[Access to emergency contraception: old barriers and new questions].
Autor: | Costa NF; Secretário Executivo da Bem Estar Familiar no Brasil, Rio de Janeiro, RJ, Brazil., Ferraz EA, Souza CT, Silva CF, Almeida MG |
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Jazyk: | portugalština |
Zdroj: | Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2008 Feb; Vol. 30 (2), pp. 55-60. |
DOI: | 10.1590/s0100-72032008000200002 |
Abstrakt: | Purpose: to compare two strategies of access to emergency contraception: only information and information with previous delivery of this contraceptive method, and its relationship with the use of this method and the regular use of contraceptives. Methods: from August 2004 to January 2005, 18 to 49-year-old volunteers, attended at reproductive health clinics from six Brazilian towns were recruited. The subjects were randomly distributed in a group getting information about emergency contraception (Control Group), or in a group getting information about this method and previous delivery of the contraceptive (Medicated Group). Follow-up visits occurred into four and eight months. Person and McNemar's tests were used for the statistical analysis. Results: from the 823 recruited subjects, 407 completed the 8-month-observation period and were the sample analyzed. Most of the subjects (61%) did not use the emergency contraceptive. The subjects from the Medicated Group used more emergency contraceptives (57%) than the ones from the Control Group (18%), and they did it more precociously, concerning the time since the unprotected sexual intercourse. There was a significant increase of regular use of contraceptives among the subjects who used emergency contraceptives in the Medicated Group (88% versus 97%) and a statistically nonsignificant decrease in the Control Group. Conclusions: information and previous delivery intensified the access and use of emergency contraceptives, and did not reduce the regular use of contraceptives, including condoms. |
Databáze: | MEDLINE |
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