The current priorities of contraceptive behavior in Russian able-bodied women (according to a sampling study)
Objective. To study the current priorities of contraceptive behavior in able-bodied women.Armashevskaya O.V., Sokolovskaya T.A., Senenko A.Sh.
Materials and methods. A survey was conducted in 191 able-bodied women in one of the regions of the Central Federal District of Russia. The questionnaire included a set of closed and scale questions on the problems of contraception. The findings were analyzed using the applied MS Excel 2016, by calculating the extensive indicators.
Results. The study showed that 97.2% of the women were familiar with the concept of contraception; 80.1% used the latter to achieve various goals, and 87.6% of them applied contraceptives to prevent an unwanted pregnancy. It noted the evolution of approaches to using contraceptives among respondents from the onset of sexual life to the present time – the use of spermicides, an intrauterine device, and hormonal drugs is increasing. This indicates the growing responsibility of a woman who seeks to completely control the problem of unwanted pregnancy without relying on her partner. This is evidenced by a 39.1% decrease in the use of a condom that is traditionally a male type of contraception, as well as by a slight reduction in the use of ineffective methods, such as safe days and coitus interruptus. The reasons for nonuse of contraception were most often the lack of adherence to contraception (18.3%) and the confidence in the harmful effects on health (10.0%). The interviewed women gave preference to healthcare workers as consultants in the choice of contraception. However, the specialists themselves seldom use highly effective means (9.1%).
Conclusion. The necessity of implementing the education programs to preserve reproductive health and to prevent sexually transmitted infections is undoubtedly one of the most important tasks in organizing female medical care due to the entry into sexual relationships in more than one-third of 15–18-year-old respondents. It should be implemented by health workers having appropriate professional competence and communication to interact with the parents of minor children and the representatives of educational establishments, which will be able to impart healthy lifestyle skills, to prevent unplanned pregnancy in women at any age, and to preserve the nation’s health.
Keywords
contraception
contraceptive behavior
awareness
reproductive health
working age
References
- Аганезов С.С., Мороцкая А.В., Аганезова Н.В. Контрацепция среди молодежи: предпочтения и знания. Акушерство и гинекология. 2016; 4: 126-32. [Aganezov S.S., Morockaya A.V., Aganezova N.V. Contraception among young people: preferences and knowledge. Akusherstvo i ginekologiya / Obstetrics and gynecology. 2016; 4: 126-32. (in Russian)]. https://dx.doi.org/10.18565/aig.2016.4.126-132.
- Малимонов И.В. «Двойная занятость» как гендерный конфликт в процессе социально-экономических изменений положения женщины в современном обществе. В кн.: Айснер Л.Ю., Гончаревич Н.А., Ерахтина Е.А., Ерошина А.А., Король Л.Г. Актуальные психолого-педагогические, философские, экономические и юридические проблемы современного российского общества. Ульяновск: Издательство «Зебра»; 2019; вып. 4: 235-54. [Malimonov I.V. “Double employment” as a gender conflict in the process of socio-economic changes in the position of women in modern society. In: Ajsner L.Yu., Goncharevich N.A., Erahtina E.A. et al. Actual psychological, pedagogical, philosophical, economic and legal problems of modern Russian society. Ul’yanovsk: Zebra. 2019; 4: 235-54. (in Russian)].
- Шабунова А.А., Леонидова Г.В. Сельская жизнь российских женщин. Народонаселение. 2020; 23(2): 14-25. [Shabunova A.A., Leonidova G.V. Rural life of Russian women. Population. 2020; 23(2): 14-25. (in Russian)].
- Осипенко И.М. Психологические особенности женщин с кризисной беременностью в ситуации репродуктивного выбора. Вестник Пермского университета. Серия: Философия. Психология. Социология. 2019; 3: 388-401. [Osipenko I.M. Psychological characteristics of women with crisis pregnancy in a situation of reproductive choice. Vestnik Permskogo universiteta/ Bulletin of Perm University. 2019 3: 388-401. (in Russian)]. https://dx.doi.org/10.17072/2078-7898/2019-3-388-401.
- Радзинский В.Е., Пустотина О.А. Планирование семьи в XXI веке. Николаева Т.А., ред. М.: ГЭOТАР-Медиа; 2015. 256с. [Radzinskij V.E., Pustotina O.A. Family Planning in the 21st Century. M.: GOETAR-Media; 2016. 256 p. (in Russian)].
- Krashin J., Tang J.H, Mody S., Lopez L.M. Hormonal and intrauterine methods for contraception for women aged 25 years and younger. Cochrane Database Syst. Rev. 2015; (8): CD009805. https://dx.doi.org/10.1002/14651858.CD009805.pub3.
- Vigoureux S., Le Guen M. Current knowledge on contraceptive knowledge in France: CNGOF Contraception Guidelines. Gynecol. Obstet. Fertil. Senol. 2018; 46(12): 777-85. https://dx.doi.org/10.1016/j.gofs.2018.10.005.
