scholarly journals Contraceptive practices of Brazilian adolescents: social vulnerability in question

2013 ◽  
Vol 18 (12) ◽  
pp. 3645-3652 ◽  
Author(s):  
Riva Rozenberg ◽  
Katia Silveira da Silva ◽  
Claudia Bonan ◽  
Eloane Gonçalves Ramos

This article seeks to analyze contraceptive practices of Brazilian adolescents and to discuss associated vulnerability situations. A cross-sectional study was conducted, using the database of the National Survey on Demography and Health of Women and Children _ PNDS 2006. Factors associated with the current use of contraceptive methods were investigated. The analysis included 986 sexually-active adolescents. Bivariate analysis between the outcome and each of the socioeconomic, demographic and reproductive characteristics of women was performed. The associations between variables were evaluated using multivariate logistic regression. Four factors related to outcome were identified in the multivariate analysis: having completed junior high school (aOR=2.29; CI 95% 1.07_4.85); being married or cohabiting with a partner (aOR=2.85; CI 95% 1.45_5.59); having used contraceptives during the first sexual intercourse (aOR=2.77; CI 95% 1.36_5.63); and having access to transportation to get to health center services (aOR=3.33; CI 95% 1.42_7.80). Adolescents with higher social vulnerability are at a disadvantage regarding adoption of contraceptive methods. This points to the need to establish intersectoral articulations of public policies, which could ensure their reproductive rights.

2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2018 ◽  
Vol 1 (1) ◽  
pp. 039
Author(s):  
Maesarah Maesarah ◽  
Lisa Djafar ◽  
Fremly Pakaya

Nutrition is a major factor that has an important role in the growth anddevelopment in the toddlers. In the nutritional fulfillment of the toddler,the mother plays very important role. This study aimed to determinethe factors associated with the behavior of parents with the nutritionalstatus of toddlers. The research design was used analytical surveywith cross sectional study approach. The population in this researchwas 213 Balita, the sample in this research was 136 children in BulaloVillage Kwandang District, North Gorontalo District, the samplingmethod was used purposive sampling technique. Data collection ofrespondents in general using questionnaires, data analysis usingSPSS program version 21.0. Bivariate analysis to know the existenceof relation between dependent variable and independet by using chisquared test α = 0,05. The results showed that there was a correlationbetween parents' knowledge on the Nutritional Status of Toddlers (p =0,000), there was a correlation between parental attitudes with thenutritional status in the toddler (p = 0,000), there was a correlationbetween parental action with the nutritional status in the toddler (p =0,000 ). This study recommends to parents to always pay attention tothe type of food consumed and the mothers should often follow thecounseling done by midwives and nutrition officials so that thenutritional status of toddlers has increased.


Author(s):  
Niraj Giri ◽  
Shushila Shrestha ◽  
Srijana Uprety ◽  
Raj Kumar Sangroula

Background: Adolescence is a period of transition from childhood to adulthood. It is very crucial for adolescents to use the adolescent friendly health services in order to meet sexual and reproductive health needs. This study aimed to assess the factors associated with utilization of adolescent friendly health services in Dang district of Nepal.Methods: A community based analytical cross-sectional study was conducted in Dang district of Nepal. Five adolescent friendly health facilities were randomly selected and proportionate sampling was done to fulfill the required sample size. The adolescents were selected conveniently from the areas. Verbal informed consent was taken from the participants and their parents in case of age below 16 years. Approval was taken from Institutional Review Committee of Chitwan Medical College. Bivariate analysis was performed to detect the factors associated with utilization of adolescent friendly health services.Results: Nearly half (48.7%) of the adolescents had utilized adolescent friendly health services. Different socio-demographic factors like age of the participants, current educational status, mother’s education, ethnicity was significantly associated with utilization of adolescent friendly health services. Other factors like awareness about were services, convenient opening days and hour of health facilities and shyness to utilize the services were significantly associated with the utilization of the services.Conclusions: The utilization of the adolescent friendly services was found to be low among the adolescents of Dang district. In order to increase awareness among the adolescent regarding utilization of the services, there is need of coordination between schools, health institutions, communities etc. to conduct various awareness related program.


