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2003, Number 4

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Rev Med Inst Mex Seguro Soc 2003; 41 (4)

Causes of Unmet Needs in Birth Control

Lee SI

Language: Spanish
References: 15
Page: 313-320
PDF size: 128.16 Kb.


ABSTRACT

Objective: To identify causes of unsatisfied needs concerning birth control in fertile-age women. Design: Comparative transversal. Material and methods: A survey was applied to 173 fertile-age female assistants at a family medicine clinic visit. Social-demographic, gynecologic- obstetric antecedents, sexual life, reproductive life intentions, knowledge and practice of birth control, and reasons for non-use were considered; in cases of dissatisfaction, an interview was conducted to ascertain the reasons. Association force was done by odds ratio, 95 % confidence interval, and χ2. Results: Of 173 women surveyed, 53 did not utilize a birth control method. The unmet need was 30.7 %. The age used was between 20 to 29 years, where we found 55 % women with a contraceptive method and 75 % who did not; a higher academic level was found in women using a birth control method (74 %) (RM = 1.54, CI 95 % = 0.73-3.25, p = 0.22). In women with a birth control method, 8.3 % of unwanted pregnancies were found, and 17 % in women without a birth control method (RM = 0.44, CI 95 % = 0.15-1.29, p = 0.09). A total of 90 % of women practicing birth control had access to a birth control program and only 68 % avoided its practice (RM = 4.25, CI 95 % = 1.72-10.6, p = 0.000). The motives of dissatisfaction were limited offer, undesired methods, and insufficient and distorted information on side effects. Conclusion: Unmet need represents a challenge to the traditional way to offer birth control services; thus, it is necessary to negotiate programs in a strategic way through a quality focus centered on the client.


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