Evolution of contraception in Spain. Confronting trends (Contraceptives, Abortion & STI) - Team SEC on behalf of Spanish Society of Contraception
ESC Congress Library. Quílez Conde J. May 10, 2018; 208114; ESC131
Jose C. Quílez Conde
Jose C. Quílez Conde
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Abstract
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Objective - D&M: The Spanish Society of Contraception (SEC) has been studying the evolution in the use of contraceptive methods in the general population in our country for years. This evolution is reflected by national surveys carried out by powerful sociological companies. Facing these data with those elaborated by the Ministry of Health about Voluntary Interruptions of Pregnancies (IVE) and those published on STIs, we can estimate the impact that this evolution has on our society, and we want to reflect about this. Results: The most commonly used contraceptive method in Spain is condom (currently 28.4%), followed by combined hormonal methods (25.6%) and definitive contraceptive methods (7.8%). In spite of these data, there was an abandonment of condom use (previous 31.3%) in favor of other more effective methods, such as LARC ones (currently 7.7%, previously 6.6 %). Maybe this evolution, can be responsible of  a slight but progressive decline in the level of abortion (IVEs) in our country, cause the statics reflect a decrease in the average rate from 11.74 (in 2013) to 10.40 (by 2015, latest published data). The impact on interruption reduction is perhaps, smaller in younger women ( < 2 5 years), in whom the use of LARC methods is still testimonial. This suggests that health institutions and health professionals (recognized by users as the most influential person in choosing the method) should insist on the use of more effective methods, mainly LARC for the absence of user management. So, and despite the decline in condom use below 30%, is seen as a hopeful fact, we must not lose sight of the alarming data on STIs. The Ministry of Health, in its epidemiological surveillance report, published in May 2017, shows very worrying data: •             The rate of gonococcal infection returns to 1995 levels, having risen by approx. 7 points since 2007. The group of people most affected is between 20 and 24 years •             The syphilis rate doubles since 2007 •             There is concern about the increase in the detection of Chlamydia infection, more prevalent in women •             The HIV rate in Spain is higher than the average for the European Union and other countries in Western Europe Conclusion: Therefore, and despite the fact that more than 70 % of the population surveyed seem to know the dual protection, there is little data on their actual use, which seems very poor. This, joint with the inconsistent use of condoms, highlights the need to raise the awareness in this area.
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