Laia Nebot1, Elia Díez2, Sílvia Martín3, Lluïsa Estruga3, Joan R Villalbí4, Glòria Pérez4, Mireia G Carrasco3, María José López4. 1. CEPS Salut (Associació per la Prevenció i la Promoció de la Salut), Barcelona, España. 2. Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Programa de Doctorat en Salut Pública, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: ediez@aspb.cat. 3. Agència de Salut Pública de Barcelona, Barcelona, España. 4. Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Universitat Pompeu Fabra, Barcelona, España.
Abstract
OBJECTIVE: To evaluate the effectiveness of a contraceptive counselling intervention among adolescents by sex and origin. METHODS: A pre-post study with a 3-month follow-up was conducted in adolescents from three disadvantaged neighbourhoods. Participants received a counselling session at a community centre. Contraception use at last intercourse and knowledge, beliefs and self-efficacy before and after the intervention were compared with χ(2) and McNemar tests, stratified by sex and origin (autochthonous or immigrant). RESULTS: A total of 138 (76%) participants completed the follow-up. Fifty-five percent of the participants were girls, 85% were aged 16-19 years and 71% were immigrants. Knowledge and several self-efficacies increased after the intervention. Condom use increased by 5.4% and the proportion not using any method declined by 7.7%. CONCLUSIONS: Contraceptive counselling in the community setting increased the use of contraception and improved psychosocial determinants, especially in immigrant adolescents.
OBJECTIVE: To evaluate the effectiveness of a contraceptive counselling intervention among adolescents by sex and origin. METHODS: A pre-post study with a 3-month follow-up was conducted in adolescents from three disadvantaged neighbourhoods. Participants received a counselling session at a community centre. Contraception use at last intercourse and knowledge, beliefs and self-efficacy before and after the intervention were compared with χ(2) and McNemar tests, stratified by sex and origin (autochthonous or immigrant). RESULTS: A total of 138 (76%) participants completed the follow-up. Fifty-five percent of the participants were girls, 85% were aged 16-19 years and 71% were immigrants. Knowledge and several self-efficacies increased after the intervention. Condom use increased by 5.4% and the proportion not using any method declined by 7.7%. CONCLUSIONS: Contraceptive counselling in the community setting increased the use of contraception and improved psychosocial determinants, especially in immigrant adolescents.
Keywords:
Conducta contraceptiva; Contraceptive behaviour; Determinantes sociales de la salud; Efectividad; Effectiveness; Evaluación; Evaluation; Immigration; Inmigración; Intervención; Intervention; Social determinants of health
Authors: Elia Diez; Maria J Lopez; Gloria Perez; Irene Garcia-Subirats; Laia Nebot; Ramon Carreras; Joan R Villalbi Journal: BMC Public Health Date: 2020-01-08 Impact factor: 3.295