THE RELATIONSHIP BETWEEN THE FAMILY PLANNING METHOD USED BY WOMEN OF REPRODUCTIVE AGE AND SEXUAL QUALITY OF LIFE

Öz

Purpose: This study aimed to evaluate the sexual quality of life among married women of reproductive age (18-49 years), identify the factors influencing their sexual life, and examine the relationship between the chosen family planning method and sexual quality of life. Material and Methods: The population of this descriptive and cross-sectional study consisted of married women aged 18-49 years who presented to the Family Planning outpatient clinic of a Gynecology and Obstetrics Hospital (N=7200). In the study, 933 women were included. Descriptive and Family Planning Method Usage Information Form and Sexual Quality of Life-Female (SQOL-F) questionnaire were used as data collection tools. Results: Statistically significant differences were found in SQOL-F scores among participants based on several variables, including the woman’s and her spouse’s education level, her spouse’s age, income level, duration of marriage, number of pregnancies and abortions, whether the last pregnancy was planned or desired, perception of sufficient family planning (FP) knowledge, satisfaction with the FP method used, and the decision-maker regarding the FP method (p<0.05). The mean SQOL-F score was x ̅=92.93 for women using modern FP methods and x ̅=89.14 for those using traditional FP methods, with a statistically significant difference between the two groups (p<0.05). Conclusion: The sexual quality of life of the participating women was affected by their sociodemographic and obstetric characteristics, and contraceptive methods used. The SQOL-F questionnaire scores of the participating women using modern FP methods was higher. Keywords: Family Planning, Sexuality, Sexual Quality of Life, Female, Reproductive Age

Anahtar Kelimeler

• family planning
• sexuality
• sexual quality of life
• reproductive age

ÜREME ÇAĞINDAKİ KADINLARIN KULLANDIĞI AİLE PLANLAMASI YÖNTEMİ İLE CİNSEL YAŞAM KALİTESİ ARASINDAKİ İLİŞKİ

Öz

Amaç: Bu çalışmada üreme çağındaki (18-49 yaş) evli kadınların cinsel yaşam kalitelerini değerlendirmek, cinsel yaşamlarını etkileyen faktörleri belirlemek ve seçilen aile planlaması yöntemi ile cinsel yaşam kalitesi arasındaki ilişkiyi incelemek amaçlanmıştır. Materyal ve Yöntemler: Bu tanımlayıcı ve kesitsel çalışmanın evrenini Kadın Hastalıkları ve Doğum Hastanesi Aile Planlaması polikliniğine başvuran 18-49 yaş aralığındaki evli kadınlar oluşturmaktadır (N=7200). Çalışmaya 933 kadın dahil edilmiştir. Veri toplama araçları olarak Tanımlayıcı ve Aile Planlaması Yöntemi Kullanım Bilgi Formu ve Cinsel Yaşam Kalitesi-Kadın (SQOL-F) anketi kullanılmıştır. Sonuçlar: Katılımcılar arasında SQOL-F puanlarında, kadının ve eşinin eğitim düzeyi, eşinin yaşı, gelir düzeyi, evlilik süresi, gebelik ve kürtaj sayısı, son gebeliğin planlı veya istenmiş olması, yeterli aile planlaması (AP) bilgisi algısı, kullanılan AP yönteminden memnuniyet ve AP yöntemiyle ilgili karar vericinin dahil olduğu çeşitli değişkenlere dayalı olarak istatistiksel olarak anlamlı farklılıklar bulundu (p<0,05). Modern AP yöntemlerini kullanan kadınlar için ortalama SQOL-F puanı x ̅=92,93 ve geleneksel AP yöntemlerini kullananlar için x ̅=89,14 idi ve iki grup arasında istatistiksel olarak anlamlı bir fark vardı (p<0,05). Sonuç: Katılımcı kadınların cinsel yaşam kalitesi, sosyodemografik ve obstetrik özellikleri ve kullanılan kontraseptif yöntemlerden etkilenmiştir. Modern AP yöntemlerini kullanan katılımcı kadınların SQOL-F anket puanları daha yüksekti. Anahtar Kelimeler: Aile Planlaması, Cinsellik, Cinsel Yaşam Kalitesi, Kadın, Üreme Yaşı

