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Montero-Pons L, Rodríguez-Martín D, Esquinas C, García-Sierra R, Manresa-Domínguez JM, Reyes-Lacalle A, Cabedo-Ferreiro R, Vicente-Hernández M, Gómez Masvidal M, Toran-Monserrat P, Falguera-Puig G. Adolescents and Young Adults Evaluating a Website for Affective-Sexual Information and Education: Multicenter Cross-Sectional Study. J Med Internet Res 2023; 25:e49962. [PMID: 37883153 PMCID: PMC10636610 DOI: 10.2196/49962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 07/15/2023] [Accepted: 07/28/2023] [Indexed: 10/27/2023] Open
Abstract
BACKGROUND Today's young people have long been demanding a paradigm shift in the emotional and sexual education they receive. While for them, affective-sexual and gender diversity is already a reality, the sexual and reproductive health professionals they encounter lack sufficient training. The digital devices and affective-sexual education websites aimed at today's young people must also be thoroughly evaluated. The website Sexe Joves is a website on sexuality by the Department of Health of the Government of Catalonia (Spain). It is designed for people aged 14 to 25 years. It currently needs to undergo a process of evaluation. Affective-sexual education aimed at young people must stem from their participation and the whole range of sexual and gender diversity in order to reach the entire population equally. OBJECTIVE The aim of this study was to evaluate the website Sexe Joves as a source of affective-sexual health information, education, and communication for young people. It takes into account sex, gender identity, sexual orientation, socioeconomic status, and location within Catalonia (urban, semiurban, and rural areas). METHODS This was an observational, descriptive, and cross-sectional study that forms part of a larger mixed methods study. An ad hoc questionnaire was used to collect data. In total, 1830 participants were included. The study was carried out simultaneously in all the territorial administrations of Catalonia. RESULTS Almost 30% of the sample obtained were young people who experience affective-sexual and gender diversity. Of those surveyed, only 14.2% (n=260) said they were familiar with the website and of these, 6.5% said they used it (n=114). The website content rated most indispensable was on sexual abuse, harassment, and violence, followed by sexually transmitted infections; 70.5% (n=1200) reported that they visit pornographic websites. CONCLUSIONS The results of this study will contribute to the design of new strategies for the website Sexe Joves, a public health resource, in order to improve affective sexual education for young people. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.3390/ijerph192416586.
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Affiliation(s)
- Laura Montero-Pons
- Sexual and Reproductive Healthcare Santa Coloma de Gramenet, Primary Care Management Metropolitana Nord, Catalan Institute of Health, Santa Coloma de Gramenet, Spain
- Consolidated Research Group on Sexual and Reproductive Healthcare, Barcelona, Spain
- Faculty of Nursing, Universitat de Barcelona, L'Hospitalet de Llobregat, Spain
| | - Dolors Rodríguez-Martín
- Department of Basic and Clinical Nursing, Faculty of Nursing, Universitat de Barcelona, L'Hospitalet de Llobregat, Spain
- Consolidated Research Group on Gender, Identity and Diversity, Barcelona, Spain
- Interuniversity Research Group on Gender, Diversity and health, Barcelona, Spain
| | - Cristina Esquinas
- Department of Public Health, Mental Health and Maternal and Child Health, Faculty of Nursing, Universitat de Barcelona, L'Hospitalet de Llobregat, Spain
| | - Rosa García-Sierra
- Multidisciplinary Research Group in Health and Society, Barcelona, Spain
- Research Support Unit Metropolitana Nord, Primary care Research Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Mataró, Spain
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Primary Care Group, Germans Trias i Pujol Research Institute, Badalona, Spain
| | - Josep Maria Manresa-Domínguez
- Multidisciplinary Research Group in Health and Society, Barcelona, Spain
- Research Support Unit Metropolitana Nord, Primary care Research Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Mataró, Spain
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Primary Care Group, Germans Trias i Pujol Research Institute, Badalona, Spain
