Base de dados : MEDLINE
Pesquisa : E05.318.308.980.313 [Categoria DeCS]
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[PMID]:27806029
[Au] Autor:Chesang J; Richardson A; Potter J; Coope P
[Ad] Endereço:School of Health Sciences, University of Canterbury, Christchurch.
[Ti] Título:Prevalence of contraceptive use in New Zealand women.
[So] Source:N Z Med J;129(1444):58-67, 2016 Oct 28.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:AIMS: To estimate the prevalence of contraceptive use among New Zealand women and to measure changes in contraceptive use since the last population-based prevalence estimates were published in 1988. METHODS: Nine hundred and four women, aged 35-69 years were randomly selected from the electoral roll. A postal questionnaire was used to gather information on contraceptive use, socio-demographic characteristics and risk factors for ovarian cancer. Data were collected in 2013-2015. Estimates of current and ever-use of contraceptives were made and compared with the findings of the 1988 study by Paul et al. In both studies, participants were members of the control arm of case-control studies. RESULTS: The study by Paul et al had a response proportion of 84%, whereas that of the current study was 47%. Oral contraceptives had the highest prevalence of ever-use among women aged 35-69 years (89% [347/389]), followed by condom use (54% [211/389]) and vasectomy (44% [170/389]). Compared to the previous study, there has been an increase in ever-use of condoms (24% [185/767] to 64% [148/231]), vasectomy (26% [202/767] to 40% [92/231]) and oral contraceptives (75% [575/767] to 89% [205/231]) among women aged 35-54 years. In contrast, a lower prevalence of tubal ligation (22% [168/767] to 8% [19/231]) was observed. CONCLUSION: The study demonstrates a change in patterns of contraceptive use among women aged 35-54 years. The prevalence of ever-use of oral contraceptives and vasectomy remains high in New Zealand compared with other countries.
[Mh] Termos MeSH primário: Preservativos/estatística & dados numéricos
Comportamento Contraceptivo/estatística & dados numéricos
Anticoncepção/classificação
Esterilização Tubária/estatística & dados numéricos
Vasectomia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Casos e Controles
Inquéritos sobre o Uso de Métodos Contraceptivos
Anticoncepcionais Orais/uso terapêutico
Feminino
Seres Humanos
Meia-Idade
Nova Zelândia/epidemiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptives, Oral)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161103
[St] Status:MEDLINE


  2 / 12 MEDLINE  
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[PMID]:27295335
[Au] Autor:Phillips-Bell GS; Sappenfield W; Robbins CL; Hernandez L
[Ad] Endereço:1 Division of Community Health Promotion, Florida Department of Health , Tallahassee, Florida.
[Ti] Título:Chronic Diseases and Use of Contraception Among Women at Risk of Unintended Pregnancy.
[So] Source:J Womens Health (Larchmt);25(12):1262-1269, 2016 Dec.
[Is] ISSN:1931-843X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Women with chronic diseases are at increased risk of having unintended pregnancies. Little is known whether chronic diseases are associated with increased likelihood of effective/highly effective contraceptive use. METHODS: We analyzed 2008-2010 Florida Behavioral Risk Factor Surveillance System data for women aged 18-44 years who were at risk of unintended pregnancy. Multivariable Poisson regression estimated adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) for contraceptive use in relation to diabetes, cardiovascular disease (CVD), and current asthma. We assessed the association of chronic disease status with use of three different contraception outcomes: (1) any method versus none, (2) less effective methods (methods associated with ≥10 unintended pregnancies/100 women/year) versus none, and (3) effective/highly effective methods (<10 unintended pregnancies/100 women/year) versus none. RESULTS: Among 4473 women at risk for unintended pregnancy, 87% were using any method of contraception (22.5% less effective methods and 64.5% effective/highly effective methods). Women with CVD were more likely than those without CVD to use any contraception (aPR = 1.09, 95% CI: 1.04, 1.15), less effective (aPR = 1.39, 95% CI: 1.13, 1.70), and effective/highly effective (aPR = 1.10, 95% CI: 1.03, 1.19) contraception. Women with diabetes were more likely to use less effective methods than women without diabetes (aPR = 1.34, 95% CI: 1.05, 1.72). No significant associations were observed for asthma, regardless of contraceptive effectiveness. CONCLUSIONS: Self-reported use of effective/highly effective contraception was higher than nonuse or use of less effective methods among all women at risk of unintended pregnancy, but could be improved, especially among women with chronic diseases.
