Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil

Detalhes bibliográficos
Autor(a) principal: Julia Maria Olsen
Data de Publicação: 2018
Outros Autores: Tania Di Giacomo Lago, Suzana Kalckmann, Maria Cecilia Goi Porto Alves, Maria Mercedes Loureiro Escuder
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826
Resumo: The last decade has witnessed initiatives to expand access to contraceptives in Brazil. However, the last population-based study on contraception was undertaken in 2006. A household survey in 2015 investigated contraceptive practices in women 15 to 44 years of age living in the city of São Paulo. The current study selected data on young women 15 to 19 years of age. The objectives were to identify the prevalence of contraception, the contraceptives used, sources, and differences in contraceptive practices. The young women are part of a probabilistic study sample. Differences in contraception use were compared by multiple logistic regression analysis. A total of 633 young women were interviewed, of whom 310 (48.5%) were sexually initiated. Of these, 60% reported emergency contraception use at least once in their lives. Emergency contraception use was directly proportional to age and lifetime number of partners. Prevalence of contraception was 81%. The odds of current contraception use were higher among young women residing in the health district of the city with the better social conditions, Catholics, those who reported sexual relations in the previous 30 days, and those with history of an obstetrics and gynaecology visit in the previous year, and inversely proportional to the lifetime number of sex partners. Male condoms and the pill were the most common methods (28.2% and 23%). Most of the women purchased their contraceptives in retail pharmacies (75.2%), and the Brazilian Unified National Health System (SUS) was only a significant source for injectable hormonal contraceptives. Government support for women’s sexual and reproductive rights is still insufficient.
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spelling Young women’s contraceptive practices: a household survey in the city of São Paulo, BrazilPráticas contraceptivas de mulheres jovens: inquérito domiciliar no Município de São Paulo, BrasilContraceptionContraceptive AgentsSexual and Reproductive HealthAdolescentAnticoncepçãoAnticoncepcionaisSaúde Sexual e ReprodutivaAdolescenteThe last decade has witnessed initiatives to expand access to contraceptives in Brazil. However, the last population-based study on contraception was undertaken in 2006. A household survey in 2015 investigated contraceptive practices in women 15 to 44 years of age living in the city of São Paulo. The current study selected data on young women 15 to 19 years of age. The objectives were to identify the prevalence of contraception, the contraceptives used, sources, and differences in contraceptive practices. The young women are part of a probabilistic study sample. Differences in contraception use were compared by multiple logistic regression analysis. A total of 633 young women were interviewed, of whom 310 (48.5%) were sexually initiated. Of these, 60% reported emergency contraception use at least once in their lives. Emergency contraception use was directly proportional to age and lifetime number of partners. Prevalence of contraception was 81%. The odds of current contraception use were higher among young women residing in the health district of the city with the better social conditions, Catholics, those who reported sexual relations in the previous 30 days, and those with history of an obstetrics and gynaecology visit in the previous year, and inversely proportional to the lifetime number of sex partners. Male condoms and the pill were the most common methods (28.2% and 23%). Most of the women purchased their contraceptives in retail pharmacies (75.2%), and the Brazilian Unified National Health System (SUS) was only a significant source for injectable hormonal contraceptives. Government support for women’s sexual and reproductive rights is still insufficient.En la última década hubo en Brasil iniciativas para ampliar el acceso a anticonceptivos. No obstante, el último estudio de base poblacional sobre anticoncepción se realizó en 2006. Una encuesta domiciliaria investigó la práctica contraceptiva de mujeres de 15 a 44 años, residentes en el municipio de São Paulo en 2015. Para el presente estudio, se seleccionaron los datos relativos a las jóvenes con edad entre 15 y 19 años. Los objetivos fueron: identificar la prevalencia de la anticoncepción, los métodos anticonceptivos adoptados, sus fuentes de obtención y los diferenciales en el uso de métodos anticonceptivos. Las jóvenes integran la muestra probabilística del estudio. Los diferenciales del uso de métodos anticonceptivos fueron evaluados mediante regresión logística múltiple. Se entrevistaron a 633 jóvenes, de las cuales 310 (48,5%) habían comenzado su actividad sexual. De éstas, un 60% informaron el uso de métodos anticonceptivos de emergencia por lo menos una vez en la vida. Este uso fue directamente proporcional a la edad y al número de parejas en su vida. La prevalencia de métodos anticonceptivos fue de un 81%. La oportunidad de estar usando algún método anticonceptivo fue mayor entre las residentes en la región de salud con un mejor desarrollo social, las católicas, las que tuvieron relaciones sexuales en los últimos 30 días y las que fueron a una consulta ginecológica durante el último año. Fue inversamente proporcional al número de parejas en su vida. El preservativo masculino y la píldora fueron los métodos más frecuentes (28,2% y 23% respectivamente). La mayoría de las mujeres compró el contraceptivo en la red comercial de farmacias (75,2%), el Sistema Único de Salud (SUS) fue una fuente significativa solamente para la obtención del anticonceptivo hormonal inyectable. El apoyo del Estado al ejercicio de los derechos sexuales y reproductivos sigue siendo insuficiente.Iniciativas para ampliar o acesso a contraceptivos