Knowledge of users of low-dose oral combined contraceptives about the method

Américo, Camila Félix; Nogueira, Paula Sacha Frota; Vieira, Rebeca Pinho Romero; Bezerra, Cleide Gomes; Moura, Escolástica Rejane Ferreira; Lopes, Marcos Venícios de Oliveira

doi:10.1590/S0104-11692013000400014

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 21 (4) • Jul-Aug 2013 • https://doi.org/10.1590/S0104-11692013000400014 copy

Knowledge of users of low-dose oral combined contraceptives about the method

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVES:

to identify the knowledge of users of combined oral contraceptive about correct use, side effects and complications; to verify the correlation between knowledge about the method with age, education, family income and time of use.

METHOD:

cross-sectional study performed in Fortaleza, Ceará, Brazil, from March to July 2010, with 294 women. Data were collected through interviews.

RESULTS:

75% had substantial knowledge about the proper use and side effects and no knowledge about complications. The higher the educational level and family income, the higher the women's knowledge about the correct use of the method. Positive correlation suggests that women who used the method for longer knew more about its side effects.

CONCLUSION:

there are knowledge gaps about the method, which are influenced by socioeconomic variables and use time.

Contraceptives, Oral, Combined; Knowledge; Socioeconomic Factors

		Mean (±SD)	Percentiles
		Mean (±SD)	P₂₅	P₅₀	P₇₅
Knowledge
	Correct use	3.72 (±0.95)	3.00	4.00	4.00
	Side effects	3.50 (±1.11)	3.00	4.00	4.00
	Complications	1.13 (±0.43)	1.00	1.00	1.00
		N	%	CI (95%)
Correct use
	Reports that the pill should be taken daily and always at the same time schedule.	223	84.5	79.5-88.6
	Correctly reports what to do if she forgets to take the pill.	213	80.7	75.4-85.3
	Reports that the start of the pill pack must be in the first five days after the beginning of menstruation or at any period of the menstrual cycle since not pregnant	174	65.9	59.8-71.6
	Reports the beginning of the subsequent pill pack should occur seven days after the end of the previous pack	110	41.7	35.7-47.9
Side effects
	Recognizes alterations in the nervous system.	204	77.3	71.7-82.2
	Recognizes other systemic alterations.	177	67.0	61.0-72.7
	Recognizes alterations in the gastrointestinal system	167	63.3	57.1-69.1
	Recognizes alterations in the menstrual pattern	116	43.9	37.9-50.2
Complications
	Increased arterial blood pressure	15	5.7	3.2-9.2
	Stroke	8	3.0	1.3-5.9
	Acute myocardial infarction	6	2.3	0.8-4.9
	Deep vein thrombosis	5	1.9	0.6-4.4

		ρ	p-value
Knowledge about the correct use of COC
	Age	- 0.063	0.308
	Education	0.164	0.008
	Monthly family income	0.135	0.029
	Time of COC use	0.023	0.712
Knowledge about side effects
	Time of COC use	0.189	0.002
Knowledge about complications related to the use of COC
	Education	0.166	0.007

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Escolástica Rejane Ferreira Moura Universidade Federal do Ceará. Departamento de Enfermagem Rua Alexandre Baraúna, 1115 Bairro: Rodolfo Teófilo CEP: 60430-160, Fortaleza, CE, Brasil E-mail: escolpaz@yahoo.com.br