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巴西统一卫生系统女性使用者的避孕措施及怀孕意愿

Contraceptive use and the intention to become pregnant among women attending the Brazilian Unified Health System.

作者信息

Melo Celia Regina Maganha E, Borges Ana Luiza Vilela, Duarte Luciane Simões, Nascimento Natália de Castro

机构信息

Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brazil.

Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2020;28:e3328. doi: 10.1590/1518-8345.3451.3328. Epub 2020 Aug 12.

Abstract

OBJECTIVE

to analyze the use of contraceptive methods and the intention to become pregnant among women attending the Brazilian Unified Health System.

METHOD

a cross-sectional study conducted with 688 women aged 18-49 years old, attending the Family Health Strategy Facilities in the eastern part of the city of São Paulo, Brazil, who were awaiting medical or nursing consultation. Data were obtained through interviews with a structured instrument, allocated in tablets. The analysis was conducted with "strong desire to avoid pregnancy" as the dependent variable. Chi-square and multiple logistic regression were used, calculated in Stata 14.2.

RESULTS

56.5% used some contraceptive method, covariates of the strong desire to avoid pregnancy were marital status (OR=0.49; CI95%=0.33-0.74), parity - two and more children (OR=15.9; IC95%=4.29-59.1); and pregnancy planning - planned (OR=0.69; IC95%=0.73-0.94) and ambivalent (OR=2.94; IC95%=1.30-3.83). There was no statistical difference between the strong desire to avoid pregnancy and the type of contraceptive used.

CONCLUSION

women with a strong desire to avoid pregnancy used basically the same types of contraceptive methods as women in general, which shows that they have not been supported to achieve their reproductive preferences.

摘要

目的

分析巴西统一卫生系统中就诊女性的避孕方法使用情况及怀孕意愿。

方法

对688名年龄在18 - 49岁、在巴西圣保罗市东部家庭健康战略机构等待医疗或护理咨询的女性进行横断面研究。通过在平板电脑上使用结构化工具进行访谈获取数据。以“强烈希望避免怀孕”作为因变量进行分析。使用卡方检验和多元逻辑回归,在Stata 14.2中计算。

结果

56.5%的女性使用了某种避孕方法,强烈希望避免怀孕的协变量有婚姻状况(OR = 0.49;95%CI = 0.33 - 0.74)、多胎妊娠(两个及以上孩子)(OR = 15.9;95%IC = 4.29 - 59.1);以及怀孕计划——有计划(OR = 0.69;95%IC = 0.73 - 0.94)和矛盾心态(OR = 2.94;95%IC = 1.30 - 3.83)。强烈希望避免怀孕与所使用的避孕方法类型之间无统计学差异。

结论

强烈希望避免怀孕的女性使用的避孕方法类型与一般女性基本相同,这表明她们在实现生殖偏好方面未得到支持。

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本文引用的文献

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Medicaid savings from the Contraceptive CHOICE Project: a cost-savings analysis.《避孕选择项目的医疗补助节省:成本节约分析》。
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Pregnancy intentions-a complex construct and call for new measures.怀孕意愿——一个复杂的概念,需要新的衡量方法。
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