[Mh] Termos MeSH primário: Doença Crônica
Comportamento Contraceptivo
Anticoncepção/utilização
Gravidez não Planejada
[Mh] Termos MeSH secundário: Adolescente
Adulto
Sistema de Vigilância de Fator de Risco Comportamental
Inquéritos sobre o Uso de Métodos Contraceptivos
Estudos Transversais
Feminino
Florida/epidemiologia
Seres Humanos
Modelos Logísticos
Gravidez
Prevalência
Análise de Regressão
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160614
[St] Status:MEDLINE


  3 / 12 MEDLINE  
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[PMID]:27246329
[Au] Autor:Ochako R; Askew I; Okal J; Oucho J; Temmerman M
[Ad] Endereço:Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. rochako@gmail.com.
[Ti] Título:Modern contraceptive use among migrant and non-migrant women in Kenya.
[So] Source:Reprod Health;13(1):67, 2016 Jun 01.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Manifest socio-economic differences are a trigger for internal migration in many sub-Saharan settings including Kenya. An interplay of the social, political and economic factors often lead to internal migration. Internal migration potentially has significant consequences on an individual's economic growth and on access to health services, however, there has been little research on these dynamics. In Kenya, where regional differentials in population growth and poverty reduction continue to be priorities in the post MDG development agenda, understanding the relationships between contraceptive use and internal migration is highly relevant. METHODS: Using data from the 2008-09 Kenya Demographic and Health Survey (DHS), we analyze data from 5,905 women aged 15-49 years who reported being sexually active in the last 12 months prior to the survey. Bivariate and multivariate logistic regressions are fitted to predict correlates of contraceptive use in the presence of migration streams among other explanatory variables. RESULTS: Modern contraceptive use was significantly higher among women in all migration streams (non-migrant urban (OR = 2.8, p < 0.001), urban-urban (OR = 2.0, p < 0.001), urban-rural (OR = 2.0, p < 0.001), rural-urban (OR = 2.6, p < 0.001), rural-rural (OR = 1.7, p < 0.001), than non-migrant rural women. CONCLUSION: Women who internally migrate within Kenya, whether from rural to urban or between urban centres, were more likely to use modern contraception than non-migrant rural women. This phenomenon appears to be due to selection, adaption and disruption effects which are likely to promote use of modern contraceptives. Programmatically, the differentials in modern contraceptive use by the different migration streams should be considered when designing family planning programmes among migrant and non-migrant women.
[Mh] Termos MeSH primário: Comportamento Contraceptivo
Anticoncepcionais Femininos/administração & dosagem
Dispositivos Anticoncepcionais Femininos
Modelos Econômicos
Saúde da População Rural
Migrantes
Saúde da População Urbana
[Mh] Termos MeSH secundário: Adolescente
Adulto
Comportamento Contraceptivo/etnologia
Anticoncepcionais Femininos/economia
Dispositivos Anticoncepcionais Femininos/economia
Inquéritos sobre o Uso de Métodos Contraceptivos
Países em Desenvolvimento
Feminino
Custos de Cuidados de Saúde
Inquéritos Epidemiológicos
Seres Humanos
Quênia
Meia-Idade
Pobreza/etnologia
Pobreza/prevenção & controle
Saúde da População Rural/etnologia
Fatores Socioeconômicos
Saúde da População Urbana/etnologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents, Female)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160602
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-016-0183-3


  4 / 12 MEDLINE  
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[PMID]:26987368
[Au] Autor:Azmat SK; Hameed W; Hamza HB; Mustafa G; Ishaque M; Abbas G; Khan OF; Asghar J; Munroe E; Ali S; Hussain W; Ali S; Ahmed A; Ali M; Temmerman M
[Ad] Endereço:Department of Urogynecology, University of Ghent, Ghent, Belgium. syedkhurram.azmat@ugent.be.
