Prevalence of Brazilian adolescents' sexual and reproductive health indicators
A comparative analysis of the 2015 and 2019 National School Health Survey
DOI:
https://doi.org/10.35699/2316-9389.2022.38392Keywords:
Adolescent, Reproductive Health, Health Status Indicators, Condoms, Contraception, Health PolicyAbstract
Objective: to compare prevalence estimates of sexual and reproductive health indicators among Brazilian adolescents who participated in the 2015 and 2019 editions of the National School Health Survey (Pesquisa Nacional de Saúde do Escolar, PeNSE). Method: a cross-sectional study that analyzed data from in-school adolescents aged from 13 to 17 years old who answered the 2015 and 2019 editions of PeNSE. Prevalence of the indicators was estimated with 95% confidence intervals according to gender, age group, the school's administrative system and region. Results: the increase in the prevalence of early initiation of sexual activity stands out among the youngest adolescents: 171.2% in the boys and 452.2% in the girls. An increase in the prevalence of teenage pregnancy was also recorded in the Northeast (376.9%) and Southeast (416.6%) regions in the youngest subjects. Among the in-school adolescents aged 16 and 17 from public institutions there was a reduction in condom use in the last intercourse and an increase in the prevalence of receiving guidelines on pregnancy prevention and about HIV/Sexually Transmitted Infections. There was a reduction in the prevalence of access to these guidelines in private schools among the youngest students. In 2019, a reduction in the use of contraceptive pills was observed among the youngest female adolescents from the North, Southeast and Midwest regions. Conclusion: the prevalence of risk sexual behaviors worsened among Brazilian adolescents, including an increase in the number of pregnancies in some regions of the country. The importance of cooperation between the health and education services is emphasized, which should be aligned to promote better life habits, with those related to sexual and reproductive health among young people standing out.
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References
Brandão ER, Cabral CS. Youth, gender and reproductive justice: health inequities in family planning in Brazil’s Unified Health System. Ciênc Saúde Colet. 2021[cited 2021 Nov 12];26(7):2673-82. Available from: https://doi.org/10.1590/1413-81232021267.08322021
Cabral CS, Brandão ER. Adolescent pregnancy, sexual initiation, and gender: perspectives in dispute. Cad Saúde Pública. 2020[cited 2021 Nov 12];36(8). Available from: https://doi.org/10.1590/0102-311X00029420
Freire FHMA, Gonzaga MR, Queiroz BL. Projeção populacional municipal com estimadores bayesianos, Brasil 2010 - 2030. Sawyer, D.O; 2019.
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa nacional de saúde do escolar: 2019 -2021. Rio de Janeiro: IBGE; 2021.
Duby Z, Jonas K, Appollis TM, Maruping K, Dietrich J, Mathews C. “Condoms are boring”: navigating relationship dynamics, gendered power, and motivations for condomless sex amongst adolescents and young people in south africa. Int J Sex Health. 2021[cited 2021 Nov 12];33(1):40-57. Available from: https://doi.org/10.1080/19317611.2020.1851334
Borges ALV, Chofakian CBN, Viana AO, Divino EA. Descontinuidades contraceptivas no uso do contraceptivo hormonal oral, injetável e do preservativo masculino. Cad Saúde Pública. 2021[cited 2021 Nov 12];37(2). Available from: https://doi.org/10.1590/0102-311X00014220
Vieira KJ, Barbosa NG, Dionízio LA, Santarato N, Monteiro JCS, Gomes-Sponholz FA. Initiation of sexual activity and protected sex in adolescents. Esc Anna Nery Rev Enferm. 2021[cited 2021 Nov 12];25(3). Available from: https://doi.org/10.1590/2177-9465-EAN-2020-0066
Grubb LK, Alderman EM, Chung RJ, Lee J, Powers M, Rahmandar MH, et al. Barrier Protection Use by Adolescents During Sexual Activity. Pediatrics. 2020 [cited 2021 Dec 28];146(2). Available from: doi:10.1542/peds.2020-007237
Oliveira OS, Abud ACF, Inagaki ADM, Alves JAB, Matos KF. Vulnerabilidade de adolescentes às doenças sexualmente transmissíveis na atenção primária. Rev Enferm UFPE on line. 2018[cited 2021 Dec 28];12(3):753-62. Available from: https://doi.org/10.5205/1981-8963-v12i3a24120p753-762-2018
The Lancet. Preventing teenage pregnancies in Brazil. Lancet. 2020 [cited 2021 Dec 28];395(10223):468. Available from: doi:10.1016/S0140-6736(20)30352-4
Society for Adolescent Health and Medicine. Abstinence-Only-Until-Marriage Policies and Programs: an updated position paper of the society for adolescent health and medicine. J Adolesc Health. 2017[cited 2021 Dec 28];61(3):400-3. Available from: doi:10.1016/j.jadohealth.2017.06.001
Santelli JS, Kantor LM, Grilo SA, Speizer IS, Lindberg LD, Heitel J, et al. Abstinence-Only-Until-Marriage: an updated review of u.s. policies and programs and their impact. J Adolesc Health. 2017 [cited 2021 Dec 28];61(3):273-80. Available from: doi:10.1016/j.jadohealth.2017.05.031
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa nacional de saúde do escolar: 2015 - 2016. Rio de Janeiro: IBGE; 2016.
