Ngah, Nor Asyura
(2017)
Knowledge, perception & contraception use and factors associated with contraception non-use among women with diabetes.
Masters thesis, Universiti Sains Malaysia.
Abstract
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.
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