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Do modern family planning methods impact women’s quality of life? Jordanian women’s perspective
Health and Quality of Life Outcomes ( IF 3.2 ) Pub Date : 2019-10-15 , DOI: 10.1186/s12955-019-1226-6
Mohammad S. Alyahya , Heba H. Hijazi , Hussam A. Alshraideh , Nihaya A. Al-sheyab , Dana Alomari , Sara Malkawi , Sarah Qassas , Samah Darabseh , Yousef S. Khader

Although Jordan has made progress in meeting Family Planning (FP) needs in last decades, recently the use of FP methods has declined significantly. Women’s personal experiences, knowledge, and perceptions of how a FP method might impact their quality of life (QoL) can influence FP decisions. However, a lack of comprehensive understanding of the impact of modern FP methods on women’s QoL continues to exist among Jordanian couples. Therefore, this study aimed to investigate the relationship between the use of common modern FP methods and QoL among Jordanian women. Using the WHOQOL-BREF questionnaire along with other questions, non-pregnant women of reproductive age were interviewed at their homes through face-to-face structured interviews. Women who visited the obstetrics and gynecology clinic of King Abdullah University Hospital for contraceptive advice and follow-up consultations were also included. A total of 548 women aged between 18 and 49 participated in the study. Based on the WHOQOL-BREF scale, the overall mean (SD) scores of the four domains were found to be average. Our findings show that women who used Intra Uterine Devices (IUDs) and women whose husbands used condoms had better QoL in the four domains (physical health, psychological health, social relationships, and environment) than those who used Oral Contraceptives (OCs). Women who used implant and injectable hormonal contraceptives had better QoL in terms of the physical health and social relationships domains. In contrast, women who had undergone permanent sterilization had lower QoL scores in all of the four domains. Further analysis revealed that women who had undergone tubal sterilization were less satisfied overall and more likely to experience side effects than women who used OCs. The choice to use contraceptives and decide freely whether and when to have children is regarded as a fundamental reproductive health right and is strongly linked to women’s health and QoL. Women who use OCs and women who have undergone permanent sterilization are likely to have lower QoL than women who use IUDs or implant and injectable hormones and those whose husbands use condoms.

中文翻译:

现代计划生育方法会影响妇女的生活质量吗?约旦妇女的观点

尽管在过去的几十年中,约旦在满足计划生育(FP)的需求方面取得了进展,但是最近使用FP方法的人数已大大减少。妇女的个人经验,知识以及对计划生育方法可能会如何影响其生活质量(QoL)的看法会影响计划生育决策。然而,约旦夫妇仍然缺乏对现代计划生育方法对妇女生活质量的影响的全面了解。因此,本研究旨在调查约旦妇女中常见的现代FP方法的使用与QoL之间的关系。使用WHOQOL-BREF问卷以及其他问题,对育龄的未怀孕妇女进行了面对面的结构化访谈,在家中进行了访谈。还包括前往阿卜杜拉国王大学医院的妇产科诊所接受避孕建议和后续咨询的妇女。共有548位年龄在18至49岁之间的女性参加了这项研究。根据WHOQOL-BREF量表,发现四个域的整体平均(SD)得分是平均水平。我们的研究结果表明,使用子宫内避孕器(IUD)的妇女和丈夫使用避孕套的妇女在四个方面(身体健康,心理健康,社会关系和环境)的QoL比使用口服避孕药(OCs)的妇女好。就身体健康和社会关系领域而言,使用植入和注射激素避孕药的妇女的生活质量较好。相比之下,经过永久绝育的女性在所有四个领域中的QoL得分均较低。进一步的分析表明,与使用OC的女性相比,接受了输卵管绝育的女性总体上不太满意,并且更有可能出现副作用。选择使用避孕药具和自由决定是否以及何时生育孩子的选择被视为一项基本的生殖健康权,与妇女的健康和生活质量密切相关。与使用宫内节育器或植入和注射激素的妇女以及丈夫使用避孕套的妇女相比,使用OC的妇女和经过永久绝育的妇女的QoL可能较低。选择使用避孕药具和自由决定是否以及何时生育孩子的选择被视为一项基本的生殖健康权,与妇女的健康和生活质量密切相关。与使用宫内节育器或植入和注射激素的妇女以及丈夫使用避孕套的妇女相比,使用OC的妇女和经过永久绝育的妇女的QoL可能较低。选择使用避孕药具和自由决定是否以及何时生育孩子的选择被视为一项基本的生殖健康权,与妇女的健康和生活质量密切相关。与使用宫内节育器或植入和注射激素的妇女以及丈夫使用避孕套的妇女相比,使用OC的妇女和经过永久绝育的妇女的QoL可能较低。
更新日期:2019-10-15
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