 새마을 건강요원·지도자의 인구·사회 및 경제학적 특성과 풍문과의 관계를 파악한다. 3. 가족계획 실천을 우선순위와 영구 및 일시적 피임별로 측정한다. 4. 가족계획 풍문과 실천과의 관계를 검토한다. 연구자료는 연세대학교 인구 및 가족계획 연구소가 1977년 8월 경기도 강화군, 화도면, 양도면, 불은면. 길상면에서 조사한 가족계획실태 자료와 동년 10월 「가족계획 방법에 대한 소문조사」의 자료중에서 본 연구의 달성 목적에 필요한 내용만을 이용하였다. 연구대상 지역은 4개면의 60지역중 55개 지역으로 분석단위는 종전 연구와는 달리 연구대상 지역에 거주하는 개별 가족계획 대상자를 지양하고 소지역을 분석단위로 하였으며, 통계적 분석방법은 백분율·평균치 · F-Test 상관계수를 이용하였다. 연구결과를 요약하면 다음과 같다. 1 . 피임방법별 및 유형별 풍문 ① 먹는 피임약에 관해 듣고 있는 풍문은 의학적 합병증, 소화기계 장애, 사용불면 등 3개 영역에서 약 49 ∼77%지역에서 가끔씩 듣고 있으며, 듣는 빈도가 가장 높은 것은 의학적 합병증이다. ② 자궁내장치에 관한 풍문은 의학적 합병증, 피임효과 불안전등의 2 영역에서 51% ∼ 66%에 달한 지역이 풍문을 듣고 있으며, 의학적 합병증에 관한 내용이 가장 많았다. ③ 정관술에 관한 풍문은 가정불화 요인에 대한 내용을 44% 지역에서 가끔 듣고 있으며, 이를 제외한 8영역은 듣지 못하는 것으로 나타났다. 2.새마을 지도자·건강요원의 인구·사회 ·경제학적 특성에 따른 가족계획 풍문의 들은 수의 차이는 : ① 가족계획 풍문과 인구학적 특성과의 차이중에 자녀구성형에 따른 차이는 없었으나 ( F = 0.0905 d.f. = 53 P > 0.05, 상관계수 -0.04, P > 0.01) 성별, 연령별로 유의한 차이가 나타나 여자가 풍문을 많이 듣고 ( F = 3.24 d.f. = 54 P < 0.05, 상관계수 0.24 P < 0.05) 40세 이상 군보다 이하군에서 풍문을 많이 들었다. ( F : 4.33, d .f. = 54 P < 0.05,상관계수 -0.27 P < 0.05) 피임방법별로 검토해 보았을 때 이런 현상은 나타나지 않았으며 모든 피임방법에서 여자가 많이 듣는 것이 아니고, 자궁내장치에 대한 풍문만 여자가 많이 듣는 것으로 유의하게 나타났다. (F : 6.18, d .f.: 54, P < 0.01,상관계수 0.33 P< 0.01) ② 사회학적 특성으로 교육수준에 따른 차이는 가족계획 전체 풍문과는 유의한 차이가 없었다. 피임방법별로 볼 때 정관술에 대한 풍문은 국민학교 졸업 학력 소지자보다 중학교 졸업 이상의 학력 소지자가 많이 듣고 있으며 유의한 차이를 보였다. ( F : 2.8134, d .f.=54, p<0.01,상관계수 0.02, P< 0.05) ③ 경제학적 특성으로 경제수준에 따른 가족계획 전체 풍문이나 피임방법별로 듣는 풍문의 빈도는 유의한 차이가 없었다. 3. 가족계획 대상자 우선순위별 피임방법별 가족계획 실천율 ① 가족계획 대상자 우선순위별 가족계획 실천율은 가족계획 대상자 평균 실천율은 56.0%이며 제1위∼ 5위 가족계획 평균 실천율은 61.4%이었으나 제6위∼ 8위 가족계획 평균 실천율은 34.4%이었다. ② 가족계획 대상자 피임방법별 가족계획 실천율은 가족계획 대상자의 평균 영구피임 실천율은 7.2%, 일시적 피임 실헌율은 50%이었다. 제 1위∼5위 영구피임 실천율은 53.2% 이었으며, 제6위∼8위 영구피임 실천율은 2.1%, 일시적 피임실천율은 32.1%이었다. ③ 각 피임방법별 실천율은 먹는 피임약 복용율 17%,자궁내 장치 시술율 15%, 정관시술율은 2.8%를 나타내었다. 4.가족계획 풍문을 들은 빈도와 가족계획 실천율 ① 가족계획 풍문과 가족계획 실천과의 관계를 F-Test한 결과 가족계획 풍문을 들은 빈도와 가족계획 실천율, 우선순위별·피임방법별 가족계획 실천율과 유의한 차이를 나타내 지 않았으며, 각 피임방법에 대한 풍문과 피임방법별 가족계획 실천율과도 유의한 차이가 없었으나 정관술에 관한 풍문을 들은 빈도에 따른 정관시술율에 유의한 차이를 보여주었다.(F=3.08, d.f.=54, p<0.1) ② 가족계획 풍문을 들은 빈도와 가족계획 실천 율과의 관계유형은 ∪형, ∩형, /형 3가지로 나타났으며, 이중에 ∪형이 80%를 차지 하였다. ∩형을 나타내는 관계는 가족계획 풍문과 a)가족계획 실천율 b)우선순위 제1위∼5위 가족계획 실천율 c)우선순위 제6위∼8 위 가족계획 실천율 d)우선순위 제1위∼ 5위 영구피임 실천율 e)우선순위 제 1위∼5위 일시적 피임 실천율 f)우선순위 제6위∼ 8위 영구피임 실천율 g)우선순위 제6위∼8위 일시적 피임 실천율과의 관계와 h)정관시술율과 정관술에 대한 풍문 관계에서도 발견되었다. 결론적으로 풍운에 관한 연구는 개별 가족계획 대상자가 분석단위일 때와 소지역을 분석단위로 연구할 때에 조사결과는 유사함을 발견하였다. 가족계획 풍문이 가족계획 사업에 피해를 주고 있다는 가정이나, 기존 연구결과 풍문의 노출이 가족계획 실천과 정비례 하는 것으로 보아 왔으나 본 연구결과는 이와 달리 무관한 관계를 보여주었다. 가족계획 풍문을 들은 빈도에 따라 가족계획 실천율의 차이를 검토하였으나, 가족계획 실천율에 따라 풍운은 듣는 빈도의 차이를 검토해 볼 필요가 있다. 또한 가족계획 풍문과 실천과의 관계유형이 밝혀졌으므로 앞으로 이런 유형을 이루는 원인이나 영향에 미치는 주요 변수에 관한 연구 시도가 필요하다고 하겠다. A Study on Family Planning Rumors & Practice in Rural Communities Su-Kyoung, Chu Dept. of Nursing The Graduate School Yonsei University Studies pertaining to influential factors on adoption and practice of family planning are very much needed to lower fertility, for family planning has regarded as only one social acceptable means to curb the accelerated population growth. One of the influential factors is known as rumors on family planning methods that hinder the actual practice of family planning. This study generally aimed at disclosing rumors on family planning methods prevalent in rural communities so that one could gain some in sights to cope with the ill effects of rumors to promote family planning practice in rural communities in Korea. In order to accomplish the general aims this study formulated fellowing four specific objectives: 1. Find out types and frequencies of rumors exposed of contraceptive methods. 2. Find out the relationship between the rumors exposed and socio-economic and demographic characteristics of new village leaders and health workers. 