Uso de contracepção e desigualdades do planejamento reprodutivo das mulheres brasileiras

Trindade, Raquel; Siqueira, Bárbara Barrozo; Paula, Thayane Fraga de; Felisbino-Mendes, Mariana Santos

doi:10.1590/1413-81232021269.2.24332019

Cited by 32 publications

(39 citation statements)

References 16 publications

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“…[36] This result followed the Brazilian profile, in which IUD is used by <2% of the Brazilian women of reproductive age. [34] The proportion of FSW who had up to 2 childbirths (66.5%) was similar to the proportion of childbirths among Brazilian women aged 18 to 49 years, estimated in PNS-2013 (69.9%) (PNS, 2013). However, the proportion of FSW with up to 2 children alive (59.9%) was lower than the one estimated in PNS-2013 (73.2%).…”

Section: Discussionsupporting

confidence: 70%

“…The type of method used differs from the Brazilian female population profile: while oral contraceptive is the most used method by the Brazilian female population, male condom is the most used by FSW. [ 34 ] The proportion of FSW who use condoms in all vaginal sexual intercourse with steady partners was low, of 34.8%, and with clients, much higher, of 80.5%, indicating the influence of condom use by FSW for prevention HIV infection and other STI and the poor access to contraceptive methods. Although IUD is an effective contraceptive method available free of charge in primary health care in Brazil, [ 35 ] the frequency of IUD use was low, approximately 6 times lower than in Russia, where 9.0% of FSW choose this contraceptive method.…”

Section: Discussionmentioning

confidence: 99%

“…[ 36 ] This result followed the Brazilian profile, in which IUD is used by <2% of the Brazilian women of reproductive age. [ 34 ]…”

Section: Discussionmentioning

confidence: 99%

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Health vulnerabilities in female sex workers in Brazil, 2016

et al. 2022

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Female sex workers (FSW) suffer stigma and discrimination that negatively impact their physical and mental health and affect access to health care services. This paper aims to describe selected health indicators among FSW in 12 Brazilian cities in 2016. Brazilian cross-sectional Biological Behavioral Surveillance Survey was conducted in 2016 among 4328 FSW recruited by respondent-driven sampling. The sample weighing was inversely proportional to participant's network sizes and the seeds were excluded from the analysis. Health indicators were estimated with 95% confidence interval and included indicators of health status, symptoms of depression, antenatal care, pap smear coverage, signs and symptoms of sexually transmitted infection, contraception and regular condom use, number of births and children alive per women, human immunodeficiency virus and syphilis testing, usual source of care, and perception of discrimination. Most participants self-rated their health as very good/good (65.8%) and 27.7% were positively screened for major depressive disorder episode on Patient Health Questionnaire-2. Antenatal coverage was 85.8% and 62.3% of FSW had access to pap smear exam in the past 3 years. A total of 67.0% of FSW were using some contraceptive method at the time of the study. Male condom was the most common method (37.1%), followed by oral pill (28.9%). A total of 22.5% FSW had never been tested for HIV and the main reasons were "not feeling at risk" (40.4%) and "being afraid or ashamed" (34.0%). The vast majority of FSW used Brazilian National Health System as their usual source of health care (90.2%). Approximately one-fifth of the participants felt discriminated against or were treated worse for being FSW (21.4%) and only 24.3% disclose their sex work status in health services. The vulnerability of FSW is expressed in all health indicators. Indicators of health status, antenatal care, pap smear coverage, and contraception were worse than in the Brazilian population, and point out to the importance of increase FSW's access to health care services. Also, stigma and discrimination emerged as an important barrier to FSW's health care in all dimensions and need to be struggled.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

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Health vulnerabilities in female sex workers in Brazil, 2016

et al. 2022

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“…Additionally, we could not determine whether better educated women have been controlling and postponing fertility more than their less educated counterparts during the COVID-19 pandemic. We may speculate that young women from low socio-economic backgrounds are especially likely to rely on contraception methods provided by public health services (Gonc ¸alves et al, 2019;Martins et al, 2006;Trindade et al, 2021), and thus that the number of births among this group will increase in the near future, as they have difficulties accessing reproductive health services during the pandemic. Additionally, previous studies have found inequalities in the age distribution of first births, with the fertility curve showing two peaks at the ages of 20 and 30 years old: the first for the lower socio-economic group and the second for the higher socio-economic group (Lima et al, 2018;Rios-Neto et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Rapid changes in birth counts in Brazilian major cities during the COVID-19 pandemic

