Factors associated with the contraindicated use of oral contraceptives in Brazil.


OBJECTIVE:To estimate the prevalence of the contraindicated use of oral contraceptives and the associated factors in Brazilian women. METHODS:20,454 women who answered the VIGITEL survey in 2008 also participated in this study, of which 3,985 reported using oral contraceptives. We defined the following conditions for the contraindicated use of contraceptives: hypertension; cardiovascular diseases such as heart attack, stroke/cerebrovascular accident; diabetes mellitus; being smoker and 35 years old or older. We estimated the prevalence and 95% confidence intervals of contraindicated use in users of oral contraceptives and the factors associated with contraindication by prevalence ratio and 95% confidence intervals. RESULTS:In the total population, 21% (95%CI 19.7-21.9) of women showed some contraindication to the use of oral contraceptives, of which 11.7% (95%CI 10.6-13.7) belonged to the group of users of oral contraceptives. The most frequent contraindication in users of oral contraceptives was hypertension (9.1%). The largest proportion of women with at least one contraindication was aged between 45 and 49 years (45.8%) and with education level between zero and eight years (23.8%). The prevalence of contraindication to oral contraceptives was higher in women less educated (zero to eight years of study) (PR = 2.46; 95%CI 1.57-3.86; p < 0.05) and with age between 35-44 years (PR = 4.00; 95%CI 2.34-6.83) and 45-49 years (PR = 5.59; 95%CI 2.90-10.75). CONCLUSIONS:Age greater than or equal to 35 and low education level were demographic and iniquity factors, respectively, in the contraindicated use of oral contraceptives. OBJETIVO:Estimar a prevalência de contraindicação ao uso de anticoncepcionais orais e os fatores associados em mulheres brasileiras. MÉTODOS:Participaram 20.454 mulheres que responderam ao inquérito Vigitel em 2008, das quais 3.985 reportaram uso de contraceptivos orais. Definiu-se como uso contraindicado de anticoncepcionais quando presente pelo menos uma condição: hipertensão; doenças cardiovasculares como infarto, derrame/acidente vascular encefálico; diabetes mellitus; ser tabagista e ter idade igual ou maior de 35 anos. Foram estimadas as prevalências e intervalos de 95% de confiança de uso contraindicado em usuárias de anticoncepcionais orais e fatores associados à contraindicação por meio de razões de prevalência e intervalos de 95% de confiança. RESULTADOS:Na população total, 21,0% (IC95% 19,7-21,9) das mulheres apresentaram alguma contraindicação ao uso de anticoncepcionais orais, das quais 11,7% (IC95% 10,6-13,7) pertenciam ao grupo de usuárias de anticoncepcionais orais. A contraindicação mais freqüente entre as usuárias de anticoncepcionais orais foi hipertensão (9,1%). A maior proporção de mulheres com pelo menos uma contraindicação tinha entre 45 a 49 anos (45,8%) e escolaridade entre zero e oito (23,8%). A prevalência de contraindicação de anticoncepcionais orais foi maior nas mulheres menos escolarizadas (zero a oito anos de estudos) (RP = 2,46; IC95% 1,57-3,86; p < 0,05) e idade entre 35-44 anos (RP = 4,00; IC95% 2,34-6,83) e 45-49 anos (RP = 5,59; IC95% 2,90-10,75). CONCLUSÕES:Idade maior ou igual a 35 e escolaridade baixa foram fatores demográficos e de iniquidade, respectivamente, no uso contraindicado de contraceptivos orais.


Rev Saude Publica


Revista de saude publica


Corrêa DA,Felisbino-Mendes MS,Mendes MS,Malta DC,Velasquez-Melendez G




Has Abstract


2017-01-12 00:00:00












  • [Health behavior among students of public and private schools in the metropolitan area of São Paulo, Brazil].

    abstract:OBJECTIVE:To investigate the prevalence of several health behaviors among students of public and private schools in S. Paulo, Brazil. METHODS:An epidemiological survey about health behaviors among high school students was carried out in S. Paulo in 1998. Seventh to eleventh graders from ten public and seven private sc...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Carlini-Cotrim B,Gazal-Carvalho C,Gouveia N

    更新日期:2000-12-01 00:00:00

  • Trends in public health policies addressing violence against women.

