Anticoncepción en adolescentes mexicanos de escuelas del nivel medio superior: uso y necesidades insatisfechas / Contraception in Mexican adolescents in upper secondary schools: use and unmet needs
Salud pública Méx
;
59(5): 566-576, Sep.-Oct. 2017. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-903811
RESUMEN
Resumen Objetivo:
Describir el comportamiento sexual y el uso de anticonceptivos en adolescentes escolarizados. Material ymétodos:
Encuesta representativa nacional en escuelas de educación media superior en México, realizada en 2014. Modelos logísticos identifican factores asociados al uso de anticonceptivos y a necesidades insatisfechas de anticoncepción (NIA).Resultados:
Entre los hombres, no emplear anticonceptivos en la última relación sexual se asocia con la no utilización de éstos durante el debut sexual (RM=11.5; IC95% 5.6-23.4) y desconocer anticonceptivos efectivos (RM=2.4; IC95% 1.04-5.5). Entre las mujeres, no emplear anticonceptivos se asocia con el no uso de éstos durante el debut sexual (RM=4.5; IC95% 2.3-8.4) y la falta de autoeficacia en el uso/negociación del condón (RM=3.1; IC95% 1.18.2). Las NIA se asocian con baja autoeficacia respecto al uso/negociación del condón (RM=3.5; IC95% 1.3-9.4), no usar anticonceptivos en el debut sexual (RM=9.0; IC95% 2.5-32.4) y usar alcohol o drogas en relaciones sexuales (RM=3.0; IC95% 1.1-8.1).Conclusiones:
Se requieren estrategias que garanticen el uso de anticonceptivos desde el debut sexual y que promuevan la autoeficacia y las prácticas seguras entre los adolescentes.ABSTRACT
Abstrac Objective:
To describe sexual behavior and contraceptive use in adolescent students. Materials andmethods:
National representative survey in upper secondary schools in Mexico 2014. Logistic regressions identify the factors associated with contraceptive use and unmet needs for contraception (UNC).Results:
For male adolescents, non-contraceptive use in the last sexual relation is associated with non-contraceptive use in the sexual debut (OR=11.5; IC95%5.6,23.4) and not recognizing effective contraceptive methods (OR=2.4;IC95%1.04,5.5). For female adolescents, non-contraceptive use is associated with non-contraceptive use in sexual debut (OR=4.5;IC95%2.3,8.4) and low self-efficacy towards condom use and negotiation (OR=3.1; IC95%1.1,8.2). UNC were associated with insecure attitudes towards condom use and negotiation (OR=3.5;IC95%1.3,9.4), non-contraceptive use in sexual debut (OR=9.0;IC95%2.5,32.4) and use of alcohol or drugs during sexual relations (OR=3.0;IC95%1.1,8.1).Conclusions:
Strategies to ensure contraceptive use from sexual debut onwards are required, promoting self-efficacy and safe sex practices among adolescents.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Sexual Behavior
/
Health Knowledge, Attitudes, Practice
/
Adolescent Behavior
/
Contraception
/
Contraception Behavior
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Qualitative research
/
Risk factors
Limits:
Adolescent
/
Female
/
Humans
/
Male
Country/Region as subject:
Mexico
Language:
Spanish
Journal:
Salud pública Méx
Journal subject:
Public Health
Year:
2017
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Nacional de Salud Pública/MX
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