Abstract
This study focused on the long-term consequences of tubal ligation on women's lives. Women 30 to 49 years old living in Campinas, State of São Paulo (Brazil), were interviewed: 236 sterilized at least five years prior to the interview and 236 non-sterilized women. Their experiences with the currently used contraceptive methods were compared with regard to satisfaction, benefits, and damage attributed to the method, feelings of regret, and perception of effects on their health, body, menstruation, sex, affective and family life, job, studies, economic status, and self-esteem. Scores were created to compare the groups in relation to self-esteem, well-being/quality of life, relationship with partner, and gender issues. Satisfaction with the currently used contraceptive method was significantly higher among sterilized women, although they more frequently reported having regretted being sterilized at some moment in time. Relatively more sterilized women felt that the contraceptive method had improved their sex lives and economic status, while producing a negative effect on their menstruation. No significant difference was observed between the groups with regard to the scores studied.
Highlights
Resumo Investigaram-se as conseqüências da laqueadura tubária, a longo prazo, na vida de mulheres residentes em Campinas, São Paulo
Women 30 to 49 years old living in Campinas, State of São Paulo (Brazil), were interviewed: 236 sterilized at least five years prior to the interview and 236 non-sterilized women
Their experiences with the currently used contraceptive methods were compared with regard to satisfaction, benefits, and damage attributed to the method, feelings of regret, and perception of effects on their health, body, menstruation, sex, affective and family life, job, studies, economic status, and self-esteem
Summary
Foi realizado um estudo descritivo e comparativo, em que se entrevistaram 472 mulheres (metade laqueadas e metade não laqueadas), residentes no Município de Campinas, Estado de São Paulo, com idades entre 30 e 49 anos. Foram desenvolvidas análises bivariadas para comparar as mulheres laqueadas e não laqueadas quanto às seguintes variáveis dependentes: amor-próprio/ auto-estima/competência, bem-estar/qualidade de vida, relacionamento com o parceiro, questões de gênero, conhecimento sobre métodos anticoncepcionais em geral e especificamente sobre a laqueadura, e a percepção dos efeitos do uso de métodos anticoncepcionais em sua vida (efeitos sobre a saúde e o corpo em geral, bem como em outras áreas: menstrual, sexual, afetiva, familiar, trabalho, estudos, situação econômica, autovaloração). Para as variáveis avaliadas através de escores, estes foram definidos com base nos resultados dos grupos focais realizados para subsidiar a preparação do questionário, de maneira que, para cada conjunto de perguntas, quanto mais alta a pontuação obtida, melhor foi considerada a situação da mulher em relação à variável correspondente.
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