- Mohsen Rezaieaan
- - Department of Social Medicine, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Received: 7/1/2006 Accepted: 7/1/2006 - Publisher : Avicenna Research Institute |
|
Related Articles |
|
Other Format |
|
|
|
Abstract
Introduction: Human population growth control is one of the most important health priorities in developing countries, including Iran. The correct use of contraceptive pills can play an important role in family planning programs. Therefore, the present study with an ecological design looked at the predictors of the correct use of contraceptive pills among urban and rural Iranian females. Materials & Methods: This study uses data from the Iranian nationwide Demographic Health Survey (DHS), which took place in both urban and rural communities in the year 2000. The data for urban and rural populations were analyzed separately, employing SPSS (Version 13) to design a multivariate logistic regression model which reports both odds ratio and 95% confi-dence intervals. In this method the proportion of the correct use of contraceptive pills among females has been considered as a single dependent variable and the effects of five independent variables, that follow, have been determined on it. 1- The proportion of females who have been taught to use contraceptive pills correctly. 2- Mean age of marriage in these females. 3- The proportion of illiteracy among married females, aged 10-49. 4- The proportion of immigration among married females, aged 10-49. 5- The proportion of employment among married females, aged 10-49. Results: The findings of this survey reveal that in both Iranian urban and rural populations, only one of the independent variables _ i.e. the proportion of females who have been taught to use contraceptive pills correctly _ can predict the variations of the correct use of the contraceptive pills among females. Conclusion: Based on the results of this study, it can be concluded that any educational program aiming to increase the knowledge of Iranian females on the correct use of contraceptive pills, will be more effective than the other variables under study.
Keywords:
Family planning, Contraceptive pills, Health promotion, Ecological study, Iran To cite this article:References
- World Health Organization. Selected practice recom-mendations for contraceptive use. Geneva, 2005
- Benagiano G. Introduction: enhancing oral contracep-tive compliance and efficacy. Adv Contracep.1992;8: 1-3
- Oakley D., Sereika S., Bogue E.L. Oral contraceptive pill use after an initial visit family to a family planning clinic. Fam Plann Perspect. 1991;23: 150-154
- Chacko M.R., Kozinetz C.A., Smith P.B. Assesment of oral contraceptive pill continuation in young women. J Pediatr Adolesc Gynecol. 1999;12:143-148
- Trottier D.A., Potter L.S., Taylor B.A., Glover L.H User characteristics and oral contraceptive compliance in Egypt. Fam Plann Perspect. 1994;25:284-292
- Asaduzzaman Khan M., Trottier D.A., Ataharul Islam M. Inconsistent use of oral contraceptives in rural Bangladesh. Contraception. 2002;65:429-433
- Kavari S.H., Keshtkaran A. The survey of effective factors on different practical failure methods of family planning in women referred to health centers. Middle East J Fam Med. 2005;3(2)1-5
- Rosenberg M.J., Waugh M.S. Oral contraceptive dis-continuation: A prospective evaluation of frequency and reasons. Am J Obstet Gynecol. 1998;179:577-582
- Lawson A.B., Bohning D., Biggeri A., Lesaffre E., Viel J.F. Disease mapping and its uses. Disease mapping and risk assessment for public health. Chichester: John Wiley and Sons. 1999;p:4
- Coggn D., Geoffrey R., Barker D.J.P. Epidemiology for the Uninitiated. England: BMJ Publishing Group. 2003;pp:39-41
- - سيماي جمعيت و سلامت در جمهوري اسلامي ايران (مهر ماه 1379). دفتر سلامت خانواده و جمعيت، معاونت سلامت، صفحات: 113-1
- Pereira-Maxwell F.A-Z of Medical Statistics.England: Arnold Publishers. 1998;p:38
- - قاضي احمد. جمعيتشناسي تحليلي و تنظيم خانواده. چاپ اول، ناشر سماط، 1379، صفحات:70-77
- علي محمدزاده خليل، فرزادي زهرا. درسنامه جامع جمعيت و تنظيم خانواده. چاپ اول، انتشارات فردوس، 1381، صفحات:75-70
- Ghasuria N.D., Thakara P.H., Pandya P.S. Fertility trends in Gujarat. J Family Welfare. 1996;42(4):55-63
- سهرابي ايوب. خانواده، جمعيت و تنظيم خانواده. چاپ دوم، نشر اختر، 1378، صفحات: 53-58
- شجاعي حسين. عبادي فرد آذر فربد. جمعيت، تنظيم خانواده و بهداشت باروري. چاپ اول، انتشارات جهاددانشگاهي، 1377، صفحات:10-12
- Morgenstern H. Uses of ecological analysis in epide-miologic research. Am J Public Health. 1982;72:1336-1343
- Richardson S., Monfort C. Ecological correlation studies. Elliott P., Wakefield J.C., Best N.G., Briggs D.J. (Editors). Spatial epidemiology, methods and applications. Oxford, Oxford University Press. 2000; pp:205-220
- Greenland S. Ecological versus ndividual-level sourc-es of bias in ecologic estimates of contextual health effects. Int J E pidemiol. 2001;30:1343-1350