| | - Azahara Reyes-Lacalle
- Consolidated Research Group on Sexual and Reproductive Healthcare, Barcelona, Spain
- Sexual and Reproductive Healthcare Sabadell, Primary Care Management Metropolitana Nord, Catalan Institute of Health, Sabadell, Spain
| | - Rosa Cabedo-Ferreiro
- Consolidated Research Group on Sexual and Reproductive Healthcare, Barcelona, Spain
- Sexual and Reproductive Healthcare Granollers, Primary Care Management Metropolitana Nord, Catalan Institute of Health, Granollers, Spain
| | - MªMercedes Vicente-Hernández
- Consolidated Research Group on Sexual and Reproductive Healthcare, Barcelona, Spain
- Sexual and Reproductive Healthcare Sant Adrià del Besòs, Primary Care Management Metropolitana Nord, Catalan Institute of Health, Sant Adrià del Besòs, Spain
| | - Míriam Gómez Masvidal
- Consolidated Research Group on Sexual and Reproductive Healthcare, Barcelona, Spain
- Sexual and Reproductive Healthcare Mataró/Maresme, Primary Care Management Metropolitana Nord, Catalan Institute of Health, Mataró, Spain
| | - Pere Toran-Monserrat
- Multidisciplinary Research Group in Health and Society, Barcelona, Spain
- Research Support Unit Metropolitana Nord, Primary care Research Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Mataró, Spain
- Primary Care Group, Germans Trias i Pujol Research Institute, Badalona, Spain
- Department of Medicine, Faculty of Medicine, Universitat de Girona, Girona, Spain
| | - Gemma Falguera-Puig
- Consolidated Research Group on Sexual and Reproductive Healthcare, Barcelona, Spain
- Sexual and Reproductive Healthcare Directorate, Primary Care Management Metropolitana Nord, Catalan Institute of Health, Sabadell, Spain
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Montero-Pons L, Falguera-Puig G, García-Sierra R, Manresa-Domínguez JM, Reyes-Lacalle A, Cabedo-Ferreiro R, Cos-Busquets J, Zaragoza Marfà A, Sancho Pérez MP, Rodríguez-Martín D. Adolescents and Young Adults Evaluating a Website for Affective-Sexual Information and Education: A Mixed-Methods Study Protocol. Int J Environ Res Public Health 2022; 19:16586. [PMID: 36554465 PMCID: PMC9778971 DOI: 10.3390/ijerph192416586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 12/07/2022] [Accepted: 12/07/2022] [Indexed: 06/17/2023]
Abstract
The website Sexe Joves is a website on sexuality of the Department of Health of the Government of Catalonia (Spain). This study aims to understand the experiences and opinions of people aged 14 to 25 regarding this website, taking into account sex, gender identity, sexual orientation, socioeconomic status and location within Catalonia (urban, semiurban and rural areas). With the objective of improving the website and adpating the resources allocated to it, this study evaluates whether this population is familiar with it and uses it, as well as the website's usability and accessibility (digital equity), usefulness and the relevance of its content. A parallel convergent triangulation design is used: a qualitative study using a social constructivist perspective, and an observational, descriptive and cross-sectional quantitative study. We conduct a discourse analysis of participants and use an "ad hoc" questionnaire to collect quantitative data. A descriptive analysis of all variables is carried out. Affective-sexual education aimed at young people must stem from their participation and the whole range of sexual and gender diversity in order to reach the entire population equally. This analysis will contribute to the design of new strategies for the wesbite Sexe Joves, a public health resource, in order to improve affective-sexual education for young people.
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Affiliation(s)
- Laura Montero-Pons
- Doctoral Program in Nursing and Health, Faculty of Medicine and Health Sciences, School of Nursing, Universitat de Barcelona, 08907 L’Hospitalet de Llobregat, Spain
- Sexual and Reproductive Healthcare Santa Coloma de Gramenet, Primary Care Management Metropolitana Nord, Catalan Institute of Health, 08921 Santa Coloma de Gramenet, Spain
- Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2017-SGR-793), 08007 Barcelona, Spain
| | - Gemma Falguera-Puig
- Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2017-SGR-793), 08007 Barcelona, Spain
- Coordinator of Sexual and Reproductive Healthcare Metropolitana Nord, Primary Care Management Metropolitana Nord, Catalan Institute of Health, 08203 Sabadell, Spain
