Factors associated with the contraindicated use of oral contraceptives in Brazil

Abstract

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.

Uso de anticoncepcionais hormonais por prostitutas: correlação com marcadores de vulnerabilidade social

“…Because of the deficit of access to health care and the fact that they make little money, they use condoms less often with regular partners or clients. (17)(18)(19)(20) Studies show that older women, in turn, have higher chances of using hormonal contraceptives because they already have children and have greater knowledge and access to this contraception method. (4,9) In the present study, the number of young women (18 to 34 years) who used hormonal contraceptives is higher than the number obtained for older women, which differs from the results of the investigations mentioned previously.…”

Knowledge and practice of young schools on sexual and reproductive health / Conhecimento e prática de jovens escolares sobre saúde sexual e reprodutiva / Conocimiento y práctica de jovenescolares sobre salud sexual y reproductiva

“…Espera-se que pelo menos os alunos da área da saúde tenham domínio do assunto, pois os mesmos terão em sua vivência profissional que orientar a população, distribuir os meios contraceptivos e contribuir para a diminuição da transmissão de IST .Corrêa et al,. (12) afirmam que alguns fatores que poderiam contribuir para formação de planos de políticas públicas para o acesso de qualidade e a utilização dos métodos pela população são estes: o conhecimento dos contraceptivos utilizados e do publico que utiliza. A partir dos dados encontrados nesse estudo pode-se ter algumas variáveis as quais estudantes de áreas como técnico em finanças e administração obtiveram melhores resultados comparados aos alunos do técnico em enfermagem.…”

Prevalence and Risk Factors for Self-Report Diabetes Mellitus: A Population-Based Study

“…According to the WHO, in Brazil, the chance of an individual aged 30 to 70 years to die of diabetes is 16.6% [ 1 ]. In 2013, the National Health Survey (NHS) estimated a self-reported diabetes prevalence of 6.2% in Brazilian adults (5.4% in men and 7.0% in women) [ 7 ]. In 2017, the Surveillance of Risk Factors and Protection for Chronic Diseases by Telephone Survey (Vigitel) conducted in Brazilian capitals found a self-reported diabetes rate of 7.6% (7.1% in men and 8.1% in women) [ 8 ].…”

“…The main non-modifiable factors associated with DM are age, ethnicity, and family history of DM [ 10 ]. However, DM is mainly caused by increased modifiable risk factors such as inadequate diet, overweight/obesity, physical inactivity, alcohol and tobacco abuse, and the presence of other conditions (hypertension and dyslipidemia) [ 7 , 11 , 12 ].…”