Contraceptive Discontinuation and Non-Use in Santarém, Brazilian Amazon

Álvaro de Oliveira D'Antona, Jessica Chelekis, Maria Fernanda Lirani de Toledo D'Antona, Andrea Dalledone Siqueira

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Resumé

In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they used
in the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonal
contraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women’s health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women’s
discourse and perceptions.
OriginalsprogEngelsk
TidsskriftCadernos de Saude Publica
Vol/bind25
Udgave nummer9
Sider (fra-til)2021
Antal sider2.032
ISSN0102-311X
StatusUdgivet - sep. 2009
Udgivet eksterntJa

Fingeraftryk

Contraceptive Agents
Women's Health Services
Health Services
Prescriptions
Health
Surveys and Questionnaires

Citer dette

de Oliveira D'Antona, Á., Chelekis, J., Lirani de Toledo D'Antona, M. F., & Dalledone Siqueira, A. (2009). Contraceptive Discontinuation and Non-Use in Santarém, Brazilian Amazon. Cadernos de Saude Publica, 25(9), 2021.
de Oliveira D'Antona, Álvaro ; Chelekis, Jessica ; Lirani de Toledo D'Antona, Maria Fernanda ; Dalledone Siqueira, Andrea. / Contraceptive Discontinuation and Non-Use in Santarém, Brazilian Amazon. I: Cadernos de Saude Publica. 2009 ; Bind 25, Nr. 9. s. 2021.
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title = "Contraceptive Discontinuation and Non-Use in Santar{\'e}m, Brazilian Amazon",
abstract = "In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santar{\'e}m in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they usedin the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonalcontraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women’s health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women’sdiscourse and perceptions.",
keywords = "Contraception, Hormonal Oral Contraceptives, Reproductive Sterilization, Women's Health",
author = "{de Oliveira D'Antona}, {\'A}lvaro and Jessica Chelekis and {Lirani de Toledo D'Antona}, {Maria Fernanda} and {Dalledone Siqueira}, Andrea",
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de Oliveira D'Antona, Á, Chelekis, J, Lirani de Toledo D'Antona, MF & Dalledone Siqueira, A 2009, 'Contraceptive Discontinuation and Non-Use in Santarém, Brazilian Amazon', Cadernos de Saude Publica, bind 25, nr. 9, s. 2021.

Contraceptive Discontinuation and Non-Use in Santarém, Brazilian Amazon. / de Oliveira D'Antona, Álvaro; Chelekis, Jessica; Lirani de Toledo D'Antona, Maria Fernanda; Dalledone Siqueira, Andrea.

I: Cadernos de Saude Publica, Bind 25, Nr. 9, 09.2009, s. 2021.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Contraceptive Discontinuation and Non-Use in Santarém, Brazilian Amazon

AU - de Oliveira D'Antona, Álvaro

AU - Chelekis, Jessica

AU - Lirani de Toledo D'Antona, Maria Fernanda

AU - Dalledone Siqueira, Andrea

PY - 2009/9

Y1 - 2009/9

N2 - In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they usedin the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonalcontraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women’s health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women’sdiscourse and perceptions.

AB - In this paper we discuss the causes of non-adherence to reversible contraceptives, especially hormonal methods, among women in rural Santarém in the Brazilian Amazon. The analysis is based on questionnaires with 398 women and visits to health centers. We consider the motives reported by women who: never used contraception; used some method in the past; and who at the time of the survey were using a different method from the ones they usedin the past. The results indicate a rejection of hormonal contraception and a preference for female sterilization, an option possibly influenced by the characteristics of health services in the region. The side effects of hormonalcontraceptive use reported by part of the interviewees contribute to a generalized fear of the side effects even among women who have never used such methods. To improve women’s health services in the Amazon, we recommend further studies of the relationship between reported side effects and available services and prescriptions, as well as an analysis of women’sdiscourse and perceptions.

KW - Contraception

KW - Hormonal Oral Contraceptives

KW - Reproductive Sterilization

KW - Women's Health

M3 - Journal article

VL - 25

SP - 2021

JO - Cadernos de Saude Publica

JF - Cadernos de Saude Publica

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ER -

de Oliveira D'Antona Á, Chelekis J, Lirani de Toledo D'Antona MF, Dalledone Siqueira A. Contraceptive Discontinuation and Non-Use in Santarém, Brazilian Amazon. Cadernos de Saude Publica. 2009 sep;25(9):2021.