Social inequalities in the use of contraceptives in adult women from Southern Brazil.

Abstract:

OBJECTIVE:To describe the contraceptive methods used by adult women and the associated socioeconomic and demographic factors. METHODS:Population-based cross-sectional study with 20 to 49-year-old women from São Leopoldo, state of Rio Grande do Sul, in 2015. Three outcomes were considered to analyze the association with demographic and socioeconomic characteristics: use of oral contraceptive pills, tubal ligation and male condom. The crude prevalence ratios, stratified by age, and 95% confidence intervals (95%CI) were obtained using Poisson regression, taking the experimental error into account. RESULTS:A total of 736 women, aged from 20 to 49 years old, were evaluated. The prevalence of the use of oral contraceptive pills, tubal ligation and male condom were respectively 31.8% (95%CI 28.4-35.3), 11.1% (95%CI 9.0-13.6) and 10.9% (95%CI 8.7-13.3). In addition, 10.5% (n = 77) of the women reported making combined use of oral contraceptive pills and condom. In the stratified analysis, younger women with lower education level and from lower social classes reported less use of oral contraceptive pills. Tubal ligation was more prevalent among the lower social classes, but only in the age group from 30 to 39 years old. No differences were found in relation to male condom. CONCLUSIONS:The results indicated that differences persist in relation to contraception, which can be associated with both the difficulties of access to these inputs and the frailty of actions in reproductive health to achieve the needs and preferences of women who are more socially vulnerable.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Gonçalves TR,Leite HM,Bairros FS,Olinto MTA,Barcellos NT,Costa JSDD

doi

10.11606/S1518-8787.2019053000861

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

28

eissn

0034-8910

issn

1518-8787

pii

S0034-89102019000100224

journal_volume

53

pub_type

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