Use of and access to oral and injectable contraceptives in brazil

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dc.contributor.author Farias, Mareni Rocha
dc.contributor.author Leite, Silvana Nair
dc.contributor.author Leao Tavares, Noemia Urruth
dc.contributor.author Oliveira, Maria Auxiliadora
dc.contributor.author Dourado Arrais, Paulo Sergio
dc.contributor.author Bertoldi, Andrea Damaso
dc.contributor.author Dal Pizzol, Tatiane da Silva
dc.contributor.author Luiza, Vera Lucia
dc.contributor.author Ramos, Luiz Roberto [UNIFESP]
dc.contributor.author Mengue, Sotero Serrate
dc.date.accessioned 2019-01-21T10:29:35Z
dc.date.available 2019-01-21T10:29:35Z
dc.date.issued 2016
dc.identifier http://dx.doi.org/10.1590/s1518-8787.2016050006176
dc.identifier.citation Revista De Saude Publica. Sao paulo, v. 50, n. 2, p. 14s, 2016.
dc.identifier.issn 0034-8910
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/49281
dc.description.abstract OBJECTIVE: To analyze the prevalence of current use of oral and injectable contraceptives by Brazilian women, according to demographic and socioeconomic variables and issues related to access to those medicines. METHODS: A cross-sectional, population-based analytical study with probability sampling based on data from the Pesquisa Nacional sobre Acesso, Utilizacao e Promocao do Uso Racional de Medicamentos (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines), carried out between September 2013 and February 2014 in 20,404 Brazilian urban households. Prevalence was calculated based on reports from non-pregnant women aged 15-49 on the use of oral or injectable contraceptives. The independent variables were gender, age, level of education, socioeconomic class, Brazilian region and marital status. Also analyzed were access, means of payment, sources, and reported medicines. Statistical analyses considered 95% confidence intervals (95% CI) and Pearson Chi-square test to evaluate the statistical significance of differences between groups, considering a 5% significance level. RESULTS: Prevalence of use was 28.2% for oral contraceptives (OC) and 4.5% for injectable contraceptives (IC). The highest prevalence of oral contraceptives was in the South region (37.5%) and the lowest in the North region (15.7%). For injectable contraceptives there was no difference between regions. Access was higher for oral contraceptive users (90.7%) than injectable contraceptives users (81.2%), as was direct payment (OC 78.1%, IC 58.0%). Users who paid for contraceptives acquired them at retail pharmacies (OC 95.0% and IC 86.6%) and at Farmacia Popular (Popular Pharmacy Program) (OC 4.8% and IC 12.7%). Free of charge contraceptives were mostly obtained from the Brazilian Unified Health System - SUS (OC 86.7% en
dc.description.abstract IC 96.0%). Free samples were reported by 10.4% of users who did not pay for oral contraceptives. Most of paying users did not try to obtain contraceptives from SUS. Monophasic combined oral contraceptives were the most frequently reported (71.6%) and low-level levonorgestrel + ethinylestradiol combination accounted for 38.7% of them. The most frequently reported medicines are included in the Relacao Nacional de Medicamentos Essenciais (RENAME - National List of Essential Medicines. CONCLUSIONS: Most women aged 15 to 49 who reported using contraceptives had access to the medicine and use monophasic combined oral contraceptives of appropriate efficiency and safety purchased by direct payment, mainly from retail pharmacies. en
dc.description.sponsorship Department for Pharmaceutical Services and Strategic Health Supplies (DAF) of the Secretariat of Science, Technology and Strategic Inputs of the Brazilian Ministry of Health (SCTIE/MS) [25000.111834/2]
dc.description.sponsorship Department of Science and Technology (DECIT) of the Secretariat of Science, Technology and Strategic Inputs of the Brazilian Ministry of Health (SCTIE/MS) [25000.111834/2]
dc.format.extent 14s
dc.language.iso eng
dc.publisher W W F Verlagsgesellschaft Gmbh
dc.relation.ispartof Revista De Saude Publica
dc.rights Acesso aberto
dc.subject Developing-Countries en
dc.subject Adolescents en
dc.subject Trends en
dc.subject Need en
dc.title Use of and access to oral and injectable contraceptives in brazil en
dc.title Utilização e acesso a contraceptivos orais e injetáveis no Brasil pt
dc.type Artigo
dc.description.affiliation Departamento de Ciências Farmacêuticas. Centro de Ciências da Saúde. Universidade Federal de Santa Catarina. Florianópolis, SC, Brasil
dc.description.affiliation Departamento de Farmácia. Faculdade de Ciências da Saúde. Universidade de Brasília. Brasília, DF, Brasil
dc.description.affiliation Escola Nacional de Saúde Pública Sérgio Arouca. Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brasil
dc.description.affiliation Departamento de Farmácia. Faculdade de Farmácia, Odontologia e Enfermagem. Universidade Federal do Ceará. Fortaleza, CE, Brasil
dc.description.affiliation Departamento de Medicina Social. Faculdade de Medicina. Universidade Federal de Pelotas. Pelotas, RS, Brasil
dc.description.affiliation Departamento de Produção e Controle de Medicamentos. Faculdade de Farmácia. Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brasil
dc.description.affiliation Escola Paulista de Medicina. Universidade Federal de São Paulo. São Paulo, SP, Brasil
dc.description.affiliation Programa de Pós-Graduação em Epidemiologia. Faculdade de Medicina. Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brasil
dc.description.affiliationUnifesp Departamento de Medicina Preventiva. Escola Paulista de Medicina. Universidade Federal de São Paulo. São Paulo, SP, Brasil
dc.description.sponsorshipID SCTIE/MS: 25000.111834/2
dc.identifier.file S0034-89102016000300301.pdf
dc.identifier.scielo S0034-89102016000300301
dc.identifier.doi 10.1590/S1518-8787.2016050006176
dc.description.source Web of Science
dc.identifier.wos WOS:000391447400013



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