PDF(Pubmed)
Abstract：
BACKGROUND: Over 4.5 million women worldwide have used Implanon. It plays an important role in reducing unwanted conceptions, lowering maternal mortality, and enhancing child survival. As a result, the availability of family planning programmes encourages women to begin using contraception and encourages women who are already using family planning to continue using it. The purpose of this study was to investigate the factors that lead to implanon cessation among women in southwest, Ethiopia.
METHODS: A facility-based unmatched case-control study was conducted from February 01 to March 02, 2023. It included 348 participants, 174 cases, and 174 controls. The cases were selected consecutively, and the controls were selected using a systematic random sampling method. Data was collected through a structured, face-to-face interview and entered into Epi-data version 4.6 and SPSS version 25.0 for analysis. The confidence interval (CI) of 95 and the strength of the association were measured using an adjusted odds ratio. A p-value of less than 0.05 was considered statistically significant.
RESULTS: Women whose husbands have formal education [AOR = 0.33, 95% CI (0.121-0.0944)], women who have been counseled individually [AOR = 3.403 (1.390-8.3.32)], women who have been counseled for less than 5 min [AOR = 3.143, 95% CI (1.303-8.046)], and women who discuss Implanon insertion with their partner [AOR = 0.289, 95% CI (0.143-0.585)] were significantly associated with Implanon discontinuation.
CONCLUSIONS: Implanon discontinuation was predicted by the husband\'s education, the number of women counselled alone, the length of counselling, a conversation with the spouse, satisfaction with the service, and implanon side effects. The health care provider should increase counselling services, especially the length of implanon pregnancy, in accordance with the national family planning recommendations, to reduce early implanon removal.
METHODS: A facility-based unmatched case-control study was conducted from February 01 to March 02, 2023. It included 348 participants, 174 cases, and 174 controls. The cases were selected consecutively, and the controls were selected using a systematic random sampling method. Data was collected through a structured, face-to-face interview and entered into Epi-data version 4.6 and SPSS version 25.0 for analysis. The confidence interval (CI) of 95 and the strength of the association were measured using an adjusted odds ratio. A p-value of less than 0.05 was considered statistically significant.
RESULTS: Women whose husbands have formal education [AOR = 0.33, 95% CI (0.121-0.0944)], women who have been counseled individually [AOR = 3.403 (1.390-8.3.32)], women who have been counseled for less than 5 min [AOR = 3.143, 95% CI (1.303-8.046)], and women who discuss Implanon insertion with their partner [AOR = 0.289, 95% CI (0.143-0.585)] were significantly associated with Implanon discontinuation.
CONCLUSIONS: Implanon discontinuation was predicted by the husband\'s education, the number of women counselled alone, the length of counselling, a conversation with the spouse, satisfaction with the service, and implanon side effects. The health care provider should increase counselling services, especially the length of implanon pregnancy, in accordance with the national family planning recommendations, to reduce early implanon removal.
摘要：
背景：全球有超过450万女性使用过Implanon。它在减少不必要的观念方面起着重要作用，降低孕产妇死亡率，提高儿童生存率。因此,计划生育方案的提供鼓励妇女开始使用避孕药具，并鼓励已经使用计划生育的妇女继续使用避孕药具。本研究的目的是调查导致西南地区妇女停止植入的因素，埃塞俄比亚。
方法：一项基于设施的无匹配病例对照研究于2023年2月1日至3月2日进行。其中包括348名参与者，174例，174个控件。病例是连续选择的，对照组采用系统随机抽样方法选择。数据是通过结构化的，面对面访谈，并输入Epi-data版本4.6和SPSS版本25.0进行分析。使用调整后的比值比测量95的置信区间（CI）和关联强度。小于0.05的P值被认为是统计学上显著的。
结果：丈夫受过正规教育的妇女[AOR=0.33，95％CI（0.121-0.0944）]，接受过单独咨询的女性[AOR=3.403(1.390-8.3.32)]，接受咨询少于5分钟的女性[AOR=3.143，95％CI（1.303-8.046）]，与伴侣讨论Iplanon置入的女性[AOR=0.289,95%CI(0.143-0.585)]与Iplanon停药显著相关.
结论：丈夫的教育预测了Iplanon的中止，独自咨询的女性人数，咨询的时间长短，和配偶的谈话,满意的服务,和植入副作用。卫生保健提供者应增加咨询服务,尤其是内胎妊娠的长度，根据国家计划生育建议，减少早期植入。
方法：一项基于设施的无匹配病例对照研究于2023年2月1日至3月2日进行。其中包括348名参与者，174例，174个控件。病例是连续选择的，对照组采用系统随机抽样方法选择。数据是通过结构化的，面对面访谈，并输入Epi-data版本4.6和SPSS版本25.0进行分析。使用调整后的比值比测量95的置信区间（CI）和关联强度。小于0.05的P值被认为是统计学上显著的。
结果：丈夫受过正规教育的妇女[AOR=0.33，95％CI（0.121-0.0944）]，接受过单独咨询的女性[AOR=3.403(1.390-8.3.32)]，接受咨询少于5分钟的女性[AOR=3.143，95％CI（1.303-8.046）]，与伴侣讨论Iplanon置入的女性[AOR=0.289,95%CI(0.143-0.585)]与Iplanon停药显著相关.
结论：丈夫的教育预测了Iplanon的中止，独自咨询的女性人数，咨询的时间长短，和配偶的谈话,满意的服务,和植入副作用。卫生保健提供者应增加咨询服务,尤其是内胎妊娠的长度，根据国家计划生育建议，减少早期植入。
