Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
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Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil. / Machado, Adriana Kramer Fiala; Dalmas Gräf, Débora; Höfs, Fabiane; Hellwig, Franciele; Barros, Karoline Sampaio; Moreira, Laísa Rodrigues; Crespo, Pedro Augusto; Silveira, Mariângela Freitas.
I: Cadernos de saúde pública, Bind 37, Nr. 10, 2021, s. 1-12.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Prevalence and inequalities in contraceptive use among adolescents and young women: data from a birth cohort in Brazil
AU - Machado, Adriana Kramer Fiala
AU - Dalmas Gräf, Débora
AU - Höfs, Fabiane
AU - Hellwig, Franciele
AU - Barros, Karoline Sampaio
AU - Moreira, Laísa Rodrigues
AU - Crespo, Pedro Augusto
AU - Silveira, Mariângela Freitas
PY - 2021
Y1 - 2021
N2 - Monitoring trends of contraceptive use and identifying the groups with less coverage are needed to guide public policies and make them more efficient. But, in Brazil, recent data about these aspects are limited. This study aimed to investigate the prevalence of contraceptive use and its inequalities during adolescence and early adulthood. Data from the 1993 Pelotas birth cohort, Rio Grande do Sul State, Brazil, were used. At 15, 18 and 22 years, respectively, 335, 1,458 and 1,711 women reported having started their sexual lives and were included in analysis. Prevalence and 95% confidence intervals were obtained to describe the most used contraceptive methods. Inequalities in modern contraceptive use were evaluated according to wealth index, scholastic backwardness and ethnicity. In all follow-ups, more than 80% of women used at least one modern method. The use of barrier methods decreased with age; at 22 this prevalence was 36.3%. Such use concomitant with other modern methods was lower than 50% in all follow-ups. We observed inequalities in the use of modern contraceptive methods, mainly in barrier methods used with other modern methods. These findings may contribute and improve the public policies in family planning.
AB - Monitoring trends of contraceptive use and identifying the groups with less coverage are needed to guide public policies and make them more efficient. But, in Brazil, recent data about these aspects are limited. This study aimed to investigate the prevalence of contraceptive use and its inequalities during adolescence and early adulthood. Data from the 1993 Pelotas birth cohort, Rio Grande do Sul State, Brazil, were used. At 15, 18 and 22 years, respectively, 335, 1,458 and 1,711 women reported having started their sexual lives and were included in analysis. Prevalence and 95% confidence intervals were obtained to describe the most used contraceptive methods. Inequalities in modern contraceptive use were evaluated according to wealth index, scholastic backwardness and ethnicity. In all follow-ups, more than 80% of women used at least one modern method. The use of barrier methods decreased with age; at 22 this prevalence was 36.3%. Such use concomitant with other modern methods was lower than 50% in all follow-ups. We observed inequalities in the use of modern contraceptive methods, mainly in barrier methods used with other modern methods. These findings may contribute and improve the public policies in family planning.
UR - https://doi.org/10.1590/0102-311x00335720
U2 - 10.1590/0102-311x00335720
DO - 10.1590/0102-311x00335720
M3 - Journal article
VL - 37
SP - 1
EP - 12
JO - Cadernos de Saude Publica
JF - Cadernos de Saude Publica
SN - 0102-311X
IS - 10
ER -
ID: 323451723