Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes

Introduction: Globally, the prevalence of diabetes is currently increasing in trend. In Malaysia, similar trend is reported by The National Health and Morbidity Survey (NHMS) 2015. The survey has reported that the prevalence of diabetes is high in young adults. Thus, more women from younger age g...

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Main Author:	Ngah, Nor Asyura
Format:	Thesis
Language:	English
Published:	2017
Subjects:	RG Gynecology and obstetrics
Online Access:	http://eprints.usm.my/43159/1/Dr._Nor_Asyura-24_pages.pdf
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spelling	my-usm-ep.431592019-04-12T05:25:07Z Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes 2017 Ngah, Nor Asyura RG Gynecology and obstetrics Introduction: Globally, the prevalence of diabetes is currently increasing in trend. In Malaysia, similar trend is reported by The National Health and Morbidity Survey (NHMS) 2015. The survey has reported that the prevalence of diabetes is high in young adults. Thus, more women from younger age group with diabetes in Malaysia will be facing a great reproductive risk. We are interested to evaluate the contraception use, the knowledge on contraception and the perception towards contraception practice among diabetes women with unmet need for contraception. Objectives: To study the knowledge, perception and practice of contraception and factors associated with contraception non-use among diabetic women in reproductive age attending outpatient clinic, in a tertiary hospital. Methodology: This is a cross sectional study involving 324 patients aged 18 years old to 50 years old with Type 1 or Type 2 Diabetes Mellitus. Simple random sampling with replacement method was applied to select participants who attended outpatient clinic and Diabetes Centre of a tertiary hospital from March 2015 to May 2015. Self-administered questionnaires were used to obtain the socio demographic characteristics and clinical data. Another part of questionnaires was used to assess practice of contraception, knowledge andperception towards contraception practice. The data were analysed for descriptive statistic and multiple logistic regression. Result: The median age of respondents was 45. Majority (72.2%) of diabetic women were contraception non-users. In all, 11.4% of diabetic women have good knowledge regarding contraception effectiveness and safety, prepregnancy care and pregnancy risk with regards to diabetes. A sizeable 54.6% of respondents showed satisfactory perception towards contraception practice. There was no significant association (p = 0.168) between knowledge and perception towards contraception. Factor significantly associated with contraception non-use were being Malay (OR=2.63, 95% CI 0.18, 0.83, p=0.015), being older-age (OR=6.32, 95% CI 4.23, 10.68, p=<0.01), and being diabetic women with successful pregnancy history (OR=0.12, 95% CI 0.06, 0.38, p<0.01). Conclusion: There is high prevalence of contraception non-use among diabetic women in reproductive age. Majority of respondents have poor knowledge on contraception. Despite having poor knowledge, majority of respondents have satisfactory perception towards contraception. Contraception non-use was more likely associated with being Malay ethnic and older-age. Meanwhile, being diabetic woman with previous successful pregnancy is protective from being contraception non-user. 2017 Thesis http://eprints.usm.my/43159/ http://eprints.usm.my/43159/1/Dr._Nor_Asyura-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Ngah, Nor Asyura Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes
description	Introduction: Globally, the prevalence of diabetes is currently increasing in trend. In Malaysia, similar trend is reported by The National Health and Morbidity Survey (NHMS) 2015. The survey has reported that the prevalence of diabetes is high in young adults. Thus, more women from younger age group with diabetes in Malaysia will be facing a great reproductive risk. We are interested to evaluate the contraception use, the knowledge on contraception and the perception towards contraception practice among diabetes women with unmet need for contraception. Objectives: To study the knowledge, perception and practice of contraception and factors associated with contraception non-use among diabetic women in reproductive age attending outpatient clinic, in a tertiary hospital. Methodology: This is a cross sectional study involving 324 patients aged 18 years old to 50 years old with Type 1 or Type 2 Diabetes Mellitus. Simple random sampling with replacement method was applied to select participants who attended outpatient clinic and Diabetes Centre of a tertiary hospital from March 2015 to May 2015. Self-administered questionnaires were used to obtain the socio demographic characteristics and clinical data. Another part of questionnaires was used to assess practice of contraception, knowledge andperception towards contraception practice. The data were analysed for descriptive statistic and multiple logistic regression. Result: The median age of respondents was 45. Majority (72.2%) of diabetic women were contraception non-users. In all, 11.4% of diabetic women have good knowledge regarding contraception effectiveness and safety, prepregnancy care and pregnancy risk with regards to diabetes. A sizeable 54.6% of respondents showed satisfactory perception towards contraception practice. There was no significant association (p = 0.168) between knowledge and perception towards contraception. Factor significantly associated with contraception non-use were being Malay (OR=2.63, 95% CI 0.18, 0.83, p=0.015), being older-age (OR=6.32, 95% CI 4.23, 10.68, p=<0.01), and being diabetic women with successful pregnancy history (OR=0.12, 95% CI 0.06, 0.38, p<0.01). Conclusion: There is high prevalence of contraception non-use among diabetic women in reproductive age. Majority of respondents have poor knowledge on contraception. Despite having poor knowledge, majority of respondents have satisfactory perception towards contraception. Contraception non-use was more likely associated with being Malay ethnic and older-age. Meanwhile, being diabetic woman with previous successful pregnancy is protective from being contraception non-user.
format	Thesis
qualification_level	Master's degree
author	Ngah, Nor Asyura
author_facet	Ngah, Nor Asyura
author_sort	Ngah, Nor Asyura
title	Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes
title_short	Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes
title_full	Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes
title_fullStr	Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes
title_full_unstemmed	Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes
title_sort	knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2017
url	http://eprints.usm.my/43159/1/Dr._Nor_Asyura-24_pages.pdf
_version_	1747821175320346624

Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes

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