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巴西女性的避孕措施使用和计划生育不平等情况。

Contraception use and family planning inequalities among Brazilian women.

机构信息

Curso de Graduação em Enfermagem, Departamento de Enfermagem Materno- Infantil e Saúde Pública. Escola de Enfermagem, Universidade Federal de Minas Gerais. Av. Prof. Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil.

Programa de Pós-Graduação em Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.

出版信息

Cien Saude Colet. 2021 Aug 30;26(suppl 2):3493-3504. doi: 10.1590/1413-81232021269.2.24332019. eCollection 2021.

Abstract

BACKGROUND

Brazil has shown a considerable decline in fertility rates in recent decades. However, sociodemographic differences still have a direct impact on access to family planning in the country.

OBJECTIVE

To estimate the prevalence of contraceptive use according to sociodemographic variables among Brazilian women in reproductive age.

METHODS

A cross-sectional study conducted with 17,809 women who have responded to the National Health Survey. We estimated the prevalence as well as the 95% confidence intervals and we used Pearson's chi-square test at a significance level of 5% to analyze differences between groups.

RESULTS

More than 80% of the women reported to use some contraception method, the most used method was oral contraceptive (34.2%), followed by surgical (25.9%) and condoms (14.5%). Black/Brown, northerly, and low-educated women are more frequently sterilized, while white women, with higher schooling and those living in the south and southeast are the ones who use oral contraception and double protection the most.

CONCLUSION

Despite the observed improvements, there was no decrease in the prevalence for not using any CM and there are inequalities in access to contraception in the country.

摘要

背景

巴西近几十年来生育率明显下降。然而,社会人口差异仍然直接影响该国的计划生育服务可及性。

目的

根据巴西育龄妇女的社会人口学变量,估计避孕方法的使用情况。

方法

本横断面研究对参与全国健康调查的 17809 名妇女进行了调查。我们估计了流行率以及 95%置信区间,并使用 Pearson 卡方检验在 5%的显著性水平上分析了组间差异。

结果

超过 80%的女性报告使用了某种避孕方法,最常用的方法是口服避孕药(34.2%),其次是绝育(25.9%)和避孕套(14.5%)。黑/棕色、北部和教育程度较低的女性更常接受绝育,而白人、受教育程度较高、生活在南部和东南部的女性则最常使用口服避孕药和双重保护。

结论

尽管观察到了改善,但未使用任何避孕方法的比例并没有下降,而且该国在避孕方法的可及性方面存在不平等。

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