ocorreram no Brasil na última década. No entanto, o último estudo de base populacional sobre anticoncepção foi realizado em 2006. Um inquérito domiciliar investigou a prática contraceptiva de mulheres com 15 a 44 anos, residentes no Município de São Paulo em 2015. Para o presente trabalho, foram selecionados os dados relativos às jovens com idade entre 15 e 19 anos. Foram objetivos: identificar a prevalência da anticoncepção, os contraceptivos adotados, suas fontes de obtenção e os diferenciais no uso da contracepção. As jovens integram a amostra probabilística do estudo. Diferenciais do uso de contracepção foram avaliados por meio de regressão logística múltipla. Foram entrevistadas 633 jovens, das quais, 310 (48,5%) haviam iniciado atividade sexual. Dessas, 60% relataram uso de contracepção de emergência pelo menos uma vez na vida. Esse uso foi diretamente proporcional à idade e ao número de parceiros na vida. A prevalência da anticoncepção foi de 81%. A chance de estar usando contraceptivo foi maior entre as residentes na região de saúde com melhor desenvolvimento social, as católicas, as que tiveram relação sexual nos últimos 30 dias e as que realizaram consulta ginecológica no último ano. Foi inversamente proporcional ao número de parceiros na vida. Preservativo masculino e pílula foram os métodos mais frequentes (28,2% e 23%). A maioria das mulheres comprou o contraceptivo na rede comercial de farmácias (75,2%), o Sistema Único de Saúde (SUS) foi fonte significativa apenas para a obtenção do anticoncepcional hormonal injetável. O apoio do Estado ao exercício dos direitos sexuais e reprodutivos segue insuficiente.Reports in Public HealthCadernos de Saúde Pública2018-02-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826Reports in Public Health; Vol. 34 No. 2 (2018): FebruaryCadernos de Saúde Pública; v. 34 n. 2 (2018): Fevereiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826/14762https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826/14763https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826/14764https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826/14765Julia Maria OlsenTania Di Giacomo LagoSuzana KalckmannMaria Cecilia Goi Porto AlvesMaria Mercedes Loureiro Escuderinfo:eu-repo/semantics/openAccess2024-03-06T15:29:34Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6826Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:48.982811Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
Práticas contraceptivas de mulheres jovens: inquérito domiciliar no Município de São Paulo, Brasil
title Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
spellingShingle Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
Julia Maria Olsen
Contraception
Contraceptive Agents
Sexual and Reproductive Health
Adolescent
Anticoncepção
Anticoncepcionais
Saúde Sexual e Reprodutiva
Adolescente
title_short Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
title_full Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
title_fullStr Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
title_full_unstemmed Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
title_sort Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil
author Julia Maria Olsen
author_facet Julia Maria Olsen
Tania Di Giacomo Lago
Suzana Kalckmann
Maria Cecilia Goi Porto Alves
Maria Mercedes Loureiro Escuder
author_role author
author2 Tania Di Giacomo Lago
Suzana Kalckmann
Maria Cecilia Goi Porto Alves
Maria Mercedes Loureiro Escuder
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Julia Maria Olsen
Tania Di Giacomo Lago
Suzana Kalckmann
Maria Cecilia Goi Porto Alves
Maria Mercedes Loureiro Escuder
dc.subject.por.fl_str_mv Contraception
Contraceptive Agents
Sexual and Reproductive Health
Adolescent
Anticoncepção
Anticoncepcionais
Saúde Sexual e Reprodutiva
Adolescente
topic Contraception
Contraceptive Agents
Sexual and Reproductive Health
Adolescent
Anticoncepção
Anticoncepcionais
Saúde Sexual e Reprodutiva
Adolescente
description The last decade has witnessed initiatives to expand access to contraceptives in Brazil. However, the last population-based study on contraception was undertaken in 2006. A household survey in 2015 investigated contraceptive practices in women 15 to 44 years of age living in the city of São Paulo. The current study selected data on young women 15 to 19 years of age. The objectives were to identify the prevalence of contraception, the contraceptives used, sources, and differences in contraceptive practices. The young women are part of a probabilistic study sample. Differences in contraception use were compared by multiple logistic regression analysis. A total of 633 young women were interviewed, of whom 310 (48.5%) were sexually initiated. Of these, 60% reported emergency contraception use at least once in their lives. Emergency contraception use was directly proportional to age and lifetime number of partners. Prevalence of contraception was 81%. The odds of current contraception use were higher among young women residing in the health district of the city with the better social conditions, Catholics, those who reported sexual relations in the previous 30 days, and those with history of an obstetrics and gynaecology visit in the previous year, and inversely proportional to the lifetime number of sex partners. Male condoms and the pill were the most common methods (28.2% and 23%). Most of the women purchased their contraceptives in retail pharmacies (75.2%), and the Brazilian Unified National Health System (SUS) was only a significant source for injectable hormonal contraceptives. Government support for women’s sexual and reproductive rights is still insufficient.
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826/14763
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6826/14764
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 34 No. 2 (2018): February
Cadernos de Saúde Pública; v. 34 n. 2 (2018): Fevereiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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