Автор: You will find an extensive version regarding the use of pill among women adolescents around the capitals, ranging from cuatro.8% when you look at the Macapa in order to 47.9% during the Porto Alegre (data maybe not revealed for the table). Results from the newest completely modified model revealed that MMR and you will antenatal care visibility had been somewhat for the use of pill in history sexual intercourse among feminine teens. The latest exposure away from pris wasn’t notably of the using pills. During the private height, earlier teenagers, non-whites, men and women employed in repaid operate, those individuals managing no moms and dads, and those whose mothers had medium otherwise highest informative height was in fact even more likely to explore pill compared to the particular sub-sets of teenagers.
At the town peak, large MMR is inversely on the playing with pills while you are higher antenatal publicity is undoubtedly regarding the use of the strategy inside past sexual intercourse
Regarding null model, the new ICC indicated that just as much as 9.7% of your own full difference towards the accessibility tablet is actually attributed so you can town peak and you will 90.3% to private height products. The fresh new introduction off individual-peak parameters told me 10.2% of your framework-level variance (Model step one). During the Model dos, the new PCV indicated that 64.9% of variance during the town height was in fact paid into personal and contextual variables associated with tablet fool around with (Desk step three).
Dining table 3 Chances ratios of multilevel logistic regression studies exploring the relationship ranging from individual- and you can perspective-peak circumstances and make use of out of tablet at last sexual intercourse one of female teens when you look at the Brazil, 2014
The employment of good condom ranged of 50.1% into the Joao Pessoa to help you 77.5% inside Macapa (analysis maybe not revealed into the dining table). Zero contextual changeable was somewhat for the access to condom in the new unadjusted design. Throughout the null model, the newest ICC indicated that whenever dos.7% of your complete variance inside condom explore was related to local government level and 97.3% so you can individual peak products. Considering such a low ICC, the full-adjusted model with the context-height variable wasn’t projected. Comes from new design adjusted to have personal-level things showed that earlier teens, non-white, and those coping with no moms and dads had been less gonna explore an excellent condom, while you are people that got first sexual intercourse at many years fifteen otherwise more mature was basically more gonna fool around with a beneficial condom weighed against the newest particular comparison sub-teams (Desk cuatro).
Dining table cuatro Chances percentages away from multilevel logistic regression research exploring the association anywhere between private- and you will perspective-peak circumstances and you can condom use at last sexual intercourse certainly female adolescents for the Brazil, 2014
Conversation
This study gifts the fresh new insights concerning your association between wellness symptoms and use out-of contraceptives one of women adolescents away from cities out of good middle-earnings nation with state-of-the-art top healthcare characteristics but high membership away from personal inequality . Particular interventions to promote making use of contraceptives that have demonstrated active were training company in teenage contraception counseling, providing totally free or higher-the-prevent contraceptives to own teenagers, Nastavite vezu odmah and while making wellness properties teenage or youngsters-friendly [29,thirty two,33]. Our conclusions advise that the latest framework in which teenagers live as well as matter for usage off particular contraception measures. The conclusions, such as, demonstrate that living in an effective town that have reasonable MMR otherwise a beneficial large number regarding antenatal visits was undoubtedly associated with the accessibility tablets certainly women teens.
Our very own conclusions is in keeping with the ones from a good Eu analysis which found that geographic differences in teenage tablet and you can condom play with you are going to end up being explained by diverse entry to reproductive fitness functions and you may birth control offers . Yes, for the regions where discover high MMR, there’s reduced prenatal proper care coverage and you can limited accessibility contraceptives . Therefore, general expenditures into the maternal wellness ily think procedures among teenagers while the initiatives dedicated to ladies in general, perhaps not adolescent-specific, frequently determine contraception need.
