본 연구는 난임 유무에 따른 여성의 생식건강증진행위를 비교하고, 생식건강증진행위가 난임에 미치는 영향을 확인하여 난임 여성의 생식건강증진행위에 대한 이해를 증진시켜 생식건강증진 프로그램 개발을 위한 기초자료를 제공하고자 시행된 서술적 비교조사연구이다. 연구는 B광역시에 소재하는 난임을 진단받고 난임 클리닉을 방문하는 난임 여성과 소아과 외래를 방문하는 영유아모 총 148명을 대상으로 자가 기입식 설문지를 이용하였고, 자료 분석 방법은 ...
본 연구는 난임 유무에 따른 여성의 생식건강증진행위를 비교하고, 생식건강증진행위가 난임에 미치는 영향을 확인하여 난임 여성의 생식건강증진행위에 대한 이해를 증진시켜 생식건강증진 프로그램 개발을 위한 기초자료를 제공하고자 시행된 서술적 비교조사연구이다. 연구는 B광역시에 소재하는 난임을 진단받고 난임 클리닉을 방문하는 난임 여성과 소아과 외래를 방문하는 영유아모 총 148명을 대상으로 자가 기입식 설문지를 이용하였고, 자료 분석 방법은 SPSS Ver 22.0 Program을 이용하여 빈도, 백분율, 카이제곱 검정, logistic regression을 이용하여 분석하였다.
연구결과를 요약하면 다음과 같다.
1. 일반적 특성에서 난임 여성과 난임이 아닌 여성의 월평균소득(χ²=15.37, p=.004), 가족 수(χ²=93.46, p<.001)에서 유의한 차이가 있었으며, 난임 관련 특성에서 분만경험(χ²=94.58, p<.001), 유산의 경험(χ²=14.28, p<.001)에서 유의한 차이가 있었다.
2. 생식건강증진행위 정도에서 전체 평균점수(5점 만점)는 4.20(±0.58)이며, 난임 여성의 평균 점수는 3.98(±0.51), 난임이 아닌 여성의 평균 점수는 4.41(±0.56)이며 난임 여성이 낮게 나타났으며 유의한 차이가 있었다(t=-4.96, p<.001). 생식건강증진행위의 하부영역별인 안전 성행위는 전체 평균점수 3.45(±1.12), 난임 여성은 3.12(±0.97), 난임이 아닌 여성은 3.76(±1.17)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.65, p<.001). 성행위 책임감은 전체 평균 4.36(±0.69), 난임 여성 4.17(±0.66), 난임이 아닌 여성 4.54(±0.67)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.35,p<.001). 생식기 건강관리는 전체 평균 4.18(±0.79), 난임 여성 4.00(±0.77), 난임이 아닌 여성 4.40(±0.75)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.39, p<.001). 성병예방은 전체 평균 4.67(±0.57), 난임 여성 4.51(±0.63), 난임이 아닌 여성 4.84(±0.45)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.64, p<.001). 생식기 위생관리는 전체 평균 4.51(±0.70), 난임 여성 4.31(±0.81), 난임이 아닌 여성 4.71(±0.51)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.54, p<.001).
3. 일반적 특성이 난임에 미치는 영향에서 월 평균소득 300만원이상 500만원미만에서 유의하였으며(p=.027), 소득이 500만원 이상인 경우에 비하여 소득이 300만원 이상 500만원 미만인 경우 난임이 발생할 확률이 5배로 나타났다.
4. 생식건강증진행위가 난임에 미치는 영향은 유의하였으며(p<.001), 생식건강증진행위가 1증가할수록 난임일 확률은 0.8배 감소하였다.
5. 생식건강증진행위의 하부 요인이 난임에 미치는 영향은 안전 성행위(p=.032)가 유의하였다. 안전 성행위가 1증가할수록 난임이 될 확률이 0.34배 감소하였다.
