Здравно поведение и сексуална култура на съвременното семейство
Keywords:
преконцепционна грижа, здраве и грижи преди бременност, контрацептиви, аборт, непланирана бременност
Abstract
Употребата на контрацептивни средства за предпазване от нежелана бременност се явява комплексен индикатор за степента, в която населението е достигнало онази битова и сексуална култура, която би била адекватна на вече установените норми за формиране на младото семейство. Проблемът с критично ниската раждаемост и същевременно високият брой аборти извежда масовата и ефективна употреба на контрацептиви като средство, което може да съдейства за преодоляване на демографската криза в България. Недостатъчното познаване или неприлагането на методите за семейно планиране, както и ограничения достъп до тези ресурси води след себе си до увеличаване на абортите и заболеваемостта от болести, предавани по полов път, което в последствие предизвиква сериозни увреди на репродуктивното здраве на жените и мъжете.
Настоящата публикация има за цел да представи и анализира настоящите тенденции при употребата на методи на контрацепция като средство за предпазване от нежелана бременност.
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Antic L, Vukovic D, Ðikanovic Bet al. Implementation of secondary preventive practice important for cervical cancer among women who use oral contraception. Arch Oncol [Internet]. 2013;21(3–4):91–6.
Ledermann JA, Raja FA, Fotopoulou C, et al. Newly diagnosed and relapsed epithelial ovarian carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2013;24:vi24–32.
Helström L, Zätterström C, Odlind V. Abortion rate and contraceptive practices in immigrant and Swedish adolescents. J Pediatr Adolesc Gynecol. 2006;19(3):209–13.
Garcés-Palacio IC, Altarac M, Scarinci IC. Contraceptive knowledge and use among low-income Hispanic immigrant women and non-Hispanic women. Contraception. 2008;77(4):270–5.
Curtis KM, Nguyen AT, Tepper NK, et al. U.S. selected Practice Recommendations for Contraceptive Use, 2024. MMWR Recomm Rep. 2024;73(3):1–77.
Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet. 2012;380(9837):111–25.
Alkema L, Kantorova V, Menozzi C, et al. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. Lancet. 2013;381(9878):1642–52.
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Skouby SO. Contraceptive use and behavior in the 21st century: a comprehensive study across five European countries. Eur J Contracept Reprod Health Care. 2004;9(2):57–68.
Tumlinson K, Speizer IS, Curtis SL, et al. Accuracy of standard measures of family planning service quality: Findings from the simulated client method. Stud Fam Plann. 2014;45(4):443–70.
Chen MJ, Kim CR, Whitehouse KC, et al. Development, updates, and future directions of the World Health Organization Selected Practice Recommendations for Contraceptive Use. Int J Gynaecol Obstet. 2017;136(2):113–9.
Matsumoto Y, Yamabe S, Sugishima T, et al. Perception of oral contraceptives among women of reproductive age in Japan: A comparison with the USA and France. J Obstet Gynaecol Res. 2011;37(7):887–92.
Mikolajczyk RT, Stanford JB, Rauchfuss M. Factors influencing the choice to use modern natural family planning. Contraception. 2003;67(4):253–8.
Perelli-Harris B, Styrc M. Mental well‐being differences in cohabitation and marriage: The role of childhood selection. J Marriage Fam. 2018;80(1):239–55.
Perelli-Harris B, Styrc M. Re-evaluating the link between marriage and mental well-being: how do early life conditions attenuate differences between cohabitation and marriage? 2016.
Българското научно дружество по акушерство и гинекология и Байер България ЕООД. Използване и осведоменост за контрацепция. Национално-представително проучване. 2015.
Todd N, Black A. Contraception for Adolescents. J Clin Res Pediatr Endocrinol. 2020;12(1):28–40.
Българска асоциация по семейно планиране и сексуално здраве. IPPF – Международна федерация по семейно планиране.UNFPA – Фонд на ООН за население. Семейно планиране, репродуктивно здраве и контрацепция. Анализ на практиките и нагласите в седем страни от Източна Европа и Централна Азия. 2012.
Steyn P. Ensuring human rights in the provision of contraceptive information and services: Guidance and recommendations. Geneva Foundation for Medical Education and Research. 2021;
Kumar J, Hardee K. Rights-based family planning: 10 resources to guide programming. Population Council; 2015.
Nikolic Z, Djikanovic B. Differences in the use of contraception between Roma and non-Roma women in Serbia. J Public Health (Oxf). 2014;fdu096.
Nellums LB, Powis J, Jones L, et al. “It’s a life you’re playing with”: A qualitative study on experiences of NHS maternity services among undocumented migrant women in England. Soc Sci Med. 2021;270(113610):113610.
Almond D, Currie J. Killing me softly: The fetal origins hypothesis. J Econ Perspect. 2011;25(3):153–72.
