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避孕药的使用及其对医学生的营养影响。

The use of contraceptives and their nutritional impact on medical students.

机构信息

Universidade Federal do Paraná, Health Science Sector - Curitiba (PR), Brazil.

Universidade Federal do Paraná, Department of Obstetrics and Gynaecology, Health Science Sector - Curitiba (PR), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2023 Aug 4;69(suppl 1):e2023S119. doi: 10.1590/1806-9282.2023S119. eCollection 2023.

Abstract

OBJECTIVE

This study aimed to analyze the impact of contraceptives on medical students at the Federal University of Paraná and verify adherence, consequences, and lifestyle effects of the contraceptive method used.

METHODS

This is an observational, cross-sectional study in which 214 participants answered an online questionnaire composed of 30 questions. For statistical analysis, the Stata® 16.0 software was used, and the mean and standard deviation were estimated to characterize continuous variables with a normal distribution and percentages for categorical variables. For group-to-group comparisons, a one-way ANOVA was used for normal continuous variables and Fisher's exact test for categorical variables.

RESULTS

Almost 10% (9.3%) of women used condoms only, and double protection (condom+oral contraceptives) corresponds to 23.4%. Of the 214 participants, 38 reported making exclusive use of long-acting reversible contraception, and 13.6% of the interviewees used oral contraceptives exclusively. More than 88% of the interviewees believe that the medical course provided adequate education on contraception. Regarding lifestyle habits, 71.5% of the students reported alcohol intake, tobacco use, and/or other drug use.

CONCLUSION

There was a great diversity of combinations between contraceptive methods used by the medical student at Federal University of Paraná, the most prevalent being the oral contraceptive associated with male condoms. There was a greater association in the use of long-acting reversible contraception in married students. Although 88.3% of the participants believed that they had a good education about contraception at university, only half of them use condoms in sexual relationships. The rate of adherence to alcohol and tobacco among students is considerable, and such practices can negatively affect a nutritional profile, a healthy lifestyle, and safe sexual practices. Brazilian medical schools are fundamental for the advancement of medical education in contraception and for the creation of public policies on family planning.

摘要

目的

本研究旨在分析避孕药具对巴西南里奥格兰德州联邦大学医学生的影响,并验证所使用避孕方法的依从性、后果和生活方式影响。

方法

这是一项观察性、横断面研究,共有 214 名参与者回答了一份由 30 个问题组成的在线问卷。对于统计分析,使用了 Stata®16.0 软件,对于正态分布的连续变量和分类变量,采用均值和标准差进行描述,采用百分比进行描述。对于组间比较,对于正态连续变量采用单因素方差分析,对于分类变量采用 Fisher 确切检验。

结果

近 10%(9.3%)的女性仅使用避孕套,双重保护(避孕套+口服避孕药)占 23.4%。在 214 名参与者中,38 名报告仅使用长效可逆避孕方法,13.6%的受访者仅使用口服避孕药。超过 88%的受访者认为医学课程提供了充分的避孕教育。关于生活方式习惯,71.5%的学生报告饮酒、吸烟和/或使用其他药物。

结论

巴西南里奥格兰德州联邦大学医学生使用的避孕方法组合差异很大,最常见的是口服避孕药与男用避孕套联合使用。已婚学生使用长效可逆避孕方法的相关性更大。尽管 88.3%的参与者认为他们在大学接受了良好的避孕教育,但只有一半的人在性行为中使用避孕套。学生中对酒精和烟草的依从率相当高,这些行为会对营养状况、健康的生活方式和安全的性行为产生负面影响。巴西医学院在避孕方面的医学教育进步和计划生育公共政策的制定方面具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b757/10413974/a06f2b9b8403/1806-9282-ramb-69-suppl1-e2023S119-gf01.jpg

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