Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon

Detalhes bibliográficos
Autor(a) principal: D'Antona, Álvaro de Oliveira
Data de Publicação: 2009
Outros Autores: Chelekis, Jessica Andrea, D'Antona, Maria Fernanda Lirani de Toledo, Siqueira, Andrea Dalledone
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946
Resumo: In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they used in the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonal contraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women's health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women's discourse and perceptions.
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spelling Contraceptive discontinuation and non-use in Santarém, Brazilian AmazonContraceptionHormonal Oral ContraceptivesReproductive SterilizationWomen's HealthIn this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they used in the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonal contraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women's health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women's discourse and perceptions.Discutimos sobre as causas da não-adesão aos contraceptivos reversíveis, especialmente os métodos hormonais, entre moradoras rurais de Santarém, na Amazônia brasileira. A análise baseia-se em questionários aplicados a 398 mulheres e em visitas a centros de saúde. Consideramos os motivos relatados por mulheres que: nunca usaram contraceptivos; que usaram métodos no passado; que, no momento do levantamento, usavam método diferente dos utilizados no passado. Os resultados indicam rejeição aos contraceptivos hormonais e preferência pela esterilização feminina, opção possivelmente influenciada pelas características dos serviços de saúde na região. Efeitos colaterais do uso de contraceptivos hormonais relatados por parte das entrevistadas contribuem para o medo generalizado de efeitos colaterais, mesmo entre mulheres que nunca usaram métodos hormonais. Para aprimorar o serviço de saúde da mulher na Amazônia, recomendamos futuros estudos sobre o relacionamento entre os efeitos colaterais relatados, os serviços e medicamentos disponíveis, assim como uma análise dos discursos e das percepções das mulheres.Reports in Public HealthCadernos de Saúde Pública2009-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946Reports in Public Health; Vol. 25 No. 9 (2009): SeptemberCadernos de Saúde Pública; v. 25 n. 9 (2009): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946/8013https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946/8014D'Antona, Álvaro de OliveiraChelekis, Jessica AndreaD'Antona, Maria Fernanda Lirani de ToledoSiqueira, Andrea Dalledoneinfo:eu-repo/semantics/openAccess2024-03-06T15:27:54Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/3946Revistahttps://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:2024-03-06T13:04:31.926127Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
title Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
spellingShingle Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
D'Antona, Álvaro de Oliveira
Contraception
Hormonal Oral Contraceptives
Reproductive Sterilization
Women's Health
title_short Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
title_full Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
title_fullStr Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
title_full_unstemmed Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
title_sort Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
author D'Antona, Álvaro de Oliveira
author_facet D'Antona, Álvaro de Oliveira
Chelekis, Jessica Andrea
D'Antona, Maria Fernanda Lirani de Toledo
Siqueira, Andrea Dalledone
author_role author
author2 Chelekis, Jessica Andrea
D'Antona, Maria Fernanda Lirani de Toledo
Siqueira, Andrea Dalledone
author2_role author
author
author
dc.contributor.author.fl_str_mv D'Antona, Álvaro de Oliveira
Chelekis, Jessica Andrea
D'Antona, Maria Fernanda Lirani de Toledo
Siqueira, Andrea Dalledone
dc.subject.por.fl_str_mv Contraception
Hormonal Oral Contraceptives
Reproductive Sterilization
Women's Health
topic Contraception
Hormonal Oral Contraceptives
Reproductive Sterilization
Women's Health
description In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they used in the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonal contraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women's health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women's discourse and perceptions.
publishDate 2009
dc.date.none.fl_str_mv 2009-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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format article
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946/8013
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3946/8014
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eu_rights_str_mv openAccess
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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. 25 No. 9 (2009): September
Cadernos de Saúde Pública; v. 25 n. 9 (2009): Setembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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