Lima¹,

Soares²,

Silva³

2022

Populationyearbook

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Since the beginning of the coronavirus pandemic, Brazil has been among the countries that have been heavily affected by this novel disease. From March 2020 onwards, records of deaths in Brazil increased as the number of COVID-19 infections skyrocketed. Consequently, many studies have tried to explain how this illness has affected the overall number of deaths since the start of the pandemic, and have examined the question of whether mortality related to COVID-19 has led to reductions in life expectancy. However, at the time of writing, there have been few empirical analyses of the effects of the pandemic on births. In this study, we sought to investigate whether the COVID-19 pandemic influenced the recent birth counts of six large cities in Brazil by assessing the most up-to-date vital statistics data that are available. Using data from the municipal health departments of these cities, we compared the number of monthly births from October–December 2020 and January–March 2021 with the number of new-borns in similar months and years before the pandemic. Our results show that there was a strong decline in the number of births in some of the cities analysed, and that most of the reductions occurred among women around the age of 30 years old. It appears that because of the uncertainty surrounding the pandemic, women have been postponing or foregoing the realisation of their fertility intentions, which may have led to a temporary baby bust in some cities of Brazil. However, the COVID-19 pandemic was not found to be associated with faster reductions in births in all Brazilian cities. Indeed, in the cities of Rio de Janeiro and Belo Horizonte, the decreasing trend in birth counts appears to have slowed down, or even reversed.

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“…EmSlywitch et al (2021), mostrou-se que entre 72 mulheres que utilizaram dispositivos intrauterinos, e que trabalhavam no manuseio de aparelhos de ressonância magnética, 68 apresentaram sangramento abdominal anormal; na revisão sistemática realizada emTi et al (2020), foi verificado que o uso de dispositivo intrauterino provocou sangramentos e dores abdominais em 04 entre cada 100 mulheres, acarretando assim a descontinuidade no uso desses dispositivos; já emSanders et al (2018), foram observados sangramentos causados pelo uso de dispositivos intrauterinos de cobre, logo após as suas inserções nos úteros das mulheres. Quanto ao ganho de peso feminino, outros trabalhos também apresentaram resultados semelhantes, como emLuz, Barros & Branco (2021); Fierro-Calpa (2021) eTrindade, Siqueira, Paula & Mendes (2021), que demonstraram que uso dos dispositivos intrauterinos hormonais apresentaram como um dos efeitos adversos, ganho de peso em mulheres. Em relação à migração ou expulsão do dispositivo, autores como Adeyemi-Fowode & Bercaw-Pratt (2019), identificaram através de estudo comparativo (coorte), que por meio de uma amostra contendo 281 adolescentes e 571 mulheres entre 20 a 30 anos, permitiram a eles concluir que a mulheres (e/ou adolescentes) que…”

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Impactos da utilização de dispositivos contraceptivos reversíveis de longa duração na saúde feminina

Silva¹,

Ferreira²,

Mouzinho³

et al. 2021

RSD

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O objetivo deste estudo foi realizar uma revisão sistemática prisma utilizando a técnica prisma que permitiu identificar quais os principais problemas de saúde causados em mulheres que utilizaram dispositivos contraceptivos reversíveis de longa duração. Na metodologia adotada selecionaram-se os artigos por um processo de 04 níveis hierárquicos, utilizando-se critérios de corte. No primeiro nível foram selecionados 1391 artigos publicados entre os anos de 2017 a 2021, nas bases de dados SciELO, Google Acadêmico, PubMed/MEDLINE e Biblioteca Virtual de Saúde BVS/LILACS, utilizando-se palavras chaves como critério. Nos níveis seguintes, selecionaram-se artigos que continham temas, títulos e resumos relacionados aos do trabalho. Após seleção e triagem houve uma redução na quantidade de artigos para 50 selecionados, representando 3,59% do total, sendo a PubMed/MEDLINE com 40 artigos a plataforma com maior participação correspondendo a 2,88 %. As demais plataformas apresentaram os seguintes valores: SciELO 02 artigos (0,14%); Google acadêmico e LILACS 04 artigos cada (0,28%). Identificou-se ainda, os principais problemas de saúde e as incidências nas plataformas: Sangramento (PubMed/MEDLINE 20%; LILACS e Google acadêmico 4%); ganho de peso (PubMed/MEDLINE 16%; BVS/LILACS 4%); migração do implante de subdérmico (PubMed 28%); influência na função sexual (PubMed/MEDLINE 6%); outros (PubMed/MEDLINE 28%; BVS/LILACS 14%). Verificou-se, que os principais problemas de saúde relatados foram sangramento e migração do implante. Logo, esta revisão os principais tipos de problemas de saúde causados pelos dispositivos contraceptivos reversíveis de longa duração, num intervalo de tempo curto, não comprometendo a acurácia dos resultados.

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Uso de contracepção e desigualdades do planejamento reprodutivo das mulheres brasileiras

Cited by 32 publications

References 16 publications

Health vulnerabilities in female sex workers in Brazil, 2016

Health vulnerabilities in female sex workers in Brazil, 2016

Rapid changes in birth counts in Brazilian major cities during the COVID-19 pandemic

Impactos da utilização de dispositivos contraceptivos reversíveis de longa duração na saúde feminina

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