Shanghai wives’ dynamic changes of contraceptive knowledge and attitude and factors related to wives’ contraceptive knowledge in six years after wedding

Abstract

Objective: To know Shanghai wives’ dynamic gains of contraceptive knowledge within 6 years after wedding. To explore factors influencing wives’ contraceptive knowledge score (CKS) in six years after wedding. Method: A cohort of 7 693 couples was followed up since their marital registration up to the 6th year after wedding. Multiple linear regression models were fited to identify factors affecting wives’ CKS. Results: 96.3% of couples who have got their first child up to the time. The mean CKS at this moment for wives (16.4 scores) has been much higher than that at the 3 rd month after wedding (5.9 scores). However it did not show a significant increase compared with that at the 15 th month after wedding (11.9 scores). There were 0.9% of wives who still knew nothing about contraception and 20.5% of wives who could not use condom correctly. Even though 95% of wives who knew the pill, only 31.8% of them knew how to use it correctly. On the contrary, 91.7% of women, who could mention rhythm, among them 77.1% could state the application in proper way. Multiple regression models revealed that the main factors influencing wives CKS were their general knowledge on reproductive health, e.g. those who did not know condom use at sex could protect them from cathing AIDS, venereal diseases etc. Or those who had a negative attitude to contraception had significantly lower CKS. Those who had ever adopted some contraceptive methods other than IUD or had multiple positions at sex could also have a higher level of CKS. Conclusions: The further gain of Shanghai wives’ CKS after 15 th month up to the 6 th year tends to be slow. It is necessary to keep on teaching more knowledge on reproductive health and instructing the proper use of different contraceptive methods for Shanghai young couples, both men and women after they have had their first baby. It is also needed to let women know more about the beneficial effects of the pill and to help them eliminate their unnecessary worries about contraceptive methods, especially the pill.

目的 :了解上海市 80年代末初婚 76 93對夫婦婚后 6年內妻子避孕知識狀況。方法 :由描述及擬合多元線性回歸模型對影響妻子婚后 6年時避孕知識得分的因素進行分析。結果 :該時 96 .3 %的夫婦已有一孩 ;妻子平均避孕知識得分 ( 1 6 .4分 )雖明顯高于新婚 3個月時 ( 5.9分 ) ,但與婚后 1 5個月時比較 ( 1 1 .9分 ) ,無顯著差異 ;0 .9%仍對避孕措施一無所知 ;2 0 .5%仍不會正確使用避孕套 ;雖 95%知道口服藥 ,僅 3 1 .8%能正確述出使用方法 ,對安全期基本了解的正確性相對較高 ,在 91 .7%的知道該措施的妻子中 ,77.1 %能基本掌握推算排卵期方法。多元回歸模型顯示 ,該時妻子避孕知識得分主要與其對避孕措施的負性態度、了解生殖健康有關知識的廣度或受丈夫的避孕知識的影響有明顯關系。不了解避孕套能預防艾滋病、性病或不愿使用某避孕措施的妻子其避孕知識得分明顯偏低 ;產后首選非宮內節育器或有多種性生活體位者該時的避孕知識得分也相對較高。結論 :隨婚后時間的推移 ,上海市妻子避孕知識增長趨向緩慢。計劃生育工作人員及社會媒體有必要結...