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Motivational Factors in IUD Termination: Data from the Second Taiwan IUD Follow-Up Survey

Published online by Cambridge University Press:  31 July 2008

Albert I. Hermalin  and
Lien-Pin Chow
Albert I. Hermalin
Affiliation:
Population Studies Center, University of Michigan, and Chinese Center for International Training in Family Planning, Taichung, Taiwan
Lien-Pin Chow
Affiliation:
Population Studies Center, University of Michigan, and Chinese Center for International Training in Family Planning, Taichung, Taiwan
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Summary

The Second Taiwan IUD Follow-up Survey, reported on here, is a representative sample of all IUD acceptors in Taiwan up to the middle of 1966. The data show that 30 months after insertion, 36% of acceptors are continuing users, on a first segment basis, and that if reinsertions are taken into account, the proportion increases to 45%. Compared with extensive clinic data from the city of Taichung, the island-wide termination rates are about 5% higher at 30 months, for first segments, but the all segment rates show little difference at this duration.

Termination rates by social and demographic characteristics show that these rates decline with increasing age and parity, as expected. Sizable differentials in these rates were also found when acceptors were classified as to their purpose in using an IUD—for limiting or spacing—and as to their desire for more children. These effects were partially independent of age and parity. These ‘motivational’ variables were used in cross-tabulations to show how they might clarify the effect of age and parity, as well as to derive a number of other implications for the evaluation and operation of a family planning programme. The effects of education, urban-rural residence, and prior use of contraception, on IUD termination are studied in some detail by cross-classifying these characteristics with age and with one another.

Lastly, this study presents reinsertion rates in relation to a number of social and demographic factors. The rate of reinsertion is seen to depend on the type of termination and, taking this into account, to be generally inverse to the patterns of termination by social and demographic characteristics.

Type
Research Article
Information
Journal of Biosocial Science , Volume 3 , Issue 4 , October 1971 , pp. 351 - 375
Copyright
Copyright © Cambridge University Press 1971

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References

Chow, L.P., Chen, H.C., Huang, T.T. & Hsu, T.C. (1965) Evaluation of IUD programs by follow-up interview. J. Formosan med. Ass. 64, 345.Google Scholar
Chow, L.P., Freedman, R., Potter, R.G. Jr & Jain, A.K. (1968) Correlates of IUD termination in a mass family planning program: the first Taiwan IUD follow-up survey. Milbank meml Fund q. Bull. 46, 215.CrossRefGoogle Scholar
Freedman, R. & Sun, T.H. (1969) Who has the IUD reinserted after a first termination. In: Family Planning in Taiwan: An Experiment in Social Change. Edited by Freedman, R. and Takeshita, J.Princeton University Press.CrossRefGoogle Scholar
Freedman, R. & Takeshita, J. (1969) Family Planning in Taiwan: An Experiment in Social Change. Princeton University Press, Princeton.CrossRefGoogle Scholar
Korea, Republic of, Ministry of Health and Social Affairs (1968) The Korean Family Planning Program in Charts. Planned Parenthood Federation of Korea.Google Scholar
Mauldin, W.P., Nortman, D. & Stephan, F.F. (1967) Retention of IUDs: an international comparison. Studies in Family Planning, No. 18, 1.CrossRefGoogle Scholar
Potter, R.G. Jr (1969) Use effectiveness of intrauterine contraception as a problem in competing risks. In: Family Planning in Taiwan: An Experiment in Social Change. Edited by Freedman, R. and Takeshita, J.Princeton University Press.Google Scholar
Potter, R.G. Jr, Chow, L.P., Jain, A.K. & Lee, C.H. (1969) Effectiveness of intrauterine contraception: termination levels and correlates. In: Family Planning in Taiwan: An Experiment in Social Change. Edited by Freedman, R. and Takeshita, J.Princeton University Press.Google Scholar
Potter, R.G. Jr, Freedman, R. & Chow, L.P. (1968) Taiwan's family planning program. Science, 160, 848.CrossRefGoogle ScholarPubMed
Tietze, C. (1970) Evaluation of intrauterine devices: ninth progress report of the cooperative statistical program. Studies in Family Planning, No. 55, 1.CrossRefGoogle Scholar
Tietze, C. & Lewit, S. (1968) Use-effectiveness and continuation of contraception: problems of evaluation. In: A Handbook for Service Statistics in Family Planning Programs. Edited by Ross, J., Stephan, F. and Watson, W.The Population Council, New York.Google Scholar
Tietze, C. & Lewit, S. (1969) Size of the Lippes loop: a double-blind study of intrauterine devices. Excerpta Medica International Congress Series, No. 177.Google Scholar