Knowledge and behaviors of key influencers of young women on sexual and reproductive health in four Latin American countries
ESC Congress Library. Vieira C. May 11, 2018; 208251
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: Mother and male partner are key influencers of young women and play important role on their sexual and reproductive health (SRH) behaviors and decisions. This study aimed to understand key influencers on knowledge and behaviors about SRH issues in four Latin American countries. Methods: We developed an online survey for medium and low-income key influencers of young women in Argentina, Brazil, Chile and Mexico. Key influencers were considered mothers of female adolescents (MFA) and male partner (MP) of young women. 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 150 MFA and 50 MP per country. Qui-square was used to compare the variables among the countries. A p-value < 0.05 was considered significant. Results: A total of 828 online questionnaires were received from the selected countries, being 620 from MFA and 208 from MP. More than 70% of the MFA reported a conversation about SRH with their daughters. Most of the MFA think that their daughters did not have the sexual debut. Their major concern of their daughters being sexual active or having an unprotected sex is acquiring a sexual transmitted infection. Pills and condom are the most  used contraceptives by MFA of all countries. Chile and Mexico had the highest rate of MFA who have ever used an implant or an intrauterine device and Brazil has the lowest rate of MFA who have ever used a long-acting reversible contraceptive (LARC) (p=0.0001). Pills and condom are the most recommended contraceptives by MFA to their daughters. Chile and Mexico had the highest rates of MFA who recommended a LARC to their daughters, being the implant the most recommended one (p < 0 .0001). Brazil and Chile presented the highest rate of male partners who ever had an unprotected sex (68.5% and 62.3%, respectively). The MP's major concern of having  unprotected sex is an unplanned pregnancy. Among MP reporting not feeling comfortable of using a condom, the reduction of the sexual pleasure was the most cited reason, without difference among the countries. Mexico and Brazil presented the highest rate of MP requesting more information about SRH issues. Conclusion: Key influencers of young women need to be approached about SRH not only to increase their knowledge and improve their skills to help young women meeting their SRH needs.
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