摘要
对３４１３对上海市区初婚避孕夫妇随访十五个月，显示１２％使用者曾转换一次避孕方法。近一半口服药首选者转换过避孕方法，而安全期与避孕套合用者的转换比例最低。自感原方法效果不佳、有副反应及影响性快感是新婚夫妇放弃原方法的主要原因。避孕套、安全期和该两项措施合用以及安全期与其它方法合用是几类主要的再选方法。再选口服药夫妇的比例（１０％）高于首选该方法的夫妇（４％）。提示“有效”及“不影响性快感”是转换者对避孕方法的新要求。４．８％夫妇是因再得原药具（主要是避孕套及杀精剂）有困难而进行转换。口服避孕药及避孕套的首选者有最高的比例转为单用安全期。６．５％有推迟妊娠意愿的夫妇直接过渡到不再避孕，尤其是首选口服避孕药者。２８％首选者因避孕失败而停止避孕。提示计划生育工作者要对新婚夫妇做细致的动态访视，落实对药具的再发放及有关知识的指导，提高夫妇对既用方法的心理承受力，从而能持续正常使用某些有效方法，如口服避孕药及避孕套等。
A follow-up study was carried out with 3412 newlyweds who had ever lused contraceptive method after registration up to fifteenth month after their marriage in Shanghai Municipality. It showed that about 12% of users had at least ever switched to another method. About 50% of pill users had been so, the rhythm mix condom users being the lowest. The main reasons were the effectiveness was low; side effect happened and it interfered sexual life. The condom, rhythm, condom mix rhythm and rhythm mix others were the main methods used after first switching. About 10% of couples chose the pill after a switching, the rate was higher compared with that of the rate of 4% for couples who chose the pill firstly. About 4. 8% of couples who had switched using method because of the difficulty in obtaining the condom or spermicides again. The pill and condom users had the highest proportion of swithing to rhythm alone. About 6. 5% of couples who had the intention of delaying conception switched to no method, especially among the pill users. About 28% of users switched to no method after being failed in using. It thus suggested that family planning workers should do the surveillance with contraceptive users more carefully ever since their marriage.
出处
《生殖与避孕》
CAS
CSCD
北大核心
1994年第2期123-129,共7页
Reproduction and Contraception
关键词
避孕方法
转换
避孕
Contraceptive method switching, Pattern of contracptive switching
