ความรอบรู้ด้านสุขภาพและการสนับสนุนทางสังคมกับการรับบริการยาฝังคุมกำเนิดในมารดาวัยรุ่นหลังคลอดในเขตสุขภาพที่ 9 นครชัยบุรินทร์

Wassana Khaipundung; Thiwakorn Rachutorn

Authors

Wassana Khaipundung Faculty of Public health, Nakhon Ratchasima Rajabhat University
Thiwakorn Rachutorn Faculty of Public health, Nakhon Ratchasima Rajabhat University

Keywords:

Health literacy, social support, contraceptive implants, postpartum adolescent mothers

Abstract

This analytical cross-sectional study aimed to (1) assess health literacy regarding contraceptive implants among postpartum adolescent mothers, (2) examine the relationship between health literacy and the utilization of contraceptive implant services, and (3) examine the relationship between social support and service utilization in Health Region 9, Nakhon Chai Burin. The sample compriseds 275 postpartum adolescent mothers selected through a multi-stage random sampling. Data were collected using a validated questionnaire, with reliability coefficients of 0.86, 0.84, and 0.78 for knowledge of contraceptive implants, health literacy, and social support, respectively. These data were analyzed using descriptive statistics and multiple regression analysis. The results showed that health literacy regarding contraceptive implants was at an adequate level (69.09%), encompassing access to information, understanding, communication, media literacy, decision-making, and self-management. Health literacy was significantly associated with service utilization (AOR = 6.61; 95% CI: 3.54–12.33; p < 0.001). Social support was also at an adequate level (66.18%), covering emotional, informational, instrumental, and appraisal support, and was significantly associated with service utilization (AOR = 2.68; 95% CI: 1.45–4.97; p = 0.002). These findings suggest that health literacy and social support are key factors influencing contraceptive implant uptake. Enhancing both could improve access and informed decision-making among postpartum adolescent mothers

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