Contracepção na adolescência : fatores associados a ocorrência da gravidez

• Autor(a) principal: Silva, Marielle Jeani Prasnievski da
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFMT
• Texto Completo: http://ri.ufmt.br/handle/1/3197
• topic: Gravidez na adolescência; Gravidez não planejada; Comportamento; Contraceptivo; Anticoncepção; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM; Pregnancy in adolescence; Pregnancy; Unplanned; Contraception behavior; Contraception

ABSTRACT: Adolescence is characterized by being the phase of transition from childhood to adult life, is a period permeated by complex modifications for the development of the human being. At this stage, sexual initiation associated with poor experience and inadequate guidance on contraceptive methods may expose them to situations such as the occurrence of unplanned pregnancies. The objective was to analyze the use of contraceptive methods in adolescence associated to the occurrence of pregnancy. It is a case-control study, with a quantitative approach, conducted with 86 adolescent pregnant women (cases) and 86 young pregnant women with no history of pregnancy in adolescence (controls). The study sites were Family Health Strategy units of the city of Cuiabá-MT. The data were collected from interviews conducted by a semi-structured questionnaire and a measurement instrument of validated pregnancy planning in Brazil, the London Measure of Unplanned Pregnancy. The data collection period was from August to November 2016. Data analysis was performed using descriptive and inferential statistics using EpiInfo version 7 software. To determine the strength of the association, the odds ratio (OR) and its 95% confidence interval (95% CI). The variables that presented a significance level (p-value) equal to or less than 0.20 in the bivariate analysis were included in the hierarchical logistic regression model in blocks. There was an association between teenage pregnancy and per capita income less than or equal to a minimum wage; nine years or less of study; not working regularly; not be married / united; companion also adolescent; have married / joined with 15 years or less. It was observed that the sexarca aged 15 years or less; not consult a professional to use contraceptive methods; not using methods in the sixth and subsequent relationships were associated with the occurrence of pregnancy. The use of contraceptives is discontinued. Thus, the need for reproductive planning care for this population is evidenced.