scholarly journals Prevalence and predictors of Implanon uptake in Ugu (Ugu North Sub District) 2016/17

2019 ◽  
Vol 61 (2) ◽  
pp. 50
Author(s):  
Anudha Moodley ◽  
Ozayr Mahomed
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
Planning Methods ◽  
Chi Square Test

Background: The contraceptive implant (Implanon) has been recognised as one of the most effective family planning methods and is a healthier choice for women in Africa due to its efficacy and convenience. Despite the evidence of effectiveness and safety of the implant, the actual uptake for Implanon use in the Ugu district of KwaZulu-Natal is relatively low. The aim of the study was to determine factors associated with Implanon uptake in Ugu North Sub District 2016/17.Methods: An observational cross-sectional study with an analytical component using self-administered questionnaires to collect information from 385 participants using randomised systematic sampling was conducted at family planning clinics at GJ Crookes Hospital and seven surrounding primary health care clinics. The chi-square test and multivariate logistic regression was used to determine associations.Results: Some 16% (n = 60) of the participants utilised Implanon. Despite having the correct knowledge 65.7% (n = 220) were not willing to use Implanon if it were offered. In addition, 55% of participants (n = 177) believed Implanon had more side effects. Parity ( 4 children) was found to be a statistically significant protective factor against (p 0.05) Implanon uptake.Conclusion: Implanon is a highly unattractive method of contraception for women residing in the Ugu North Sub District. Fear of side effects and invasive method of insertion were identified as the major barriers to Implanon use. Education and increased patient awareness are strategies to increase the desirability and uptake of Implanon.

scholarly journals Postabortion Contraception Acceptance and Associated Factors in Dessie Health Center and Marie Stopes International Clinics, South Wollo Northeast, Amhara Region, 2017

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Ayele Mamo Abebe ◽  
Mesfin Wudu Kassaw ◽  
Nathan Estifanos Shewangashaw
Keyword(s):  
Family Planning ◽  
Health Center ◽  
Care Service ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Unintended Pregnancies ◽  
Chi Square Test

Introduction. Abortion is termination of pregnancy before the viability of the pregnancy. It is one of the major causes for maternal mortality in the world and in Ethiopia. Unintended pregnancies which end up in abortion occur due to contraception method nonuse or misuse. To limit unintended pregnancies and avoid repeated abortions promoting immediate postabortion contraception is crucial. Objective. To assess the proportion of postabortion contraception acceptance among women who got abortion care service and factors associated with it in Marie stopes international clinic and Dessie health center, Dessie, North eastern Amhara, 2017. Methods. An institutional based cross-sectional study design was conducted from May 1 to May 30, 2017, at Marie stopes international clinics and Dessie health center. A sample of 125 women were selected by means of systematic sampling techniques and 118 abortion clients were interviewed in Marie stopes international clinic and Dessie on the use/acceptance of postabortion family planning (PAFP). Data were collected through pretested structured questionnaire. Data was cleaned and checked. Chi-square test was done to assess the association between dependent and independent variables. Odds ratio was done to assess the strength of association. Frequency tables, pie chart, and graphs were used to present the finding of the study. Results. From a total of 125 participants recruited, 118 participated in the study while 7 were unwilling to participate in the study, yielding the response rate of 94.4%. Among the 118 study participants, 79 (66.9%) were within the age group 25-34. This study found a strong positive association between Postabortion contraception acceptance and age [P = 0.007 [X2 test= 9.989, COR=2.625)]. Study subjects aged 15–24 years were 3 times more likely to accept postabortion family planning as compared with those aged >35 years. Conclusion and Recommendation. This study revealed that the acceptance of postabortion family planning method was 84%. Age of women, marital status, ever use of history family planning, involvement of others in decision making, and family planning counseling were significantly associated with postabortion family planning acceptance. Therefore it is better to give emphasis on health education about family planning.