| | - Rosa García-Sierra
- Multidisciplinary Research Group in Health and Society (GREMSAS) (2017-SGR-917), 08007 Barcelona, Spain
- Research Support Unit Metropolitana Nord, Primary Care Research Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP JGol), 08303 Mataró, Spain
- Nursing Department, Faculty of Medicine, Campus Bellaterra, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
- Primary Care Group, Germans Trias i Pujol Research Institute (IGTP), 08916 Badalona, Spain
| | - Josep Maria Manresa-Domínguez
- Multidisciplinary Research Group in Health and Society (GREMSAS) (2017-SGR-917), 08007 Barcelona, Spain
- Research Support Unit Metropolitana Nord, Primary Care Research Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP JGol), 08303 Mataró, Spain
- Nursing Department, Faculty of Medicine, Campus Bellaterra, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
- Primary Care Group, Germans Trias i Pujol Research Institute (IGTP), 08916 Badalona, Spain
| | - Azahara Reyes-Lacalle
- Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2017-SGR-793), 08007 Barcelona, Spain
- Sexual and Reproductive Healthcare Sabadell, Primary Care Management Metropolitana Nord, Catalan Institute of Health, 08203 Sabadell, Spain
| | - Rosa Cabedo-Ferreiro
- Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2017-SGR-793), 08007 Barcelona, Spain
- Sexual and Reproductive Healthcare Granollers, Primary Care Management Metropolitana Nord, Catalan Institute of Health, 08400 Granollers, Spain
| | - Judit Cos-Busquets
- Sexual and Reproductive Healthcare Sabadell, Primary Care Management Metropolitana Nord, Catalan Institute of Health, 08203 Sabadell, Spain
| | - Ana Zaragoza Marfà
- Coordinator of Sexual and Reproductive Healthcare Muntanya, Primary Care Management Barcelona Ciutat, Catalan Institute of Health, 08030 Barcelona, Spain
| | - Maria Pilar Sancho Pérez
- Sexual and Reproductive Healthcare Santa Coloma de Gramenet, Primary Care Management Metropolitana Nord, Catalan Institute of Health, 08921 Santa Coloma de Gramenet, Spain
| | - Dolors Rodríguez-Martín
- Department of Fundamental Care and Medical Surgital Nursing, Faculty of Medicine and Health Sciences, School of Nursing, Universitat de Barcelona, 08907 L’Hospitalet de Llobregat, Spain
- Consolidated Research Group on Gender, Identity and Diversity (2017-SGR-1091), 08007 Barcelona, Spain
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Reyes-Lacalle A, Carnicer-Pont D, Masvidal MG, Montero-Pons L, Cabedo-Ferreiro R, Falguera-Puig G. Prevalence and Characterization of Undiagnosed Youths at Risk of Chlamydia trachomatis Infection: A Cross-sectional Study. J Low Genit Tract Dis 2022; 26:223-228. [PMID: 35584026 PMCID: PMC9232277 DOI: 10.1097/lgt.0000000000000682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this study was to determine the prevalence of Chlamydia trachomatis infection in undiagnosed young people aged between 15 and 24 years. MATERIALS AND METHODS A convenience sample of 623 youths, with a mean (SD) age of 20.1 (2.2) years, was recruited from key spaces in the North Metropolitan area of Barcelona in Catalonia, Spain. Participants completed a 21-item questionnaire and provided a urine sample or vaginal swab for testing. RESULTS The most common age at the first sexual intercourse was 16 years (24.6%), followed by 15 years (21.3%). Only 32.6% reported always use of condoms, 49.2% sometimes, and 15.6% never. A positive test for chlamydia was found in 34 participants (5.5%; 95% CI, 3.8-7.5), with no difference by sex. A positive test was significantly more common among the participants who were working, who had been diagnosed with a sexually transmitted disease (STD) at some point in their life, and who used web pages/apps to find new sexual partners more than once a month. In the multivariate analysis, working status was an independent factor associated with chlamydial infection (adjusted odds ratio[OR], 8.88; 95% CI, 1.71-46.17), whereas not having been previously diagnosed with an STD (OR, 0.34; 95% CI, 0.07-1.49) and never using the Internet to find sexual partners (OR, 0.16; 95% CI, 0.03-080) were protective factors against chlamydial infection. CONCLUSIONS The prevalence of C. trachomatis infection was 5.5%. Working status, a previous diagnosis of STD, and use of the Internet to find new sexual partners were associated with chlamydial test positivity.
