Knowledge and Attitude towards the Use of Combined Hormonal Contraceptives Pills among Reproductive Thai Women

Main Article Content

อรวรรณ แซ่ลิ่ม
มาริตา ไมตรีจร
ดวงกมล หลิมปานนท์
รัตนพัฒน์ จิระติสรณ์

Abstract

Objective: To survey knowledge and attitudes about combined hormonal contraceptive pills (CHCPs) among Thai women of reproductive age. Method: The survey employed descriptive research methodology in Thai ethnic women aged between 20 and 44 years in Hat Yai District, Songkhla Province, but excluding women who were breastfeeding or in the postpartum period within 6 weeks. The survey used self-administered questionnaires to collect the data on personal information, knowledge and attitude of the use of CHCPs. Results: The participants were 412 female reproductive women, with an average age of 29.6 ± 8.3 years and 66.7 percent with a bachelor's degree or higher. 30.6% of the subjects experienced the use of CHCPs. The average score of knowledge among the subjects was 5.42±4.03 out of the full score of 15. 66% of the subjects had knowledge score less than 50% of the full score. More than 50% of the subjects knew what to do when forgetting to take the drug and the benefits of certain contraceptive pills for treating acnes.  While less than 25% of the subjects were aware on how to take medication continuously and precautions of drug use. Average levels of attitudes was 10.46 ± 2.86 from the full score of 15. Conclusion: Most Thai women of reproductive age in the study area had the score of knowledge on CHCPs less than 50% of the full score. Therefore, health professional should focus on providing knowledge on the use of CHCPs for service clients.

Article Details

Section
Research Articles

References

1. National Health Commission Office of Thailand. Solving the problem of unplanned pregnancy in Thai teenagers [online]. 2010 [cited May 25, 2017]. Available from: en.nationalhealth.or.th/sites/default/ files/Teenagers_Main_24Nov2010.pdf.

2. Areemit R, Thinkhamrop J, Kosuwon P, Kiatchoosa kun P, Sutra S, Thepsuthammarat K. Adolescent pregnancy: Thailand's national agenda. J Med Assoc Thai. 2012;95 Suppl 7:S134-42.

3. Butchon R, Liabsuetrakul T, McNeil E, Suchonwanich Y. Birth rates and pregnancy complications in adolescent pregnant women giving birth in the hospitals of Thailand. J Med Assoc Thai. 2014; 97: 785-90.

4. Aeamsamarng P, Srisuriyawet R, Homsin P. Risk Factors of unintended repeat pregnancy among adolescents. Public Health Journal of Burapha University 2013; 8: 55-67.

5. Sriyasak A, Almqvist AL, Sridawruang C, Neamsakul W, Haggstrom-Nordin E. Struggling with mother hood and coping with fatherhood- A grounded theory study among Thai teenagers. Midwifery 2016; 42: 1-9.

6. World Health Organization. Medical eligibility criteria for contraception use [online]. 2015 [cited May 25, 2018]. Available from: www.who.int.

7. Rosenberg M, Waugh MS. Causes and consequences of oral contraceptive noncompliance Am J Obstet Gynecol 1999;180: 276-9.

8. Rosenberg MJ, Waugh MS, Meehan TE. Use and misuse of oral contraceptives: risk indicators for poor pill taking and discontinuation. Contraception 1995; 51: 283-8.

9. Ngamsiriudom S. Health behavior of woman workers at two garment factories in Chiang Mai province: Knowledge and practice about contraceptive pill and injection [dissertation]. Chiang Mai: Chiang Mai University; 1991.

10. Chalongsuk R, Limmatvapirat C, Chaweekanlaya- kun K. Behevior and knowledge of oral contracep- tive pill of women in Nakhon Pathom province. Journal of Public Health and Development. 2005; 3: 11-9

11. World Health Organization. Sexual and reproductive health [online] 2014. [cited Nov 18, 2017]. Available from: www.who.int/reproductivehealth/topics/infertili ty/definitions/en/.

12. Yamane T. Statistic: An introductory analysis. 2nd ed. New York: Haper and Row; 1967

13. Ritter T, Dore A, McGeechan K. Contraceptive know ledge and attitudes among 14-24-year-olds in New South Wales, Australia. Aust N Z J Public Health 2015; 39: 267-9.

14. Bardaweel SK, Akour AA, Kilani M-VZ. Current knowledge, attitude, and patterns of oral contracep- tives utilization among women in Jordan. BMC Womens Health 2015; 15: 117.

15. Armstrong T. The Human odyssey: Navigating the twelve stages of life. New York: Sterling; 2008.

16. Nappi RE, Pellegrinelli A, Campolo F, Lanzo G, Santamaria V, Suragna A, et al. Effects of combined hormonal contraception on health and wellbeing: women's knowledge in northern Italy. Eur J Contracept Reprod Health Care 2015;20:36-46.

17. Machado RB, Morimoto M, Santana N, Arruda LF, Bernardes CR, de Souza IM. Effect of information on the perception of users and prospective users of combined oral contraceptives regarding the risk of venous thromboembolism. Gynecol Endocrinol 2015; 31:57-60.

18. Saelim J, Santibenchakul S, Jaisamrarn U. Comparison of the knowledge, attitudes toward, and practices of contraception between Thai Muslim women living in Bangkok and those living in the southernmost provinces of Thailand. Asian Biomed 2017; 10: 351-9.