Contraception use and family planning inequalities among Brazilian women

Trindade, Raquel Elias da; Siqueira, Bárbara Barrozo; Paula, Thayane Fraga de; Felisbino-Mendes, Mariana Santos

doi:10.1590/1413-81232021269.2.24332019

Raquel Elias da Trindade

Curso de Graduação em Enfermagem, Departamento de Enfermagem Materno- Infantil e Saúde Pública. Escola de Enfermagem, Universidade Federal de Minas Gerais. Av. Prof. Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil. marianafelisbino@yahoo.com.br

https://orcid.org/0000-0002-6854-1255

Bárbara Barrozo Siqueira

Programa de Pós-Graduação em Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.

https://orcid.org/0000-0003-1813-128X

Thayane Fraga de Paula

Programa de Pós-Graduação em Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.

https://orcid.org/0000-0003-1428-3104

Mariana Santos Felisbino-Mendes

Programa de Pós-Graduação em Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.

https://orcid.org/0000-0001-5321-5708

Collaborators

RE Trindade supported the study’s design, conducted the analysis and interpretation of data, spearheaded the writing of the first version, participated in critical reviews, and prepared the final version. BB Siqueira and TF Paula participated in analyzing and interpreting data, writing the first version, and critical reviews of the paper. MS Felisbino-Mendes performed the study outline, design, supervised the analysis and interpretation of data, wrote the first version, participated in critical reviews of the paper and contributed to editing and preparing the final version. All authors approved the final version of the manuscript.

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Reason	n*	%**	95% CI***
Wants to get pregnant or doesn’t mind getting pregnant	1,251	37.3	34.5-40.2
Other reasons****	855	30.6	27.7-33.7
Currently pregnant	602	16.3	14.3-18.6
Does not have sexual relations with men	233	8.0	6.4-10.1
Religious reasons	117	4.1	3.0-5.6
Not sure how to avoid	73	2.6	1.7-3.9
Not sure where to go or who to look for counseling	50	1.1	1.0-1.7

Contraceptive Method	n*	%**	95% CI***
Oral contraceptive Surgical¹ Condoms² Double protection³ Other methods⁴ Other hormonal⁵ IUD⁶ Total	4,235 4,084 2,579 1,455 1,088 924 263 14,628	34.2 25.9 14.5 9.8 7.8 6.0 1.8 100	32.9-35.6 24.6-27.2 13.5-15.5 8.9-10.7 7.1-8.6 5.4-6.7 1.5-2.3 -