[Ti] Título:Engaging with community-based public and private mid-level providers for promoting the use of modern contraceptive methods in rural Pakistan: results from two innovative birth spacing interventions.
[So] Source:Reprod Health;13:25, 2016 Mar 17.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Family planning (FP) interventions aimed at reducing population growth have negligible during the last two decades in Pakistan. Innovative FP interventions that help reduce the growing population burden are the need of the hour. Marie Stopes Society--Pakistan implemented an operational research project--'Evidence for Innovating to Save Lives', to explore effective and viable intervention models that can promote healthy timing and spacing of pregnancy in rural and under-served communities of Sindh, Punjab and Khyber Pakhtunkhwa provinces of Pakistan. METHODS: We conducted a quasi-experimental (pre- and post-intervention with control arm) study to assess the effectiveness of each of the two intervention models, (1) Suraj model (meaning 'Sun' in English), which uses social franchises (SF) along with a demand-side financing (DSF) approach using free vouchers, and (2) Community Midwife (CMW) model, in promoting the use of modern contraceptive methods compared to respective controls. Baseline and endline cross-sectional household surveys were conducted, 24 months apart, by recruiting 5566 and 6316 married women of reproductive age (MWRA) respectively. We used Stata version 8 to report the net effect of interventions on outcome indicators using difference-in-differences analysis. Multivariate Cox proportional hazard regression analysis was used to assess the net effect of the intervention on current contraceptive use, keeping time constant and adjusting for other variables in the model. RESULTS: The Suraj model was effective in significantly increasing awareness about FP methods among MWRA by 14% percentage points, current contraceptive use by 5% percentage points and long term modern method--intrauterine device (IUD) use by 6% percentage points. The CMW model significantly increased contraceptive awareness by 28% percentage points, ever use of contraceptives by 7% percentage points and, IUD use by 3% percentage points. Additionally the Suraj intervention led to a 35% greater prevalence (prevalence ratio: 1.35, 95% CI: 1.22-1.50) of contraceptive use among MWRA. CONCLUSION: Suraj intervention highlights the importance of embedding subsidized FP services within the communities of the beneficiaries. The outcomes of the CMW intervention also improved the use of long-term contraceptives. These findings indicate the necessity of designing and implementing FP initiatives involving local mid-level providers to expand contraceptive coverage in under-served areas.
[Mh] Termos MeSH primário: Intervalo entre Nascimentos
Redes Comunitárias
Comportamento Contraceptivo
Anticoncepção
Assistência à Saúde Culturalmente Competente
Política de Planejamento Familiar
Serviços de Planejamento Familiar
[Mh] Termos MeSH secundário: Adulto
Intervalo entre Nascimentos/etnologia
Agentes Comunitários de Saúde
Anticoncepção/efeitos adversos
Anticoncepção/economia
Anticoncepção/tendências
Comportamento Contraceptivo/etnologia
Inquéritos sobre o Uso de Métodos Contraceptivos
Estudos Transversais
Assistência à Saúde Culturalmente Competente/etnologia
Política de Planejamento Familiar/tendências
Serviços de Planejamento Familiar/educação
Feminino
Gastos em Saúde
Seres Humanos
Dispositivos Intrauterinos/efeitos adversos
Dispositivos Intrauterinos/economia
Tocologia
Paquistão
Educação de Pacientes como Assunto
Setor Privado
Setor Público
Saúde da População Rural/etnologia
Cônjuges/etnologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170924
[Lr] Data última revisão:
170924
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160319
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-016-0145-9


  5 / 12 MEDLINE  
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[PMID]:26873678
[Au] Autor:OlaOlorun F; Seme A; Otupiri E; Ogunjuyigbe P; Tsui A
[Ad] Endereço:Department of Community Medicine, College of Medicine, University of Ibadan, Queen Elizabeth Road, P.M.B. 5116, U.C.H., Ibadan, Nigeria. fmolaolorun@gmail.com.