    abstract:OBJECTIVE:To analyze the content of policies and action plans within the public healthcare system that addresses the issue of violence against women. METHODS:A descriptive and comparative study was conducted on the health policies and plans in Catalonia and Costa Rica from 2005 to 2011. It uses a qualitative methodolo...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Loría KR,Rosado TG,Espinosa LM,Marrochi LM,Sánchez AF

    更新日期:2014-08-01 00:00:00

  • [Modifications in psychotropic drug use patterns in a Southern Brazilian city].

    abstract:OBJECTIVE:To assess the prevalence and patterns of psychotropic use by population and to compare the results with a study carried out in 1994. METHODS:This is a population-based cross-sectional study carried out in 2003 with 3,542 participants aged 15 or older who lived in an urban area in Southern Brazil. Two-week re...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Rodrigues MA,Facchini LA,Lima MS

    更新日期:2006-02-01 00:00:00

  • [Health promotion: challenges revealed in successful practices].

    abstract:OBJECTIVE:To examine successful practices of health promotion in health, education, culture, welfare and sport, leisure, identifying the elements of success and challenges in the field. METHODS:A qualitative study with data obtained from in-depth analysis that included participant observation, interviews with managers...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silva KL,Sena RR,Belga SM,Silva PM,Rodrigues AT

    更新日期:2014-02-01 00:00:00

  • Studies on mosquitoes (Diptera: Culicidae) and anthropic environment. 7-behaviour of adults Nyssorhynchus anophelines with special reference to Anopheles albitarsis s.l. in south-eastern Brazil.

    abstract::Results obtained with catches performed at several sites of the Ribeira Valley, SP (Brazil) are reported. Collections with Shannon type traps showed a concentration of An.albitarsis s.l. in the Experimental Farm of Pariquera-Açu County, associated with the development of irrigated rice cultivation. Two species of the ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Forattini OP,Kakitani I,Massad E,Marucci D

    更新日期:1995-02-01 00:00:00

  • User embracement and maternal characteristics associated with liquid offer to infants.

    abstract:OBJECTIVE:To identify the maternal characteristics and welcoming actions towards mothers of infants aged less than six months associated with early liquid offer. METHODS:Cross-sectional study performed in 2007, with a representative sample of mothers of infants aged less than six months (n=1,057), users of Primary Hea...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Niquini RP,Bittencourt SA,Lacerda EM,Couto de Oliveira MI,Leal Mdo C

    更新日期:2010-08-01 00:00:00

  • Susceptibility of asthmatic children to respiratory infection.

    abstract:OBJECTIVE:A case-control study of patients with pneumonia was conducted to investigate whether wheezing diseases could be a risk factor. METHODS:A random sample was taken from a general university hospital in S. Paulo City between March and August 1994 comprising 51 cases of pneumonia paired by age and sex to 51 non-r...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Pereira JC,Escuder MM

    更新日期:1997-10-01 00:00:00

  • Perception of the environment and practice of physical activity by adults in a low socioeconomic area.

    abstract:OBJECTIVE:To analyze the association between practice of physical activity and the perception of the community environment among adults. METHODS:A cross-sectional study of 890 adults carried out in Ermelino Matarazzo district in São Paulo, Southeastern Brazil, 2007. The dependent variables were the practice of at leas...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Florindo AA,Salvador EP,Reis RS,Guimarães VV

    更新日期:2011-04-01 00:00:00

  • Quality of scientific articles.

    abstract::The paper discusses the difficulties in judging the quality of scientific manuscripts and describes some common pitfalls that should be avoided when preparing a paper for submission to a peer-reviewed journal. Peer review is an imperfect system, with less than optimal reliability and uncertain validity. However, as it...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Szklo M

    更新日期:2006-08-01 00:00:00

  • The need to establish a national patient safety program in Brazil.

    abstract::The aim of the study was to promote reflection on the need to create a national incident notification system based on a brazilian patient safety program. Incidents in health care harm patients and encumber the health care system. Although a quality assessment program has been recently launched in health care instituti...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Capucho HC,Cassiani SH

    更新日期:2013-08-01 00:00:00

  • Illicit drug use among students of a university in Southern Brazil.

    abstract::OBJECTIVE To describe drug consumption and the co-occurrence use of more than one illegal drug as well as associated factors in freshmen at a public university in Southern Brazil. METHODS Cross-sectional study with census of students entering undergraduate courses in 2017. A total of 1,788 university students answered...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Houvèssou GM,Bierhals IO,Flesch BD,Silveira MFD

