ABSTRACT
OBJETIVO: Identificar factores asociados con la búsqueda del servicio de interrupción legal del embarazo (ILE) en la Ciudad de México. MATERIAL Y MÉTODOS: Se utilizó un diseño casos-controles. Usuarias del servicio de ILE fueron definidas como casos, y usuarias de control prenatal con 13 o más semanas de gestación con un embarazo no deseado constituyeron los controles. Se ajustaron modelos de regresión logística condicional. RESULTADOS: Los años de escolaridad (RM=1.47, IC:1.04-2.07), la ocupación (estudiante, RM=7.31, IC:1.58-33.95; tener empleo remunerado, RM= 13.43, IC:2.04-88.54) y número de interrupciones de embarazo previas (RM=11.41, IC:1.65-79.07) se asociaron con la búsqueda de ILE. El factor de mayor peso fue la ocupación; las mujeres que trabajan tuvieron 13.4 veces mayor posibilidad de demandar el servicio de ILE. CONCLUSIONES: En el contexto de la Ciudad de México, mujeres con más educación y participación laboral activa utilizan más los servicios de ILE. Se requieren estrategias dirigidas a incrementar el uso de estos servicios por mujeres menos favorecidas.
OBJECTIVE: To identify factors associated with the seeking of the legal-interruption-pregnancy (LIP) services in Mexico City. MATERIALS AND METHODS: We used a case-control design. Users who utilized the LIP were defined as cases, while users of the antenatal care service with gestational age 13 or more weeks and who reported having an unwanted pregnancy were defined as controls. Logistic regressions were fitted to estimate odds ratios. RESULTS: Higher level of education (OR=1.47, 95% CI:1.04-2.07), women's occupation (being student OR=7.31, 95% CI:1.58-33.95; worker OR=13.43, 95% CI:2.04-88.54), and number of previous abortions (OR=11.41, 95% CI:1.65-79.07) were identified as factors associated with the lookup of LIP. CONCLUSIONS: In Mexico City context, empowered women with a higher level of education, or having a work activity are the users of LIP services. Strategies for improving access of women with low empowerment conditions are needed.
Subject(s)
Adolescent , Adult , Female , Humans , Pregnancy , Young Adult , Abortion Applicants/statistics & numerical data , Abortion, Legal/statistics & numerical data , Case-Control Studies , Educational Status , Income , Insurance Coverage , Marital Status , Mexico , Occupations , Parity , Pregnancy, Unwanted , Surveys and Questionnaires , Religion , Urban PopulationABSTRACT
Objetivo Analizar desde la perspectiva bioética de la justicia distributiva las características socio-demográficas de las mujeres que consultan por aborto provocado en el Hospital Local del Norte de Bucaramanga. Métodos Se realizó un estudio descriptivo y transversal con una muestra por conveniencia, tomada entre las pacientes que consultaron en Urgencias de Gineco-obstetricia del Hospital Local del Norte de Bucaramanga entre el 1° de marzo de 2008 y el 28 de febrero del 2009 con diagnóstico de aborto en cualquiera de sus presentaciones. Resultados La muestra total fue de 93 pacientes de las cuales 16 aceptaron haberse inducido un aborto. Los factores asociados con este hecho fueron: pertenecer a un estrato socio-económico bajo, carecer de adecuada atención sanitaria y educativa en planificación familiar, carecer de pareja estable o que esta fuera disfuncional y que la pareja presionara inducir el aborto por motivos económicos o paternidad satisfecha. Un contraste de estos resultados con la legislación sanitaria vigente desde la perspectiva bioética de equidad en salud, revela que la aplicación de la normatividad es deficiente tanto en cobertura como en acciones educativas en salud sexual y reproductiva. Conclusiones Facilitar a las pacientes que ejerzan su sexualidad de manera responsable y mejorar las oportunidades para acceder a mejores opciones económicas, puede disminuir la presencia de abortos provocados en la población que habita en la Comuna Norte de Bucaramanga.
Objectivo To evaluate the socio-demographic characteristics of females who admitted to having previously undergone induced abortion who were attended at Hospital Local del Norte in Bucaramanga from the viewpoint of distributive justice. Methods This was a descriptive, cross-sectional study of a convenience sample of patients who consulted the Hospital Local del Norte's Emergency Gynaecology-Obstetrics Service in Bucaramanga between March 1/2008 and February 28/2009 who had a diagnosis of abortion in any of their presentations. Results The sample involved 93 patients, 16 of whom accepted that they had undergone an induced abortion. Factors associated with the event were belonging to a low socioeconomic stratum, lacking adequate health care and education in family planning, lack of a stable partner or that their relationship was dysfunctional and that the couple had pressured for an induced abortion for economic reasons or that their desire for parenting had already been satisfied. Contrasting these results with existing health legislation bioethics from a social justice in health viewpoint revealed that current legislation is deficient in both its coverage and extension to educational activity regarding sexual and reproductive health. Conclusions Enabling patients to enjoy their sexuality responsibly and improving opportunities for access to better economic options may reduce induced abortions in the population living in Bucaramanga's northern commune.
Subject(s)
Adult , Female , Humans , Pregnancy , Abortion Applicants/statistics & numerical data , Hospitals, Public/statistics & numerical data , Abortion Applicants/psychology , Abortion, Induced , Abortion, Induced/statistics & numerical data , Colombia , Contraception Behavior/statistics & numerical data , Cross-Sectional Studies , Educational Status , Family Planning Services , Family Planning Services/supply & distribution , Health Services Needs and Demand , Marital Status/statistics & numerical data , Poverty/statistics & numerical data , Risk Factors , Sampling Studies , Social Environment , Social Justice , Socioeconomic FactorsABSTRACT
O objetivo deste trabalho é refletir criticamente sobre a criminalização do aborto no Brasil. Utilizou-se uma abordagem metodológica orientada pelo trabalho de revisão bibliográfica a partir de análise bioética que contemplou a análise do tema proposto. Verificou-se que a gestação indesejada, a violência doméstica e a dificuldade de acesso ao sistema de saúde são fatores que expõem a mulher ao dano acessório. Concluiu-se que biopolítica embasada no patriarcalismo e no princípio da sacralidade da vida continua a exercer o controle sobre o corpo e a sexualidade da mulher, e se relaciona à proibição da indução do aborto, o que constitui um problema de saúde pública. Este trabalho, a partir do uso das ferramentas da bioética, volta-se a promover o desenvolvimento das relações humanas dentro dos conceitos de justiça, dignidade e igualdade, pelo uso da dialética entre os argumentos contra e a favor do aborto.