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. 2009 Nov;116(12):1640-5.
doi: 10.1111/j.1471-0528.2009.02320.x. Epub 2009 Sep 1.

Current status of contraceptive use among rural married women in Anhui Province of China

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Current status of contraceptive use among rural married women in Anhui Province of China

X-J Zhang et al. BJOG. 2009 Nov.

Abstract

Objectives: This study aims to explore the current status of married women in regard of their use of contraceptive methods (permanent methods versus non-permanent methods) and to find out factors that affect the use of contraceptive methods in rural areas of Anhui Province of China.

Design: Survey.

Setting: Anhui, China.

Population: A total of 53,652 married women aged 18-49 years.

Methods: A multistage probability sampling method was used to identify a representative sample of 53,652 married women aged 18-49 years. All women were asked to provide detailed information by completing detailed questionnaires.

Main outcome measures: Contraceptive prevalence and influence factors.

Results: The total birth control rate of the sample was 95.2%. Samples choosing the permanent and nonpermanent contraceptive methods have taken up 46.7 and 48.5% respectively. Female sterilisation was the first choice with a usage rate of 43.6%, followed by intrauterine device (IUD), which was used by 41.1% of samples. Single-variable analysis showed that the choice of contraceptive methods was associated with age, education level, parity, frequency of sex intercourses in a month, contraceptive knowledge, RTI symptom and the gender of the last child of rural married women.

Conclusions: A significant increase in contraceptive use of rural married women in Anhui Province of China. Female sterilisation and IUD still play the dominant role. Effective family planning methods should be advocated through adequate counselling on the correct use and proper management, with consideration of the background of custom and belief.

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