Características dos candidatos à esterilização cirúrgica e os fatores associados ao tipo de procedimento

Abstract

In 1999 the Municipal Health Department in Ribeirão Preto, São Paulo, Brazil, implemented the provision of surgical contraceptive methods according to prevailing legal requirements. This study aimed to characterize the candidates for surgical sterilization and study the variables associated with the type of procedure. A total of 95 candidate patient records were studied, and statistical logistic regression analysis and Fisher's exact test were performed considering a significance level of ? = 0.05. Most candidates had stable partners, low schooling, and low income, were satisfied with their number of children, and had already tried to limit the number of children using reversible contraceptives. Mean age was 34.2 years, 45.3% underwent female sterilization, 35.8% underwent vasectomy, and 18.9% did not submit to any procedure. The odds of a man older than 35 having a vasectomy were 6.1 times that of a younger man (OR = 6.1; 95%CI: 2.4-16.4). More married men submitted to vasectomy than men who cohabited (OR = 4.0; 95%CI: 1.5-12.4). Women with four or more children were more likely to undergo sterilization than those with fewer children (OR = 3.1; 95%CI: 1.1-8.5).

A satisfação com o serviço de esterilização cirúrgica entre os usuários do sistema único de saúde em um município paulista

“…As diferenças no perfil sociodemográfico entre homens e mulheres que se submeteram à esterilização concordam com os resultados de um estudo-piloto realizado com 95 casais 14 . Quando um casal se candidata à esterilização, há maior chance de optar pela vasectomia, se o homem é casado, mais velho, com maior escolaridade e renda, caso contrário a escolha recai sobre a laqueadura.…”

“…A implantação da oferta de métodos cirúrgicos pelo SUS em Ribeirão Preto iniciou--se em 1999 13,14 15 . Esse aumento explica-se por maior oferta de anticoncepção durante a espera pelo método cirúrgico, pela desistência da esterilização que atinge 10% dos usuários 16 e por maior demanda por anticoncepção, já que maior número de usuários sabe que a rede pública oferece anticoncepcionais.…”

História reprodutiva de mulheres laqueadas

“…This number decreased to 4 (19%) among those who suffered only one abortion. is, mostly three or more pregnancies, and higher than the total of pregnancies of non-sterilized women (9)(10) . These results showed the high fertility rate of these women, implying that surgical sterilization is regarded not as a contraceptive option, but as the solution of concerns of future unwanted pregnancies.…”

“…The surgical method has been widely discussed because of its impact on the population; its prevalence has been identified as the main cause of the rate slowdown in population growth between the 1960 and 1990 (7) . Some studies showed that women with tubal ligation have a higher number of pregnancies and therefore are eligible for sterilization, which indicates that the fertility decline in Brazil is related to factors others than the reproductive life in the population (8)(9)(10) . In most cases, sterilization as a contraceptive method does not represent a choice or option; this method is imposed by the circumstances of life and for disinclination to continue using other contraceptive methods without the help's mate (3,11) .…”

Acesso à esterilização cirúrgica pelo Sistema Único de Saúde, Ribeirão Preto, SP

“…8 With regard to religion, contrary to what the Catholic church preaches, sterilization is not a method that is little sought among the church's followers. a This could be related to the fact that surgery is a unique event in life and is preferable to continuous use of contraceptives.…”