Aquichan ◽  
2021 ◽  
Vol 21 (2) ◽  
pp. 1-13
Author(s):  
Daianne Teixeira ◽  
Telmara Menezes Couto ◽  
Ridalva Dias Martins ◽  
Jules Ramon Brito Teixeira ◽  
Jaqueline Alves Pires ◽  
...  

Objective: Checking the sociodemographic and clinical factors associated with the prevalence of postpartum hemorrhage (PPH) in a maternity school. Materials and methods: A quantitative cross-sectional study in a maternity hospital in Salvador, Bahia, Brazil. In data collection, we used a standardized form that contained sociodemographic and clinical data from the medical records of 83 women for the period of 2018. Stata version 14 software was used in the analyses. Bivariate analysis was conducted using Pearson’s or Fisher’s exact tests. Poisson regression was performed with robust variation in multivariate analysis. Prevalence ratios (PR) and respective 95 % confidence intervals were estimated. The significance level of the tests was 5 %. Results: The prevalence of PPH was 38.6 % and 25.6 % for atony as the cause. In the bivariate analysis, there was an association between PPH and non-breastfeeding in the first hour of life (p = 0.039). In the multivariate analysis, it was identified that multiparous women had an increase in the prevalence of PPH by almost twice (PR = 1.97). Not breastfeeding in the first hour of life increased this prevalence more than four times (PR = 4.16). Conclusions: Monitoring multiparous women during birth care and encouraging breastfeeding in the first hour of life may decrease the prevalence of PPH.


To investigate the prevalence and factors associated with urinary incontinence (IU) in climacteric women attending the Family Health Strategies. Cross-sectional study with 874 climacteric women, selected by probabilistic sampling. The variables were investigated by a structured/pre-tested questionnaire. Bivariate analysis was performed using the chi-square test for variable selection for the multiple model adopting p≤0.25. In multivariate analysis, binary logistic regression was used to obtain adjusted odds ratios. After the analysis, the final model was constructed, adopting a significance level of p ≤ 0.05. The prevalence of urinary tract infection was 22.5%. After adjustments, the odds of urinary incontinence referred to these variables: single, sedentary/irregularly active women, smokers, overweight, obese women with severe climacteric symptoms, having episiotomy and presenting ovarian cysts. It was concluded that the presence of modifiable factors were associated with urinary incontinence.


2020 ◽  
Vol 5 (2) ◽  
pp. 90-99
Author(s):  
SRI HANDAYANI

Compliance is consistency or inconsistency to instructions or rules. Compliance in paying dues means the behavior of someone to pay dues appropriately based on a predetermined time. In Kota Solok, 5,758 (61%) did not have compliance in paying contributions. The irregularity of JKN participants in paying dues will have an impact on the guarantee of health services in available health facilities, one of which is the Level IV Hospital of Solok City in collaboration with BPJS Health. This study aims to determine the factors associated with compliance paying independent BPJS contributions to outpatients at Level IV Hospital in Solok City. This type of research is a quantitative study using a cross sectional study design. The population in this study were patients participating in the BPJS Mandiri who visited the Outpatient Installation of Level IV Hospital in Solok City with an average of 77 visitors each month. The samples in this study were 64 samples taken using the accidental sampling method. Data analysis performed was univariate and bivariate analysis with chi square test. Based on the results of the study note that of 64 respondents there are 64.1% who are compliant in paying BPJS Health contributions independently. Variables related to compliance paying dues in outpatients at Level IV Hospital in Solok City were education (p=0.002), employment (p=0.002), income (p=0.004), knowledge (p=0.002), perception (p=0.019) and motivation (p=0.039). Suggestions to BPJS Health to provide socialization or information to BPJS Health participants about the BPJS Health Program from the time of payment, method of payment, and sanctions for delinquent payments.


2021 ◽  
Author(s):  
Stephanie Mignot ◽  
Virginie Ringa ◽  
Solène Vigoureux ◽  
Marie Zins ◽  
Henri Panjo ◽  
...  

