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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56085
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dc.creatorAgnaldo Lopes Dasilva-filhopt_BR
dc.creatorJosefina Lirapt_BR
dc.creatorAna Luiza Lunardi Rochapt_BR
dc.creatorMárcia Cristina França Ferreirapt_BR
dc.creatorRívia Mara Lamaitapt_BR
dc.creatorEduardo Batista Cândidopt_BR
dc.creatorMarcia Mendonca Carneiropt_BR
dc.date.accessioned2023-07-11T20:53:59Z-
dc.date.available2023-07-11T20:53:59Z-
dc.date.issued2016-
dc.citation.volume1pt_BR
dc.citation.spage1pt_BR
dc.citation.epage7pt_BR
dc.identifier.doi10.3109/13625187.2015.1137281pt_BR
dc.identifier.issn13625187pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/56085-
dc.description.resumoObjectives: This study sought to understand women's perceived barriers to the use of hormonal and non-hormonal intrauterine contraception in Latin America.Methods: We developed an online survey for women in Argentina, Brazil, Colombia and Mexico who were seeking contraception. The questions aimed at evaluating patient awareness of negative stories and statements, as well as perceived barriers to the copper intrauterine device (IUD) and the levonorgestrel-releasing intrauterine system (LNG-IUS). Results: The survey was mailed to 2300 women. A total of 1953 responses were received from Argentina (n = 465), Brazil (n = 380), Colombia (n = 613) and Mexico (n = 495). More women reported having heard negative stories about the copper IUD than about the LNG-IUS. More women believed that the copper IUD, rather than the LNG-IUS, was suitable only for those who had already had children. More women believed that weight gain (14.3% vs. 38.2%; p < 0.001), mood swings (14.1% vs. 38.7%; p < 0.001) and infertility (16.3% vs. 19.9%; p = 0.016) were possible side effects of the LNG-IUS. By contrast, more women believed that abortion (36% vs. 22.7%; p < 0.001), pelvic infections (42.1% vs. 15.7%; p < 0.001) and ectopic pregnancy (43.5% vs 23.5%; p < 0.001) were side effects more associated with the copper IUD. More believed the copper IUD was associated with less pain during placement and removal compared with the LNG-IUS (42.8% vs. 31.2%; p < 0.001). The perception of increased risk of contracting a sexual transmitted disease did not differ between the methods (IUD vs. LNG-IUS, 21.7% vs. 20.3%; p = 0.388).Conclusions: Respondents to a web-based survey in four Latin American countries have misperceptions regarding the adverse effects and risks of intrauterine contraception, which may hamper the use of these safe and efficient contraceptive methods. Education about the true risks and benefits involved is fundamental to improving patient acceptance and compliance as well as reducing unplanned pregnancies and unsafe abortions.pt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofThe European Journal of Contraception & Reproductive Health Care-
dc.rightsAcesso Restritopt_BR
dc.subjectContraceptionpt_BR
dc.subjectIntrauterine devicespt_BR
dc.subjectAdverse eventspt_BR
dc.subjectKnowledgept_BR
dc.subject.otherContracepção Hormonalpt_BR
dc.subject.otherEfeitos Colaterais e Reações Adversas Relacionados a Medicamentospt_BR
dc.subject.otherConhecimento do Paciente sobre a Medicaçãopt_BR
dc.subject.otherDispositivos Intrauterinospt_BR
dc.titleNon-hormonal and hormonal intrauterine contraception: survey of patients’ perceptions in four Latin American countriespt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.tandfonline.com/doi/abs/10.3109/13625187.2015.1137281?journalCode=iejc20pt_BR
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