Knowledge, attitudes and practice survey of family planning among South Asian immigrant women in Oslo, Norway



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      1. Knowledge of modern contraceptives

Ninety three respondents of 31-45 years (83.8%) heard of at least 1 to 3 methods. Forty-nine Sri-Lankan women (83.1%) and 72 Indian (78.8%) women have knowledge of at least 3 of any modern methods, while 21 women from Pakistan (19.8%), 15 from Bangladesh (29.3%) had never heard any of the CM (p-value-0.004). 157 Women who have less than 12 year’s education (81.8 %) (p-value-<0.001) and 86 employed women (81.9 %) have heard of one to three of modern contraceptive methods

There was significant association with age, education and ethnicity and heard of contraceptive method. (Table 4)



Table 4 Association between knowledge of modern contraceptives and demographic characteristics among South Asian immigrant women (n=309)







Heard about modern contraceptives







Not one

1-3 methods

4

or more

p

Age

13-19

21(29.6 %)

50(70.4 %)

.0 %

<0.001

20-30

29(22.8 %)

83(65.4 %)

15(11.8 %)

31-45

14(12.6 %)

93(83.8 %)

4(3.6 %)

Ethnicity

Pakistan

21(19.8 %)

73(68.9 %)

12(11.3 %)

0.004




Bangladesh

15(29.3 %)

36(68.5 %)

1(2.2 %)




Sri-Lanka

10(16.9 %)

49(83.1 %)

0 %




India

11(11.5 %)

72(78.8 %)

9(9.6 %)

Education

Less than 12 years education

22(11.5 %)

157(81.8 %)

13(6.8 %)

<0.001

More than 12 years education

42(35.9%)

69(59 %)

6(5.1%)

Employment status

Unemployed

48(23.5 %)

140(68.6 %)

16(7.8 %)

0.034




Employed

16(15.2 %)

86(81.9 %)

3(2.9 %)

Total




64(20.7 %)

226(73.1 %)

19(6.1 %)




* Fisher's Exact Test


      1. Emergency contraceptives

Table 5 shows 181 women - more than half of the total respondents (58.6%) had no knowledge of emergency contraceptive, while 128 women (41.4%) have knowledge. Of these, 40 respondents were 13-19 years (56.3%).

The dominant ethnic group for knowledge of emergency contraceptives was women of Sri-Lankan origin 28 (47.5%). 85 women who have less than 12 years education (44.3%) and 93 unemployed (45.6%) were much more aware of emergency contraceptive pill.



Table 5 Association between knowledge of emergency contraceptives and demographic characteristics among South Asian immigrant women (n=309)







Heard of emergency contraceptives







No

Yes

p

Age

13-19

31(43.7 %)

40(56.3 %)

0.011

20-30

77(60.6 %)

50(39.4 %)

31-45

73(65.8 %)

38(34.2 %)

Ethnicity

Pakistan

57(53.8 %)

49(46.2 %)







Bangladesh

35(67.4 %)

17(32.6 %)

0.182




Sri-Lanka

31(52.5 %)

28(47.5 %)







India

55(59.6 %)

37(40.4 %)




Education

Less than 12 years education

107(55.7 %)

85(44.3 %)

0.118*

More than 12 years education

74(63.2 %)

43 (36.8 %)




Employment

Unemployed

111(54.4 %)

93(45.6 %)

0.025*




Employed

70(66.7 %)

35(33.3 %)




Total




181(58.6 %)

128(41.4 %)




*Fishers exact test


      1. Knowledge of STI’s like Chlamydia

Only 20.4% of total respondents had heard of Chlamydia (Table 6). Among them, 33 women (26%) were 20-30 years and 26 women (23.4%) 31-45 years; only 4 respondents (5.6%) were 13-19 years (p-value 0.002).

Ethnically, the majority of respondents who had heard of Chlamydia were 25 Pakistani women (29.2%) and 23 women of Indian (25%) origin compared to other ethnic group (p-value-0.008). 34 women who had more than 12 years education (29.2 %) had heard of Chlamydia (p-value-0.001).



