Factores asociados al abandono de la anticoncepción hormonal oral: Un estudio con los adolescentes de la ciudad de Rio de Janeiro

Abstract

Background: The oral hormonal contraceptive is the most adopted method among adolescents. Objective: Seeking to reduce the rates of undesired pregnancy and all the medical and social risks, we studied the causing factors of the abandonment of this method. Methods: A non-controlled experimental study of the use of oral contraceptive was accomplished, for six months, with adolescents from 15 to 19 years old attended in the Hospital Geral de Bonsucesso (Rio de Janeiro, Brazil) between November 2004 and August 20005. The participants were interviewed and submitted to clinical and laboratorial tests before and after using the medication. In the data analysis the chi-square test was used with 5% level of significance. Results: It was verified that the precocious age (of 15 to 16 years old), the low education and the adolescent's conflicting relationship with their family are significant factors to the non-adhesion to the contraceptive method in question. Conclusions: We concluded that in order to reduce the occurrence of undesired pregnancies it will be necessary the adoption of programs of reproductive health for adolescents which include the participation of their families, as well as investments to provide the universal access and the valorization of the education.