Alves Camila Aloisio, Brandão Elaine Reis
Instituto Fernandes Figueiras, Fiocruz, Rio de Janeiro RJ.
Cien Saude Colet. 2009 Mar-Apr;14(2):661-70. doi: 10.1590/s1413-81232009000200035.
This article discusses the moments of vulnerability in the utilization of contraceptive methods in the affective-sexual relations in adolescence and youth. The analyzed material consists of 17 semi-structured interviews with young people between 18 and 24 years (9 females and 8 males) of the middle-class of the city of Rio de Janeiro that had passed though at least one episode of pregnancy during adolescence. We also discuss the recent implementation of public policies focused on the sexuality and reproductive health of adolescents and the position of health professionals with respect to this subject within the scope of the Program of Integrated Healthcare for Women, Children and Adolescents (PAISMCA/SES-RJ). The results of the study show discontinuities in the use of contraceptive methods due to the strong gender hierarchy in the relationships between adolescents and the absence of appropriate sexual education in the family and school environments. There is little space for dealing with the sexual questions of the young in health services and schools. There are also cultural barriers that make it difficult for the society to approach the subject in a less prejudicial way, thus turning sexual initiation into a process full of silence and moral disapproval.
本文探讨了青少年和青年在情感-性关系中使用避孕方法时的脆弱时刻。分析的材料包括对里约热内卢市中产阶级中18至24岁的年轻人（9名女性和8名男性）进行的17次半结构化访谈，这些年轻人在青春期至少经历过一次怀孕。我们还讨论了近期实施的关注青少年性健康和生殖健康的公共政策，以及在妇女、儿童和青少年综合医疗保健项目（PAISMCA/SES-RJ）范围内卫生专业人员对该主题的立场。研究结果表明，由于青少年之间关系中强烈的性别等级制度以及家庭和学校环境中缺乏适当的性教育，避孕方法的使用存在不连续性。在卫生服务机构和学校中，处理年轻人性问题的空间很小。此外，还存在文化障碍，使得社会难以以较少偏见的方式对待这一主题，从而使性启蒙成为一个充满沉默和道德谴责的过程。