[Ti] Título:Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa.
[So] Source:Reprod Health;13:12, 2016 Feb 12.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Fertility desires and contraceptive behavior often change over time. This study examined the influence of change in fertility desires on change in modern contraceptive use over time in three peri-urban communities in sub-Saharan Africa. METHODS: This multi-site study includes baseline and follow up data from 3 sites in the Family Health and Wealth Study. Following a census in each site, a probability sample of at least 500 households was obtained. Generalized linear models were employed. RESULTS: Modern contraceptive use increased in Ipetumodu, Nigeria (29.4% to 36.7%), but declined slightly in Sebeta, Ethiopia (66.9% to 61.3%) and Asawase, Ghana (12.6% to 10.8%). Across sites, at baseline and follow up, women who wanted no more children reported more contraceptive use, compared with those who wanted more children, and were more likely to shift to being contraceptive users in Ipetumodu [aOR(95% CI):1.55 (1.07,2.26)]. CONCLUSIONS: Women's fertility desires influenced their contraceptive behavior, although there were cross-site differences. Changing contraceptive demand and program factors will be important to enable peri-urban women to frame and act on their fertility desires.
[Mh] Termos MeSH primário: Comportamento Contraceptivo
Serviços de Planejamento Familiar
Conhecimentos, Atitudes e Prática em Saúde
Comportamento Reprodutivo
Saúde Suburbana
[Mh] Termos MeSH secundário: Adolescente
Adulto
África ao Sul do Saara
Estudos de Coortes
Comportamento Contraceptivo/etnologia
Comportamento Contraceptivo/tendências
Inquéritos sobre o Uso de Métodos Contraceptivos
Escolaridade
Características da Família
Serviços de Planejamento Familiar/tendências
Feminino
Conhecimentos, Atitudes e Prática em Saúde/etnologia
Seres Humanos
Modelos Lineares
Estudos Longitudinais
Paridade
Comportamento Reprodutivo/etnologia
Fatores Socioeconômicos
Análise Espaço-Temporal
Saúde Suburbana/etnologia
Saúde Suburbana/tendências
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160214
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-016-0118-z


  6 / 12 MEDLINE  
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[PMID]:26842976
[Au] Autor:Munsakul W; Lolekha R; Kowadisaiburana B; Roongpisuthipong A; Jirajariyavej S; Asavapiriyanont S; Hancharoenkit U; Baipluthong B; Pattanasin S; Martin M
[Ad] Endereço:Faculty of Medicine Vajira Hospital, Navamindharadhiraj University, Bangkok, Thailand.
[Ti] Título:Dual contraceptive method use and pregnancy intention among people living with HIV receiving HIV care at six hospitals in Thailand.
