Abstract：
In the Muslim world, the use and acceptance of long-term and permanent contraceptives were limited. Our aim was to investigate those limiting factors so we can help making these methods widely available and acceptable to the society.
There were 1365 women from Facebook groups in the period 08/10/2020-8/11/2020. Participants were married women, living in Jordan. This was a cross-sectional study. Statistical Package for Social Sciences (SPSS), version 16, software was used for statistical analysis (Chicago, Illinois, USA).
Among participants, 22.3% had never used any contraceptives. Non-hormonal IUCD was the most commonly used method. There was a statistically significant association between the use of hormonal IUCD and women\'s age, marriage duration, education and number of children (p < 0.0001). Tubal ligation was adopted by only 44 (3.22%) participants. 19.68% of participants declined tubal ligation merely due to religious issues. Women who completed only high school level of education underwent tubal ligation significantly more than those with university (Bachelor) and post-university (Master or PhD) degrees (p < 0.0001 and 0.026, respectively). Only 1.83% of women\'s partners underwent vasectomy, the majority of these vasectomies (72.0%) were done because of the need for lifelong contraception. Around 17% of women\'s partners had poor knowledge about vasectomy. Further, women\'s employment status (housewives or full-time employees) was found to be the only variable that affected acceptance of vasectomy (p = 0.0047).
Women endured a heavy burden of contraception. Cultural and religious taboos influenced tubal ligation. Vasectomy was still very rarely adopted by men due to the lack of knowledge about the procedure. Our results raised the need for further dissemination of contraception knowledge and counselling through the primary care and maternity centers, mosques and media in official, comprehensive and integrated programs. Future research is needed in the field of permanent contraceptive methods.
There were 1365 women from Facebook groups in the period 08/10/2020-8/11/2020. Participants were married women, living in Jordan. This was a cross-sectional study. Statistical Package for Social Sciences (SPSS), version 16, software was used for statistical analysis (Chicago, Illinois, USA).
Among participants, 22.3% had never used any contraceptives. Non-hormonal IUCD was the most commonly used method. There was a statistically significant association between the use of hormonal IUCD and women\'s age, marriage duration, education and number of children (p < 0.0001). Tubal ligation was adopted by only 44 (3.22%) participants. 19.68% of participants declined tubal ligation merely due to religious issues. Women who completed only high school level of education underwent tubal ligation significantly more than those with university (Bachelor) and post-university (Master or PhD) degrees (p < 0.0001 and 0.026, respectively). Only 1.83% of women\'s partners underwent vasectomy, the majority of these vasectomies (72.0%) were done because of the need for lifelong contraception. Around 17% of women\'s partners had poor knowledge about vasectomy. Further, women\'s employment status (housewives or full-time employees) was found to be the only variable that affected acceptance of vasectomy (p = 0.0047).
Women endured a heavy burden of contraception. Cultural and religious taboos influenced tubal ligation. Vasectomy was still very rarely adopted by men due to the lack of knowledge about the procedure. Our results raised the need for further dissemination of contraception knowledge and counselling through the primary care and maternity centers, mosques and media in official, comprehensive and integrated programs. Future research is needed in the field of permanent contraceptive methods.
摘要：
在穆斯林世界,长期和永久性避孕药的使用和接受程度有限.我们的目的是调查这些限制因素，以便我们可以帮助使这些方法广泛可用并为社会所接受。
在2020年8月10日至2020年8月11日期间，有1365名来自Facebook群组的女性。参与者是已婚妇女，住在约旦这是一项横断面研究。社会科学统计软件包(SPSS)版本16，软件用于统计分析(芝加哥，伊利诺伊州,美国）。
在参与者中，22.3%的人从未使用过任何避孕药具。非激素IUCD是最常用的方法。使用激素宫内节育器与女性年龄之间存在统计学上显著的关联，婚姻期限,教育和儿童数量（p<0.0001）。仅有44名（3.22%）参与者采用了输卵管结扎术。19.68％的参与者仅由于宗教问题而拒绝输卵管结扎。仅完成高中教育的妇女接受输卵管结扎术的人数明显高于拥有大学（学士）和大学（硕士或博士）学位的妇女（分别为p<0.0001和0.026）。只有1.83%的女性伴侣接受了输精管切除术，大多数输精管切除术(72.0%)是由于需要终身避孕.大约17%的女性伴侣对输精管结扎术的认识不足。Further,女性的就业状况(家庭主妇或全职雇员)是影响输精管结扎术接受率的唯一变量(p=0.0047).
妇女承受着沉重的避孕负担。文化和宗教禁忌影响输卵管结扎术。由于缺乏对手术的了解，男性仍然很少采用输精管切除术。我们的研究结果提出，需要通过初级保健和产妇中心进一步传播避孕知识和咨询，官方的清真寺和媒体，全面和综合的方案。需要在永久性避孕方法领域进行未来的研究。
在2020年8月10日至2020年8月11日期间，有1365名来自Facebook群组的女性。参与者是已婚妇女，住在约旦这是一项横断面研究。社会科学统计软件包(SPSS)版本16，软件用于统计分析(芝加哥，伊利诺伊州,美国）。
在参与者中，22.3%的人从未使用过任何避孕药具。非激素IUCD是最常用的方法。使用激素宫内节育器与女性年龄之间存在统计学上显著的关联，婚姻期限,教育和儿童数量（p<0.0001）。仅有44名（3.22%）参与者采用了输卵管结扎术。19.68％的参与者仅由于宗教问题而拒绝输卵管结扎。仅完成高中教育的妇女接受输卵管结扎术的人数明显高于拥有大学（学士）和大学（硕士或博士）学位的妇女（分别为p<0.0001和0.026）。只有1.83%的女性伴侣接受了输精管切除术，大多数输精管切除术(72.0%)是由于需要终身避孕.大约17%的女性伴侣对输精管结扎术的认识不足。Further,女性的就业状况(家庭主妇或全职雇员)是影响输精管结扎术接受率的唯一变量(p=0.0047).
妇女承受着沉重的避孕负担。文化和宗教禁忌影响输卵管结扎术。由于缺乏对手术的了解，男性仍然很少采用输精管切除术。我们的研究结果提出，需要通过初级保健和产妇中心进一步传播避孕知识和咨询，官方的清真寺和媒体，全面和综合的方案。需要在永久性避孕方法领域进行未来的研究。
