Social inequalities in the use of contraceptives in adult women from Southern Brazil

Abstract

OBJECTIVE: To describe the contraceptive methods used by adult women and the associated socioeconomic and demographic factors. METHODS: Population-based cross-sectional study with 20 to 49-year-old women from São Leopoldo, state of Rio Grande do Sul, in 2015. Three outcomes were considered to analyze the association with demographic and socioeconomic characteristics: use of oral contraceptive pills, tubal ligation and male condom. The crude prevalence ratios, stratified by age, and 95% confidence intervals (95%CI) were obtained using Poisson regression, taking the experimental error into account. RESULTS: A total of 736 women, aged from 20 to 49 years old, were evaluated. The prevalence of the use of oral contraceptive pills, tubal ligation and male condom were respectively 31.8% (95%CI 28.4–35.3), 11.1% (95%CI 9.0–13.6) and 10.9% (95%CI 8.7–13.3). In addition, 10.5% (n = 77) of the women reported making combined use of oral contraceptive pills and condom. In the stratified analysis, younger women with lower education level and from lower social classes reported less use of oral contraceptive pills. Tubal ligation was more prevalent among the lower social classes, but only in the age group from 30 to 39 years old. No differences were found in relation to male condom. CONCLUSIONS: The results indicated that differences persist in relation to contraception, which can be associated with both the difficulties of access to these inputs and the frailty of actions in reproductive health to achieve the needs and preferences of women who are more socially vulnerable.

Questões demográficas atuais e implicações para o modelo de atenção à saúde no Brasil

“…Ambas as características, objetos da demografia, são basilares para o reconhecimento das prioridades em epidemiologia. É possível, por exemplo, interpretar com segurança que a determinação das taxas de natalidade e fecundidade sobre a dinâmica populacional indica mudanças atreladas ao entendimento feminino a respeito de sua condição, extrapolando o papel social e antropológico da mãe e o enfoque biomédico exclusivo no ciclo gravídico-puerperal 36 . A mortalidade, da qual a demografia se aproxima mais como um fenômeno do que pela sua causalidade proporcional, é apresentada no contexto do território, e suas variações denotam as diferenças abissais entre o acesso a recursos terapêuticos em serviços de saúde secundários e terciários e, consequentemente, entre as possibilidades de cronicidade.…”

FSFI score and timing of tubal ligation in patients: preliminary results of an online survey

“…Further in our survey data on the education and social status of the participants are missing. These factors also influence the type of contraceptive methods and rate of regret [38][39][40] and should also be recorded in future surveys regarding this question.…”

Dating Applications, Sexual Behaviors, and Attitudes of College Students in Brazil’s Legal Amazon

“…Students report not having received pregnancy prevention counseling or sexual health education [24]. Birth control methods reported by women of reproductive age include oral and/or injectable contraceptives, tubal ligation, and male condoms [25][26][27]. In addition, multiple sexual partners and non-adherence to prophylactic measures after exposure to risk are the factors commonly reported by young Brazilian adults and college students [22,28], which differ between men and women [21,29].…”