[So] Source:Reprod Health;13:8, 2016 Feb 03.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Describe dual contraceptive method use and the intention to become pregnant of people living with HIV (PLHIV) and their partners in Thailand. METHODS: From January 2008-March 2009, we systematically selected a cohort of PLHIV from PLHIV seeking care at five tertiary care hospitals and one community hospital to complete a questionnaire assessing sexual activity, intention to become pregnant, and contraceptive practices at baseline and 12 months after enrollment. Participants received short family planning messages every 2-3 months to promote the use of dual contraceptives and were offered family planning services. RESULTS: A total of 1,388 PLHIV enrolled, their median age was 37 years (IQR 33-43), 898 (64.7%) had a steady partner, and 737 (53.1%) were male. Among those with a steady partner, 862 (96.0%) did not intend to become pregnant; 709 (82.3%) had sex during the previous 3 months, 683 (96.3%) used at least one contraceptive method, and 202 (29.6%) used dual contraceptive methods. Of the 317 PLHIV who used a single contraceptive method at baseline, 66 (20.8%) reported using dual methods at 12 months. Participants at two tertiary care hospitals where coordinators facilitated PLHIV referral between HIV and OB/GYN clinics were more likely than participants at the other hospitals to change from single method to dual method (p ≤ 0.03). CONCLUSION: Few PLHIV in this study intended to become pregnant; however, only one-fourth used dual contraceptive methods. Integrating an assessment of the intention to become pregnant and strengthening the PLHIV referral systems in family planning services may contribute to higher rates of dual contraceptive use.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Comportamento Contraceptivo
Infecções por HIV/tratamento farmacológico
Cooperação do Paciente
Comportamento Reprodutivo
[Mh] Termos MeSH secundário: Adulto
Atitude Frente à Saúde/etnologia
Estudos de Coortes
Comportamento Contraceptivo/etnologia
Inquéritos sobre o Uso de Métodos Contraceptivos
Serviços de Planejamento Familiar/educação
Feminino
Seguimentos
Infecções por HIV/etnologia
Soropositividade para HIV/etnologia
Seres Humanos
Perda de Seguimento
Masculino
Aceitação pelo Paciente de Cuidados de Saúde/etnologia
Cooperação do Paciente/etnologia
Educação de Pacientes como Assunto
Guias de Prática Clínica como Assunto
Encaminhamento e Consulta
Comportamento Reprodutivo/etnologia
Parceiros Sexuais
Centros de Atenção Terciária
Tailândia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170924
[Lr] Data última revisão:
170924
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160205
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-016-0123-2


  7 / 12 MEDLINE  
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[PMID]:26841331
[Au] Autor:Martins SL; Starr KA; Hellerstedt WL; Gilliam ML
[Ad] Endereço:Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis. summermartins@gmail.com.
[Ti] Título:Differences in Family Planning Services by Rural-urban Geography: Survey of Title X-Supported Clinics In Great Plains and Midwestern States.
[So] Source:Perspect Sex Reprod Health;48(1):9-16, 2016 Mar.
[Is] ISSN:1931-2393
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Understanding the nature of rural-urban variation in U.S. family planning services would help address disparities in unmet contraceptive need. METHODS: In 2012, some 558 Title X-supported clinics in 16 Great Plains and Midwestern states were surveyed. Rural-urban commuting area (RUCA) codes were used to categorize clinic locations as urban, large rural city, small rural town or isolated small rural town. Bivariate analyses examined key domains of service provision by RUCA category and clinic type. RESULTS: The proportion of clinics offering walk-in appointments was lower in isolated small rural towns (47%) than in the other RUCA categories (67-73%). Results were similar for sites that do not specialize in family planning or reproductive health, but no variation was seen among specialty clinics. Overall, availability of evening or weekend appointments varied in a linear fashion, falling from 73% in urban areas to 29% in isolated small rural towns. On-site provision of most hormonal methods was most common in urban areas and least common in isolated small rural towns, while provision of nonhormonal methods was similar across RUCA categories. Sixty percent of clinics provided IUDs or implants. For clinics that did not, the only barriers that varied geographically were low IUD demand and lack of trained IUD providers; these barriers were most common in isolated rural towns (42% and 70%, respectively). CONCLUSIONS: While important characteristics, such as clinics' specialization (or lack thereof), are linked to the provision of family planning services, geographic disparities exist.
