Volume 12, Issue 2 (2024)
Health Educ Health Promot 2024, 12(2): 255-260 |
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Fadliyah L, Hendarto H, Sudaryanti L, Susilo I, Mardika A, Iswatun I, et al . Increasing Menopausal Women’s Knowledge of Independent Ending of Contraception through Education. Health Educ Health Promot 2024; 12 (2) :255-260
URL: http://hehp.modares.ac.ir/article-5-74592-en.html
URL: http://hehp.modares.ac.ir/article-5-74592-en.html
L. Fadliyah *1, H. Hendarto1, L. Sudaryanti1, I. Susilo2, A. Mardika1, I. Iswatun1, E. Sulfat1, I.I. Hassan3
1- Faculty of Medicine, Airlangga University, Surabaya, Indonesia
2- Faculty of Medicine and Health, Sepuluh Nopember Institute of Technology, Surabaya, Indonesia
3- School of Health Science, University of Malaysia, Kuala Lumpur, Malaysia
2- Faculty of Medicine and Health, Sepuluh Nopember Institute of Technology, Surabaya, Indonesia
3- School of Health Science, University of Malaysia, Kuala Lumpur, Malaysia
Abstract: (740 Views)
Aims: Women aged 40-52 years who use contraception are highly motivated to prevent pregnancy. In this age group, women are beginning to transition into menopause, which is the phase marked by the cessation of menstruation and the end of reproductive function. Menopausal women no longer need contraception to prevent pregnancy. This study aimed to assess the impact of educational interventions on contraceptive discontinuation among menopausal women.
Instrument & Methods: This research utilized a quantitative approach with a pre-experimental research design employing a one-group pre-post-test design and purposive sampling of 112 women. Data collection involved questionnaire completion and testing using the Wilcoxon Signed Rank Test with a significance level set at p<0.05.
Findings: The pre- and post-test analysis revealed significant changes in knowledge (p<0.001) and contraceptive discontinuation among respondents. The results of the pre- and post-test analyses revealed a substantial improvement in respondents’ characteristics concerning knowledge about menopause. There was a significant rise in the average score from the pre-test to the post-test across all aspects examined, including understanding, signs and symptoms, and the impact of menopause. Utilizing the Wilcoxon Signed Rank test, the disparity in pre-test and post-test scores on the sub-variables of understanding, signs and symptoms, and management of menopause was statistically significant (p<0.05).
Conclusion: Implementing health education models for menopausal women is effective in enhancing knowledge and promoting independent decision-making regarding contraception cessation upon the detection of menopause.
Instrument & Methods: This research utilized a quantitative approach with a pre-experimental research design employing a one-group pre-post-test design and purposive sampling of 112 women. Data collection involved questionnaire completion and testing using the Wilcoxon Signed Rank Test with a significance level set at p<0.05.
Findings: The pre- and post-test analysis revealed significant changes in knowledge (p<0.001) and contraceptive discontinuation among respondents. The results of the pre- and post-test analyses revealed a substantial improvement in respondents’ characteristics concerning knowledge about menopause. There was a significant rise in the average score from the pre-test to the post-test across all aspects examined, including understanding, signs and symptoms, and the impact of menopause. Utilizing the Wilcoxon Signed Rank test, the disparity in pre-test and post-test scores on the sub-variables of understanding, signs and symptoms, and management of menopause was statistically significant (p<0.05).
Conclusion: Implementing health education models for menopausal women is effective in enhancing knowledge and promoting independent decision-making regarding contraception cessation upon the detection of menopause.
