• Title/Summary/Keyword: Contraceptive

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How Does Advance Provision of Emergency Contraceptives Affect Contraceptive Use and Sexual Activity Among Adolescents? Systematic Review and Meta-Analysis (응급피임약 사전 제공이 청소년의 성과 피임 행위에 어떤 영향을 미치는가?: 체계적 문헌고찰과 메타분석)

  • Ryu, Kyungsoon;Lee, Misoon;Kim, Younghae;Ban, Seonhwa;Choi, Mihyang
    • Journal of Korean Academy of Nursing
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    • v.48 no.3
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    • pp.255-265
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    • 2018
  • Purpose: The purpose of this study was to analyze the effect of emergency contraceptive pill on adolescent sexuality and contraceptive behaviors through a meta - analysis of intervention studies on advance provision of emergency contraceptives. This study aimed to provide objective data on the transition of general medicines to be discussed in relation to the reclassification of emergency contraceptive pills. Methods: Using electronic database, 1,820 studies written in Korean or English without limitation of the year were reviewed and for analysis, 5 studies were selected, in which emergency contraceptives were provided to adolescents. Results: The advance provision of emergency contraceptives has increased their use and shortened the time it takes to take contraceptive pills after unprotected sex. There was no change in the frequency of engaging in sexual intercourse and unprotected sex or in existing contraceptive behavior, pregnancy rates decreased, but there was no increase in sexually transmitted infection. Conclusion: The results of this study provide objective grounds for the reclassification of emergency contraceptive pills and propose effective interventional programs on contraceptive education, such as on efficacy and side effects of the contraceptive drug and its proper use among the youth who engage in sexual activity, to improve their reproductive health.

Contraceptive Knowledge and Practice among Married Immigrant Women (결혼 이주여성의 피임 지식과 실천)

  • Kim, Tae Im;Kim, Ji-Young;Jung, Gye-Hyun;Choi, Sun-Mi
    • Women's Health Nursing
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    • v.18 no.4
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    • pp.290-301
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    • 2012
  • Purpose: The purpose of this study was to investigate the contraceptive knowledge and practice among married immigrant women. Methods: A cross-sectional survey design with a convenient sampling was used. 170 married immigrant women were recruited in Daejeon city and Chungcheong area. A structured questionnaire was self-administered from November 1, 2011 to January 13, 2012. Results: 48.2% of subjects have used contraceptive practice. The widely used contraception methods were IUD, condom, oral pill and withdrawal. 73.2% of subjects got information about contraception from family and friends, and 18.3% of subjects had no source of information. The subjects' employment state (p = .006), duration of marriage (p = .019), number of baby (p = .021), family type (p = .046) have a significant influence on their contraceptive practice. The subjects' mean score of contraceptive knowledge was very low (5.72 points out of 15 points). There were significant differences in subjects' contraceptive knowledge depending on their education level (p = .002), employment state (p<.001), country of origin (p = .010), and family type (p = .003). Conclusion: To improve contraceptive knowledge and practice for married immigrant women, it is necessary to develop a proper contraceptive education program to enhance contraceptive knowledge and practice. Adjusted education program by this results will contribute to increase sexual health for married immigrant women.

Contraceptive Knowledge, Contraceptive Attitude, and Contraceptive Use among College Students: Function of Gender, Age, and Residence (대학생의 피임지식 및 피임태도와 피임사용에 관한 연구: 대학생의 성별, 연령집단, 거주유형을 중심으로)

  • Choi, Jung-Hyun;Kim, Kyoung-Eun;Shin, Mi-A
    • Korean Journal of Human Ecology
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    • v.19 no.3
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    • pp.511-522
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    • 2010
  • This study investigated the differences in college students' attitudes towards, and knowledge of contraceptives. Gender, age group and place of residence were examined to identify variables related to contraceptive use. A total of 388 responses were obtained from college students. The results are as follows: Firstly, significant differences were found in degree of contraceptive knowledge between genders, age groups, and residence types. There was also a significant interaction effect between gender and age. Secondly, there were significant differences of attitudes towards contraception in gender and age and there was also significant interaction effect between residence type and age. Thirdly, college students' contraceptive use could be successfully predicted by gender and attitude towards contraception. Male students who had positive attitudes towards contraception were more likely to use contraceptives. This suggests attitudes towards contraception should be considered when developing contraceptive programs.

