Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , |
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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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 info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
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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1816705359952216064 |