Sociodemographic variables	Oral contraceptive	Surgical¹	Condoms²	Double protection³	Other methods⁴	Other hormonal⁵	IUD⁶	p****
Sociodemographic variables	%[R] 95% CI	%* [R]* 95% CI	%* [R]* 95% CI	%* [R]* 95% CI	%* [R]* 95% CI	%[R] 95% CI	% [R] 95% CI	p****
Region								< 0.0001
North	16.5%[3]	32.5%[1]	23.6%[2]	9.1%[5]	10.0%[4]	7.7%[6]	0.6%[7]
North	14.4-18.8	29.4-35.8	20.9-26.6	7.6-10.8	7.8-12.7	6.3-9.3	0.4-1.1
Northeast	27.1%[2]	35.7%[1]	15.3%[3]	6.9%[5]	6.9%[6]	7.4%[4]	0.9%[7]
Northeast	24.9-29.4	33.2-38.2	13.6-17.0	5.9-8.1	5.6-8.3	6.2-8.7	0.6-1.2
Midwest	32.0%[2]	34.4%[1]	12.0%[3]	8.9%[4]	6.5%[5]	5.1%[6]	1.1%[7]
Midwest	28.8-35.3	31.4-37.5	10.3-14.0	7.3-10.8	5.2-8.2	4.0-6.5	0.8-1.6
Southeast	38.6%[1]	21.5%[2]	12.9%[3]	10.9%[4]	7.9%[5]	5.6%[6]	2.6%[7]
Southeast	36.2-41.1	19.3-24.0	11.2-14.7	9.2-12.8	6.6-9.4	4.6-7.0	1.9-3.5
South	44.7%[1]	13.4%[4]	13.8%[2]	13.6%[3]	7.5%[5]	4.5%[6]	2.5%[7]
South	41.4-48.1	11.3-15.8	11.3-16.7	11.4-16.1	5.9-9.5	3.2-6.2	1.7-3.8
Living zone								< 0.0001
Urban	34.0%[1]	24.7%[2]	14.9%[3]	10.5%[4]	7.7%[5]	6.3%[6]	2.0%[7]
Urban	32.6-35.5	23.3-26.1	13.8-16.0	9.6-11.6	6.9-8.5	5.6-7.1	1.6-2.4
Rural	35.8%[1]	34.4%[2]	11.6%[3]	5.8%[5]	7.3%[4]	4.1%[6]	1.0%[7]
Rural	32.6-39.1	31.2-37.8	9.9-13.6	4.5-7.4	5.3-10.1	2.9-5.7	0.5-2.2
Marital status								< 0.0001
Has a partner	35.3%[1]	32.6%[2]	12.1%[3]	5.2%[5]	7.8%[4]	4.4%[6]	1.1%[7]
Has a partner	33.2-37.4	30.5-34.7	10.9-13.4	4.3-6.2	6.7-9.1	3.6-5.4	0.8-1.6
No partner	33.4%[1]	20.6%[2]	16.3%[3]	13.8%[4]	7.5%[6]	7.3%[5]	1.1%[7]
No partner	31.6-35.3	19.2-22.1	15.0-17.8	12.4-15.3	6.5-8.5	6.4-8.4	0.8-1.6
Skin color								< 0.0001
White	39.0%[1]	21.2%[2]	13.6%[3]	11.3%[4]	7.9%[5]	4.2%[6]	2.9%[7]
White	36.7-41.2	19.5-22.9	12.2-15.3	9.8-12.9	6.8-9.2	3.4-5.1	2.2-3.8
Black/brown	30.1%[2]	30.2%[1]	15.1%[3]	8.9%[4]	7.2%[6]	7.6%[5]	1.0%[7]
Black/brown	28.4-31.8	28.4-31.9	13.9-16.5	7.9-9.9	6.4-8.2	6.6-8.7	0.7-1.4
Yellow/indian	32.7%[1]	23.3%[2]	15.4%[3]	7.2%[6]	12.0%[4]	8.8%[5]	0.6%[7]
Yellow/indian	22.3-45.1	15.8-33.1	9.7-23.5	4.3-11.9	5.1-25.8	4.9-15.1	0.2-2.0
Age								< 0.0001
18-24 years old	43.5%[1]	1.7%[6]	17.4%[3]	18.3%[2]	8.3%[5]	10.5%[4]	0.3%[7]
18-24 years old	39.8-47.2	1.1-2.6	15.0-20.2	15.5-21.4	6.8-10.1	8.6-12.7	0.2-0.6
25-34 years old	40.7%[1]	18.1%[2]	14.3%[3]	10.9%[4]	7.1%[5]	7.2%[6]	1.7%[7]
25-34 years old	38.5-43.0	16.4-19.8	12.9-15.9	9.7-12.4	6.0-8.4	6.1-8.4	1.2-2.3
35-49 years old	24.0%[2]	45.2%[1]	12.8%[3]	4.8%[5]	7.6%[4]	2.76%[6]	2.77%[7]
35-49 years old	22.1-26.1	43.0-47.5	11.5-14.3	4.0-5.8	6.6-8.8	2.2-3.5	2.1-3.7
Schooling (in years)								< 0.0001
0-8	30.0%[2]	39.7%[1]	11.4%[3]	5.8[5]	6.6%[4]	5.7%[6]	0.8%[6]
0-8	27.9-32.3	37.3-42.1	10.2-12.8	4.8-6.9	5.6-7.9	4.8-6.8	0.5-1.2
9-11	36.3%[1]	19.5%[2]	16.2%[3]	11.7%[4]	7.5%[5]	7.2%[6]	1.5%[7]
9-11	34.4-38.2	18.0-21.2	14.8-17.8	10.4-13.1	6.5-8.7	6.2-8.3	1.0-2.3
12 or more	36.9%[1]	16.0%[2]	15.4%[3]	13.6%[4]	10.0%[5]	3.1%[7]	5.1%[6]
12 or more	33.3-40.6	13.6-18.6	12.9-18.2	10.8-16.8	7.9-12.7	2.1-4.5	3.8-6.9
Health insurance								< 0.0001
Yes	36.8%[1]	20.8%[2]	14.2%[3]	11.5%[4]	8.4%[5]	4.6%[6]	3.8%[7]
Yes	34.3-39.4	18.6-23.2	12.5-16.0	9.8-13.5	7.0-10.0	3.6-5.9	2.8-5.1
No	33.0%[1]	28.2%[2]	14.6%[3]	9.2%[4]	7.3%[5]	6.7%[6]	1.0%[7]
No	31.5-34.7	26.7-29.8	13.5-15.8	8.3-10.2	6.5-8.2	5.9-7.6	0.7-1.3

[1] Collaborators

RE Trindade supported the study’s design, conducted the analysis and interpretation of data, spearheaded the writing of the first version, participated in critical reviews, and prepared the final version. BB Siqueira and TF Paula participated in analyzing and interpreting data, writing the first version, and critical reviews of the paper. MS Felisbino-Mendes performed the study outline, design, supervised the analysis and interpretation of data, wrote the first version, participated in critical reviews of the paper and contributed to editing and preparing the final version. All authors approved the final version of the manuscript.

Brasil

Brasil

Contraception use and family planning inequalities among Brazilian women

Abstract