Raymond EG, Grimes DA. The comparative safety of legal induced abortion and childbirth in the United States. Obstet Gynecol. 2012;119(2, Part 1):215–9.
Ignaciuk A, Sethna C. Charters for choice: Abortion travel, abortion referral networks and Spanish women’s transnational reproductive agency, 1975–1985. Gend Hist. 2020;32(2):286–303.
Sedgh G, Bearak J, Singh S, et al. Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends. Lancet. 2016;388(10041):258–67.
Macdowall W, Parker R, Nanchahal K, et al. ‘Talking of Sex’: Developing and piloting a sexual health communication tool for use in primary care. Patient Educ Couns. 2010;81(3):332–7.
Guttmacher Institute, Sully EA, Biddlecom A, et al. Adding it up: Investing in sexual and reproductive health 2019. Guttmacher Institute; 2020.
Kapp N, Blanchard K, Coast E, et al. Developing a forward-looking agenda and methodologies for research of self-use of medical abortion. Contraception. 2018;97(2):184–8.
Prinja S, Nandi A, Horton S, et al. Costs, effectiveness, and cost-effectiveness of selected surgical procedures and platforms. In: Disease Control Priorities, Third Edition (Volume 1): Essential Surgery. The World Bank; 2015. p. 317–38.
Schoen J. Abortion after Roe: Abortion after Legalization. 2015;1–334.
Sahni M, Verma N, Narula D, et al. Missing girls in India: Infanticide, feticide and made-to-order pregnancies? Insights from hospital-based sex-ratio-at-birth over the last century. PLoS One. 2008;3(5):e2224.
Myers C. Sex Selective Abortion in India. Global Tides. 2012;6.
Маринова Ю. Аборт. Международни и национални тенденции и измерения. Стара Загора. 2001.
Маринова Ю., Контрацепция и аборти - медико-социални аспекти. Медицински преглед - Медицински мениджмънт и здравна политика. 2001: 3-8.
Маринова Ю., Ст. Маркова, К. Пеева, Фактори на решението за аборт: резултати от емпирично проучване. Социална медицина. 2000, 10-12.
Коцева Т., Костова Д. Фактори и тенденции в сексуалния дебют на младите хора в България. Население. 2003:1-2.
Hardee K, Kumar J, Newman K. Human Rights-Based Family Planning: A Conceptual Framework. Studies in Family Planning. 2014;45:1–18.
Osotimehin B. Family planning save lives, yet investments falter. Lancet. 2012;380(9837):82–3.
Creanga AA, Gillespie D, Karklins S, et al. Low use of contraception among poor women in Africa: an equity issue. Bull World Health Organ. 2011;89(4):258–66.
Fertility statistics. Eurostat. 2019.
Darroch JE, Singh S. Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys. Lancet. 2013;381(9879):1756–62.
Slaymaker E, Scott RH, Palmer MJ, et al. Trends in sexual activity and demand for and use of modern contraceptive methods in 74 countries: a retrospective analysis of nationally representative surveys. Lancet Glob Health. 2020;8(4):e567–79.
Antic L, Vukovic D, Ðikanovic Bet al. Implementation of secondary preventive practice important for cervical cancer among women who use oral contraception. Arch Oncol [Internet]. 2013;21(3–4):91–6.
Ledermann JA, Raja FA, Fotopoulou C, et al. Newly diagnosed and relapsed epithelial ovarian carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2013;24:vi24–32.
Helström L, Zätterström C, Odlind V. Abortion rate and contraceptive practices in immigrant and Swedish adolescents. J Pediatr Adolesc Gynecol. 2006;19(3):209–13.
Garcés-Palacio IC, Altarac M, Scarinci IC. Contraceptive knowledge and use among low-income Hispanic immigrant women and non-Hispanic women. Contraception. 2008;77(4):270–5.
Curtis KM, Nguyen AT, Tepper NK, et al. U.S. selected Practice Recommendations for Contraceptive Use, 2024. MMWR Recomm Rep. 2024;73(3):1–77.
Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet. 2012;380(9837):111–25.
Alkema L, Kantorova V, Menozzi C, et al. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. Lancet. 2013;381(9878):1642–52.
Patterns of contraceptive use in 5 European countries. European Study Group on Infertility and Subfecundity. Am J Public Health. 2000;90(9):1403–8.
Skouby SO. Contraceptive use and behavior in the 21st century: a comprehensive study across five European countries. Eur J Contracept Reprod Health Care. 2004;9(2):57–68.
Tumlinson K, Speizer IS, Curtis SL, et al. Accuracy of standard measures of family planning service quality: Findings from the simulated client method. Stud Fam Plann. 2014;45(4):443–70.