HUBUNGAN UMUR DAN PARITAS DENGAN PEMILIHAN ALAT KONTRASEPSI METODE OPERASI WANITA (MOW) DI POLIKLINIK KEBIDANAN RS BHAYANGKARA PALEMBANG TAHUN 2012

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Y. Widyastuti Y. Widyastuti
Keyword(s):  
Family Planning ◽  
Medical Records ◽  
Test Results ◽  
Family Planning Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Planning Methods ◽  
Chi Square Test ◽  
Family Planning Methods ◽  
Selection Of

  ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW).                                      ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik  Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya  9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik  di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki  umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden  (55%) dan yang memiliki  paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB  di RS. Bhayangkara Palembang  agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).    

scholarly journals Usage and Perceived Side Effects of Personal Protective Measures against Mosquitoes among Current Users in Delhi

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Charu Kohli ◽  
Rajesh Kumar ◽  
G. S. Meena ◽  
M. M. Singh ◽  
Jyotiranjan Sahoo ◽  
...  
Keyword(s):  
Side Effects ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional ◽  
Protective Measures ◽  
Exact Test ◽  
Qualitative Variables ◽  
Systematic Sampling Method

Background. Mosquito-borne diseases constitute an important cause of morbidity and mortality. The use of personal protective measures (PPM) like mats, bednets, screening, repellents, liquid vaporizers, mosquito coils, and so forth has been advocated as an effective tool in control of mosquito-borne diseases, but data about the safety profile of personal protective measures is still scarce.Objective. To study the usage and side effects of personal protective measures against mosquitoes among current users in Delhi.Materials and Methods. A community-based cross-sectional study among 350 adult individuals selected by systematic sampling method. Data was collected using pretested semistructured questionnaire after taking written informed consent. Data was analysed using SPSS version 17. Chi-square/Fisher’s Exact test was used for qualitative variables to find association andPvalue <0.05 was considered significant.Results. Out of 350 families selected, 210 belonged to rural area and 140 to urban area. Personal protective measures were used by 219 (62.5%) subjects. Liquid vaporizer was the most preferred method (41.4%). Most common perceived side effect of personal protective measures was headache (7.7%). Other perceived side effects were cough (3.2%), sore throat (2.7%), allergy (1.3%), and eye irritation (0.9%) predominantly among coil users.Conclusion. There is a need to have a close watch for side effects of personal protective measures among users. Further research is also needed to develop safe and effective personal protective measures against mosquitoes.

scholarly journals Awareness regarding birth spacing family planning methods among antenatal mothers

2020 ◽  
Vol 10 (1) ◽  
pp. 93
Author(s):  
Vidhya Rajan ◽  
Saraswathi Kandasamy
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Birth Spacing ◽  
Cross Sectional Study ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Planning Methods ◽  
Knowledge And Attitude ◽  
Family Planning Methods

Background: According to WHO, the ideal interval between two pregnancies is 24 months. In India the contraceptive needs of young couples especially in the area of spacing pregnancies is largely unmet. Hence this study is undertaken to know the pre-existing knowledge of our antenatal population regarding contraceptive methods available for birth spacing. Aim of the study was to the knowledge and attitude regarding birth spacing family planning methods among antenatal mothers.Methods: It was a cross sectional study. Antenatal mothers attending the antenatal outpatient department of SBMCH, who are intending to have another child are invited to participate in this study. With informed consent, they are asked to fill a questionnaire, with questions regarding their knowledge and attitude towards the advantages and disadvantages of various contraceptive methods for birth spacing. The results of the study were analyzed by statistical analysis inrespect to various demographic factors of the population.Results: Total 92%of antenatal mothers were aware of health benefits associated with birth spacing. Yet only 45% were willing to adopt a method of contraception. Condoms is the most commonly preferred method for contraception (33.3%) and fear for side effects (43%) is the most common reason for not accepting a particular method of contraception.Conclusions: Though the awareness regarding the need and methods available for birth spacing methods of are widely prevalent in our urban based population, there is still a high percentage of mothers with misconceptions regarding the side effects associated with the birth spacing methods. Hence health education and counselling would improve the acceptance of contraceptive methods for birth spacing.

