Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon

Dados Bibliográficos

ID5229422
AutoresÁlvaro De Oliveira D''Antona (0000-0003-1710-6277, Anthropological Center for Research and Training on Global Environmental Change, U.S.A; Universidade Estadual de Campinas, Brasil), Álvaro De Oliveira D'Antona, Jessica Andrea Chelekis (Anthropological Center for Research and Training on Global Environmental Change, U.S.A), Jessica Chelekis (Institute for Anthropological Research), Maria Fernanda Lirani De Toledo D''Antona, Maria Fernanda Lirani De Toledo D'Antona (Anthropological Center for Research and Training on Global Environmental Change, U.S.A), Andréa Siqueira (0000-0001-6713-4570, Institute for Anthropological Research), Andrea Dalledone Siqueira (Anthropological Center for Research and Training on Global Environmental Change, U.S.A)
Ano2009
Volume25
Fascículo9
Páginas2021-2032
Data de publicação2009-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCadernos de Saude Publica (JOURNAL)
Identificadores do periódicoISSN: 0102-311X • E-ISSN: 1678-4464
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0102-311x2009000900016
PMID19750389
OpenAlexW1967363420
SCIELO_PIDS0102-311X2009000900016
IdiomaIT
Citações recebidas2
Referências citadas22

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

Amazon rainforest · Business · Discontinuation · Environmental health · Family medicine · Family planning · Gynecology · Health services · Hormonal contraception · Medical prescription · Population · Psychiatry · Research methodology · Sociology · Sterilization (economics) · Demography · Global Maternal and Child Health · Male Reproductive Health Studies · Medicine · Nursing · Reproductive Health and Contraception