Department of Obstetrics and Gynecology, Faculdade de Medicina de Jundiaí, Jundiaí, SP, Brazil.
Bayer, São Paulo, SP, Brazil.
Rev Bras Ginecol Obstet. 2020 May;42(5):255-265. doi: 10.1055/s-0040-1712145. Epub 2020 May 29.
The optimal use of contraceptive methods requires that women participate in targeted choice of methods that meet their individual needs and expectations. The Thinking About Needs in Contraception (TANCO) study is a quantitative online survey of the views of health professionals and women on aspects of contraceptive counseling and contraceptive use.
Physicians and women attending clinics for contraception were invited to complete online questionnaires. The research explored the knowledge and use of contraceptive methods, satisfaction with the current method and interest in receiving more information on all methods. Aspects related to contraceptive practice among physicians were gathered in parallel. The results obtained in the Brazilian research were compared with those of the European research, which involved 11 countries.
There was a high prevalence of contraceptive use and general satisfaction with the current method. A total of 63% of the women were using short-acting contraceptive (SAC) methods, and 9% were using a long-acting reversible contraceptive (LARC). Sixty-six percent of women were interested in receiving more information on all methods; 69% of women said they would consider LARC if they received more comprehensive information about it. Health professionals tend to underestimate the interest of women in receiving information about contraception in general, and more specifically about LARCs.
Despite the high levels of use and satisfaction with the current methods, women were interested in receiving more information on all contraceptive methods. Structured contraceptive counseling based on individual needs and expectations may lead to greater knowledge and a greater likelihood of proper contraceptive choice.
避孕方法的最佳使用需要妇女参与有针对性的方法选择，以满足她们的个人需求和期望。避孕思考需求（TANCO）研究是一项针对卫生专业人员和妇女对避孕咨询和避孕使用方面的看法的定量在线调查。
邀请医生和在诊所接受避孕的妇女完成在线问卷。研究探讨了避孕方法的知识和使用、对当前方法的满意度以及对所有方法的更多信息的兴趣。同时收集了与医生避孕实践相关的方面。巴西研究的结果与涉及 11 个国家的欧洲研究进行了比较。
避孕的流行率很高，对当前方法的总体满意度也很高。共有 63%的妇女使用短效避孕（SAC）方法，9%使用长效可逆避孕（LARC）。66%的妇女有兴趣获得所有方法的更多信息；69%的妇女表示，如果能更全面地了解 LARC，她们会考虑使用。卫生专业人员往往低估了妇女对一般避孕信息的兴趣，更具体地说，对 LARC 的兴趣。
尽管当前方法的使用率和满意度都很高，但妇女仍有兴趣获得所有避孕方法的更多信息。基于个人需求和期望的结构化避孕咨询可能会导致更多的知识，并更有可能正确选择避孕方法。
