Gaceta Sanitaria
Volume 30, Issue 1, 2016, Pages 43-46

Effects of a contraceptive counselling intervention in adolescents from deprived neighbourhoods with a high proportion of immigrants [Efectos de una intervención de consejo anticonceptivo en adolescentes de barrios desfavorecidos con alta proporción de inmigrantes] (Article) (Open Access)

Nebot L. , Díez E.* , Martín S. , Estruga L. , Villalbí J.R. , Pérez G. , Carrasco M.G. , López M.J.
  • a CEPS Salut (Associació per la Prevenció i la Promoció de la Salut), Barcelona, Spain
  • b Agència de Salut Pública de Barcelona, Barcelona, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain, Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, Spain, Programa de Doctorat en Salut Pública, Universitat Autònoma de Barcelona, Barcelona, Spain
  • c Agència de Salut Pública de Barcelona, Barcelona, Spain
  • d Agència de Salut Pública de Barcelona, Barcelona, Spain
  • e Agència de Salut Pública de Barcelona, Barcelona, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain, Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, Spain, Universitat Pompeu Fabra, Barcelona, Spain
  • f Agència de Salut Pública de Barcelona, Barcelona, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain, Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, Spain, Universitat Pompeu Fabra, Barcelona, Spain
  • g Agència de Salut Pública de Barcelona, Barcelona, Spain
  • h Agència de Salut Pública de Barcelona, Barcelona, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain, Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, Spain, Universitat Pompeu Fabra, Barcelona, Spain

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 χ2 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. © 2015 SESPAS.

Author Keywords

social determinants of health Effectiveness intervention Evaluation Contraceptive behaviour Immigration

Index Keywords

urban population educational status Family Planning Services demography poverty human statistics and numerical data social determinants of health Residence Characteristics Surveys and Questionnaires Young Adult Humans migrant psychology Adolescent Psychology, Adolescent male counseling Emigrants and Immigrants child psychology Spain female questionnaire Health Knowledge, Attitudes, Practice Adolescent Behavior program evaluation Poverty Areas contraceptive behavior Contraception Behavior family planning attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954397873&doi=10.1016%2fj.gaceta.2015.07.015&partnerID=40&md5=bd4cccbb346da3133f65f0472d6d920d
DOI: 10.1016/j.gaceta.2015.07.015
ISSN: 02139111
Cited by: 3
Original Language: Spanish