Abstract Background: Many countries currently recommend that screening for cervical cancer begin at the age of 25 years. Premature screening (before that age) could lead to unnecessary follow-up examinations and procedures that turn out to be useless. Our objective is to ascertain if the use of particular contraceptive methods are associated with premature screening. Methods: This cross-sectional study based on the CONSTANCES cohort enabled us to include 4297 women younger than 25 years. The factors associated with premature screening were modeled by logistic regression. Missing data were handled by multiple imputations . The multivariate analyses were adjusted for sex life, social and demographic characteristics, and health status . Results: Nearly half (48.5%) the women younger than 25 years had already undergone premature screening. Women not using contraceptives (aOR 0.3, 95% CI 0.3-0.5) and those using nonmedicalized contraceptives (condom, spermicide, etc.) (aOR 0.5, 95% CI 0.4-0.6) had premature screening less often than women using birth control pills. Higher risks of premature screening were observed in 20-year-old women (aOR 2.7, 95% CI 2.2-3.3) and in those with more than 5 lifetime partners (aOR 2.5, 95% CI 2.0-3.1), compared respectively with those of women who were younger and those with 5 or fewer lifetime partners. Conclusion: Young women using contraceptives that require a doctor's prescription are exposed to premature screening more often than both those not using contraception and those with nonmedicalized contraceptives.


2021 ◽  
Author(s):  
◽  
Allan Muhumuza ◽  
Jane Kabami ◽  
Dickson Agaba ◽  
Allion Asiimire ◽  
...  

Background HIV self-testing (HIVST) is globally accepted as an important complement to existing HIV Counseling and Testing approaches. This study aimed at determining the prevalence and factors associated with the utilization of HIV self-testing among university students of South western Uganda. Methods An online cross sectional study design that used the quantitative approach was conducted purposively among 356 university students of Kampala International University (KIU) and Mbarara University of Science and Technology (MUST) in South western Uganda between 12th August 2020 and 31st August 2020. Mapping different course leaders in launching the Google form link that contained the structured questionnaires in their respective formal class WhatsApp groups for enrolling potential participants. Descriptive analysis of numeric data was summarized in means with standard deviations and presented using tables. Descriptive analysis of categorical data was summarized in frequencies, proportions and presented using tables. Association between independent and dependent variables was assessed using Chi square test (X2) for bivariate analysis in SPSS IBM version 20. Results Of the 356 participants, the study had 57.3% of the participants from KIU and 42.7% were from MUST. The study found that university students who had ever self-tested were 43.2 Socio demographic variables associated with utilization of HIV self-testing were the student’s year of study (p = 0.007), having a sexual partner (p = 0.012), and place of residence (p = 0.000). Conclusions The study demonstrates low levels of utilization of HIV self-testing among University students in association with a number of factors that include how they are aware towards HIV self-testing, places of their residence, having a sexual partner. Key words: HIV, self-testing, University, students, factors associated


Author(s):  
Marcos Vinicius de Carvalho Mendes ◽  
Solange Laurentino dos Santos ◽  
Claudia Cristina Lima de Castro ◽  
Betise Mery Alencar Sousa Macau Furtado ◽  
Heitor Victor Veiga da Costa ◽  
...  

Suicide and suicide attempts are considered global health problems. With regard to the main causes of unnatural deaths, Brazil ranks as the eighth country with the highest absolute number of suicides. The aim of this study was to analyze the factors associated with the risk of suicide in a metropolitan city in Brazil. This was a cross-sectional study carried out in Recife, in the northeast region of Brazil. Epidemiological surveillance was conducted on the information systems regarding attempted suicide, suicide, and undetermined deaths in the period from 2007 to 2017. A record linkage between the information systems was performed. Descriptive statistics, bivariate analysis, and logistic regression were performed with an adopted a significance level of 5%. In the city of Recife, there were 4495 suicide attempts in the period, and the most frequent suicide attempts were by single females, aged between 20 and 39 years old, and who used either medication or poison to die by suicide. A total of 141 individuals died by suicide, and exogenous intoxication was the most common method. Knowing the common characteristics and associated factors of those who attempt and die by suicide is key for the development of prevention policies and intervention strategies for suicide.


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