ABSTRACT
Introduction: Adequate identification of the sexual acceptability of contraceptive methods is key for designing health promotion interventions, assessing their impacts, and increasing their effectiveness. This study aimed to develop and validate a questionnaire to explore the preferences of women depending on their epidemiological characteristics and their partner relationships-the Sexual Acceptability of Contraceptive Methods Questionnaire [in Spanish, Aceptabilidad Sexual de los Métodos Anticonceptivos (ASMA)]. Methods: Psychometric validation was conducted using Exploratory Factorial Analysis (EFA) and confirmatory factor analysis (CFA). The reliability of the final version of the questionnaire was explored using Cronbach's alpha and McDonald omega to estimate internal consistency. Results: A three-factor model was identified. Factor 1 (explaining 28.32% of the model) corresponds to questions concerning the use and placement of the contraceptive and includes 6 items; Factor 2 (explaining 24.23%) corresponds to other factors that affect the relationship such as bleeding and side effects of the contraceptive method and includes 10 items; and Factor 3 (explaining 18.94%) corresponds to the couple relationship and includes 8 items. Conclusion and implications: The ASMA questionnaire provides a valid and reliable tool for assessing the sexual acceptability of various contraceptive methods. This instrument gathers data that provide information on various aspects of women's sexuality, health, education, and beliefs, all of which can determine the preference for one contraceptive method over another. Moreover, the tool can help to identify profiles of women who have different preferences when selecting a particular method.
Subject(s)
Contraception , Sexual Behavior , Female , Humans , Reproducibility of Results , Educational Status , Factor Analysis, StatisticalABSTRACT
Objetivo: detectar mujeres con alguna complicación vascular gestacional posiblemente relacionada con trombofilia y realizar consejo anticonceptivo. Material y métodos: estudio prospectivo descriptivo que incluye todas las complicaciones vasculares gestacionales del 2012 en el Hospital Clínico Universitario Lozano Blesa de Zaragoza. Se realizó estudio de trombofilia genética, plasmática y de factores de riesgo trombótico. Se ofrecen recomendaciones de hábitos de vida y anticoncepción basadas en los criterios de elegibilidad de la Organización Mundial de la Salud. Resultados: de 351 mujeres aceptan participar 136. 46,7% presentaban al menos un factor de riesgo trombótico diferente de trombofilia. 38,2% presentaban trombofilia, siendo el 90,4% defectos únicos. Para el consejo anticonceptivo se han utilizado los criterios de elegibilidad de la Organización Mundial de la Salud así como las preferencias de cada mujer, individualizándose su riesgo, según también otros factores de riesgo trombótico. Conclusiones: la trombofilia en la obstetricia es un tema en auge, el estudio de esta asociación podría ser útil para ofrecer recomendaciones para futuras gestaciones, anticoncepción y profilaxis de enfermedad tromboembólica venosa (AU)
Objective: Pregnancy vascular complication probably related with maternal thrombophilia detection and contraceptive counsel. Material and Methods: Prospective and descriptive study including every pregnancy vascular complication in 2012 in the University Clinical Hospital Lozano Blesa of Zaragoza. A thrombophilia plasmatic and genetic, and thrombosis risk factors was accomplished. Some life habits recommendations and contraception counsel based in elegibility World Health Organization criteria were given to women. Results: From 351 women 136 agree to participate. 46.7% of patients present at least one trombotic different risk factor of thrombophilia. 38.2% present thrombophilia being the 90.4% only defaults. Contraceptive counsel were given based on World Health Organization elegibility criteria, as women preferences and individual risk according to other thrombotic risk factors. Conclusions: Thrombophilia in Obstetrics is a booming topic, this association study can be used to future pregnancy recommendations, contraception counsel and thromboprophylaxis (AU)