Article Type: Descriptive & Survey |
Subject:
Healthy Life Style
Received: 2024/04/7 | Accepted: 2024/05/25 | Published: 2024/06/28
Received: 2024/04/7 | Accepted: 2024/05/25 | Published: 2024/06/28
References
1. WHO. Menopause. Geneva: World Health Organization; 2022. [Link]
2. Burgin J, Bailey JV. Factors affecting contraceptive choice in women over 40: A qualitative study. BMJ Open. 2022;12(11):e064987. [Link] [DOI:10.1136/bmjopen-2022-064987]
3. Yeganeh L, Boyle J, Teede H, Vincent A. Knowledge and attitudes of health professionals regarding menopausal hormone therapies. Climacteric. 2017;20(4):348-55. [Link] [DOI:10.1080/13697137.2017.1304906]
4. Rodiah SST. Proper contraception improves reproductive health. Jakarta: Kemenkes; 2022. [Indonesian] [Link]
5. Kim TY, Haider M, Hancock GR, Boudreaux MH. The role of health literacy in family planning use among Senegalese women. J Health Commun. 2019;24(3):244-61. [Link] [DOI:10.1080/10810730.2019.1601299]
6. Indahwati L, Ratna Wati L, Trias Wulandari D. Age and family planning experience are related to the choice of contraceptive method. J Issues Midwifery. 2017;1(2):9-18. [Indonesian] [Link] [DOI:10.21776/ub.JOIM.2017.001.02.2]
7. Rosidah LK. The influence of education level and age on the use of long-term contraceptive methods in 2018. Jurnal Kebidanan. 2020;9(2):108-14. [Indonesian] [Link]
8. Gafar A, Suza DE, Efendi F, Has EMM, Pramono AP, Susanti IA. Determinants of contraceptive use among married women in Indonesia. Version 1. F1000Res. 2020;9:193. [Link] [DOI:10.12688/f1000research.22482.1]
9. Suwarni L, Selviana S. Premarital sex initiation among adolescents and influencing factors. Jurnal Kesehatan Masyarakat. 2015;10(2):169-77. [Indonesian] [Link] [DOI:10.15294/kemas.v10i2.3378]
10. Machado RB, Monteiro IMU, Magalhães J, Guazzelli CAF, Brito MB, Finotti MF, et al. Long-acting reversible contraception. Revista Brasileira de Ginecologia e Obstetricia. 2017;39(6):294-308. [Portuguese] [Link] [DOI:10.1055/s-0037-1603647]
11. Rocca ML, Palumbo AR, Visconti F, Di Carlo C. Safety and benefits of contraceptive implants: A systematic review. Pharmaceuticals. 2021;14(6):548. [Link] [DOI:10.3390/ph14060548]
12. Rouhbakhsh M, Kermansaravi F, Shakiba M, Navidian A. The effect of couples education on marital satisfaction in menopausal women. J Women Aging. 2019;31(5):432-45. [Link] [DOI:10.1080/08952841.2018.1510244]
13. Stubblefield PG. Menstrual impact of contraception. Am J Obstet Gynecol. 1994;170(5 Pt 2):1513-22. [Link] [DOI:10.1016/S0002-9378(94)05013-1]
14. Howard SA, Benhabbour SR. Non-hormonal contraception. J Clin Med. 2023;12(14):4791. [Link] [DOI:10.3390/jcm12144791]
15. Bitzer J. Overview of perimenopausal contraception. Climacteric. 2019;22(1):44-50. [Link] [DOI:10.1080/13697137.2018.1540566]
16. Moradinazar M, Marzbani B, Shahebrahimi K, Shahabadi S, Marzbani B, Moradinazar Z. Hormone therapy and factors affecting fertility of women under 50-year-old with breast cancer. Breast Cancer. 2019;11:309-19. [Link] [DOI:10.2147/BCTT.S218394]
17. Svallfors S, Billingsley S. Conflict and contraception in Colombia. Stud Fam Plann. 2019;50(2):87-112. [Link] [DOI:10.1111/sifp.12087]
18. Thurman A, Chandra N, Schwartz JL, Brache V, Chen BA, Asin S, et al. The effect of hormonal contraception on cervicovaginal mucosal endpoints associated with HIV acquisition. AIDS Res Hum Retroviruses. 2019;35(9):853-64. [Link] [DOI:10.1089/aid.2018.0298]
19. Ali KY, Erkok U, Mohamed NA, Hilowle NM, Elmi HAH, Mohamud RYH. Age at natural menopause and influencing factors in women attending the gynecological outpatient clinic at a tertiary care hospital. Int J Womens Health. 2023;15:1627-36. [Link] [DOI:10.2147/IJWH.S434123]
20. Munn C, Vaughan L, Talaulikar V, Davies MC, Harper JC. Menopause knowledge and education in women under 40: Results from an online survey. Womens Health. 2022;18:17455057221139660. [Link] [DOI:10.1177/17455057221139660]
