Share This Article:

Contraception Knowledge, Attitudes and Practices of Adolescents at Risk of Pregnancy in Northeastern Brazil

Abstract Full-Text HTML XML Download Download as PDF (Size:301KB) PP. 300-308
DOI: 10.4236/ojog.2014.46046    5,125 Downloads   6,668 Views   Citations

ABSTRACT

Background: Contraceptive methods (CM) are important resources in the prevention of adolescent pregnancy. This study aimed to investigate adolescent knowledge, attitudes and practices related to contraception. Study Design: A cross-sectional and exploratory study was conducted with 7th to 9th grade adolescents in northeastern Brazil. Their knowledge, attitudes, and contraceptive method use were analysed by gender, age and sexual initiation groups. Results: A sexual debut had been experienced by 21% (n = 120) of all respondents (n = 570). The majority of the respondents who had experienced a sexual debut were male (73.3%, n = 88), their mean age was 15 years (SD = 1.46), and 49.3% (n = 59) never used any CM. The participants displayed low knowledge and unfavourable and ambivalent attitudes concerning contraception. Conclusion: Adolescents initiate sexual intercourse with knowledge and attitudes that limit the use of CM, which makes them more at risk of pregnancy. Further research that will be representative of the specific population in need of interventions is necessary.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Costa, G. , Costa, G. , Farias, M. and Araújo, A. (2014) Contraception Knowledge, Attitudes and Practices of Adolescents at Risk of Pregnancy in Northeastern Brazil. Open Journal of Obstetrics and Gynecology, 4, 300-308. doi: 10.4236/ojog.2014.46046.