3. treasure current practice rate of family planning among varions family planning priority groups by types of family planning methods adopted. 4. Examine the relation ship . between family planning rumors and family planning practices. The materials for this study ware drawn from the two different sets of data gathered in july and octorber 1977 respectivily by Center for Population & Family planning, Yonsei University. One is current family planning practice among eligible women reaiding in 4 Myuns in Kwang wha county and the other is Survey on Rumor on Family planning method heard by new village leaders and health workers in the four myuns. The four Myuns were divided into 60 small areas. Current family planning practice rate in each small area and as a whole were calculated. The unit of analysis is this study was not the individuel person but the 55 small areas. Percentage, average, F-Test, and a coefficient of correlation were used for statistical analysis. Results of this study could be summarized as follows: 1. Rumors by different method of contraception: Medical complications, gastro-intestinal disorders, ant difficulty in usuge one most prevalent rumors about oral pills. Around 49% - 77% of the 55 areas were of ten heard and the most frequent rumor was related medical complications of oral pills. Rumors on medical complications and incomplete effect of intrauterines as contraceptive were heard 51-66% of the 55 small areas. Rumors that vasectomy resulted in family problems, for instance infiedelity of spouse were often heard to 44% of the 55 small areas. 2. Rumors by socio-economic and demographic characteristic of new village leader and health workcers: Among the demographic characteristics such as sex, age and sex composition of children, sex and age differentials in frequency of rumors heard more observed. Female new village heelth workers have hard more frequently than male new village leader. (F=3.24, d.f.=54, p<0.05, a coefficient of correlation 0.24, p<0.05) The younger age group less than 40 years of age have heard rumors oftener than the g개up over 40 years old. (F= 4.33 d.f. 54, p<0.05, a coefficient of correlation -0.27, p<0.05) However, it was not observable that a consistent sex and age differentials in frequency of rumors heard of each contraceptive method. But, Mere female new village health workers heard of rumors about intrauterine device than male new Village leaders. (F: 6.18 d.f.= 54, p<0.01, a coefficient of correlation 0.32, p<0.01) The kim's priority 1-5 group theoretically, would better be users of permanent method because this group is in need of limitation of births, but only 8.3% of this group used permanent methods. Although the kits priority 7-B group should practice tempoary methods theoretically for proper spaeing, 2.1 % used permanent methods. Seventeen percent of the eigible women was oral pill users and 15 % was intrauterine device wearers. Only 2.8 % of the women's husband was vasectomized 4. It was found that there was no statistically significant relationship between the frequency of rumors heard and current family planning practices on the whole. However, frequency of rumors heard about vasectomy appeared to have a possitive relationship with current practice of vasectomy. A rather consistent pattern of relationship between "frequency of rumors heard" and current family practice rate was demonstrated of 10 graphes which showed the relation between the two variables. The current family planning practice rate in the "never heard" group and "frequently heard7"group was equally lower than that in "often heard"group. The relatively consistent ∩ pattern of relationship needs to be farther investigated, for this pattern is different from the relationship that has been assumed to exist between these two variables.
