Background: One of the main concerns during cancer treatment is the occurrence of pregnancy due to its wide range of complications. Objectives: This study aimed to determine some influential factors on pregnancy during cancer treatment among women of reproductive ages that were under cancer treatment. Methods: This cross-sectional study investigated 133 women of reproductive age, who were under cancer treatment, as well as women who had undergone chemotherapy or radiotherapy up to one year ago in Sistan and Baluchestan Province. Data were collected from three medical centers in Zahedan from 2019 to 2020, using a researcher-made questionnaire. Results: Regarding the pregnancy rate, 23.0% of women had pregnancy during cancer treatment, including unintended (52.0%) and intended (48.0%) pregnancies that 55.0% of these pregnancies led to abortion, and 45.0% to livebirths. The results highlighted that during treatment women with and without pregnancy differed significantly in age (P = 0.001), ethnicity (P = 0.024), husband’s education level (P = 0.014), woman’s occupation (P = 0.021), couple’s agreement on number of children (P = 0.024), and physician consultation about contraceptives (P = 0.048). The main predictors of pregnancy were the woman’s age pregnancy (OR = 0.927, P = 0.011), occupation (OR = 0.358, P = 0.046), and ethnicity (OR = 2.49, P = 0.045). Conclusions: Considering the complications of pregnancy during cancer treatment, health planners should pay more attention to family planning for women under treatment, particularly in less developed regions.
Background Early marriage occurs in some regions of the world. Given that early marriage can have many negative consequences for girls by affecting their physical, mental, and social health, the purpose of this study was to investigate the reasons for early marriage from the perspective of women who had experienced it in Zahedan, Iran. Methods This qualitative research was conducted based on the qualitative content analysis method in 2020–2021. The target population included women aged 18–35 living in Zahedan who were married under the age of 18 years. Purposeful sampling was used to select the participants. In order to collect data, in-depth interviews were performed to decipher the reasons for early marriage from these women’s perspectives. A total of 36 interviews were conducted from October to December 2020 until reaching theoretical saturation. Conventional content analysis was used to analyze the data and extract the relevant concepts and categories. Results The analysis of the interviews in this study revealed three main categories:(1) “early marriage as a transcendental coercion” ( early marriage as a cultural heritage and early marriage as a control tool, girls’ weaknesses and inability to resist, dominant attitudes toward gender and gender restrictions), (2) “early marriage as a solution or a kind of problem solving” (escape from undesirable family environment, escape from financial poverty, and strategic escape from an unpleasant situation), and (3) “early marriage as a voluntary act” (real agency and imaginary agency). To substantiate these findings, we presented excerpts from the interviews conducted with the participants. Conclusion The results of this study suggest a multidimensional picture of early marriage. It seems that improving cultural conditions and empowering families and girls in various areas, including marriage, can reduce the rate of early marriage and/or at least mitigate its undesirable consequences.
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