Saúde reprodutiva na adolescência: comunicação, funcionalidade da família e comportamento preventivo

Reproductive health in adolescence: communication, family functionality and preventive behavior

Abstract

Objective: Evaluate the provision and effectiveness of family planning in medium-sized municipality, as well as correlating
teenagers' sexual behavior to social variables, access to information and family functionality. Methods: Cross-sectional
study based on a random sample of 361 female adolescents, enrolled at public schools in the municipality. Data were
collected through structured questionnaire and analyzed using Epi-Info, version 3.5. To classify the social class, the Graffar
Test was used and the Family APGAR for the family functionality. For analysis purposes, in the last case, the comparison
was made between the two extremes: functional families with severely dysfunctional families. Descriptive analysis and
inference of associations through the prevalence ratio (PR) and Odds Ratio (OR) were performed, as well as the confi dence interval (95%CI) and Fisher's Exact Test. Results: There was a signifi cant association between family functionality, social
class, level of teenagers' information and use of contraceptives. The family APGAR proved to be predictor of the sexual
and reproductive behavior. Interfamily communication was associated with safe behavior and dialogue between sexual
partners also reduces the risk of unexpected pregnancy. It was also found that the local health services network does not
have programs or even reliable information for teenagers. Conclusion: Health actions that strengthen the family structure
are very important in what concerns teenagers' health. Public policies focusing on the integration of teenagers’ education
and health are essential for a comprehensive care for the adolescent