[Mh] Termos MeSH primário: Serviços de Planejamento Familiar
Acesso aos Serviços de Saúde/estatística & dados numéricos
População Rural/estatística & dados numéricos
População Urbana/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Inquéritos sobre o Uso de Métodos Contraceptivos/estatística & dados numéricos
Serviços de Planejamento Familiar/organização & administração
Serviços de Planejamento Familiar/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Meio-Oeste dos Estados Unidos/epidemiologia
Serviços de Saúde Rural/estatística & dados numéricos
Serviços Urbanos de Saúde/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160204
[St] Status:MEDLINE
[do] DOI:10.1363/48e7116


  8 / 12 MEDLINE  
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[PMID]:25900524
[Au] Autor:Stewart ZA; Shipley K; Spelman T; Giles ML
[Ad] Endereço:Medical Student, Monash Infectious Diseases, Monash University, Clayton, Victoria, Australia.
[Ti] Título:Factors associated with discussion of sexual activity and contraception in women with HIV.
[So] Source:J Fam Plann Reprod Health Care;42(1):12-6, 2016 Jan.
[Is] ISSN:2045-2098
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Contraceptive use is important for reproductive-aged women living with HIV to plan and optimise safety of pregnancies. Clinicians play a vital role in counselling patients about contraception and safe sexual activity. This study aimed to determine the frequency and predictors of discussions regarding sexual activity and contraceptive use. METHODS: Retrospective clinical study of all reproductive-aged women (n=128) treated for HIV between 2010 and 2012 at two metropolitan hospitals. Evidence of discussion between treating doctors and patients regarding sexual activity and contraception and variables including patient age, gender of doctor, time since HIV diagnosis, previous pregnancy, country of birth and antiretroviral regimen were obtained from medical records. RESULTS: Sexual activity status was documented for 54% of the women and discussion regarding contraception was recorded for less than one-third of the study participants. Contraceptive use was not recorded in 63% of the medical records. In the study cohort 27% of the women used contraception, 10% did not use contraception, and when a discussion regarding sexual activity was documented, contraception was 3.7 times more likely to also be discussed (p=0.04). Excluding women who were pregnant, women who were documented as using contraception were 1.8 times as likely to have had a discussion about contraception documented (p=0.05). After adjustment for other factors, previous pregnancy, gender of doctor and age of patient were not associated with discussions regarding sexual activity or contraception. CONCLUSIONS: Discussions regarding sexual activity and contraception between HIV-infected women of reproductive age and their clinicians were inconsistent and suboptimal. Mechanisms to facilitate regular discussion about sexual activity and contraception between clinicians and women with HIV warrant further investigation.
[Mh] Termos MeSH primário: Comportamento Contraceptivo/estatística & dados numéricos
Infecções por HIV/epidemiologia
Educação de Pacientes como Assunto/estatística & dados numéricos
Comportamento Sexual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Antirretrovirais/uso terapêutico
Austrália
Anticoncepcionais Femininos/administração & dosagem
Inquéritos sobre o Uso de Métodos Contraceptivos
Feminino
Infecções por HIV/tratamento farmacológico
Seres Humanos
Relações Profissional-Paciente
Estudos Retrospectivos
Parceiros Sexuais
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Retroviral Agents); 0 (Contraceptive Agents, Female)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170215
[Lr] Data última revisão:
170215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150423
[St] Status:MEDLINE
[do] DOI:10.1136/jfprhc-2014-100937


  9 / 12 MEDLINE  
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[PMID]:26562141
[Au] Autor:Barros AJ; Boerma T; Hosseinpoor AR; Restrepo-Méndez MC; Wong KL; Victora CG
[Ad] Endereço:International Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil; abarros@equidade.org.
[Ti] Título:Estimating family planning coverage from contraceptive prevalence using national household surveys.
[So] Source:Glob Health Action;8:29735, 2015.
