Knowledge, Attitude, and Practice Regarding Contraception among Women with Schizophrenia: An Observational Study from South India

Autor: Arun Rachana, Bhuvaneshwari Sethuraman, Suja Kurian
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Female sterilization
Schizophrenia (object-oriented programming)
RC435-571
women Key messages: Women with schizophrenia have low awareness about contraceptive methods
family planning
Unmet needs
03 medical and health sciences
poor informed choices
0302 clinical medicine
and decision-making on contraception. There exists a need to empower women with schizophrenia on family planning. We put forward an argument to strengthen reproductive health education in the mental health setting
Medicine
030212 general & internal medicine
reproductive health
Reproductive health
Psychiatry
business.industry
mesh: Women with schizophrenia have low awareness about contraceptive methods
poor informed choices
and decision-making on contraception. There exists a need to empower women with schizophrenia on family planning. We put forward an argument to strengthen reproductive health education in the mental health setting
Mental health
030227 psychiatry
schizophrenia
Clinical Psychology
Psychiatry and Mental health
Contraception
Family planning
Family medicine
Scale (social sciences)
Observational study
Original Article
women
business
Zdroj: Indian Journal of Psychological Medicine
Indian Journal of Psychological Medicine, Vol 41, Iss 4, Pp 323-330 (2019)
ISSN: 0253-7176
Popis: Background: Women with schizophrenia have needs beyond their mental health needs, such as those arising out of their gender, sexual, and reproductive functions. Very little is known about the knowledge, attitude, and practice regarding contraception among women with schizophrenia from India. Materials and Methods: Study among women with schizophrenia (in reproductive age group, having at least one living child, and currently staying with husband) from south India explored their knowledge, attitude, and practice of contraception. Adhering to observational design and ethical principles, data were collected using a semi-structured questionnaire. Modified National Family Health Survey-3 questionnaire and Positive and Negative Symptom Scale of Schizophrenia were also used. Results: Ninety-six women with schizophrenia participated. The mean age was 33.5 years [standard deviation (SD): 6.8 years], and the mean age of onset of schizophrenia was 29.2 years (SD: 6.2 years). Although nearly 90% had knowledge on at least one method of contraception, the mean total number of methods known was mere two. Out of 65 women who were practising contraception, 86.2% adopted female sterilization. The common reasons for not using contraception were wish for another child/son, lack of awareness, and fear of side effects. Unmet need for family planning was 14%. Informed choice of contraception was below 3%. There was statistically significant association between those who were currently using contraception and variables such as age 31 years and above, undifferentiated subtype of schizophrenia, and greater severity of schizophrenia. Conclusion: Although the majority had some knowledge about contraception, decision-making largely rested with others, and informed choice regarding contraception was poor. These could pose an obstetric risk on women with schizophrenia. Sociocultural and illness-related factors influencing contraception need to be explored.
Databáze: OpenAIRE
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