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家族計劃實踐方法에 對한 比較硏究

A Comparative Study on Contraceptive Practice

공중보건잡지 1969년 6권 2호 p.269 ~ 280
김덕애 (  ) - 서울대학교 보건대학원

Abstract


In this study, annual changes in family planning practice by method and socio-demographic characteristics of women are studied, to compare trends in contraceptive use in Korea over time.
The results of national family planning surveys in 1965, 1966 and 1967 done by the Family Planning Evaluation Unit, Ministry of Health and Social Affairs are the main source of data, with some use of other related materials.
The following results were derived from the study:
1. The rate of current family planning practice increased from 16 percent (Urban: 21 percent, Rural: 14 percent) in 1965 and 20 percent (Urban:21 percent, Rural: 14 percent) in 1965 and 20 percent (Urban: 26 percent, Rural: 18 percent) in 1966 and remained at 20 percent in 1967. While the current practice rate for urban areas showed higher than that for rural areas, rural areas showed a more rapid increase from 1965 to 1966 than did urban areas, reflecting the rural emphasis of the family planning program.
2. The highest proportion of women practicing was in the 35-39 age group, who made up from 23 percent to 33 percent over the period. Older ages also showed increases, (but this may be due to age bias in the surveys). By educational level, the highest proportion was shown by the women with high school and over (33 to 42 percent) and those with no and primary schooling also increased. By number of living children, the proportion of women with less than two children decreased and those with 3-4 children increased over the period.
3. Of the methods of contraception adopted by the respondents condoms comprised 42. 8 percent and loops 30.9 percent in 1965. In 1966 loops occupied 46.5 percent and other methods (excluded loop, sterilization, condom and oral pill) 25.7 percent, and in 1967 loops showed 56.8 percent and condoms 13.4 percent respectively.
4. The IUD rapidly increased in importance over the period in both urban and rural areas. In 1965 the loop was used by 22 percent of urban women who used any
contraception and 37 percent of rural women. By 1966 the rates were 37 percent and 53 percent respectively, and 1967 rates were 43 percent in urban, and 67 percent in rural areas.
Sterilization was used by 8 percent of contraceptive users in 1965 (Urban: 8 percent, Rural: 8 percent), 10 percent in 1967 (Urban: 10 percent, Rural: 11 percent). Difference between urban and rural areas were small. Condom were chosen by 43 percent of family planning users in 1965 (Urban: 42 percent, Rural: 44 percent). 15 percent in 1966 (Urban: 15 percent, Rural: 15 percent) and 13 percent in 1967(Urban: 13 percent, Rural: 14 percent).
The decline reflects program emphasis on the IUD. As for oral pill, 4 percent of family planning users (Urban: 6 percent, Rural: 2 percent) accepted the pill in 1965, 3 percent (Urban: 5 percent, Rural: 1 percent) in 1966, 8 percent (Urban: 16 percent. Rural: 3 percent) in 1967. and it increased to 16 percent in 1968. However, oral pills were still much less known in rural areas.
5. The age distribution of loop wearers changed over the period, and the women 25-29 age group were increasing. By educational level of loop wearers, the proportion of acceptors with primary school and middle school increased. By number of living children, loop use increased in proportion among women with 3-4 children, and decreased proportionately among women with less than 2 children, or 5-6 children. 6. As for age distribution of women whose husband accepted sterilization, the proportions having decreased among the ages 25-29 and 35-39 as time go by, but 40-44 age group showed a rapid increase in 1965-1967 in comparison with those of other age groups.
The proportion of acceptors with high school education or more (always a small group) increased over these years, though other educational levels showed no significant difference between 1965 and 1967. The proportion of couples who were sterilized have been decreased along the progress of the years among the women with 3-4 children, however, it has been increased year by year among the women with 5-6 children.
7. Condom users also shifted in age, and the proportion of users among 25-29 and 40-44 were increasing and those 30-34decreasing. By educational level, those with no formal education decreased as a proportion of condom users and those with middle schooling or more increased. By number of living children, those with 3-4 children increased while other groups didn´t change significantly from 1965 to 1967.
8. Other methods (excluding loop, sterilization ad condom): The proportion of respondents among users of other methods 35-39 increased and those 40-44 decreased. Increases were seen among respondents with high school or more education (a small group) and among those with five of more children over the period.

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