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Background: Hill tribe women in Thailand still have high crude birth rate with low rate of contraceptive use. This leads to poor quality of life and poor societal development.
Objective: To study the rate and factors associated with contraceptive practice among Hmong hill tribe women in Nan Province, Thailand.
Methods: This research is a cross sectional survey study. Data was collected by self-administered questionnaire from 284 married Hmong hill tribe women aged 15-44 years old.
Results: We noted 56% of the Hmong hill tribe women of reproductive age used contraceptives; 41.6% used modern methods, while 14.4% used traditional methods. By univariate analysis, the factors significantly associated with contraceptive practice included age, income, easy accessibility to the contraceptive services, cheap contraceptive service, receiving advice from health personnel, satisfaction of contraceptive services, ever attended education class of contraception and ability to advice other people about contraception. When multiple logistic regression analysis was applied, age, easy accessibility to the contraceptive services and satisfaction with contraceptive services were independently associated with contraceptive use.
Conclusions: Rate of contraceptive practice among Hmong hill tribe women of reproductive age in Nan Province was still low and significantly associated with accessibility, understanding and attitude toward contraception and satisfaction with service which enable them to advise others people about contraception. Thus, contraceptive service should be actively improved and developed which included education and promotion of knowledge of contraception to the Hmong Hill tribe women.
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