scholarly journals Analisis Faktor yang Memengaruhi Rendahnya Minat Pasangan Usia Subur terhadap Penggunaan Metode Kontrasepsi Jangka Panjang

2021 ◽  
Vol 3 (4) ◽  
pp. 191-198
Author(s):  
Rismawati Rismawati ◽  
Arini Purnama Sari
Keyword(s):  
Family Planning ◽  
Quantitative Research ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Sources Of Information ◽  
Chi Square ◽  
Cross Sectional ◽  
Study Approach ◽  
Chi Square Test

Introduction: The coverage of the use of long term contraceptive method (MKJP) in West Bajeng District is still very low. In 2020, MKJP participants are only about 23.8% with the percentage of participants in KB implants 19.6%, IUD 1.8%, MOW 2.3% and MOP 0.03%. This study aims to determine whether the factors of age, knowledge, education, sources of information, husband's support, and Communication, Information and Education (KIE) affect the low interest in EFA towards the use of MKJP in Bajeng Barat sub-district, Gowa Regency. Methods: The research method used is quantitative research with a cross sectional study approach. The population is all active family planning acceptors. The sample is PUS who are active family planning acceptors for MKJP or non-MKJP with a total sample of 96 people. Data analysis using chi square test. Results: Only 35.4% of respondents used MKJP 35.4%. There is a significant relationship between education (p=0.013), knowledge (p<0.001), husband's support (0.003), sources of information (p=0.030), and KIE (p=0.008) with low EFA interest in using MKJP. Conclusion: Low education, lack of knowledge, no husband's support, sources of information and lack of KIE cause low interest in PUS using MKJP.

scholarly journals Factors Affecting the Drop Out Rate of Family Planning Intrauterine Device

2019 ◽  
pp. 183-187
Author(s):  
Mariana Afiati ◽  
Azhari Azhari ◽  
Firmansyah Basir ◽  
Theodorus Theodorus
Keyword(s):  
Side Effects ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
Drop Out ◽  
Obstetrics And Gynecology ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Drop Out Rate ◽  
Chi Square Test

Abstract Objective: to assess the association between risk factors related to IUD acceptors' compliance at RSMH Palembang. Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital/Faculty of Medicine Sriwijaya University Palembang since May - December 2017. Subjects were women who use IUD contraceptives in the Department of Obstetrics and Gynecology Dr.MohammadHoesin Hospital Palembang and meet our inclusion and exclusion criteria. Medical counselling, knowledge, and side effects were assessed using a questionnaire. Data were analyzed by Chi-square test using SPSS software version 17. Results: There was a significant relationship between side effects and compliance of IUD use. There was no significant correlation between knowledge and medical counselling with compliance of IUD. Conclusions: Side effects associated with compliance of IUD. Keywords:compliance, contraception, IUD   Abstrak Tujuan: mengetahui hubungan faktor-faktor resiko yang bermakna dalam mempengaruhi kepatuhan peserta akseptor IUD di RSMH Palembang. Metode: Penelitian potong lintang ini dilakukan di Departemen Obstetri dan Ginekologi Rumah Sakit Dr. Mohammad Hoesin/Fakultas Kedokteran Universitas Sriwijaya Palembang sejak Mei – Desember 2017. Sampel penelitian ini adalah perempuan yang menggunakan kontrasepsi IUD di Departemen Obstetri dan Ginekologi Rumah Sakit Dr. Mohammad Hoesin/Fakultas Kedokteran Universitas Sriwijaya Palembang dan memenuhi kriteria inklusi dan eksklusi. Konseling medik, pengetahuan, dan efek samping dinilai dengan menggunakan kuesioner. Data dianalisis dengan uji Chi square menggunakan SPSS versi 17. Hasil: Ada hubungan bermakna antara efek samping IUD dengan kepatuhan pemakaian IUD. Tidak ditemukan hubungan bermakna antara tingkat pengetahuan dan konseling medic dengan kepatuhan akseptor IUD. Kesimpulan: Efek samping IUD mempengaruhi kepatuhan pemakaian IUD. Kata kunci: IUD, kontrasepsi, kepatuhan.

