Contraceptive use and the intention to become pregnant among women attending the Brazilian Unified Health System.
Celia Regina Maganha E Melo, Ana Luiza Vilela Borges, Luciane Simões Duarte and 1 others
PMID 32813784WHAT IT FOUND
Among 688 women attending primary care in São Paulo, 56.5% used contraception; women who strongly wanted to avoid pregnancy used methods similar to those of women in general, some used none.
Key findings
0156.5% of the 688 interviewed women were using some contraceptive method.
02Women with a strong desire to avoid pregnancy used basically the same types of contraceptive methods as women in general.
03Strong desire to avoid pregnancy was associated with being in a stable union (OR=0.49), having two or more children (OR=15.9), and last pregnancy not planned (OR=2.94).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it shows associations at one time and cannot show that any counselling or service change would alter behaviour. It was done in one micro-region of São Paulo and did not include all regions of the city, so it may not represent other areas. Women who were pregnant, had tubal ligation, or had a vasectomized partner were excluded, and all were attending primary care, so it does not cover women outside this setting. Answers were self-reported, and the study did not test whether access, side effects, or partner influence explained the patterns.
The easy way to misread this
Do not conclude that a woman who strongly wants to avoid pregnancy will choose a more effective method. In this survey, method type did not differ by strong desire, and some women with strong desire used no method. The study observed one point in time and did not test an intervention.