Chen MJ, Kim CR, Whitehouse KC, et al. Development, updates, and future directions of the World Health Organization Selected Practice Recommendations for Contraceptive Use. Int J Gynaecol Obstet. 2017;136(2):113–9.
Matsumoto Y, Yamabe S, Sugishima T, et al. Perception of oral contraceptives among women of reproductive age in Japan: A comparison with the USA and France. J Obstet Gynaecol Res. 2011;37(7):887–92.
Mikolajczyk RT, Stanford JB, Rauchfuss M. Factors influencing the choice to use modern natural family planning. Contraception. 2003;67(4):253–8.
Perelli-Harris B, Styrc M. Mental well‐being differences in cohabitation and marriage: The role of childhood selection. J Marriage Fam. 2018;80(1):239–55.
Perelli-Harris B, Styrc M. Re-evaluating the link between marriage and mental well-being: how do early life conditions attenuate differences between cohabitation and marriage? 2016.
Българското научно дружество по акушерство и гинекология и Байер България ЕООД. Използване и осведоменост за контрацепция. Национално-представително проучване. 2015.
Todd N, Black A. Contraception for Adolescents. J Clin Res Pediatr Endocrinol. 2020;12(1):28–40.
Българска асоциация по семейно планиране и сексуално здраве. IPPF – Международна федерация по семейно планиране.UNFPA – Фонд на ООН за население. Семейно планиране, репродуктивно здраве и контрацепция. Анализ на практиките и нагласите в седем страни от Източна Европа и Централна Азия. 2012.
Steyn P. Ensuring human rights in the provision of contraceptive information and services: Guidance and recommendations. Geneva Foundation for Medical Education and Research. 2021;
Kumar J, Hardee K. Rights-based family planning: 10 resources to guide programming. Population Council; 2015.
Nikolic Z, Djikanovic B. Differences in the use of contraception between Roma and non-Roma women in Serbia. J Public Health (Oxf). 2014;fdu096.
Nellums LB, Powis J, Jones L, et al. “It’s a life you’re playing with”: A qualitative study on experiences of NHS maternity services among undocumented migrant women in England. Soc Sci Med. 2021;270(113610):113610.
Almond D, Currie J. Killing me softly: The fetal origins hypothesis. J Econ Perspect. 2011;25(3):153–72.
Raymond EG, Grimes DA. The comparative safety of legal induced abortion and childbirth in the United States. Obstet Gynecol. 2012;119(2, Part 1):215–9.
Ignaciuk A, Sethna C. Charters for choice: Abortion travel, abortion referral networks and Spanish women’s transnational reproductive agency, 1975–1985. Gend Hist. 2020;32(2):286–303.
Sedgh G, Bearak J, Singh S, et al. Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends. Lancet. 2016;388(10041):258–67.
Macdowall W, Parker R, Nanchahal K, et al. ‘Talking of Sex’: Developing and piloting a sexual health communication tool for use in primary care. Patient Educ Couns. 2010;81(3):332–7.
Guttmacher Institute, Sully EA, Biddlecom A, et al. Adding it up: Investing in sexual and reproductive health 2019. Guttmacher Institute; 2020.
Kapp N, Blanchard K, Coast E, et al. Developing a forward-looking agenda and methodologies for research of self-use of medical abortion. Contraception. 2018;97(2):184–8.
Prinja S, Nandi A, Horton S, et al. Costs, effectiveness, and cost-effectiveness of selected surgical procedures and platforms. In: Disease Control Priorities, Third Edition (Volume 1): Essential Surgery. The World Bank; 2015. p. 317–38.
Schoen J. Abortion after Roe: Abortion after Legalization. 2015;1–334.
Sahni M, Verma N, Narula D, et al. Missing girls in India: Infanticide, feticide and made-to-order pregnancies? Insights from hospital-based sex-ratio-at-birth over the last century. PLoS One. 2008;3(5):e2224.
Myers C. Sex Selective Abortion in India. Global Tides. 2012;6.
Маринова Ю. Аборт. Международни и национални тенденции и измерения. Стара Загора. 2001.
Маринова Ю., Контрацепция и аборти - медико-социални аспекти. Медицински преглед - Медицински мениджмънт и здравна политика. 2001: 3-8.
Маринова Ю., Ст. Маркова, К. Пеева, Фактори на решението за аборт: резултати от емпирично проучване. Социална медицина. 2000, 10-12.
Коцева Т., Костова Д. Фактори и тенденции в сексуалния дебют на младите хора в България. Население. 2003:1-2.
Published
2024-08-23
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Христова-Атанасова Е. Здравно поведение и сексуална култура на съвременното семейство. Редки болести и лекарства сираци [Internet]. 2024Aug.23 [cited 2024Dec.21];15(2):21-6. Available from: http://journal.raredis.org/index.php/RBLS/article/view/198
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