본 연구를 통해 난임 여성이 난임이 아닌 여성에 비해 생식건강증진 행위와 하부 영역별 생식건강증진 행위가 낮음을 알 수 있었다. 난임에 미치는 영향요인에서는 생식건강증진행위와 하부요인의 안전성행위가 난임에 유의한 영향을 미치는 것으로 나타났다. 그러므로 난임 여성을 대상으로 한 생식건강증진행위 중재방안과 안전 성행위에 대한 적극적인 중재가 필요할 것으로 생각된다. 난임 여성들에게 공적 차원의 치료적 중재에만 치우치지 않고, 생식 건강 문제와 관련된 상담프로그램을 생식전문가를 통한 정보제공과 상담 등에 대해 난임 여성들이 쉽게 이용할 수 있는 상담 프로그램을 제도권 내에서 제공하여야 할 것으로 생각된다. 연구를 통해 난임 여성의 생식건강증진행위를 향상시킬 수 있는 기초기반을 마련하는데 도움이 될 것으로 기대한다.
본 연구는 난임 유무에 따른 여성의 생식건강증진행위를 비교하고, 생식건강증진행위가 난임에 미치는 영향을 확인하여 난임 여성의 생식건강증진행위에 대한 이해를 증진시켜 생식건강증진 프로그램 개발을 위한 기초자료를 제공하고자 시행된 서술적 비교조사연구이다. 연구는 B광역시에 소재하는 난임을 진단받고 난임 클리닉을 방문하는 난임 여성과 소아과 외래를 방문하는 영유아모 총 148명을 대상으로 자가 기입식 설문지를 이용하였고, 자료 분석 방법은 SPSS Ver 22.0 Program을 이용하여 빈도, 백분율, 카이제곱 검정, logistic regression을 이용하여 분석하였다.
연구결과를 요약하면 다음과 같다.
1. 일반적 특성에서 난임 여성과 난임이 아닌 여성의 월평균소득(χ²=15.37, p=.004), 가족 수(χ²=93.46, p<.001)에서 유의한 차이가 있었으며, 난임 관련 특성에서 분만경험(χ²=94.58, p<.001), 유산의 경험(χ²=14.28, p<.001)에서 유의한 차이가 있었다.
2. 생식건강증진행위 정도에서 전체 평균점수(5점 만점)는 4.20(±0.58)이며, 난임 여성의 평균 점수는 3.98(±0.51), 난임이 아닌 여성의 평균 점수는 4.41(±0.56)이며 난임 여성이 낮게 나타났으며 유의한 차이가 있었다(t=-4.96, p<.001). 생식건강증진행위의 하부영역별인 안전 성행위는 전체 평균점수 3.45(±1.12), 난임 여성은 3.12(±0.97), 난임이 아닌 여성은 3.76(±1.17)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.65, p<.001). 성행위 책임감은 전체 평균 4.36(±0.69), 난임 여성 4.17(±0.66), 난임이 아닌 여성 4.54(±0.67)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.35,p<.001). 생식기 건강관리는 전체 평균 4.18(±0.79), 난임 여성 4.00(±0.77), 난임이 아닌 여성 4.40(±0.75)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.39, p<.001). 성병예방은 전체 평균 4.67(±0.57), 난임 여성 4.51(±0.63), 난임이 아닌 여성 4.84(±0.45)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.64, p<.001). 생식기 위생관리는 전체 평균 4.51(±0.70), 난임 여성 4.31(±0.81), 난임이 아닌 여성 4.71(±0.51)으로 난임 여성의 평균이 낮게 나타났으며, 유의한 차이가 있었다(t=-3.54, p<.001).
3. 일반적 특성이 난임에 미치는 영향에서 월 평균소득 300만원이상 500만원미만에서 유의하였으며(p=.027), 소득이 500만원 이상인 경우에 비하여 소득이 300만원 이상 500만원 미만인 경우 난임이 발생할 확률이 5배로 나타났다.
4. 생식건강증진행위가 난임에 미치는 영향은 유의하였으며(p<.001), 생식건강증진행위가 1증가할수록 난임일 확률은 0.8배 감소하였다.
5. 생식건강증진행위의 하부 요인이 난임에 미치는 영향은 안전 성행위(p=.032)가 유의하였다. 안전 성행위가 1증가할수록 난임이 될 확률이 0.34배 감소하였다.
