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Contraceção em Adolescentes: Conhecimentos e Práticas em Portugal
Orientador(es)
Resumo(s)
Introdução: Os adolescentes são um grupo de intervenção prioritária em saúde reprodutiva. Os médicos de medicina geral e familiar, ginecologistas e pediatras são os principais responsáveis pelo aconselhamento contracetivo.Material e Métodos: Estudo transversal, correlacional, de natureza quantitativa, aprovado pela comissão de ética do Centro Hospitalar de Leiria. Dados colhidos em questionário online validado (alfa de Cronbach e Análise Fatorial Exploratória), constituído por itens de tipo diferencial semântico, com cinco pontos (“Discordo totalmente — 1” e “Concordo totalmente — 5”). Pontuações mais elevadas conotam-se com maior conhecimento ou adequabilidade na questão. Análise por género, especialidade, anos de carreira e grau de formação: especialista, interno de formação específica.Resultados: Obtiveram-se 338 respostas (51% médicos de medicina geral e familiar, 29% pediatras, 20% ginecologistas). Do total, 66% eram especialistas, 36% tinham menos de cinco anos de carreira e 17% tinham mais de 20 anos de carreira. O conhecimento das recomendações foi superior entre os ginecologistas [4,38 (1,09); p < 0,001] e no género feminino [3,65 (1,41); p = 0,039] com diferença estatisticamente significativa. Os ginecologistas receberam mais formação recentemente [3,79 (1,42)] e consideram estar atualizados [4,41 (0,70), p < 0,001].Discussão: O questionário revelou validade e fiabilidade. Os ginecologistas estão mais familiarizados com a contraceção na adolescência, enquanto pediatras e clínicos mais novos referem maior necessidade de atualização. Os ginecologistas receberam formação recentemente e consideram estar atualizados, pelo que a formação na área parece ter impacto positivo.Conclusão: O conhecimento acerca do aconselhamento contracetivo ainda não é ótimo, pelo que é fundamental investir na formação dos profissionais de saúde.
Introduction: Adolescents are a target group for reproductive health intervention. Family physicians, gynecologists and pediatricians are the main providers of contraceptive counseling.Material and Methods: Correlational, cross-sectional study, approved by the ethics committee of Leiria Hospital, Portugal. Data was collected through a validated online questionnaire (Cronbach’s alpha and Exploratory Factorial Analysis) using a semantic differential scale (1 — Totally Agree; 5 — Totally Disagree). Higher scores were indicative of greater knowledge or suitability concerning the matter in question. Results were compared by gender, specialty, years of career and rank: consultant or resident.Results: We received 338 responses (51% family physicians, 29% pediatricians, 20% gynecologists), 66% were specialists, 36% had been working for less than 5 years and 17% for more than 20 years. Awareness of national recommendations was higher in gynecolo-gists [4.38 (1.09)] and in the female gender [3.65 (1.41)] with statistically significant differences. Gynecologists had more recent training [3.79 (1.42)] and considered themselves to be up-to-date [4.41 (0.70)], p< 0.001. Discussion: The questionnaire showed reliability and validity. Gynecologists were more familiarized with adolescent contraception; pediatricians and young clinicians highlighted the need for an update on this matter. Gynecologists had more training and considered themselves up-to-date, so training in this area seems to have a positive impact.Conclusion: Knowledge about contraceptive counseling is not yet sufficient, so it is very important to invest in the continuous medical education of clinicians.
Introduction: Adolescents are a target group for reproductive health intervention. Family physicians, gynecologists and pediatricians are the main providers of contraceptive counseling.Material and Methods: Correlational, cross-sectional study, approved by the ethics committee of Leiria Hospital, Portugal. Data was collected through a validated online questionnaire (Cronbach’s alpha and Exploratory Factorial Analysis) using a semantic differential scale (1 — Totally Agree; 5 — Totally Disagree). Higher scores were indicative of greater knowledge or suitability concerning the matter in question. Results were compared by gender, specialty, years of career and rank: consultant or resident.Results: We received 338 responses (51% family physicians, 29% pediatricians, 20% gynecologists), 66% were specialists, 36% had been working for less than 5 years and 17% for more than 20 years. Awareness of national recommendations was higher in gynecolo-gists [4.38 (1.09)] and in the female gender [3.65 (1.41)] with statistically significant differences. Gynecologists had more recent training [3.79 (1.42)] and considered themselves to be up-to-date [4.41 (0.70)], p< 0.001. Discussion: The questionnaire showed reliability and validity. Gynecologists were more familiarized with adolescent contraception; pediatricians and young clinicians highlighted the need for an update on this matter. Gynecologists had more training and considered themselves up-to-date, so training in this area seems to have a positive impact.Conclusion: Knowledge about contraceptive counseling is not yet sufficient, so it is very important to invest in the continuous medical education of clinicians.
Descrição
Palavras-chave
Aconselhamento Adolescência Contracepção Contraceptivos Adolescent Contraception Contraceptive Agents Counseling Portugal
Contexto Educativo
Citação
Miranda P, Moleiro P, Gaspar P, Luz A. Contraception for Adolescents: Knowledge and Practices in Portugal. Acta Med Port [Internet]. 2019 Aug. 1 [cited 2026 Jul. 8];32(7-8):505-13.
Editora
Ordem dos Medicos