    更新日期:2020-01-01 00:00:00

  • [Culicidae mosquitoes as emerging vectors of diseases].

    abstract::A review is presented of the relationships between the so-called emerging infectious diseases and what may be defined as emerging vectors. These include not only those that have recently appeared but also those that present remarkable behavioral changes. Specific factors leading to that emergence can be associated wit...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Forattini OP

    更新日期:1998-12-01 00:00:00

  • [Estimate of the validity of a new method for the isolation of rabies virus].

    abstract:OBJECTIVES:No population-based studies have been conducted to show the potential for the use of virological diagnosis of the rabies virus. The objective of the present study was to estimate accuracy parameters for the isolation of the rabies virus in McCoy cells as an alternative method and to compare this with the use...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Nogueira YL

    更新日期:2004-04-01 00:00:00

  • Trends in prostate cancer mortality in the state of São Paulo, 2000 to 2015.

    abstract::OBJECTIVE To estimate the magnitude and identify patterns of change in prostate cancer mortality in the state of São Paulo and in the 17 regional health care networks, according to age groups from 50 years onwards, in the period between 2000 to 2015. METHODS Age-adjusted mortality rates (per 100,000 men) were calculat...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Luizaga CTM,Ribeiro KB,Fonseca LAM,Eluf Neto J

    更新日期:2020-01-01 00:00:00

  • [Drug use during in-hospital birth delivery stay].

    abstract:OBJECTIVE:Drug use in birth delivery has not been enough explored in the literature. It is a significant issue to be discussed on the theme of rational drug use. The objective was to study drug use during birth delivery stay in maternity hospitals. METHODS:A cross-sectional study was carried out using medical records ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Perini E,Magalhães SM,Noronha V

    更新日期:2005-06-01 00:00:00

  • Arboviruses emerging in Brazil: challenges for clinic and implications for public health.

    abstract::Arboviruses have been emerging in different parts of the world due to genetic changes in the virus, alteration of the host and vector population dynamics, or because of anthropogenic environmental factors. These viruses' capacity for adaptation is notable, as well as the likelihood of their emergence and establishment...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Donalisio MR,Freitas ARR,Zuben APBV

    更新日期:2017-04-10 00:00:00

  • [The international language of science].

    abstract::There is a trend, with a view to achieving greater scientific visibility and international projection, that favors the adoption of the English language in Brazilian journals dealing with nosological problems. This argument is here questioned. Latin America is a large continent with characteristic health problems. Thus...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Forattini OP

    更新日期:1997-02-01 00:00:00

  • Patient safety culture from the perspective of workers and primary health care teams.

    abstract:OBJECTIVE:Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS:Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire "Survey on Patien...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Raimondi DC,Bernal SCZ,Matsuda LM

    更新日期:2019-01-01 00:00:00

  • [Spatial distribution of risks for work-related injuries in a city of Southeastern Brazil].

    abstract:OBJECTIVE:To assess spatial distribution of risks for work-related injuries controlled for nutritional variables and other covariables. METHODS:Hospital-based spatial case-control study with work-related injuries spatial distribution as the main variable of interest. A total of 794 workers were selected between May an...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Zangirolani LT,Cordeiro R,Medeiros MA,Stephan C

    更新日期:2008-04-01 00:00:00

  • Adolescent Friendly Services: quality assessment with simulated users.

    abstract:OBJECTIVE:To assess the quality of adolescent friendly health services. METHODS:Qualitative assessment using the simulated user technique in first level clinics of Health Services of Morelos, Mexico, during 2018. Ten out of 17 facilities with non-exclusive adolescent friendly services were randomly selected. An additi...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Pastrana-Sámano R,Heredia-Pi IB,Olvera-García M,Ibáñez-Cuevas M,Castro F,Hernández AV,Torres-Pereda MDP

    更新日期:2020-04-06 00:00:00

  • Geographical stratification by socio-economic status: methodology from a household survey with elderly people in S. Paulo, Brazil.

    abstract::Considering that in most developing countries there are still no comprehensive lists of addresses for a given geographical area, there has always been a problem in drawing samples from the community, ensuring randomisation in the selection of the subjects. This article discusses the geographical stratification by soci...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Ramos LR,Goihman S

    更新日期:1989-12-01 00:00:00

  • Air pollution and its impacts on health in Vitoria, Espirito Santo, Brazil.

