Sexual and reproductive health in four Latin American countries: knowledge and behaviors of young women
ESC Congress Library. Vieira C. May 10, 2018; 208164; ESC246 Disclosure(s): Funding for this study was provided by MSD Latin America
C. Vieira
C. Vieira
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Abstract
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Objective: Latin America has the highest rate of unintended pregnancies of the world, especially among young women. This study aimed to understand young women's knowledge and behaviors about sexual and reproductive health (SRH) issues in four Latin American countries. Methods: We developed an online survey for medium and low-income young women in Argentina, Brazil, Chile and Mexico. Young women (YW) were considered those aged 18-21 years-old. From market research panels, individuals were selected by random sampling through email invitation. The questionnaire included close ended questions regarding sexual behaviors, contraceptive use and knowledge, and unplanned pregnancies. The target sample was of 200 YW per country. Qui-square was used to compare the variables among the countries. A p-value Results: A total of 814 online questionnaires were received from the selected countries. Although YW reported high level of contraception knowledge, more than 20% self-reported unawareness of implant, especially in Argentina and Brazil (36.7% and 31.3%, respectively). Intrauterine devices (IUDs) were also not known by a higher rate of YW from Argentina and Brazil (21.3% and 22.3%, respectively). Mexican YW presented the lowest rate of unawareness of implant (20.2%, p=0.0012) and IUDs (10.8%, p=0.046). Pills and condoms presented the highest rates of knowledge, preference and access by YM in all countries. Chile (6.2%) and Mexico (4.9%) had the highest rate of YW who would rather use an implant than other methods (p Conclusion: Although Latin YW self-reported a high level of knowledge about contraceptives and other SRH issues, their knowledge and access to long-acting reversible contraceptives is low. With higher knowledge and access to pill and condoms, YW preferred these methods rather than others. More information and access about SRH, especially on contraceptive methods, is a demand of YW from these four Latin American countries.
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