연희 영세지역 주민의 먹는 피임약 복용상태에 관한 조사연구

Abstract

[영문]

[한글]

A Study of the Use of on Oral Contraceptive Among Women Residing in the Yonhee Dong

Slum Area

In Sook Choi

Department of Public Health, Graduate School, Yonsei University

This study is an attempt to evaluate the use of an oral contraceptive by:

1. Determing the acceptance rate of the oral contraceptive according to

sociodemographic characteristics.

2. Estimating the duration of the use of the contraceptive.

3. Discovering reasons why the contraceptive was discontinued.

4. Computing the comulative continuation and discontinuation rate according to

socio-demographic, history of pregnancies, and attitude of the husband at the time

of selection of the contraceptive.

One hundred sixty-eight women of child bearing age (14-49 years), residing in

Yonhee dong, Seoul, Korea and registered as oral contraceptive acceptors at Yonsei

Community Health Center, were interviewed during a three week period in 1973.

The questionnaire was designed to determine the socio-demo-graphic

characteristics of the oral contraceptive acceptors, the current status of their

family planning practice, medical reactions, if any, discontinuation practice, and

the duration of the use of the contraceptive.

The major findings of the study were as follows;

1. The acceptance rate was highest for women between 30 and 34 years of age, the

mean age being 34.4 years.

2. Fifty six point five percent of all respondents said that thirty years of age

was the ideal age to stop having children.

3. The average number of living children was 3.5 and fifty four point eight

percent of respondents felt 2 boys and Ⅰ girl was the ideal number of children.

4. The average number of pregnancies was s5.2 and the average number of induced

abortion was 1.4.

5. Fifty eight point eight percent of the respondents had experience in the use

of contraceptive methods in the past.

6. Forty one point seven percent of the respondents replied that they chose the

oral contraceptive because, "it was not complicated to use."

7. Sixty-four point eight percent of the women said their husband approved of

their taking the pill.

8. the cumulative discontinuation rate was sixty point five percent of the total

respondents for one year in first segment.

9. Sixty six point nine percent of the respondents had experienced side-effect

while using the pill. The side effects for 68.9 percent of these women were

gastrointestinal upsets. Twenty point eight percent of the women who had side

effects consulted with medical personnel about them. Women who had more education

had more side effects.

10. Seventy three point two percent of the women who discontinued the pill did so

because of medical reasons. Women who were younger discontinued the pill for

personal reasons more often than older women. among personal reasons listed for

discontinuing the pill was the attitude of the husband.

11. The average duration of continuance of the contraceptive was 5.3 cyclesunder

29 years of age; 7.4 cycles between 30 and 34 years of age; and 8.4 cycles over 40

years of age.

12. The discontinuation rate was seen to increase sharply in the early cycles and

increase more slowly in later cycles.

conclusions and suggestions;

Since the attitude of the husband was shown to be important, the current family

planning program should be expended to include educational approach to husband.

For women who must use the oral contraceptive, education and support must be en

hanced so that the discontinuation rate due to side effects will be decreased.