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Affiliation(s)
- Azahara Reyes-Lacalle
- Atenció a la Salut Sexual I Reproductiva Sabadell, Direcció d'Atenció Primària Metropolitana Nord, Institut Catalá de la Salut (ICS), Barcelona, Spain
- Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
| | - Dolors Carnicer-Pont
- Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
- Programa de Prevenció i Control del Cancer, Institut Catalá d'Oncologia/WHO Collaborating Center for Tobacco Control, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Miriam Gómez Masvidal
- Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
- Atenció a la Salut Sexual I Reproductiva Mataról, Direcció d'Atenció Primària Metropolitana Nord, Institut Catalá de la Salut (ICS), Barcelona, Spain
| | - Laura Montero-Pons
- Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
- Atenció a la Salut Sexual I Reproductiva Santa Coloma de Grameenet, Direcció d'Atenció Primària Metropolitana Nord, Institut Catalá de la Salut (ICS), Barcelona, Spain
| | - Rosa Cabedo-Ferreiro
- Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
- Atenció a la Salut Sexual I Reproductiva Granollers, Direcció d'Atenció Primària Metropolitana Nord, Institut Catalá de la Salut (ICS), Barcelona, Spain
| | - Gemma Falguera-Puig
- Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain
- Responsable Atenció a la Salut Sexual I Reproductiva, Direcció d'Atenció Primària Metropolitana Nord, Institut Catalá de la Salut (ICS), Barcelona, Spain
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Cabedo-Ferreiro R, Vicente-Hernández MM, Manresa-Domínguez JM, Gómez-Masvidal M, Montero-Pons L, Reyes-Lacalle A, Falguera-Puig G. Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation. BMC Womens Health 2022; 22:196. [PMID: 35643523 PMCID: PMC9148507 DOI: 10.1186/s12905-022-01763-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 05/03/2022] [Indexed: 11/22/2022] Open
Abstract
Background Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone by a healthcare professional and of the self-administration 800 mg of misoprostol by the patient at home, along with prescribed analgesics. However, the quality of this process as perceived by patients has never been assessed. This study aims to validate a scale designed to assess the perceived quality of the entire process, structure and results of at-home medical abortion. Methods Validation study of a Spanish adaptation of the SERVPERF scale. In total, 289 patients completed a self-administered questionnaire consisting of 26 items previously evaluated by a group of experts. A re-test was performed on 53 of these patients 15 days later to assess interobserver consistency. Results The highest non-response rate for any single item was 2.1%. The floor effect was 26% and the ceiling effect did not surpass 83%. The linearly weighted Kappa coefficient was good to excellent, in general. An exploratory factor analysis was performed with Varimax rotation, obtaining a total of 7 dimensions that explain 65.9% of the variability. The internal consistency (Cronbach's alpha) for all items was 0.862. Conclusion This psychometric instrument is valid and reliable for assessing the quality of care of medical abortion. Medical abortion is efficient, effective and eliminates the need for hospital care, anesthesia and surgical risk. However, user satisfaction has yet to be determined. This study offers a validated scale to assess perceived quality of care, their quality experience and person-centered care for abortion as a fundamental part of overall service quality as a fundamental part of overall service quality.
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Affiliation(s)
- Rosa Cabedo-Ferreiro
- Atenció a la Salut Sexual i Reproductiva, Institut Català de la Salut, Granollers, Barcelona, Spain.,GRASSIR Research Group, IDIAPJGol, Generalitat de Catalunya (SGR 2014-2016), Barcelona, Spain
| | - Maria-Mercedes Vicente-Hernández
- Atenció a la Salut Sexual i Reproductiva, Institut Català de la Salut, Sant Adrià de Besòs, Barcelona, Spain.,GRASSIR Research Group, IDIAPJGol, Generalitat de Catalunya (SGR 2014-2016), Barcelona, Spain
| | - Josep-Maria Manresa-Domínguez
- Unitat de Suport a la Recerca Metropolitana Nord, Institut Universitari de Investigació en Atenció Primaria (IDIAPJGol), Cerdanyola, Barcelona, Spain.,Departament d'Infermeria, Universitat Autònoma de Barcelona, Cerdanyola, Barcelona, Spain
| | - Miriam Gómez-Masvidal
- Atenció a la Salut Sexual i Reproductiva, Institut Català de la Salut, Mataró, Barcelona, Spain.,GRASSIR Research Group, IDIAPJGol, Generalitat de Catalunya (SGR 2014-2016), Barcelona, Spain
| | - Laura Montero-Pons
- Atenció a la Salut Sexual i Reproductiva, Institut Català de la Salut, Santa Coloma de Gramenet, Barcelona, Spain. .,GRASSIR Research Group, IDIAPJGol, Generalitat de Catalunya (SGR 2014-2016), Barcelona, Spain. .,, Sabadell, Spain.