    abstract:OBJECTIVE:To analyze the impact of air pollution on respiratory and cardiovascular morbidity of children and adults in the city of Vitoria, state of Espirito Santo. METHODS:A study was carried out using time-series models via Poisson regression from hospitalization and pollutant data in Vitoria, ES, Southeastern Brazi...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: de Freitas CU,de Leon AP,Juger W,Gouveia N

    更新日期:2016-01-01 00:00:00

  • Within-person variance for adjusting nutrient distribution in epidemiological studies.

    abstract::The objective of the study was to present the within-person variance component for adjusting nutrient distribution in adults and elderly people. The data used were from a population-based survey with a representative sample (n = 511) of individuals aged 19 years and over in the municipality of São Paulo, Southeastern ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Morimoto JM,Marchioni DM,Cesar CL,Fisberg RM

    更新日期:2011-06-01 00:00:00

  • [Alcohol consumption among women: a qualitative analysis].

    abstract:OBJECTIVE:To assess life histories of alcohol consumption among women in specialized treatment center for alcohol dependency. METHODS:A qualitative study using a life-history approach was carried out in a sample comprising 13 women being treated in an alcohol and drug treatment and research outpatient clinic from May ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Nóbrega Mdo P,Oliveira EM

    更新日期:2005-10-01 00:00:00

  • [Evaluation of fluoride content of bottled drinking waters in Brazil].

    abstract::The utilization of a systemic fluoride method must be controlled in terms of risks and benefits. The reason for this is that while a small dose will not be effective in preventing dental caries, a larger dose may cause dental fluorosis. Therefore the knowledge of the fluoride concentration found in the bottled mineral...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Villena RS,Borges DG,Cury JA

    更新日期:1996-12-01 00:00:00

  • [Prevalence and risk factors for anemia among children in Brazil].

    abstract:OBJECTIVE:To verify the prevalence of anemia among children aged 0 to 36 months, who attend public day care centers in Porto Alegre, Brazil, and assess its possible risk factors. METHODS:A cross-sectional study was carried out in 557 children aged 0 to 36 months of all public day care centers in Porto Alegre. Anthropo...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silva LS,Giuglian ER,Aerts DR

    更新日期:2001-02-01 00:00:00

  • [Comparison between the erythroimmunoadsorption test by capture, immunoenzymatic and passive hemagglutination tests used in the diagnosis of neurocysticercosis].

    abstract::Comparisons were made among the erythroimmunoadsorption by capture (C-EIA), the immunoenzymatic (ELISA) and passive haemaglutination (P.H.A.) tests used in the diagnosis of neurocysticercosis. The three tests, two of them routine by in diagnosis, and the third one (C-EIA) recently, standardised were compared for the d...

    journal_title:Revista de saude publica

    pub_type: 临床试验,杂志文章


    authors: Pialarissi CS,Nitrini SM

    更新日期:1995-04-01 00:00:00

  • [Evaluation of epidemiologic surveillance practice in the public health service in Brazil].

    abstract::The results of a process evaluation of the epidemiological surveillance activities in 948 health units, situated in 98 of the most populated cities of each State in the country are presented. The survey was conducted towards the end of 1985. The following aspects were analyzed: information system, data analysis, epide...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Carvalho MS,Marzocchi KB

    更新日期:1992-04-01 00:00:00

  • [Demographic profile and health conditions of the elderly in a community in an urban area of southeastern Brazil].

    abstract::Some specific characteristics of the aging of the Brazilian population in different areas, states and communities all over the country, have shown significant variations. Historical series of demographic and health indicators for the population in their sixties and over in Brazil, state of S. Paulo and in the municipa...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Telarolli Júnior R,Machado JC,Carvalho F

    更新日期:1996-10-01 00:00:00

  • Quality of information registered on fetal deaths certificates in São Paulo, Southeastern Brazil.

    abstract:OBJECTIVE:To evaluate the quality of information registered on fetal death certificates. METHODS:Records were reviewed from 710 fetal deaths registered in the consolidated database of deaths from the State System for Data Analysis and the São Paulo State Secretary of Health, for deaths in São Paulo municipality (South...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Almeida MF,Alencar GP,Schoeps D,Minuci EG,Silva ZP,Ortiz LP,Novaes HM,Alencar AP,Raspantini PR,Santos PC

    更新日期:2011-10-01 00:00:00