[Is] ISSN:1654-9880
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Contraception is one of the most important health interventions currently available and yet, many women and couples still do not have reliable access to modern contraceptives. The best indicator for monitoring family planning is the proportion of women using contraception among those who need it. This indicator is frequently called demand for family planning satisfied and we argue that it should be called family planning coverage (FPC). This indicator is complex to calculate and requires a considerable number of questions to be included in a household survey. OBJECTIVES: We propose a model that can predict FPC from a much simpler indicator - contraceptive use prevalence - for situations where it cannot be derived directly. DESIGN: Using 197 Multiple Indicator Cluster Surveys and Demographic and Health Surveys from 82 countries, we explored least-squares regression models that could be used to predict FPC. Non-linearity was expected in this situation and we used a fractional polynomial approach to find the best fitting model. We also explored the effect of calendar time and of wealth on the models explored. RESULTS: Given the high correlation between the variables involved in FPC, we managed to derive a relatively simple model that depends only on contraceptive use prevalence but explains 95% of the variability of the outcome, with high precision for the estimated regression line. We also show that the relationship between the two variables has not changed with time. A concordance analysis showed agreement between observed and fitted results within a range of ±9 percentage points. CONCLUSIONS: We show that it is possible to obtain fairly good estimates of FPC using only contraceptive prevalence as a predictor, a strategy that is useful in situations where it is not possible to estimate FPC directly.
[Mh] Termos MeSH primário: Comportamento Contraceptivo/estatística & dados numéricos
Inquéritos sobre o Uso de Métodos Contraceptivos
Serviços de Planejamento Familiar
[Mh] Termos MeSH secundário: Adolescente
Adulto
Anticoncepção
Países em Desenvolvimento
Características da Família
Feminino
Fertilidade
Seres Humanos
Meia-Idade
Modelos Estatísticos
Dinâmica Populacional
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151113
[St] Status:MEDLINE
[do] DOI:10.3402/gha.v8.29735


  10 / 12 MEDLINE  
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[PMID]:25998937
[Au] Autor:Mosher W; Jones J; Abma J
[Ad] Endereço:Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, MD. Electronic address: wmosher1@jhu.edu.
[Ti] Título:Nonuse of contraception among women at risk of unintended pregnancy in the United States.
[So] Source:Contraception;92(2):170-6, 2015 Aug.
[Is] ISSN:1879-0518
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This paper seeks to determine factors associated with nonuse of contraception by women at risk of unintended pregnancy in the United States. This nonuse may be associated with about 900,000 unintended births in the US each year. STUDY DESIGN: The 2002 and 2006-2010 National Surveys of Family Growth were combined to yield a nationally representative sample of 9,445 women at risk of unintended pregnancy. Logistic regression analyses identified factors associated with nonuse of contraception. RESULTS: This analysis reveals previously undocumented patterns of nonuse: controlling for confounding variables, cohabiting women [adjusted odds ratio (AOR)=2.3, 95% confidence interval (CI)=1.45-3.52] had higher odds of nonuse than married women; women who reported a difficulty getting pregnant (AOR=2.5, 95% CI=2.01-3.01) had higher odds of nonuse than those who did not. Nonuse was also more common among women with a master's degree or more (AOR=1.5, 95% CI=1.11-2.08) compared with those with some college or bachelor's degree, and it was more common among women in their first year after first intercourse than after the first year (AOR 1.6, 95% CI=1.12-2.22). Among women who had a recent unintended birth, the most common reason for not using contraception prior to conception was that she did not think she could get pregnant. CONCLUSIONS: This study establishes national estimates of reasons for nonuse of contraception and identifies some new subgroups at risk of nonuse. IMPLICATIONS: These results may help better understand factors affecting nonuse of contraception and develop strategies for preventing unintended pregnancy in the United States.
[Mh] Termos MeSH primário: Comportamento Contraceptivo
Gravidez não Planejada
[Mh] Termos MeSH secundário: Adolescente
Adulto
Inquéritos sobre o Uso de Métodos Contraceptivos
Autoavaliação Diagnóstica
Escolaridade
Serviços de Planejamento Familiar
Feminino
Seres Humanos
Infertilidade Feminina/diagnóstico
Infertilidade Feminina/epidemiologia
Modelos Logísticos
Gravidez
Análise de Regressão
Risco
Pessoa Solteira
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1605
[Cu] Atualização por classe:150718
[Lr] Data última revisão:
150718
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150523
[St] Status:MEDLINE



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