scholarly journals Hubungan Usia dan Paritas dengan Kejadian Preeklampsia Berat di Rumah Sakit Achmad Mochtar Bukittinggi Tahun 2012 - 2013

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Siqbal Karta Asmana ◽  
Syahredi Syahredi ◽  
Noza Hilbertina
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Significant Relationship ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Severe Preeclampsia ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

AbstrakPreeklampsia dapat menimbulkan berbagai komplikasi yang membahayakan bagi ibu dan janin, sehingga dapat menimbulkan kematian.  Beberapa faktor risiko seperti usia yang ekstrem (<20 &>35 tahun) dan nuliparitas. Keduanya merupakan faktor risiko yang tidak dapat dimodifikasi. Tujuan  penelitian ini adalah menentukan hubungan usia dan paritas dengan kejadian preeklampsia berat. Telah dilakukan penelitian di Bagian Rekam Medis Rumah Sakit Achmad Mochtar Bukittinggi terhadap data semua pasien rawat inap obstetri dan ginekologi tahun 2012 – 2013.  Penelitian menggunakan metode analitik dengan desain cross sectional study. Analisis penelitian menggunakan ratio prevalence dan chi-square test dengan derajat kepercayaan 95%. Penelitian ini menemukan 162 kasus (4,99%) preeklampsia berat. Proporsi kasus terbesar ditemukan pada kelompok usia ekstrem (9,90%) dan kelompok multiparitas (8,68%). Analisis ratio prevalence menyimpulkan bahwa usia ekstrem merupakan faktor risiko preeklampsia berat (RP= 1,476; CI= 1,094 – 1,922), dan nuliparitas belum dapat ditentukan apakah merupakan faktor risiko atau faktor protektif (RP= 0,765; CI= 0,565 – 1,034). Berdasarkan analisis dengan chi-square test, disimpulkan bahwa terdapat hubungan yang bermakna antara usia dengan preeklampsia berat (p= 0,014<0,05) dan tidak terdapat hubungan yang bermakna antara paritas dengan preeklampsia berat (p= 0,096>0,05).Kata kunci: preeklampsia, faktor risiko, usia, paritas AbstractPreeclampsia can cause the complication that endanger maternal and fetal, until death. There are many risk factors like extreme age (<20 & >35 years) and nuliparity that can not modify. The objective of this study was to  determine the relationship of maternal age and parity to the incidence of severe preeclampsia.  The research conducted at Medical Record Division of Achmad Mochtar Hospital Bukittinggi about data of all hospitalized patients of obstetrics and gynecology on 2012 – 2013. This research used the analytical method with cross sectional study. Analysis of this research used ratio prevalence and chi-square test with degree of confidence 95%. This research  found 162 case (4.99%) severe preeclampsia. The highest proportion of this case was the extreme age groups (9.90%) and multiparity group (8.68%). Analysis with the ratio prevalence concluded that extreme age is a risk factor for severe preeclampsia (RP=1.476; CI= 1.094 – 1.922) and nuliparity can not determined wheather a risk factor or protective factor (RP= 0.765; CI= 0.565 – 1.034). Analysis with chi-square test concluded that there is a significant relationship between age with severe preeclampsia (p= 0.014<0.05) and there is no significant relationship between parity with severe preeclampsia (p= 0.096>0.05).Keywords: preeclampsia, risk factors, age, parity