- Дикке Г.Б., Ерофеева Л.В. Контрацепция в современной России: применение и информированность (популяционное исследование). Акушерство и гинекология. 2016; 2: 108-13. [Dikke G.B., Erofeeva L.V. Contraception in modern Russia: use and awareness (population study). Akusherstvo i ginekologiya /Obstetrics and gynecology. 2016; 2: 108-13. (in Russian)]. https://dx.doi.org/ 10.18565/aig.2016.2.108-113.
- Гладкая В.С., Грицинская В.Л., Медведева Н.Н. Современные тенденции репродуктивного здоровья и репродуктивного поведения женского населения в России (обзор литературы). Мать и Дитя в Кузбассе. 2017; 1: 10-15. [Gladkaya V.S., Gricinskaya V.L., Medvedeva N.N. Current trends in reproductive health and reproductive behavior of the female population in Russia (literature review). Mat’ i Ditya v Kuzbasse / Mother and Child in Kuzbass. 2017; 1: 10-15. (in Russian)].
- Доброхотова Ю.Э., Быкова О.А. Репродуктивное поведение – оправдание комбинированного подхода. StatusPraesens. Гинекология, акушерство, бесплодный брак. 2020; 1(Приложение): 1-5. [Dobrohotova Yu.E., Bykova O.A. Reproductive Behavior – Justification for a Combined Approach. StatusPraesens. Gynecology, obstetrics, infertile marriage. 2020; 1(Suppl): 1-5. (in Russian)].
- Боровкова Е.И. Планирование семьи и преконцепционное консультирование. РМЖ. Мать и дитя. 2019; 2(2): 131-4. [Borovkova E.I. Family planning and preconception counseling. Russian medical journal. Mother and child. 2019; 2(2): 131-4. (in Russian)]. https://dx.doi.org/10.32364/2618-8430-2019-2-2-131-134.
- Curtis K.M., Jatlaoui T.C., Tepper N.K., Zapata L.B., Horton L.G.,Jamieson D.J. et al. U.S. selected practice recommendations for contraceptive use, 2016. MMWR Recomm. Rep. 2016; 65(4): 1-66. https://dx.doi.org/10.15585/mmwr.rr6504a1.
- Чучалина Л.Ю. Ретроспективный анализ репродуктивного поведения женского населения как основа построения модели мероприятий, направленных на сохранение репродуктивного здоровья. Вестник уральской медицинской академической науки. 2016; 4: 131-9. [Chuchalina L.Yu. A retrospective analysis of the reproductive behavior of the female population as the basis for constructing a model of measures aimed at maintaining reproductive health [Electronic resource]. Vestnik ural’skoj medicinskoj akademicheskoj nauki / Bulletin of the Ural medical academic science. 2016; 4: 131-9. (in Russian)]. https://dx.doi.org/10.22138/2500-0918-2016-14-4-131-139.
- Guzzo K.B., Hayford S.R. Adolescent reproductive and contraceptive knowledge and attitudes and adult contraceptive behavior. Matern. Child Health J. 2018; 22(1): 32‐40. https://dx.doi.org/10.1007/s10995-017-2351-7.
- McNicholas C., Madden T. Meeting the contraceptive needs of a community: increasing access to long-acting reversible contraception. Mo. Med. 2017; 114(3): 163-7.
- Warzecha D., Szymusik I., Pietrzak B., Kosinska-Kaczynska K., Sierdzinski J., Sochacki-Wojcicka N. et al. Sex education in Poland - a cross-sectional study evaluating over twenty thousand polish women’s knowledge of reproductive health issues and contraceptive methods. BMC Public Health. 2019; 19(1): 689. https://dx.doi.org/10.1186/s12889-019-7046-0.
Received 27.08.2020
Accepted 04.12.2020
About the Authors
Olga V. Armashevskaya, PhD, leading researcher of the Department of medical statistics and documentations, Federal Research Institute for Health Organization and Informatics, Ministry of Health of the Russian Federation. Tel.: +7(495)618-43-88 (ext. 503). E-mail: ova19 @ yandex.ru.ORCID: 0000-0002-5030-4702; SPIN-код: 4258-5784. 127254, Russia, Moscow, Dobrolyubova str., 11.
Tatyana A. Sokolovskаyа, PhD, Head of the Department of maternal and child, Federal Research Institute for Health Organization and Informatics, Ministry of Health of the Russian Federation. Tel.: +7(495)618-43-88 (exe.538). E-mail: sokol@mednet.ru. ORCID: 0000-0003-4594-5983; SPIN-код: 3343-7632.
127254, Russia, Moscow, Dobrolyubova str., 11.
Aliya Sh. Senenko, PhD, Head of the Department of scientific bases of the organization of primary health care maternal and child, Federal Research Institute for Health Organization and Informatics, Ministry of Health of the Russian Federation. Tel.: +7(495) 618-43-88 (exe.544). E-mail: senenko1@mail.ru. ORCID: 0000-0001-7460-418X; SPIN-код: 6874-4974. 127254, Russia, Moscow, Dobrolyubova str., 11.
For citation: Armashevskaya O.V., Sokolovskaya T.A., Senenko A.Sh. The current priorities of contraceptive behavior in Russian able-bodied women (according to a sampling study).
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 1: 164-169 (in Russian)
https://dx.doi.org/10.18565/aig.2021.1.164-169
Similar Articles