본 연구를 통해 난임 여성이 난임이 아닌 여성에 비해 생식건강증진 행위와 하부 영역별 생식건강증진 행위가 낮음을 알 수 있었다. 난임에 미치는 영향요인에서는 생식건강증진행위와 하부요인의 안전성행위가 난임에 유의한 영향을 미치는 것으로 나타났다. 그러므로 난임 여성을 대상으로 한 생식건강증진행위 중재방안과 안전 성행위에 대한 적극적인 중재가 필요할 것으로 생각된다. 난임 여성들에게 공적 차원의 치료적 중재에만 치우치지 않고, 생식 건강 문제와 관련된 상담프로그램을 생식전문가를 통한 정보제공과 상담 등에 대해 난임 여성들이 쉽게 이용할 수 있는 상담 프로그램을 제도권 내에서 제공하여야 할 것으로 생각된다. 연구를 통해 난임 여성의 생식건강증진행위를 향상시킬 수 있는 기초기반을 마련하는데 도움이 될 것으로 기대한다.
This study is a descriptive comparative research that compares the reproductive health promoting behaviors of women depending on whether they are infertile or not, identifies the impacts of reproductive health promoting behaviors on infertility, promotes infertile women's understanding about reprodu...
This study is a descriptive comparative research that compares the reproductive health promoting behaviors of women depending on whether they are infertile or not, identifies the impacts of reproductive health promoting behaviors on infertility, promotes infertile women's understanding about reproductive health promoting behaviors, and thus ultimately provides the baseline data to develop a reproductive health promoting program.
The study was conducted on total 148 females which consisted of infertile women visiting a infertility clinic in B City after being diagnosed with infertility and mothers of infants visiting the pediatric department on an out-patient basis, using a self-administered questionnaire. The data was analyzed with SPSS Ver 22.0 Program using frequency, percentage, chi-squared test, and logistic regression.
The results can be summarized as follows. 1. There was a significant difference in education level (χ²=14.23, p=.014), monthly average income (χ²=15.37, p=.004) and number of family members (χ²=93.46, p<.001) for general characteristics of the subjects depending on whether they are infertile or not, as well as a significant difference in full term delivery (χ²=94.58, p<.001) and miscarriage (χ²=14.28, p<.001) for reproductive history. 2. The total mean score (out of 5 points) for reproductive health promoting behaviors was 4.20 (±0.58), the mean score of infertile women was 3.98 (±0.51), and the mean score of women that are not infertile was 4.41 (±0.56), with infertile women showing a lower score with a significant difference (t=-4.96, p<.001). The total mean score for safe sex, which was a sub-category of reproductive health promoting behaviors, was 3.45 (±1.12), the mean score of infertile women was 3.12 (±0.97), and the mean score of women that are not infertile was 3.76 (±1.17), with infertile women showing a lower mean score with a significant difference (t=-3.65, p<.001). The total mean score for sexual responsibility was 4.36 (±0.69), the mean score of infertile women was 4.17 (±0.66), and the mean score of women that are not infertile was 4.54 (±0.67), with infertile women showing a lower mean score with a significant difference (t=-3.35, p<.001). The total mean score for genital health care was 4.18 (±0.79), the mean score of infertile women was 4.00 (±0.77), and the mean score of women that are not infertile was 4.40 (±0.75), with infertile women showing a lower mean score with a significant difference (t=-3.39, p<.001). The total mean score for prevention of sexually transmitted disease (STD) was 4.67(±0.57), the mean score of infertile women was 4.51 (±0.63), and the mean score of women that are not infertile was 4.84 (±0.45), with infertile women showing a lower mean score with a significant difference (t=-3.64, p<.001). The total mean score for genital hygiene care was 4.51 (±0.70), the mean score of infertile women was 4.31 (±0.81), and the mean score of women that are not infertile was 4.71 (±0.51), with infertile women showing a lower mean score with a significant difference (t=-3.54, p<.001). 3. The impact of general characteristics on infertility was significant in the monthly average income of 3 million won to less than 5 million won (p=.027), and infertility was 5 times more likely to occur if the income was 3 million won to less than 5 million won compared to 5 million won or above. 4. The impact of reproductive health promoting behaviors on infertility was significant (p<.001), and the probability of infertility decreased by 0.8 times as reproductive health promoting behavior increased by 1 point on average, thereby showing significance (p=.011). 5. The impact of the sub-factors of reproductive health promoting behaviors on infertility showed significance in safe sex (p=.032). The probability of infertility decreased by 0.343 times as safe sex increased by 1 point on average.