Felisbino-Mendes MS, Paula TF, Machado IE, Oliveira-Campos M, Malta DC. Analysis of sexual and reproductive health indicators of Brazilian adolescents, 2009, 2012 and 2015. Rev Bras Epidemiol. 2018[cited 2022 Jan 18];21(1). Available from: https://doi.org/10.1590/1980-549720180013.supl.1
Ministério da Saúde (BR). Sistema de Informações sobre Nascidos Vivos - SINASC. Nascimentos por residência da mãe por idade da mãe segundo região. 2019. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinasc/cnv/nvuf.def
Spinola MCR, Béria JU, Schermann LB. Factors associated with first sexual intercourse among mothers with 14-16 years of age from Porto Alegre/RS, Brazil. Ciênc Saúde Colet. 2017[cited 2022 Jan 18];22(11):3755-62. Available from: https://doi.org/10.1590/1413-812320172211.00082016
Felisbino-Mendes MS, Araújo FG, Oliveira LVA, Vasconcelos NM, Vieira MLFP, Malta DC. Sexual behaviors and condom use in the Brazilian population: analysis of the National Health Survey, 2019. Rev Bras Epidemiol. 2021[cited 2022 Jan 18];24(2). Available from: https://doi.org/10.1590/1980-549720210018.supl.2
Bicalho MLC, Araújo FG, Andrade GN, Martins EF, Felisbino-Mendes MS. Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents. Rev Bras Enferm. 2021[cited 2022 Jan 18];74(4). Available from: https://doi.org/10.1590/0034-7167-2020-0884
Maranhão TA, Gomes KRO, Oliveira DC, Moita Neto JM. Impact of first sexual intercourse on the sexual and reproductive life of young people in a capital city of the Brazilian Northeast. Ciênc Saúde Colet. 2017[cited 2022 Jan 18];22(12):4083-94. Available from: https://doi.org/10.1590/1413-812320172212.16232015
Ajayi AI, Ismail KO, Akpan W. Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities. BMC Public Health. 2019[cited 2022 Jan 18];19(1):1207. Available from: https://doi.org/10.1186/ s12889-019-7543-1
Dourado I, MacCarthy S, Reddy M, Calazans G, Gruskin S. Revisiting the use of condoms in Brazil. Rev Bras Epidemiol. 2015[cited 2022 Jan 18];18(1):63-88. Available from: https://doi.org/10.1590/1809-4503201500050006
Borges ALV, Gonçalves RFS, Chofakian CBN, Nascimento NC, Figueiredo RMMD, Fujimori E, et al. Uso da anticoncepção de emergência entre mulheres usuárias de Unidades Básicas de Saúde em três capitais brasileiras. Ciênc Saúde Colet. 2021 Ago;26(2):3671-82. Available from: https://doi.org/10.1590/1413-81232021269.2.32772019
Chofakian CBN, Moreau C, Borges ALV, Santos OA. Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil. Reprod Health. 2019[cited 2021 Dec 15];16(131). Available from: https://doi.org/10.1186/s12978-019-0783-9
Pan American Health Organization - PAHO. The Health of Adolescent and Youth in the Americas. Implementation of the Regional Strategy and Plan of Action on Adolescent and Youth Health 2010-2018. Washington: PAHO; 2018. Available from: https://iris.paho.org/handle/10665.2/49545
Instituto Brasileiro de Geografia e Estatística (IBGE). Educação 2019: pesquisa nacional por amostra de domicílios contínua. Rio de Janeiro: IBGE; 2020.
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