Contraceptive Use and Discontinuation in Brazil
Author Information
Author(s): Iúri C Leite, Neeru Gupta
Primary Institution: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
Hypothesis
What factors are associated with contraceptive discontinuation, failure, and switching among current contraceptive users in Brazil?
Conclusion
There are significant disparities in contraceptive use and quality of care across different regions in Brazil.
Supporting Evidence
- Contraceptive continuation was highest for the pill, while abandonment and switching were highest for injections.
- Disparities in contraceptive use were noted between the Northeast and more prosperous regions.
- Over 90% of governments support contraceptive methods, including Brazil.
Takeaway
This study looked at how women in Brazil stop using birth control or switch methods, finding that some areas have better access to contraceptives than others.
Methodology
The study used multilevel discrete-time competing risks hazard models to analyze data from the Brazil Demographic and Health Survey.
Potential Biases
Potential biases may arise from self-reported data on contraceptive use and reasons for discontinuation.
Limitations
The study may not fully account for biases due to correlation between observed variables and errors in the model.
Participant Demographics
The study included women aged 15-49, primarily urban, with varying levels of education and mass media exposure.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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