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.
References
Gomez AM, Fuentes L, Allina A. Women or LARC first? Reproductive autonomy and the promotion of long-acting reversible contraceptive methods. Perspect Sex Reprod Health. 2014;46(3):171–5.
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.
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 2024Nov.21];15(2):21-6. Available from: https://journal.raredis.org/index.php/RBLS/article/view/198
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