Current Status of Contraception

  • Park, Ki-Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.13 no.2
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    • pp.95-100
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    • 1986
  • During the past decade great advance has been made in contraceptive technology. The development and subsequent modification of oral steroid contraceptive together with the improved design of other contraceptives have tremendously altered the contraceptive practise of complete throughout the world. At the present time one of most complex issue is the population explosion. In Korea the population growth rate is remarkably decreased from 3% in 1960s to 1.7% in 1984. Increasing proportion of women practising family planning and improved contraceptive methods have contributed on remarkable reduction of fertility rate. But still about half of married women not involved in family planning practise. One of the reasons why that so many women haven't participated in family planning should be undesirable side effects or inconvenience of currently available contraceptives. So we need more research to develop newer, safer and more effective contraceptive to solve the problems. According to recent report on the family planning program achievement in Korea, sterilization (male and female) is most popular, leading contraceptive method (330 cases/1000 fertile persons) and the I.U.D. (167.5/1000), condom (132.9/1000) and oral pill (61.1/1000) were followed by in the order of favorite choice of contraceptive (KIPH, Family planning evaluation report, 1984; KIPH Family plan Service Statistics, 1981-1984). In present paper the present status and knowledge of contraceptives will be summarized.

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Current Status and Future Prospects of the Population Control Policy in Korea (출산조절정책의 현황과 전망)

  • 조남훈
    • Korea journal of population studies
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    • v.11 no.1
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    • pp.14-31
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    • 1988
  • The national family planning program in Korea, which was instituted as an integral part of the nation's economic development plans since 1962, has contributed greatly to a reduction in the fertility and population growth rate. The total fertility rate dipped from 6.0 births per women in 1960 to 2.0 in 1985, and the population growth rate rom 2.84 percent per year to 1.25 percent during the same period, while the contraceptive practice rate for the 15-44 married women increased from 9 percent in 1965 to 70 percent in 1985. Study findings indicate that the fertility reduction in the past 26 years is largely attributed to the virgorous implementation of the national family planning program, rising age at marriage, wide-spread use of induced abortion, and the changes in attitude regarding the value of children that came into being in the wake of the rapid socio-economic development over the period. Among the strengths of the national family planning program are the following : 1) a pluralistic system of program manageent with active participation of various government and voluntary organizations, 2) utilization of a large corps of family planning field workers to conduct face-to-face communication and motivation activities, 3) use of private physicians with government support to provide contraceptive services, 4) a systematic program management system including program planning of traget allocation, evaluation, and supervision with a broad MIS and award system, 5) numerous incentive and disincentive schemes for stimulating the small family norm and contraceptive use, and 6) strong commitments to the family planning program by political leaders. The new demographic targets during the Sixth Five-Year Economic and Social Development plan period(1987-91) have been set for a further reduction in the population growth rate to 1.0 percent by 1993, assuming that the TFR will decline to 1.75 level in 1995. This target is, however, not easy to achieve due to anticipated unfavorable factors like the strong boy preference, high discontinuation rates of reversible contraceptive methods, fertility termination-oriented contraceptive use, a plateau level of contraceptive practice rate that has mostly accounted for a sterilization, shortened length of birth intervals, and the changing patterns of contraceptive mix. The recent changes in contraceptive and fertility behaviors clearly indicate that the past quantity-oriented management system of the national program should be redirected toward a quality-oriented approach. Particularly, program efforts should be expanded to recruit new contraceptive users in the 20s of younger age groups, both for birth spacing and controlling their fertility since the women aged 20 to 29 account for more than 80 percent of the total annual births in recent years. In addition, the current contraceptive fee system of the national family planning program should be gradually shifted from free contraceptive services to a acceptor's charge system, and the provision of contraceptive services through the medical insurance system, which will cover the entire population by 1989, should be accelerated as a means of integration of family planning program with other health programs.

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The Analysis of User Perception and Attitude Using SNS Data about Emergency Contraceptive Pills

  • Lee, Sung Hyun
    • Journal of Internet Computing and Services
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    • v.18 no.1
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    • pp.143-152
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    • 2017
  • In order to ensure the right of self-determination of women, most of countries allow women to buy post-coital contraceptive pills or general medical supplies with ease. This study aims to analyze how ordinary people recognize and respond to post-coital contraceptive pills through collecting atypical data by using the keyword 'Contraception', rather than using the existing actual condition survey, such as questionnaire and interview, so that the results have been presented, which may be referred to for establishment of policies.

The Effect of Combined Oral Contraceptive Steroids on Serum Levels of Lipids (복합경구피임제 복용이 혈청 지질함량에 미치는 영향)

