Study of the sexuality and demand for gynecologic services by high school students in the city of Rio de Janeiro.
J Pediatr Adolesc Gynecol
; 26(6): 323-6, 2013 Dec.
Article
en En
| MEDLINE
| ID: mdl-24238266
OBJECTIVE: To identify the sexual and reproductive profile and demand for gynecologic services by high school girls in the city of Rio de Janeiro. DESIGN: Cross-sectional study carried out by administration of a questionnaire filled in by the respondents on their own, given to students at 3 high schools with different socioeconomic profiles: private, state, and federal. The questions covered socio-demographic characteristics, sexual behavior, and demand for gynecologic services. The data were analyzed by the Yates chi-square test and Student t-test, with P < .05. SETTING: Three high schools in the city of Rio de Janeiro. INTERVENTIONS: None. PARTICIPANTS: Female high school students. MAIN OUTCOME MEASURE: Age, race, socioeconomic level, parents' schooling, and sexual activity. RESULTS: A total of 418 students participated, 122 from a private school, 165 from a state public school, and 131 from a federal public school. The state school students were predominantly black and had the lowest socioeconomic level, with their parents having the fewest average years of schooling. They also reported the most sexual partners, pregnancies, and abortions. Their characteristics differed significantly from those of the private and federal school students, which were similar to each other. The average age of first sexual activity was similar for all the respondents and the first visit to a gynecologist occurred significantly later among the state school students. CONCLUSIONS: The more frequent pregnancies and abortions by the state school students can be a consequence of the lower demand for or insufficient access to gynecologic services, depriving these students of the necessary care to promote sexual and reproductive health. This demonstrates the need for public policies that promote and facilitate access to routine preventive gynecologic care by low-income adolescent girls.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Conducta Sexual
/
Conocimientos, Actitudes y Práctica en Salud
/
Conducta del Adolescente
/
Servicios de Salud del Adolescente
/
Servicios Urbanos de Salud
/
Servicios de Salud Reproductiva
/
Necesidades y Demandas de Servicios de Salud
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Equity_inequality
Límite:
Adolescent
/
Adult
/
Female
/
Humans
País/Región como asunto:
America do sul
/
Brasil
Idioma:
En
Revista:
J Pediatr Adolesc Gynecol
Asunto de la revista:
GINECOLOGIA
/
PEDIATRIA
Año:
2013
Tipo del documento:
Article
Pais de publicación:
Estados Unidos