| | - Azahara Reyes-Lacalle
- Atenció a la Salut Sexual i Reproductiva, Institut Català de la Salut, Sabadell, Barcelona, Spain.,GRASSIR Research Group, IDIAPJGol, Generalitat de Catalunya (SGR 2014-2016), Barcelona, Spain
| | - Gemma Falguera-Puig
- Atenció a la Salut Sexual i Reproductiva, Institut Català de la Salut, Sabadell, Barcelona, Spain.,GRASSIR Research Group, IDIAPJGol, Generalitat de Catalunya (SGR 2014-2016), Barcelona, Spain
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Reyes-Lacalle A, Montero-Pons L, Manresa-Domínguez JM, Cabedo-Ferreiro R, Seguranyes G, Falguera-Puig G. Perinatal contraceptive counselling: Effectiveness of a reinforcement intervention on top of standard clinical practice. Midwifery 2020; 83:102631. [PMID: 32036192 DOI: 10.1016/j.midw.2020.102631] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 11/05/2019] [Accepted: 01/14/2020] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To assess the effectiveness of supplemental perinatal contraceptive counselling in addition to standard Spanish postpartum contraceptive counselling with regard to contraceptive use and use of effective contraception up to 1 year postpartum. Women's satisfaction with counselling and the method chosen was also assessed. DESIGN Community-randomized trial. SETTING "Reproductive and Sexual Health Care" units of the National Health Care System at twenty public Primary Care facilities in Catalonia (Spain). PARTICIPANTS 1,004 consecutive pregnant women (~week 30) receiving prenatal care between 1st October 2015 and 31st March 2016. Women were considered eligible for analysis if appropriate information was available. INTERVENTIONS At half of the centres, midwives provided the standard Spanish postpartum contraceptive counselling (control group, CG). At the other half, supplemental perinatal contraceptive counselling was provided in addition to standard counselling (intervention group, IG) at different time points during pregnancy and postpartum. This consisted of a leaflet and a blog with practical information about all contraceptive options plus a short reminder message in the mobile phone during the third quarter of pregnancy and a face-to-face or a virtual meeting lasting 20 min in the first 15 days postpartum. Midwives used ad hoc questionnaires to collect information at week 30 of pregnancy (recruitment), and week 6, month 6 and month 12 postpartum. MEASUREMENTS AND FINDINGS 975 women were eligible for analysis (482 in the CG and 493 in the IG). ~33% women had resumed sexual intercourse by week 6, and nearly all by months 6 and 12. Use and effectiveness of contraceptives was similar in both groups at week 6 and month 6. At month 12, more women in the IG used more effective contraception and less women used contraceptives considered somewhat effective vs. those of the CG (P = 0.006). When considering the place of origin, this was only true for Spanish women. Women of other origins had a much higher use of very effective contraceptives at month 12 also in the CG, with contraceptive counselling having scarce effect. On multivariate analysis, conducted only in Spanish women, the additional counselling resulted in a higher use of highly effective methods while having a university degree increased 3.6 times the OR for this behaviour. A bias towards fostering use of very effective contraceptives among women with low education was seen in standard clinical practice. Satisfaction with counselling and the type of contraception chosen was higher in the IG. KEY CONCLUSIONS Our study has shown that the supplemental counselling tested has a moderate impact on contraceptive use and use of effective contraception in postpartum women. Results of this effort were seen after 6 months postpartum. A possible bias towards women who were more socially vulnerable was found in standard clinical practice, which reduced the effectiveness of the intervention in women who were otherwise the most needy. IMPLICATIONS FOR PRACTICE Despite the benefits provided by supplemental support in perinatal contraceptive counselling, the existence of a possible bias affecting the effectiveness of these interventions should be investigated and addressed.
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Affiliation(s)
- Azahara Reyes-Lacalle
- Grup Emergent Consolidat en Atenció a la Salut sexual i Reproductiva (GRASSIR), Institut Catala de la Salut (ICS), Sabadell, Barcelona, Spain.
| | - Laura Montero-Pons
- Grup Emergent Consolidat en Atenció a la Salut sexual i Reproductiva (GRASSIR), Institut Catala de la Salut (ICS), Santa Coloma de Gramanet, Barcelona, Spain
| | - Josep Maria Manresa-Domínguez
- Unitat de Suport a la Recerca Metropolitana Nord del IDIAP Jordi Gol, Cerdanyola del Valles, Barcelona, Spain; Departament d'Infermeria, Universitat Autonoma de Barcelona, Cerdanyola del Valles, Barcelona, Spain
| | - Rosa Cabedo-Ferreiro
- Grup Emergent Consolidat en Atenció a la Salut sexual i Reproductiva (GRASSIR), Institut Catala de la Salut (ICS), Granollers, Barcelona, Spain
| | - Glòria Seguranyes
- Nursing School, Universitat de Barcelona, Grup Emergent Consolidat en Atenció a la Salut sexual i Reproductiva (GRASSIR), Barcelona, Spain
| | - Gemma Falguera-Puig
- Coordinadora Grup Emergent Consolidat en Atenció a la Salut Sexual i Reproductiva (GRASSIR), Direccio d'Atenció Primaria Metropolitana Nord, Institut Catala de la Salut (ICS), Barcelona, Spain
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