Anahtar Kelimeler

• aile planlaması
• cinsellik
• cinsel yaşam kalitesi
• üreme çağı

Kaynakça

1. Aghababaei, S., Refaei, M., Roshanaei, G., Rouhani Mahmoodabadi, S.M., Heshmatian, T. (2020). The Effect of sexual health counseling based on redi model on sexual function of lactating women with decreased sexual desire. Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine, 15(11), 731–738. https://doi.org/10.1089/bfm.2020.0057
2. Akalın, A., and Bostancı, Ş. (2022). Aile planlaması yöntemi kullanan üreme çağındaki kadınlarda cinsel fonksiyonlar ve cinsel yaşam kalitesi. Androloji Bülteni (Andrology Bullettin), 24(2).
3. Anantapong, K., Burapakiat, B., Ananchaisarp, T. (2024). Sex and concepts of sexuality influence sexual problems and help-seeking behaviours of older people. Journal of women & aging, 36(2), 139–151. https://doi.org/10.1080/08952841.2023.2276636
4. Atchison, C.J., Cresswell, J.A., Kapiga, S., Nsanya, M.K., Crawford, E.E., Mussa, M., Bottomley, C., Hargreaves, J.R., Doyle, A.M. (2019). Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data. Reproductive health, 16(1), 6. https://doi.org/10.1186/s12978-019-0666-0
5. Bilge, Ç., Kaydırak, M.M, Aslan, E. (2016). Jinekolojik kanserin cinsel yaşam üzerindeki etkileri (the effects of gynecological cancer on sexual life). Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 7(3), 31-38. Bitzer, P.E.J. (2024). Effects of hormonal contraception on mood and sexuality. Best practice & research. Clinical obstetrics & gynaecology, 97, 102560. https://doi.org/10.1016/j.bpobgyn.2024.102560
6. Both, S., Lew-Starowicz, M., Luria, M., Sartorius, G., Maseroli, E., Tripodi, F., Lowenstein, L., Nappi, R.E., Corona, G., Reisman, Y., Vignozzi, L. (2019). Hormonal Contraception and Female Sexuality: Position statements from the european society of sexual medicine (ESSM). The journal of sexual medicine, 16(11), 1681–1695. https://doi.org/10.1016/j.jsxm.2019.08.005
7. Cetişli, N.E., Top, E.D., Arkan, G., Kaba, F., Ertop, F. (2016). Evli kadınların kullandıkları aile planlaması yönteminin cinsel yaşam ve benlik saygısına etkisi (the effects that family planning methods have on married women’s sexual health and self-esteem). Hemşirelikte Eğitim ve Araştırma Dergisi, 13 (2), 101-106.
8. Gölbaşı, Z., Tuğut, N., Şentürk Erenel, A., Eroğlu, K. (2014). Jinekoloji polikliniğine başvuran evli kadınlarda cinsel işlev bozukluğu yaygınlığı ve ilişkili bazı faktörler (prevalence and some related factor of sexual dysfunction among married women admitted to gynecologic outpatient clinic). Cumhuriyet Tıp Derg, 36, 1-10. DOI:10.7197/cmj.v36i1.1008002434

9. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. (2018). Aile planlaması, türkiye nüfus ve sağlık araştırması TNSA. Available from http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/2 018_TNSA_Ozet_Rapor.pdf.
10. Higgins, J.A., Sanders, J.N., Palta, M., Turok, D.K. (2016). Women's sexual function, satisfaction, and perceptions after starting long-acting reversible contraceptives. Obstetrics and gynecology, 128(5), 1143–1151. https://doi.org/10.1097/AOG.0000000000001655
11. Jaafarpour, M., Khani, A., Khajavikhan, J., Suhrabi, Z. (2013). Female sexual dysfunction: prevalence and risk factors. J Clin Diagn Res, 7(12), 2877-80. DOI: 10.7860/JCDR/2013/6813.3822
12. Kaplan, E., Zeyneloğlu, S. (2018). Geri çekme yönteminin kadınların cinsel doyumları ve evlilik uyumlarına etkisinin belirlenmesi (the effects of women’s sexual satısfıctıon on theır marıtal accordance, whose spouses ımplementıng “coıtus ınterruptus” as the famıly plannıng method). Necmettin Erbakan Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 1(1), 10 – 17.
13. Kocaöz, S., Peksoy, S., Atabekoğlu, C.S. (2013). Kadınların gebelikten önce kullandığı ve doğum sonrası dönemde kullanmayı tercih ettiği kontraseptif yöntemler (the contraceptıve methods used before pregnancy and preferred ın the postpartum perıod by women). Balıkesir Sağlık Bil Dergisi, 2(1), 1-8.
14. Kutlu, R., Kılıçaslan, A. Ö. (2014). Bir aile planlaması polikliniğine başvuran kadınların rahim içi aracı terk etme nedenleri. Turkish Journal of Family Practice, 18(3), 149-155.
15. Lee, C.H., Susmann, H., Alkema, L. (2023). New measures for family planning and exposure to risk of pregnancy based on sexual activity and contraceptive use data. Studies in family planning, 54(1), 145–160. https://doi.org/10.1111/sifp.12225
16. Makins, A., Hearing, F., Taghinejadi, N., Kiarie, J., Kabra, R., Arulkumaran, S.S., Steyn, P. (2024). The impact of cascade training-A FIGO and WHO Department of Sexual and Reproductive Health and Research collaboration to improve access to quality family planning globally. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 164(1), 75– 85. https://doi.org/10.1002/ijgo.15230
17. Masten, M., Vega, S., Hailemariam, M., Kagotho, N., Key, K., Jefferson, B., Muhammad, J., Summers, M., Spencer, B., Sadler, S., Robinson, D., Richie, F., Miller, R., McCoy, J.W., Greer, D., Johnson, J.E. (2021). The Flint women's study: community perspectives on contraception and family planning, sexuality education and barriers to reproductive health. Culture, health & sexuality, 23(7), 961–975. https://doi.org/10.1080/13691058.2020.1746401
18. McCool-Myers, M., Theurich, M., Zuelke, A., Knuettel, H., Apfelbacher, C. (2018). Predictors of female sexual dysfunction: a systematic review and qualitative analysis through gender inequality paradigms. BMC Womens Health, 22;18(1), 108. DOI: 10.1186/s12905- 018-0602-4
19. Munakampe, M.N., Zulu, J.M., Michelo, C. (2018).Contraception and abortion knowledge, attitudes and practices among adolescents from low and middleincome countries: a systematic review. BMC health services research, 18(1), 909. https://doi.org/10.1186/s12913-018-3722-5
20. Nazarpour, S., Simbar, M., Ramezani Tehrani, F., Alavi Majd, H. (2017). Effects of sex education and kegel exercises on the sexual function of postmenopausal women: A Randomized clinical trial. The journal of sexual medicine, 14(7), 959–967. https://doi.org/10.1016/j.jsxm.2017.05.006
21. Okunlola, D.A., Alawode, O.A., Awoleye, A.F., Ilesanmi, B.B. (2023). Internet use, exposure to digital family planning messages, and sexual agency among partnered women in Northern Nigeria: implications for digital family planning intervention. Sexual and reproductive health matters, 31(4), 2261681. https://doi.org/10.1080/26410397.2023.2261681
