While male condom was used of the 69% of your teenagers, no mathematical differences by the kind of college or university (public/private) otherwise area for residence, making use of tablet are said from the merely 13%, that have significant differences when considering the newest places . Even in the event male condoms was widely accessible during the first hospitals, tablets are available only with medical medicines in such contexts. The purchase out-of dental contraceptives instead medical prescription is a common behavior in the united states, whether or not banned. LARCs is rarely claimed within the Latin The united states and the Caribbean, and additionally Brazil [17, 18].

Investigation build

This research uses investigation regarding the Examination of Cardio Threats inside Teens (ERICA). ERICA try a cross-sectional studies carried out to assess the brand new frequency and you will covariates of aerobic risk activities inside the teens. Additionally, it analyzed various other attributes out of adolescents’ life, instance birth-control practices.

Test and you can function

The fresh new sample incorporated male and female teens aged several to help you 17 many years who attended social and private universities for the 2014. The brand new ERICA testing build made up every Brazil’s condition capitals, the brand new Government District, and groups of most other municipalities of more than 100,000 residents (large locations) from the macro-aspects of the world (North, Northeast, East-heart, Southeast, and you may Southern area). An example of just one,251 universities are chosen around the the strata having chances proportional to help you dimensions. Inside for every single college or university, about three kinds level 7th so you can ninth grades when you look at the elementary school and you will of earliest compliment of third levels inside the highschool were randomly chose, and all sorts of teens throughout the selected kinds had been allowed for taking area on look. Different conditions or other information regarding the new test structure can be found in other places . In total, 75,060 teenagers were as part of the ERICA research.

I aligned to understand more about the person and contextual influences associated with the application of contraceptive on past sexual intercourse. The main focus was for the female teenagers who’d ever had sexual intercourse (n = 7415) staying in among the capitals in addition to Government District.

Methods and variables

Multilevel logistic models with combined effects was basically estimated to check on private and you may contextual affairs about the usage of new tablet (n = 1629) or a good condom (n = 4841) in the last sexual intercourse. Private products integrated years (12, 13, silversingles Pregled web mjesta za upoznavanje 14, fifteen, 16, and you may 17 ages); skin tone (light and you will low-white; non-light comprises respondents which thinking-stated since the Black, combined, Far-eastern and you can Indian native); friends structure (coping with mothers, mommy simply, the father simply, and you can not one (we.e., include most other adult otherwise a partner); mother`s education (lowest – away from illiterate to less than 8 many years of schooling; center – of 8 in order to eleven numerous years of schooling, highest –12 or even more years of education); particular college or university (personal and private), reduced perform (zero and you may sure), and you can years in the sexual onset (until fourteen years otherwise 15 years and you may earlier).

Perspective details was basically health symptoms such as for example pris’ publicity, antenatal care visibility, and maternal mortality speed (MMR). Brazil is actually a country out-of continental size which have widespread local and you can public inequalities. The world`s MMR have generous local disparities you to definitely inform you socioeconomic differences and inequalities when you look at the access to medical care . Regarding antenatal care exposure, there’s been improvement in the last few years, but there are still inequalities from inside the availableness, having marked variations in the fresh time of your first go to and what amount of check outs round the nations .

Brand new changeable primary healthcare visibility is actually measured by the percentage of the people included in family members health groups. A doctor, a nurse, a couple of nurse personnel, and you can 4-6 health people specialists write friends wellness groups during the Brazil, that’s the main Loved ones Health Means. The family Wellness Approach was launched into the 1994 to incorporate primary healthcare and increase health symptoms in all the way down-money family. Inside 2014, an identical seasons of our own fieldwork, Brazil had everything 39,000 family health groups: more than 265,000 society health gurus providing 120 million someone (62% of people) . Municipal-height analyses ideal the approach presented positive effects into health symptoms, such as for instance infant mortality, especially through the reduction of diarrhea- and pneumonia-related fatalities . For every single doctor regarding the team has actually clear spots and tasks focused on responding to the most common health conditions and requires, like the supply away from household members thought characteristics. The visibility out of pris try determined considering that for each friends health group is responsible for 3000 some body staying in a geographical city close to a primary medical center. The newest visibility of pris is actually examined during the tertiles (first tertile – municipalities whoever exposure off pris try twenty-seven.4% in order to 50.7%; 2nd tertile – municipalities whose percentage was 52.3% in order to 64.0%; and third tertile – municipalities whose commission are 67.6% to help you 100.0%).