Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil

Detalhes bibliográficos
Autor(a) principal: Machado,Adriana Kramer Fiala
Data de Publicação: 2021
Outros Autores: Gräf,Débora Dalmas, Höfs,Fabiane, Hellwig,Franciele, Barros,Karoline Sampaio, Moreira,Laísa Rodrigues, Crespo,Pedro Augusto, Silveira,Mariângela Freitas
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021001005023
Resumo: Monitoring trends of contraceptive use and identifying the groups with less coverage are needed to guide public policies and make them more efficient. But, in Brazil, recent data about these aspects are limited. This study aimed to investigate the prevalence of contraceptive use and its inequalities during adolescence and early adulthood. Data from the 1993 Pelotas birth cohort, Rio Grande do Sul State, Brazil, were used. At 15, 18 and 22 years, respectively, 335, 1,458 and 1,711 women reported having started their sexual lives and were included in analysis. Prevalence and 95% confidence intervals were obtained to describe the most used contraceptive methods. Inequalities in modern contraceptive use were evaluated according to wealth index, scholastic backwardness and ethnicity. In all follow-ups, more than 80% of women used at least one modern method. The use of barrier methods decreased with age; at 22 this prevalence was 36.3%. Such use concomitant with other modern methods was lower than 50% in all follow-ups. We observed inequalities in the use of modern contraceptive methods, mainly in barrier methods used with other modern methods. These findings may contribute and improve the public policies in family planning.
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spelling Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in BrazilContraceptive AgentsHealth Inequality MonitoringWomen’s HealthMonitoring trends of contraceptive use and identifying the groups with less coverage are needed to guide public policies and make them more efficient. But, in Brazil, recent data about these aspects are limited. This study aimed to investigate the prevalence of contraceptive use and its inequalities during adolescence and early adulthood. Data from the 1993 Pelotas birth cohort, Rio Grande do Sul State, Brazil, were used. At 15, 18 and 22 years, respectively, 335, 1,458 and 1,711 women reported having started their sexual lives and were included in analysis. Prevalence and 95% confidence intervals were obtained to describe the most used contraceptive methods. Inequalities in modern contraceptive use were evaluated according to wealth index, scholastic backwardness and ethnicity. In all follow-ups, more than 80% of women used at least one modern method. The use of barrier methods decreased with age; at 22 this prevalence was 36.3%. Such use concomitant with other modern methods was lower than 50% in all follow-ups. We observed inequalities in the use of modern contraceptive methods, mainly in barrier methods used with other modern methods. These findings may contribute and improve the public policies in family planning.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021001005023Cadernos de Saúde Pública v.37 n.10 2021reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311x00335720info:eu-repo/semantics/openAccessMachado,Adriana Kramer FialaGräf,Débora DalmasHöfs,FabianeHellwig,FrancieleBarros,Karoline SampaioMoreira,Laísa RodriguesCrespo,Pedro AugustoSilveira,Mariângela Freitaseng2021-11-09T00:00:00Zoai:scielo:S0102-311X2021001005023Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2021-11-09T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
title Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
spellingShingle Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
Machado,Adriana Kramer Fiala
Contraceptive Agents
Health Inequality Monitoring
Women’s Health
title_short Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
title_full Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
title_fullStr Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
title_full_unstemmed Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
title_sort Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
author Machado,Adriana Kramer Fiala
author_facet Machado,Adriana Kramer Fiala
Gräf,Débora Dalmas
Höfs,Fabiane
Hellwig,Franciele
Barros,Karoline Sampaio
Moreira,Laísa Rodrigues
Crespo,Pedro Augusto
Silveira,Mariângela Freitas
author_role author
author2 Gräf,Débora Dalmas
Höfs,Fabiane
Hellwig,Franciele
Barros,Karoline Sampaio
Moreira,Laísa Rodrigues
Crespo,Pedro Augusto
Silveira,Mariângela Freitas
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Machado,Adriana Kramer Fiala
Gräf,Débora Dalmas
Höfs,Fabiane
Hellwig,Franciele
Barros,Karoline Sampaio
Moreira,Laísa Rodrigues
Crespo,Pedro Augusto
Silveira,Mariângela Freitas
dc.subject.por.fl_str_mv Contraceptive Agents
Health Inequality Monitoring
Women’s Health
topic Contraceptive Agents
Health Inequality Monitoring
Women’s Health
description Monitoring trends of contraceptive use and identifying the groups with less coverage are needed to guide public policies and make them more efficient. But, in Brazil, recent data about these aspects are limited. This study aimed to investigate the prevalence of contraceptive use and its inequalities during adolescence and early adulthood. Data from the 1993 Pelotas birth cohort, Rio Grande do Sul State, Brazil, were used. At 15, 18 and 22 years, respectively, 335, 1,458 and 1,711 women reported having started their sexual lives and were included in analysis. Prevalence and 95% confidence intervals were obtained to describe the most used contraceptive methods. Inequalities in modern contraceptive use were evaluated according to wealth index, scholastic backwardness and ethnicity. In all follow-ups, more than 80% of women used at least one modern method. The use of barrier methods decreased with age; at 22 this prevalence was 36.3%. Such use concomitant with other modern methods was lower than 50% in all follow-ups. We observed inequalities in the use of modern contraceptive methods, mainly in barrier methods used with other modern methods. These findings may contribute and improve the public policies in family planning.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021001005023
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021001005023
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0102-311x00335720
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.37 n.10 2021
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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