22. Oskay, U., and Dissiz, M. (2017). Effect of the contraceptive methods on female sexual function. Int J Caring Sci, 10(1):366–76.
23. Porée, L., and Malfray, C. (2022). Assurer l’accès aux droits sexuels et reproductifs en temps de crise sanitaire: le Planning familial en mouvement. Sante publique (Vandoeuvre-les-Nancy, France), 33(6), 1033–1037. https://doi.org/10.3917/spub.216.1033
24. Ramírez-Santos, J., Castro-Luna, G., Lucas-Matheu, M., Parrón-Carreño, T., Nievas-Soriano, B.J. (2022). Competence and attitude of family physicians towards sexuality regarding their sexual orientation, age, or having a partner-survey study and validation. International journal of environmental research and public health, 19(17), 11029. https://doi.org/10.3390/ijerph191711029
25. Saadedine, M., Faubion, S.S. (2024). Hormonal contraception and sexual function: a review, clinical insights, and management considerations. Obstetrics and gynecology clinics of North America, 51(2), 381– 395. https://doi.org/10.1016/j.ogc.2024.02.008
26. Selimoğlu, E.Ş., and Beydağ, K.D. (2020). Doğum sonu dönemde emziren kadınların cinsel yaşam kalitesi (the ımpact of breastfeedıng on sexual lıfe qualıty ın postpartum perıods). Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, (1), 174-180. DOI:10.31067/0.2020.257
27. Sheikhi, Z.P., Navidian, A., Rigi, M. (2020). Effect of sexual health education on sexual function and resumption of sexual intercourse after childbirth in primiparous women. Journal of education and health promotion, 9, 87. https://doi.org/10.4103/jehp.jehp_591_19
28. Symonds, T., Boolell, M., Quırk, F. (2005). Development of questionnaire on sexual quality of life in women. J Sex MaritalTher, 31(5), 385-97. DOI: 10.1080/00926230591006502
29. United Nations. (2019). Contraceptive use by method 2019. Available from https://www.un.org/en/development/desa/populati on/publications/pdf/family/ContraceptiveUseByMeth odDataBooklet2019.pdf.
30. Word Health Organization. (2019). Family Planning a Global Handbook for Providers. Available from https://www.who.int/reproductivehealth/publication s/fp-global-handbook/en/.
31. World Health Organization. (1993). Measuring quality of life: the development of the World Health Organization Quality of Life Instrument (WHOQOL). Geneva: WHO.
32. Xia, X.Y., Liu, S.T, Song, Z.C., Chen, P.L., Hu, J.J., Zhao, W. (2024). Current investigation of the high prevalence of sexual dysfunction in female patients with systemic lupus erythematosus: a cross-sectional study. Rheumatology international, 44(10), 2147–2157. https://doi.org/10.1007/s00296-024-05690-6
33. Yaralı, S., and Hacıalioğlu, N. (2016). Evli kadınlarda cinsel fonksiyon bozukluğu ve cinsel yaşam kalitesinin incelenmesi (analysis of sexual dysfunction and quality of life in married women). Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi, (6).
34. Yarger, J., Decker, M. J., Campa, M. I., & Brindis, C. D. (2017). Rural-Urban Differences in Awareness and Use of Family Planning Services Among Adolescent Women in California. The Journal of adolescent health: official publication of the Society for Adolescent Medicine, 60(4), 395–401. https://doi.org/10.1016/j.jadohealth.2016.10.016
35. Zangeneh, S., Savabi-Esfahani, M., Taleghani, F., Sharbafchi, M.R., Salehi, M. (2023). Effectiveness of online sexual education based on the extended PLISSIT model on sexual function and sexual satisfaction in women undergoing breast cancer treatment. Journal of education and health promotion, 12, 311. https://doi.org/10.4103/jehp.jehp_1318_22
36. Zeren, F., and Özerdoğan, N. (2018). Postpartum dönemde cinselliği etkileyen faktörler (factors affecting sexuality in postpartum period). Türkiye Klinikleri J Nurs Sci, 10(4), 354-362.