Table 6 Association between heard of sexually transmitted infections, like Chlamydia and demographic characteristics among South Asian immigrant women (n=309)







Heard of sexually transmitted infections Chlamydia







No

Yes

P

Age

13-19

67(94.4%)

4(5.6%)

0.002

20-30

94(74%)

33(26%)

31-45

85(76.6%)

26(23.4%)

Ethnicity

Pakistan

91(70.8 %)

25(29.2 %)

0,008




Bangladesh

46(89.1 %)

6(10.9 %)




Sri-Lanka

50(84.7 %)

9(15.3 %)




India

59(75 %)

23(25 %)

Education

Less than 12 years education

165(86.3 %)

27(13.7 %)

0,001

More than 12 years education

83(70.8 %)

34(29.2 %)

Employment

Unemployed

159(77.9 %)

45(22.1 %)

0.194*




Employed

87(82.9 %)

18(17.1 %)




Total




246(79.6 %)

63(20.4 %)




*Fishers exact test



      1. Source of family planning information

Table 7 Association between source of family planning information and demographic characteristics among South Asian immigrant women (n=309)

Received family planning information from







Family member/

Friends


Husband


Health care providers


Media/written information


p-value







%

%

%

%




Age

13-19

13(14.6 %)

-

43(76.8 %)

15(25.4 %)

<0.001

20-30

56(62.9 %)

42(40 %)

12(21.4 %)

17(28.8 %)

31-45

20(22.5 %)

63(60 %)

1(1.8%)

27(45.8 %)

Ethnicity

Pakistan

33(37.1 %)

41(39.4 %)

17(29.8 %)

15(25.4 %)

0.022




Bangladesh

18(20.2 %)

19(18.3 %)

9(15.8 %)

6(10.2 %)




Sri-Lanka

18(20.2 %)

19(18.3 %)

5(8.8 %)

17(28.8 %)




India

20(22.5 %)

25(24 %)

26(45.6 %)

21(35.6 %)

Education

Less than 12 years education

49(55.1 %)

86(82.7%)

37(64.9 %)

20(33.9 %)

<0.001

More than 12 years education

40(44.9 %)

18 (17.3 %)

20(35.1 %)

39(66.1 %)

Employment

Unemployed

52(58.4 %)

62(59.6 %)

57(100 %)

33(55.9 %)

<0.001*




Employed

37(41.6 %)

42(40.4 %)

-

26(44.1%)




*Fisher’s exact test

Table 7 shows that 43 respondents (76.8%) who were 13-19 years received information from health care providers, 56 respondents (62.9%) aged 20-30 years got information from family members or friends and 63 (60 %) aged 31-45 years received information from their husband (p-value-<0.001).

For those with less than 12 years education, 86 women (82.7%) received information from their husbands, while 39 highly educated women (66.1%) got information from media and written information and 40 highly educated women (44.9%) got their information from the family (p-value-<0.001). Of those unemployed, 57 women (100%) got information from health care providers, while 26 employed women (44.1%) got information from media.

Source of FP information was statistically significant with age (p-value <0.001), education (p-value <0.001), and employment status (p-value <0.001*Fisher’s exact test).

      1. Sex education

Table 8 shows 60 respondents (84.5%) who were 13-19 years, 34 women (26.8%) who were 20-30 years and only 8 women (7.2%) who were 31-45 years had received sex education at school. 96 (47.1%) unemployed and 84 women (43.8 %) who had less than 12 years worth of education received education on sex at school.

There was significant association to receive sex education at school with age (p-value <0.001), education (p-value <0.001*) and employment status (p-value <0.001*).



Table 8 Association between received sex education at school and demographic characteristics among South Asian immigrant women (n=309)

Sex education at school







Yes

No

p-value

Age

13-19

60(84.5%)

11(15.5 %)

<0.001

20-30

34(26.8%)

93(73.2 %)

31-45

8(7.2%)

103(92.8 %)

Ethnicity

Pakistan

38(35.8%)

68(64.2 %)

0.078




Bangladesh

12(23.9%)

40(76.1 %)




Sri-Lanka

19(32.2%)

40(67.8 %)




India

41(44.6 %)

51(55.4 %)

Education

Less than 12 years education

84(43.8 %)

108(56.3 %)

<0.001*

More than 12 years education

18(15.4 %)

99(84.6 %)

Employment

Unemployed

96(47.1 %)

108(52.9 %)

<0.001*




Employed

6(5.7%)

99(94.3%)




Total




102(33%)

207(67%)




* Fisher's Exact Test
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