This study showed that infertile women showed lower scores in reproductive health promotion behaviors and the sub-categories than women that are not infertile. For factors affecting infertility, it was found that reproductive health promoting behaviors and safe sex among the sub-factors had a significant impact on infertility. Thus, there is a need for an intervention plan about reproductive health promoting behaviors for infertile women as well as an active intervention about safe sex. It is necessary to provide a counseling system at the institutional level that is accessible for infertile women to obtain information and seek advice about reproductive health issues from specialists, rather than focusing only on therapeutic interventions at the public level. This study is expected to help establish the foundation to improve reproductive health promoting behaviors of infertile women.
This study is a descriptive comparative research that compares the reproductive health promoting behaviors of women depending on whether they are infertile or not, identifies the impacts of reproductive health promoting behaviors on infertility, promotes infertile women's understanding about reproductive health promoting behaviors, and thus ultimately provides the baseline data to develop a reproductive health promoting program.
The study was conducted on total 148 females which consisted of infertile women visiting a infertility clinic in B City after being diagnosed with infertility and mothers of infants visiting the pediatric department on an out-patient basis, using a self-administered questionnaire. The data was analyzed with SPSS Ver 22.0 Program using frequency, percentage, chi-squared test, and logistic regression.
The results can be summarized as follows. 1. There was a significant difference in education level (χ²=14.23, p=.014), monthly average income (χ²=15.37, p=.004) and number of family members (χ²=93.46, p<.001) for general characteristics of the subjects depending on whether they are infertile or not, as well as a significant difference in full term delivery (χ²=94.58, p<.001) and miscarriage (χ²=14.28, p<.001) for reproductive history. 2. The total mean score (out of 5 points) for reproductive health promoting behaviors was 4.20 (±0.58), the mean score of infertile women was 3.98 (±0.51), and the mean score of women that are not infertile was 4.41 (±0.56), with infertile women showing a lower score with a significant difference (t=-4.96, p<.001). The total mean score for safe sex, which was a sub-category of reproductive health promoting behaviors, was 3.45 (±1.12), the mean score of infertile women was 3.12 (±0.97), and the mean score of women that are not infertile was 3.76 (±1.17), with infertile women showing a lower mean score with a significant difference (t=-3.65, p<.001). The total mean score for sexual responsibility was 4.36 (±0.69), the mean score of infertile women was 4.17 (±0.66), and the mean score of women that are not infertile was 4.54 (±0.67), with infertile women showing a lower mean score with a significant difference (t=-3.35, p<.001). The total mean score for genital health care was 4.18 (±0.79), the mean score of infertile women was 4.00 (±0.77), and the mean score of women that are not infertile was 4.40 (±0.75), with infertile women showing a lower mean score with a significant difference (t=-3.39, p<.001). The total mean score for prevention of sexually transmitted disease (STD) was 4.67(±0.57), the mean score of infertile women was 4.51 (±0.63), and the mean score of women that are not infertile was 4.84 (±0.45), with infertile women showing a lower mean score with a significant difference (t=-3.64, p<.001). The total mean score for genital hygiene care was 4.51 (±0.70), the mean score of infertile women was 4.31 (±0.81), and the mean score of women that are not infertile was 4.71 (±0.51), with infertile women showing a lower mean score with a significant difference (t=-3.54, p<.001). 3. The impact of general characteristics on infertility was significant in the monthly average income of 3 million won to less than 5 million won (p=.027), and infertility was 5 times more likely to occur if the income was 3 million won to less than 5 million won compared to 5 million won or above. 4. The impact of reproductive health promoting behaviors on infertility was significant (p<.001), and the probability of infertility decreased by 0.8 times as reproductive health promoting behavior increased by 1 point on average, thereby showing significance (p=.011). 5. The impact of the sub-factors of reproductive health promoting behaviors on infertility showed significance in safe sex (p=.032). The probability of infertility decreased by 0.343 times as safe sex increased by 1 point on average.
This study showed that infertile women showed lower scores in reproductive health promotion behaviors and the sub-categories than women that are not infertile. For factors affecting infertility, it was found that reproductive health promoting behaviors and safe sex among the sub-factors had a significant impact on infertility. Thus, there is a need for an intervention plan about reproductive health promoting behaviors for infertile women as well as an active intervention about safe sex. It is necessary to provide a counseling system at the institutional level that is accessible for infertile women to obtain information and seek advice about reproductive health issues from specialists, rather than focusing only on therapeutic interventions at the public level. This study is expected to help establish the foundation to improve reproductive health promoting behaviors of infertile women.
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