  • Kim, J.H.;Kim, W.J.
    • The Korean Journal of Pharmacology
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    • v.17 no.2
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    • pp.69-74
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    • 1981
  • Increased incidence of myocardial infarction, arteriosclerosis and hypertension in oral contraceptive steroids users has been recognized as serious problem. Evidence have been accumulated that oral contraceptive steroids cause an increase in serum lipid levels, mainly triglyceride as well as an increase in serum cholesterol concentration in some women. Effect of oral contraceptives on serum lipids have been predominantly confirmed in Europian and American women. It should be emphasized that effects of contraceptives may he influenced by differences in nutrition, climate, socioeconomic status and race. The present study was, therefore, attempted to determine the effect of oral contraceptive steroids on serum lipid levels in Korean women and also to demonstrate whether the duration of pill treatment may affect serum lipid levels. Ten women, who had never taken contraceptive steroids, served as a control. One hundred women on combined oral contraceptive steroids were grouped according to the duration of pill use: duration of less than one year(14 women), 1-2 years(12 women), 2-5 years(29 women), 5-10 years(33 women) and more than 10 years(13 women). Serum levels of cholesterol, phosholipid and triglyceride were measured by enzymatic method, Fiske-SubbaRow method and Sugiura method respectively. The results obtained are as follows; 1) Oral contraceptive steroids increased serum cholesterol concentration by 4.8% as compared with cholesterol value of control group. But this increase was not statistically significant. 2) As compared with control value, concentration of serum phospholipid in pill-treated women decreased by 14.3%, which was statistically significant (p<0.05). 3) Concentration of serum triglyceride in pill-treated women increased by 10.6% over control value, but this increase was not statistically significant. 4) Duration of pill-treatment did not affect serum concentrations of cholesterol, phospholipid and triglyceride. From the results mentioned above, it may be concluded that combined oral contraceptive steroids, at least used for subjects involved in this study, decreased serum phospholipid significantly, thereby influencing serum lipid concentration.

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Relationship between the oral contraceptive pill and periodontal disease in Korean women: The 5th Korean National Health and Nutrition Survey data analysis phase3(2012) (경구피임약을 복용하는 한국여성과 치주질환의 관련성 연구: 제5기 3차년도(2012) 국민건강영양조사 자료 분석)

  • Lee, Jong-Hwa;Yoo, Jin-Yeong;Jung, Gi-Ok;Park, Ji-Young
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.795-804
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    • 2014
  • Objectives: The purpose of the study was to investigate the relationship between the oral contraceptive pill and periodontal disease in Korean women aged from 19 to 50 years old. Methods: This study selected 1,579 women of childbearing age from 19 to 50 years old from the 5th National Health and Nutrition Survey data analysis(phase 3, 2012) taking the oral examination. The questionnaire consisted of socioeconomic demographic characteristics, health behavior, use of oral contraceptive pills, and periodontal disease. Socioeconomic demographic characteristics included age, marital status, education, monthly income, and vocation. The health behavior included obesity, stress, smoking, subjective oral health status, use of dental floss, tooth brushing, and diabetes mellitus by fasting blood sugar level. Use of oral contraceptive pills was recorded by monthly use and duration. The periodontal disease was documented by yes or no and selected as dependent variable by logistic regression analysis. Results: After revising the taking period of oral contraceptive pill for this study, there was the correlation between the prevalence of periodontal disease and odds ratio(95% CI) 1.288(1.027-1.617). Conclusions: This study will contribute to the direction of policy for an oral contraceptive pill and provide the basic data for counseling for the oral health and the side effects of oral contraceptive pills.

Factors Affecting Contraceptive Use among Adolescent Girls in South Korea (성경험 여자 청소년의 피임실천에 영향을 미치는 요인)

  • Lee, Jaeyoung
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.259-267
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    • 2017
  • Purpose: This study was done to identify contraceptive practices in adolescent girls in South Korea and predictors of contraceptive practices. Methods: The study sample included 743 girls who had experienced sexual activity. Using statistics from the 12th (2016) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. Results: The contraceptive practice rate for adolescent girls was 34%. Contraceptive practice was associated with 'age at first intercourse' and 'sexual intercourse after drinking'. For adolescent girls who had early sexual initiation and drank alcohol before sexual intercourse there was a tendency to reduce the practice of contraception. Conclusion: It is necessary to provide practical sex education to improve the practice of contraception in these adolescents. In addition, adolescent girls should be encourage to delay their first intercourse. The results of this study can also be used to develop education interventions regarding healthy sexuality behaviour including the practice of contraception.

Unmarried Mother's Knowledge and Attitudes toward Emergency Contraceptive Pills (미혼모의 응급피임약에 대한 지식과 태도)

  • Lee, Gyeong Mi;Koh, Hyo Jung;Kim, Hye Young
    • Women's Health Nursing
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    • v.19 no.2
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    • pp.99-107
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    • 2013
  • Purpose: This study was conducted to identify relationships among knowledge and attitudes of unmarried mothers toward emergency contraceptive pills. Methods: Data were collected through structured questionnaires from 135 unmarried mothers enrolled in 7 single mothers' facilities nationwide. Data were analyzed using the SPSS/WIN 17.0 program for descriptive statistics, t-test, ANOVA, Scheffe-test, and Pearson correlation coefficients. Results: For knowledge about emergency contraceptive pills, there were significant differences among who live with her before pregnancy, experience of past pregnancies, state of present pregnancy and preparation in using contraceptives. For attitude toward emergency contraceptive pills, there were significant differences according to age, education level and religion. There were significant positive relationships between knowledge and attitudes toward emergency contraceptive pills. Conclusion: The results of this study suggest that unmarried women should be better informed about emergency contraceptive pills, and reassured about their safety. Efforts are needed to disseminate up-to-date information to experts in sex education including nurses.