[영문] Studies pertaining to influential factors on adoption and practice of family planning are very much needed to lower fertility, for family planning has regarded as only one social acceptable means to curb the accelerated population growth. One of the influential factors is known as rumors on family planning methods that hinder the actual practice of family planning. This study generally aimed at disclosing rumors on family planning methods prevalent in rural communities so that one could gain some in sights to cope with the ill effects of rumors to promote family planning practice in rural communities in Korea. In order to accomplish the general aims this study formulated fellowing four specific objectives: 1. Find out types and frequencies of rumors exposed of contraceptive methods. 2. Find out the relationship between the rumors exposed and socio-economic and demographic characteristics of new village leaders and health workers. 3. treasure current practice rate of family planning among varions family planning priority groups by types of family planning methods adopted. 4. Examine the relation ship . between family planning rumors and family planning practices. The materials for this study ware drawn from the two different sets of data gathered in july and octorber 1977 respectivily by Center for Population & Family planning, Yonsei University. One is current family planning practice among eligible women reaiding in 4 Myuns in Kwang wha county and the other is Survey on Rumor on Family planning method heard by new village leaders and health workers in the four myuns. The four Myuns were divided into 60 small areas. Current family planning practice rate in each small area and as a whole were calculated. The unit of analysis is this study was not the individuel person but the 55 small areas. Percentage, average, F-Test, and a coefficient of correlation were used for statistical analysis. Results of this study could be summarized as follows: 1. Rumors by different method of contraception: Medical complications, gastro-intestinal disorders, ant difficulty in usuge one most prevalent rumors about oral pills. Around 49% - 77% of the 55 areas were of ten heard and the most frequent rumor was related medical complications of oral pills. Rumors on medical complications and incomplete effect of intrauterines as contraceptive were heard 51-66% of the 55 small areas. Rumors that vasectomy resulted in family problems, for instance infiedelity of spouse were often heard to 44% of the 55 small areas. 2. Rumors by socio-economic and demographic characteristic of new village leader and health workcers: Among the demographic characteristics such as sex, age and sex composition of children, sex and age differentials in frequency of rumors heard more observed. Female new village heelth workers have hard more frequently than male new village leader. (F=3.24, d.f.=54, p<0.05, a coefficient of correlation 0.24, p<0.05) The younger age group less than 40 years of age have heard rumors oftener than the g개up over 40 years old. (F= 4.33 d.f. 54, p<0.05, a coefficient of correlation -0.27, p<0.05) However, it was not observable that a consistent sex and age differentials in frequency of rumors heard of each contraceptive method. But, Mere female new village health workers heard of rumors about intrauterine device than male new Village leaders. (F: 6.18 d.f.= 54, p<0.01, a coefficient of correlation 0.32, p<0.01) The kim's priority 1-5 group theoretically, would better be users of permanent method because this group is in need of limitation of births, but only 8.3% of this group used permanent methods. Although the kits priority 7-B group should practice tempoary methods theoretically for proper spaeing, 2.1 % used permanent methods. Seventeen percent of the eigible women was oral pill users and 15 % was intrauterine device wearers. Only 2.8 % of the women's husband was vasectomized 4. It was found that there was no statistically significant relationship between the frequency of rumors heard and current family planning practices on the whole. However, frequency of rumors heard about vasectomy appeared to have a possitive relationship with current practice of vasectomy. A rather consistent pattern of relationship between "frequency of rumors heard" and current family practice rate was demonstrated of 10 graphes which showed the relation between the two variables. The current family planning practice rate in the "never heard" group and "frequently heard7"group was equally lower than that in "often heard"group. The relatively consistent ∩ pattern of relationship needs to be farther investigated, for this pattern is different from the relationship that has been assumed to exist between these two variables.
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http://ir.ymlib.yonsei.ac.kr/handle/22282913/117281
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2. 학위논문 > 3. College of Nursing (간호대학) > 석사
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