HUBUNGAN KARAKTERISTIK AKSEPTOR KB SUKU MADURA DENGAN PEMILIHAN JENIS KONTRASEPSI DI PUSKESMAS OMBEN KABUPATEN SAMPANG

2021 ◽  
Vol 16 (1) ◽  
pp. 58-71
Author(s):  
Nanda Rizaldi
Keyword(s):  
Family Planning ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Cultural Perspective ◽  
Chi Square ◽  
Cross Sectional ◽  
Service Workers ◽  
Number Of Children ◽  
Chi Square Test ◽  
The Government

The amount of people in Indonesia always increase over and over each year so the government implement a program called KB or Family Planning which aims to control the birth rate of the country. In implementing KB program, there are many debatable pro-cons in people, one of them is Madurese people who assume that one of the contraceptives are considered inadequate to be used from a religious and cultural perspective. This study aims to find out the relationship between a Madurese family planning acceptor and the choice of contraception. The research method is analytic observational with Cross Sectional Study. The method of sampling is probability type, used the simple random sampling. This study used questionnaire to collect the data and chi-square test to analyse the data. The result of the study showed that the respondents who choose short-term contraception type is 95 people and the long-term contraception is 15 people. The result of the data analysis showed that there is a relationship of age (0,043), number of children (0,006), economical status (0,005), and socio-cultural (0,002) in choosing the contraception type. Meanwhile, the education (0,923) has no relation in the choose of contraception type.. It is expected that the prospective family planning acceptors can increase their knowledge of KB (Family Planning) and for the health service workers can increase the health promotion of KB so people can broaden their knowledge of KB.

IDENTIFIKASI SERTA HUBUNGAN KONSTRUKSI SUMUR GALI TERHADAP KANDUNGAN COLIFORM PADA AIR SUMUR GALI DI DUSUN JIKEN KABUPATEN LOMBOK TIMUR

2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari
Keyword(s):  
Cross Sectional Study ◽  
Coliform Bacteria ◽  
Well Water ◽  
Chi Square ◽  
Cross Sectional ◽  
Content Variable ◽  
Chi Square Test ◽  
Dug Wells ◽  
Dug Well ◽  
The Relationship

The well is one of the source water used for bathing, washing, and drinking by the citizens in Jiken Hamlet, Rarang Village, Terara Sub-District. Poor dug well construction conditions can affect the amount of coliform bacteria contained in the dug well water. The purpose of this study is to identify the construction of dug wells and the content of coliform bacteria in dug well water and determine the relationship between dug well construction and the content of coliform bacteria. This research is analytic with a cross sectional study design. The results were obtained from 11 samples of dug wells which were observed in construction and the coliform content was known that all samples did not requirements as good dug well construction. Coliform content test results showed that as many as 5 dug well water samples did not pass the clean water quality standards. The results of data analysis with the chi-square test variable construction of dug wells with coliform content variable  showed 0,172 > 0,05, then the concluded is the dug well not suitable to use by people in that area as a source of water for daily needs.

Socio-Demographic Factors and Health-Related Behaviors Associated with Gerontology

GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 359-370
Author(s):  
Dr. Ravi S. Dalawai
Keyword(s):  
Cross Sectional Study ◽  
Work Culture ◽  
Chi Square ◽  
Cross Sectional ◽  
The Social ◽  
Health Related ◽  
Chi Square Test ◽  
Current Scenario ◽  
Socio Demographic Factors ◽  
Insight Into

Indian population is in growing trend from 942.2 million in 1994 to 1.36 billion in 2019.Among this six per cent of India's population was of the age 65 and above (UNFPA, 2019). Today the work culture is totally changed. Both husband and wife are forced to work in the current scenario and unable to take care of their parents. The changing structure created increased problems for old age people leads to loneliness, psychological, physical health and financial insecurity. The study paper provides insight into the social and demographic factor and health related sickness of the oldest people. This research explained the cross-sectional study included a representative sample (n=116) of adults aged ≥60 years. The sample was chosen using a four-stage stratified random-cluster survey sampling method .The Chi Square test and ANOVA test was analyzed using SPSS20.

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