健康的社会决定因素及其对节育方法选择的影响。
Social Determinants of Health and their influence on the choice of birth control methods.
作者信息
Ferreira Hellen Lívia Oliveira Catunda, Barbosa Denise de Fátima Fernandes, Aragão Vivianne Melo, Oliveira Tyane Mayara Ferreira de, Castro Régia Christina Moura Barbosa, Aquino Priscila de Souza, Pinheiro Ana Karina Bezerra
机构信息
Universidade Federal do Ceará. Fortaleza, Ceará, Brazil.
出版信息
Rev Bras Enferm. 2019 Aug 19;72(4):1044-1051. doi: 10.1590/0034-7167-2017-0574.
OBJECTIVE
To verify the association between Social Determinants of Health and birth control methods used by women of childbearing age.
METHODS
Documentary and retrospective study, performed at a Brazilian Natural Birth Center with evaluation of the medical records of patients seen between 2003 and 2011 (n=2410). Data were collected on identification and general history, gynecological, sexual and obstetric.
RESULTS
Hormone birth control methods were the most used among participants (25.0%); followed by barrier methods (21.5%) and surgical methods (19.3%). Statistical associations were observed regarding age, menarche, onset of sexual activity, pregnancy, miscarriage, smoking, hypertension, marital status, gynecological care and schooling with the choice of methods.
CONCLUSION
The results confirm the importance of studies involving Social Determinants of Health, since they interfere in the way women choose birth control methods and the risks that this choice may pose to their health.
目的
验证健康的社会决定因素与育龄妇女使用的避孕方法之间的关联。
方法
在巴西一家自然分娩中心进行文献和回顾性研究，对2003年至2011年间就诊的患者（n = 2410）的病历进行评估。收集了关于身份识别和一般病史、妇科、性和产科的数据。
结果
激素避孕方法是参与者中使用最多的（25.0%）；其次是屏障避孕法（21.5%）和手术避孕法（19.3%）。观察到在年龄、初潮、性活动开始、怀孕、流产、吸烟、高血压、婚姻状况、妇科护理和受教育程度与避孕方法选择之间存在统计学关联。
结论
结果证实了涉及健康的社会决定因素的研究的重要性，因为它们会影响女性选择避孕方法的方式以及这种选择可能对其健康带来的风险。
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