妇女及其伴侣对堕胎后子宫内避孕的看法:乌干达中部的一个定性研究
Herbert Kayiga1, Emelie Looft-Trägårdh2, Othman Kakaire1
1Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda.
PloS one
|June 25, 2025
概括
诸如神话和伴侣拒绝之类的障碍阻碍了乌干达的堕胎后宫内器械 (IUD) 使用. 通过教育和涉及男性伴侣来解决这些问题,可以增加女性使用IUD的数量.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在已婚乌干达妇女中,宫内器械 (IUD) 的吸收率仍然很低 (<2%).
- 在乌干达中部进行不完整的堕胎管理后,探索关于堕胎后宫内节育器的看法.
研究的目的:
- 探索女性及其伴侣对堕胎后IUD使用的看法.
- 在此背景下,确定用于IUD采用的障碍和动机.
主要方法:
- 在5个公共设施与妇女和合作伙伴进行了15次深入采访 (2022年8月 - 2023年5月).
- 利用半结构面试指南和诱导性内容分析来生成主题.
主要成果:
- 关键障碍包括神话,误解,配偶拒绝和副作用的担忧.
- 经验范围从增加滑和无副作用到月经不规则和疼痛.
- 激励因素包括同行影响,提供者关系,配偶认可和通过社交媒体提高社区敏感度.
结论:
- 了解社会文化背景对于增加堕胎后宫内节育器的使用至关重要.
- 基于证据的咨询,男性伴侣的参与和用户冠军可以解决误解.
- 建议通过社交媒体和社区宣传提高IUD的使用率.
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