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Abstract(s)
Em Portugal, calcula-se que 94% das mulheres utilizam algum método contracetivo. A
contraceção hormonal combinada tem sido a escolha de eleição pela maioria das
mulheres. Estes métodos contracetivos apresentam diversos benefícios para a saúde
além da anticonceção, mas também acarretam alguns riscos. Assim, é de interesse
avaliar se as utilizadoras estão cientes dos mesmos.
Através da aplicação de um questionário a 150 utilizadoras de contraceção hormonal
combinada com idades compreendidas entre os 18 e os 50 anos a serem acompanhadas
nas consultas de planeamento familiar dos centros de saúde da Cova da Beira,
pretendeu-se avaliar a literacia das utentes acerca dos benefícios e riscos do seu método
contracetivo hormonal combinado.
No total das 13 questões relativas aos benefícios e riscos da contraceção hormonal
combinada, em 8 delas verificou-se uma percentagem de incertezas superior a 50%. A
questão respondida mais acertadamente pelas utilizadoras foi relativa aos ciclos
menstruais, a mais erradamente foi relativa às cefaleias, e a que revelou mais incertezas
foi a do cancro do endométrio. As mulheres com menor escolaridade responderam
menos. As mulheres com mais escolaridade responderam mais, mas mais erradamente.
As mulheres que frequentaram o ensino superior apresentaram menos incertezas o que
pode explicar o maior número médio de respostas erradas. O elevado grau de
desconhecimento dos benefícios e riscos do método contracetivo pode dever-se ao
insuficiente fornecimento de informação por parte dos profissionais de saúde e/ou ao
desinteresse por parte das utilizadoras.
Conclui-se, assim, que as utilizadoras de contraceção hormonal combinada não estão
devidamente esclarecidas sobre os benefícios e riscos inerentes à sua utilização.
In Portugal, it is estimated that 94% of women use some contraceptive method. Combined hormonal contraception has been the preferred choice for most women. These contraceptive methods have several health benefits in addition to contraception, but they also carry some risks. Thus, it is of interest to assess whether the users are aware of them. Through the application of a questionnaire to 150 users of combined hormonal contraception aged between 18 and 50 years, being followed in family medicine consultations at primary health care units in Cova da Beira, the aim was to assess the literacy about the benefits and risks of their combined hormonal contraceptive method. In the total of 13 questions about the benefits and risks of combined hormonal contraception, in 8 of them there was a percentage of uncertainties above 50%. The most correctly answered question by women was related to menstrual cycles, the most wrongly answered was related to headaches, and the one that revealed the most uncertainties was the one about endometrial cancer. Women with lower education levels answered less. Women with higher education levels answered more, but more wrongly. Women with higher educational levels had less uncertainties, which may explain the higher average number of wrong answers. The high degree of ignorance of the benefits and risks of the contraceptive method may be due to insufficient provision of information by health professionals and/or lack of interest by the users. All in all, users of combined hormonal contraception are not fully informed about the benefits and risks inherent to its use.
In Portugal, it is estimated that 94% of women use some contraceptive method. Combined hormonal contraception has been the preferred choice for most women. These contraceptive methods have several health benefits in addition to contraception, but they also carry some risks. Thus, it is of interest to assess whether the users are aware of them. Through the application of a questionnaire to 150 users of combined hormonal contraception aged between 18 and 50 years, being followed in family medicine consultations at primary health care units in Cova da Beira, the aim was to assess the literacy about the benefits and risks of their combined hormonal contraceptive method. In the total of 13 questions about the benefits and risks of combined hormonal contraception, in 8 of them there was a percentage of uncertainties above 50%. The most correctly answered question by women was related to menstrual cycles, the most wrongly answered was related to headaches, and the one that revealed the most uncertainties was the one about endometrial cancer. Women with lower education levels answered less. Women with higher education levels answered more, but more wrongly. Women with higher educational levels had less uncertainties, which may explain the higher average number of wrong answers. The high degree of ignorance of the benefits and risks of the contraceptive method may be due to insufficient provision of information by health professionals and/or lack of interest by the users. All in all, users of combined hormonal contraception are not fully informed about the benefits and risks inherent to its use.
Description
Keywords
Conhecimento Contraceção Contraceção Hormonal Literacia em Saúde Riscos e Benefícios