Attribution of contraceptive use in a Turkish population

Attribution of contraceptive use in a Turkish population

N. Bozkurt1, S. Özkan2, A. Onan1, U. Korucuoglu1, R. Aygün2, O. Himmetoglu1

1Gazi University, Obstetrics and Gynecology Department, Ankara, Turkey, 2Gazi

University, Public Health Department, Ankara, Turkey

Objective This study is

designed to estimate the distribution of contraceptive use among reproductive

age women in a Turkish population.

Study design We included 2365 women of

reproductive age in this study. Women were given a questionnaire via a

face-to-face interview. The questionnaire was distributed to four village

clinics, to two ”Mother-Child Health and Family Planning Centers” and to Gazi

University Faculty of Medicine Obstetrics and Gynecology Department, in Ankara.

Results The mean age of the 2365 participants was 38.26 ± 13.83. Among all

participants, 2174 were married (91.9 %). Regarding their educational status,

most women were primary school graduates (n=924, 39.1 %) and high school

graduates (n=576, 24.4 %). When the educational status of their husbands was

examined, we found out that 30.2 % were high school graduates, 27.3 % were

university graduates and 25.9 % were primary school graduates. During the time

period just after marriage, 1914 women (80.9 %) declared that they did not use

any type of contraception. Among 451 women who had used a contraceptive method

just after marriage, the most commonly used method was condoms ( 34.2 %),

followed by oral contraceptives (31.2 %) and coitus interruptus ( 25.9 %). When

their history of contraceptive use was asked (ever use), 1903 women (80.2 %)

told they used a method of contraception while 462 women (19.5 %) had never used

any type of contraceptives. Among those who never used any contraceptives, 54.3

% had desire for an infant, 29.3 % lacked knowledge and 11.8 % were infertil.

Distribution of contraceptive methods among women was analyzed and intrauterine

devices were detected to be the most commonly used method (n=1046, 55 %).

Following IUD’s, coitus interruptus (n=775, 40.7 %), preservatives (n=757, 39.8

%) and oral contraceptives (n=534, 28.1 %) were other commonly used methods.

Participants were asked questions about contraceptive methods they are actually

using (current use). Among women in reproductive age group ( excluding pregnants

), 195 were not actually using any contraceptive method ( 14.4 % ). When the

reason for this is asked most common answers were lactation ( 31 %) , desire for

an infant ( 17.9 % ), absence of a partner (15.8 %) and premenopause ( 8.7 % ).

Of 1158 women who said they were actually using a contraceptive method , most

were using intrauterine devices ( 38.9 % ), condoms (24.9 %) and coitus

interruptus (17%).

Conclusion As 13 % of participants gave birth to more than

four children, 7 % of women had never used any contraceptive due to lack of

knowledge, 27 % had at least one curettage, it is obvious that there is still a

population in our country in need of education about contraception. This study

also reveales that 40 % of contraceptors did not get any medical service about

the method they were using and 50 % of them did not find their level of

knowledge enough. But, a point that should be emphasized is that there is a

marked increase in contraceptive prevalence, and expansion of family planning

activities in Turkey. This can be concluded as 25 % rate of coitus interruptus

use as a contraceptive method reported in 1998 is found as 17 % in our study and

82 % of actual contraceptors in our study group use modern methods of

contraception. This change, we think, is due to improvements in health services

of Turkey, realized during recent years.

KEY WORDS Contraception, Contraceptive methods, Family planning,

Birth control

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