21. Tariq B, Phillips S, Biswakarma R, Talaulikar V, Harper JC. Women's knowledge and attitudes to the menopause: a comparison of women over 40 who were in the perimenopause, post menopause and those not in the peri or post menopause. BMC Womens Health. 2023;23(1):460. [Link] [DOI:10.1186/s12905-023-02424-x]
22. Shi D, Liu C, Huang L, Chen XQ. Post-abortion needs-based education via the WeChat platform to lessen fear and encourage effective contraception: A post-abortion care service intervention-controlled trial. BMC Womens Health. 2024;24(1):159. [Link] [DOI:10.1186/s12905-024-03004-3]
23. Wilson LC, Rademacher KH, Rosenbaum J, Callahan RL, Nanda G, Fry S, et al. Seeking synergies: Understanding the evidence that links menstrual health and sexual and reproductive health and rights. Sex Reprod Health Matters. 2021;29(1):1882791. [Link] [DOI:10.1080/26410397.2021.1882791]
24. Oumer M, Manaye A, Mengistu Z. Modern contraceptive method utilization and associated factors among women of reproductive age in Gondar City, Northwest Ethiopia. Open Access J Contracept. 2020;11:53-67. [Link] [DOI:10.2147/OAJC.S252970]
25. El Khoudary SR, Aggarwal B, Beckie TM, Hodis HN, Johnson AE, Langer RD, et al. Menopause transition and cardiovascular disease risk: Implications for the timing of early prevention: A scientific statement from the American heart association. Circulation. 2020;142(25):e506-32. [Link] [DOI:10.1161/CIR.0000000000000912]
26. Stuenkel CA. Reproductive milestones across the lifespan and cardiovascular disease risk in women. Climacteric. 2024;27(1):5-15. [Link] [DOI:10.1080/13697137.2023.2259793]
27. Chapman N, Ching SM, Konradi AO, Nuyt AM, Khan T, Twumasi-Ankrah B, et al. Arterial hypertension in women: State of the art and knowledge gaps. Hypertension. 2023;80(6):1140-9. [Link] [DOI:10.1161/HYPERTENSIONAHA.122.20448]
28. Da Silva Filho AL, Caetano C, Lahav A, Grandi G, Lamaita RM. The difficult journey to treatment for women suffering from heavy menstrual bleeding: A multi-national survey. Eur J Contracept Reprod Health Care. 2021;26(5):390-8. [Link] [DOI:10.1080/13625187.2021.1925881]
29. Iswatun I, Kusnanto K, Nasir A, Fadliyah L, Wijayanti ES, Susanto J, et al. The effect of health education on knowledge, attitudes, and actions in preventing leukorrhea in adolescent girls. J Int Dent Med Res. 2021;14(3):1240-5. [Link]
30. Susilawati S, Rudi Karmi M, Hairunnisa S, Fitria Prihatini M, Made Garnis Dolesgit S, Ratna Juwita M, et al. Maternity nursing textbook. 1st ed. Jambi: Sonpedia Publishing Indonesia; 2023. [Indonesian] [Link]
31. Wang M, Hu RY, Wang H, Gong WW, Wang CM, Xie KX, et al. Age at natural menopause and risk of diabetes in adult women: Findings from the China Kadoorie Biobank study in the Zhejiang area. J Diabetes Investig. 2018;9(4):762-8. [Link] [DOI:10.1111/jdi.12775]
32. Zhu D, Chung HF, Dobson AJ, Pandeya N, Giles GG, Bruinsma F, et al. Age at natural menopause and risk of incident cardiovascular disease: A pooled analysis of individual patient data. Lancet Public Health. 2019;4(11):e553-64. [Link] [DOI:10.1016/S2468-2667(19)30155-0]
33. Mukanga B, Mwila N, Nyirenda HT, Daka V. Perspectives on the side effects of hormonal contraceptives among women of reproductive age in Kitwe district of Zambia: A qualitative explorative study. BMC Womens Health. 2023;23(1):436. [Link] [DOI:10.1186/s12905-023-02561-3]
34. Mackenzie ACL, Curtis SL, Callahan RL, Tolley EE, Speizer IS, Martin SL, et al. Women's perspectives on contraceptive-induced amenorrhea in Burkina Faso and Uganda. Int Perspect Sex Reprod Health. 2020;46:247-62. [Link] [DOI:10.1363/46e1520]
35. Pratiwi IM, Paskarini I, Dwiyanti E, Arini SY, Suswojo H. The relationship of knowledge and attitudes with behavior of implementing health protocols in garment workers. Indones J Occup Saf Health. 2022;11(2):168-77. [Link] [DOI:10.20473/ijosh.v11i2.2022.168-177]
36. Rahmawati E, Wardhani RK, Tamsuri A, Wiseno B. The effect of health education on the knowledge and attitudes of adolescent health cadres about table Fe consumption in Sma N 1 Kediri regency. Healthc Nurs J. 2023;5(1):462-9. [Link]
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