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Social sychiatric implications of population control in Thailand.


 Several knowledge, attitude, and practice surveys in Thailand have shown that a majority of married women do not want more children because of the economic and physical difficulty of raising the children already born; the ideal number of children was about 3.8. However, population growth in Thailand is about 3.4% annually, one of the highest rates in Asia. The findings that women, particularly younger women, are in favor of family planning is offset by lack of knowledge and fears of side effects. The psychological approach to the prediction of contraceptive behavior, as studied at the Carolina Population Center, shows that, regardless of the method of measurement, intention always emerged with the highest coefficient in discriminating contraceptive users from nonusers. Emotional barriers have been considered 1 of the significant factors in contraceptive use, especially excessive dependency needs and passive-aggressive character. Unwanted pregnancy can also contribute to poor mental health. Since unregulated fertility, poverty, overpopulation, premarital pregnancy, and illegitimacy seriously impair mental health, contraceptive services should be considered a legitimate part of psychiatry and mental health personnel should consider referrals for patients in need.
