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      Creencias, actitudes y conocimientos sobre la anticoncepción de emergencia en estudiantes universitarios de medicina Translated title: Beliefs, attitudes, and knowledge about emergency contraception among university medicine students


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          RESUMEN Objetivo: Analizar los conocimientos, actitudes y creencias sobre la anticoncepción de emergencia en estudiantes universitarios de medicina. Métodos: Investigación correlacional, de corte transversal. Se invitó a 556 estudiantes mediante un muestreo no probabilístico. Se utilizó un instrumento de 19 preguntas, dividido en tres secciones: creencias, actitudes y conocimientos. El contenido del instrumento fue validado mediante la participación de expertos y tiene una confiabilidad de 0,79. Se realizó un análisis descriptivo y bivariado. Resultados: Participaron 508 estudiantes, la edad promedio de 20 ± 3,9 años. Con respecto a las creencias: 240 mujeres y 157 hombres entienden que la concepción es el punto donde el esperma y el óvulo se unen dentro del aparato reproductor femenino, esta respuesta se relaciona con el sexo de los estudiantes (p = 0,03); las actitudes: 41,7 % de los participantes sostienen que la anticoncepción de emergencia solo funcionaría antes que el esperma y el óvulo se unan dentro del aparato reproductor femenino, 25 % manifestó que funcionaría antes de que ocurra la implantación; los conocimientos: 33,7 % señaló que usaría la anticoncepción de emergencia dentro de las 72 horas, 25,6 % lo usaría dentro de las 24 horas. El entendimiento sobre el funcionamiento de la anticoncepción se relacionó con el hecho de tener relaciones sexuales (p = 0,043). Conclusión: La mayoría de los estudiantes entrevistados no tiene conocimiento sobre el mecanismo de acción, que consiste en prevenir la implantación del óvulo fertilizado.

          Translated abstract

          SUMMARY Objective: To analyze university students’ knowledge, attitudes, and beliefs about emergency contraception. Methods: Correlational, cross-sectional research. 556 students were invited through non-probabilistic sampling. A 19-question instrument was used, divided into three sections: beliefs, attitudes and knowledge. The content of the instrument was validated through the participation of experts and has a reliability of 0.79. A descriptive and bivariate analysis was performed. Results: 508 students participated, the average age of 20 ± 3.9 years. Regarding beliefs: 240 women and 157 men understand that conception is the point where sperm and egg come together within the female reproductive system, this response is related to the sex of the students (p = 0.03); attitudes: 41.7% of participants maintain that emergency contraception would only work before sperm and egg join within the female reproductive system, 25% said it would work before implantation occurs; knowledge: 33.7% said they would use emergency contraception within 72 hours, 25.6% would use it within 24 hours. The understanding of how contraception works was related to having sex (p = 0.043). Conclusion: Most of the students interviewed have no knowledge about the mechanism of action, which is to prevent the implantation of the fertilized egg.

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          Global, regional, and subregional classification of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model

          Summary Background Global estimates of unsafe abortions have been produced for 1995, 2003, and 2008. However, reconceptualisation of the framework and methods for estimating abortion safety is needed owing to the increased availability of simple methods for safe abortion (eg, medical abortion), the increasingly widespread use of misoprostol outside formal health systems in contexts where abortion is legally restricted, and the need to account for the multiple factors that affect abortion safety. Methods We used all available empirical data on abortion methods, providers, and settings, and factors affecting safety as covariates within a Bayesian hierarchical model to estimate the global, regional, and subregional distributions of abortion by safety categories. We used a three-tiered categorisation based on the WHO definition of unsafe abortion and WHO guidelines on safe abortion to categorise abortions as safe or unsafe and to further divide unsafe abortions into two categories of less safe and least safe. Findings Of the 55· 7 million abortions that occurred worldwide each year between 2010–14, we estimated that 30·6 million (54·9%, 90% uncertainty interval 49·9–59·4) were safe, 17·1 million (30·7%, 25·5–35·6) were less safe, and 8·0 million (14·4%, 11·5–18·1) were least safe. Thus, 25·1 million (45·1%, 40·6–50·1) abortions each year between 2010 and 2014 were unsafe, with 24·3 million (97%) of these in developing countries. The proportion of unsafe abortions was significantly higher in developing countries than developed countries (49·5% vs 12·5%). When grouped by the legal status of abortion, the proportion of unsafe abortions was significantly higher in countries with highly restrictive abortion laws than in those with less restrictive laws. Interpretation Increased efforts are needed, especially in developing countries, to ensure access to safe abortion. The paucity of empirical data is a limitation of these findings. Improved in-country data for health services and innovative research to address these gaps are needed to improve future estimates. Funding UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction; David and Lucile Packard Foundation; UK Aid from the UK Government; Dutch Ministry of Foreign Affairs; Norwegian Agency for Development Cooperation.
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            Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model

            Estimates of pregnancy incidence by intention status and outcome indicate how effectively women and couples are able to fulfil their childbearing aspirations, and can be used to monitor the impact of family-planning programmes. We estimate global, regional, and subregional pregnancy rates by intention status and outcome for 1990-2014.
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              Adolescent Pregnancy, Birth, and Abortion Rates Across Countries: Levels and Recent Trends

              Purpose To examine pregnancy rates and outcomes (births and abortions) among 15- to 19-year olds and 10- to 14-year olds in all countries for which recent information could be obtained and to examine trends since the mid-1990s. Methods Information was obtained from countries’ vital statistics reports and the United Nations Statistics Division for most countries in this study. Alternate sources of information were used if needed and available. We present estimates primarily for 2011 and compare them to estimates published for the mid-1990s. Results Among the 21 countries with complete statistics, the pregnancy rate among 15- to 19-year olds was the highest in the United States (57 pregnancies per 1,000 females) and the lowest rate was in Switzerland (8). Rates were higher in some former Soviet countries with incomplete statistics; they were the highest in Mexico and Sub-Saharan African countries with available information. Among countries with reliable evidence, the highest rate among 10- to 14-year olds was in Hungary. The proportion of teen pregnancies that ended in abortion ranged from 17% in Slovakia to 69% in Sweden. The proportion of pregnancies that ended in live births tended to be higher in countries with high teen pregnancy rates (p =.02). The pregnancy rate has declined since the mid-1990s in the majority of the 16 countries where trends could be assessed. Conclusions Despite recent declines, teen pregnancy rates remain high in many countries. Research on the planning status of these pregnancies and on factors that determine how teens resolve their pregnancies could further inform programs and policies.

                Author and article information

                Revista de Obstetricia y Ginecología de Venezuela
                Rev Obstet Ginecol Venez
                Sociedad de Obstetricia y Ginecología de Venezuela (Caracas, Distrito Capital, Venezuela )
                September 2022
                : 82
                : 3
                : 350-361
                [1] Lima Lima orgnameUniversidad Nacional Mayor de San Marcos orgdiv1Facultad de Medicina Peru
                [3] Lima Lima orgnameUniversidad Nacional Federico Villarreal Peru
                [2] Lima Lima orgnameUniversidad Nacional Mayor de San Marcos orgdiv1Facultad de Medicina Peru
                S0048-77322022000300350 S0048-7732(22)08200300350

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                : 08 May 2022
                : 12 February 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 37, Pages: 12

                SciELO Venezuela

                Trabajos Originales

                Anticoncepción de emergencia,Embarazo,Estudiantes,Conocimiento,Pregnancy,Emergency contraception,Students,Knowledge


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