References

[1] UNICEF (2011) The State of the World’s Children 2011: Adolescence an Age of Opportunity. http://www.unicef.org/adolescence/files/SOWC_2011_Main_Report_EN_ 02242011.pdf
[2] UNICEF (2011) Fundo das Nacoes Unidas para a Infancia: O direito de ser adolescente-Oportunidade para reduzir vulnerabilidades e superar desigualdades.
http://www.unicef.org/brazil/pt/br_sabrep11.pdf
[3] Whitaker, A.K. and Gilliam, M. (2008) Contraceptive Care for Adolescents. Clinical Obstetrics and Gynecology, 51, 268-280. http://dx.doi.org/10.1097/GRF.0b013e31816d713e
[4] Molina, R.C., Roca, C.G., Zamorano, J.S. and Araya, E.G. (2010) Family Planning and Adolescent Pregnancy. Best Practice & Research Clinical Obstetrics and Gynaecology, 24, 209-222.
http://dx.doi.org/10.1016/j.bpobgyn.2009.09.008
[5] Glasier, A., Gülmezoglu, A.M., Schmid, G.P., Moreno, C.G. and Van Look, P.F. (2006) Sexual and Reproductive Health: A Matter of Life and Death. Lancet, 368, 1595-1607.
http://dx.doi.org/10.1016/S0140-6736(06)69478-6
[6] Schutt-Aine, J. and Maddaleno, M. (2003) Salud Sexual y Desarrollo de Adolescentes y Jóvenes en las Américas. Implicaciones em Programas y políticas. Salud pública de México, 45, 1.
[7] Conde-Agudelo, A., Rosas-Bermúdez, A. and Kafury-Goeta, A.C. (2006) Birth Spacing and Risk of Adverse Perinatal Outcomes: A Meta-Analysis. JAMA, 295, 1809-1823.
http://dx.doi.org/10.1001/jama.295.15.1809
[8] Wellings, K., Collumbien, M., Slaymaker, E., et al. (2006) Sexual Behaviour in Context: A Global Perspective. Lancet, 368, 1706-1728. http://dx.doi.org/10.1016/S0140-6736(06)69479-8
[9] Black, K.I., Gupta, S., Rassi, A. and Kubba, A. (2010) Why Do Women Experience Untimed Pregnancies? A Review of Contraceptive Failure Rates. Best Practice & Research Clinical Obstetrics and Gynaecology, 24, 443-455. http://dx.doi.org/10.1016/j.bpobgyn.2010.02.002
[10] Whitaker, A.K. and Gilliam, M. (2008) Contraceptive Care for Adolescents. Clinical Obstetrics and Gynecology, 51, 268-280. http://dx.doi.org/10.1097/GRF.0b013e31816d713e
[11] Trussell, J. (2004) Contraceptive Failure in the United States. Contraception, 70, 89-96. http://dx.doi.org/10.1016/j.contraception.2004.03.009
[12] StataCorp (2007) Stata Statistical Software: Release 10. In Book Stata Statistical Software: Release 10. StataCorp LP.
[13] Todos pela educacao. http://www.todospelaeducacao.org.br/educacao-no-brasil/numeros-do-brasil/brasil/
[14] Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (INEP).
http://www.rbep.inep.gov.br/index.php/RBEP/article/viewFile/106/108
[15] Cavazos-Rehg, P.A., Krauss, M.J., Spitznagel, E.L., Schootman, M., Bucholz, K.K., Peipert, J.F., et al. (2009) Age of Sexual Debut among US Adolescents. Contraception, 80, 158-162.
http://dx.doi.org/10.1016/j.contraception.2009.02.014
[16] Ministério da Saúde (2011) Pesquisa de conhecimento, atitudes e práticas na popula??o brasileira. Departamento de DST, Aids e Hepatites Virais.
[17] Kaye, W., et al. (2006) Sexual Behaviour in Context: A Global Perspective. Lancet, 368, 1706-1728. http://dx.doi.org/10.1016/S0140-6736(06)69479-8
[18] Carrasco-Garrido, P., López de Andrés, A., Hernández Barrera, V., Jiménez-Trujillo, I., Santos-Sancho, J. and Jiménez-García, R. (2011) Predictors of Contraceptive Methods among Adolescents and Young Women Residing in Spain. Journal of Sex Medicine, 8, 2431-2438. http://dx.doi.org/10.1111/j.1743-6109.2011.02346.x
[19] Feldman, B.S., Shtarkshall, R.A., Ankol, O.E., Sela, T. and Kark, J.D. (2012) Diminishing Gender Differences in Condom Use among a National Sample of Young Israeli Men and Women between 1993 and 2005. Journal of Adolescent Health, 50, 311-314.
http://dx.doi.org/10.1016/j.jadohealth.2011.05.014
[20] Fortenberry, J.D., Schick, V., Herbenick, D., Sanders, S.A., Dodge, B. and Reece, M. (2010) Sexual Behaviors and Condom Use at Last Vaginal Intercourse: A National Sample of Adolescents Ages 14 to 17 Years. Journal of Sex Medicine, 7, 305-314. http://dx.doi.org/10.1111/j.1743-6109.2010. 02018.x
[21] Tschann, J.M., Flores, E., Groat, C.L., Deardorff, J. and Wibbelsman, C.J. (2010) Condom Negotiation Strategies and Actual Condom Use among Latino Youth. Journal of Adolescent Health, 47, 254-262. http://dx.doi.org/10.1016/j.jadohealth.2010.01.018
[22] Reece, M., Herbenick, D., Schick, V., Sanders, S.A., Dodge, B. and Fortenberry, J.D. (2010) Condom Use Rates in a National Probability Sample of Males and Females Ages 14 to 94 in the United States. Journal of Sexual Medicine, 7, 266-276. http://dx.doi.org/10.1111/j.1743-6109.2010.02017.x
[23] Leval, A., Sundstro, K., Ploner, A., Dahlstro, L.A., Widmark, C. and Sparen, P. (2011) Assessing Perceived Risk and STI Prevention Behavior: A National Population-Based Study with Special Reference to HPV. PLoS ONE, 6, Article ID: e20624. http://dx.doi.org/10.1371/journal.pone.0020624
[24] Santelli, J.S., Morrow, B., Anderson, J.E. and Lindberg, L.D. (2006) Contraceptive Use and Pregnancy Risk among U.S. High School Students, 1991-2003. Perspectives on Sexual and Reproductive Health, 38, 106-111. http://dx.doi.org/10.1363/3810606
[25] Isaacs, J.N. and Creinin, M.D. (2003) Miscommunication between Healthcare Providers and Patients May Result in Unplanned Pregnancies. Contraception, 68, 373-376.
http://dx.doi.org/10.1016/j.contraception.2003.08.012
[26] Trussell, J. (2004) Contraceptive Failure in the United States. Contraception, 70, 89-96.
http://dx.doi.org/10.1016/j.contraception.2004.03.009
[27] Scott, M.E., Wildsmith, E., Welti, K., Ryan, S., Schelar, E. and Steward-Streng, N.R. (2011) Risky Adolescent Sexual Behaviors and Reproductive Health in Young Adulthood. Perspectives on Sexual and Reproductive Health, 43, 110-118. http://dx.doi.org/10.1363/4311011
[28] House, L.D., Bates, J., Markham, C.M. and Lesesne, C. (2010) Competence as a Predictor of Sexual and Reproductive Health Outcomes for Youth: A Systematic Review. Journal of Adolescent Health, 46, S7-S22. http://dx.doi.org/10.1016/j.jadohealth.2009.12.003
[29] Marla, E.E., Renee, E.S., Linda, H.B., Swain, C. and Resnick, M.D. (2006) Parents’ Communication with Adolescents about Sexual Behavior: A Missed Opportunity for Prevention? Journal of Youth and Adolescence, 35, 893-902. http://dx.doi.org/10.1007/s10964-006-9093-y
[30] Manlove, J., Ikramullah, E. and Terry-Humen, E. (2008) Condom Use and Consistency among Male Adolescents in the United States. Journal of Adolescent Health, 43, 325-333.
http://dx.doi.org/10.1016/j.jadohealth.2008.03.008
[31] Robertson, A.A., Stein, J.A. and Baird-Thomas, C. (2006) Gender Differences in the Prediction of Condom Use among Incarcerated Juvenile Offenders: Testing the Information-Motivation-Behavior Skills (IMB) Model. Journal of Adolescent Health, 38, 18-25.
http://dx.doi.org/10.1016/j.jadohealth.2004.08.013
[32] Brückner, H., Martin, A. and Bearman, P.S. (2004) Ambivalence and Pregnancy: Adolescents’ Attitudes, Contraceptive Use and Pregnancy. Perspectives on Sexual and Reproductive Health, 36, 248-257.
[33] Heavey, E.J., Moysich, K.B., Hyland, A., Druschel, C.M. and Sill, M.W. (2008) Differences in Pregnancy Desire among Pregnant Female Adolescents at a State-Funded Family Planning Clinic. Journal of Midwifery & Women’s Health, 53, 130-137. http://dx.doi.org/10.1016/j.jmwh.2007.09.005
[34] Sundstrom, B. (2012) Fifty Years on “the Pill”: A Qualitative Analysis of Nondaily Contraceptive Options. Contraception, 86, 4-11. http://dx.doi.org/10.1016/j.contraception.2011.10.016

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.