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Search Results: 1 - 10 of 12268 matches for " Vieira Elisabeth Meloni "
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O arrependimento após a esteriliza??o feminina
Vieira, Elisabeth Meloni;
Cadernos de Saúde Pública , 1998, DOI: 10.1590/S0102-311X1998000500015
Abstract: female sterilization is the most widely used contraceptive method among brazilian women, although it has not been provided by the national health system. due to its legal ambiguity, it has not been recommended by medical boards as an ethical procedure. a study in which 3,149 women were asked about contraceptive use was carried out in the greater s?o paulo metropolitan area between march and july 1992. a total of 407 women under 40 years of age who had been submitted to sterilization at least one year prior to the interview were asked about their adjustment after the operation. fifteen in-depth interviews with regretful women were analyzed in order to elucidate the nature of such feelings. the results include: adjustment after sterilization, provision of the sterilization procedure, knowledge of contraceptive methods, previous use of methods among sterilized women, and factors associated with regret. the qualitative results focus on the misinformation of sterilized women. results indicate a need for regulating the procedure in order to ensure women's health, reproductive rights, and the fundamental principles of medical ethics.
Do women's attitudes towards abortion and contraceptive methods influence their option for sterilization?
Vieira, Elisabeth Meloni;
Cadernos de Saúde Pública , 1999, DOI: 10.1590/S0102-311X1999000400008
Abstract: this paper analyzes the attitudes of low-income women towards abortion and contraception. a survey was conducted in 1992 with a total of 3,149 childbearing-age women living on the outskirts of the greater metropolitan s?o paulo area. the study focuses on a sub-sample of 583 women. attitudes of sterilized and non-sterilized women are compared. women, especially those sterilized, found the most important attribute of a contraceptive method to be its effectiveness. women currently taking the pill were less likely than those sterilized to agree that sterilization was the best method because of its effectiveness. sterilized women were less likely than non-sterilized women to trust the pill. sterilized women were more likely than non-sterilized to have reported adverse effects from the pill. most women found abortion unacceptable except in the case of risk to the woman's life. women using more effective methods showed stronger negative attitudes towards abortion. the tendency to be sterilized while still young was associated with more negative attitudes towards abortion. family planning activities in basic health care services should include individual counseling for contraceptive use.
A esteriliza??o de mulheres de baixa renda em regi?o metropolitana do sudeste do Brasil e fatores ligados à sua prevalência
Vieira,Elisabeth Meloni;
Revista de Saúde Pública , 1994, DOI: 10.1590/S0034-89101994000600008
Abstract: a survey carried out in the metropolitan region of s. paulo between march and july, 1992, shows that of 3,149 low income women aged from 15 to 49, 21.8% had been sterilized. of those women living in marital union 29.2% had been sterilized and 34.4% were on the pill. four hundred and seven sterilized women under 40 years old who underwent sterilization at least one year before the interview were asked about their reproductive life, the previous use of contraception, the decision-making process regarding their sterilization, the acess to the operation and their adaptation after the operation. the results show that acess to sterilization is obtained by means of payment to the doctor even in the case of low income women. the lack of regulation of sterilization and the insuficient provision of family planning methods by the women's health comprehensive programme are probably encouraging young women to opt for sterilization. the provision of sterilization presents ethical problems. the study shows that the irreversibility of the procedure was not understood by almost 40% of the women sterilized. the acceptability of sterilization as a result of a complex social strategy involving various sectors of brazilian society associated with the need for the control of fertility felt by women are discussed. the need to regulate and control the procedure is discussed. the regulation of sterilization would creat fairer acess to sterilization and could safeguard the ethical aspects of its choice.
A esteriliza o de mulheres de baixa renda em regi o metropolitana do sudeste do Brasil e fatores ligados à sua prevalência
Vieira Elisabeth Meloni
Revista de Saúde Pública , 1994,
Abstract: Estudo realizado na regi o metropolitana de S o Paulo, Brasil, entre mar o e julho de 1992, entre 3.149 mulheres de baixa renda com idade entre 15 e 49 anos, mostrou que 21,8% estavam esterilizadas. Entre as mulheres unidas, 29,2% estavam esterilizadas e 34,4% usavam a pílula. Quatrocentos e sete mulheres esterilizadas abaixo dos 40 anos, que haviam se submetido à cirurgia há pelo menos um ano antes da data da entrevista, foram perguntadas sobre sua história reprodutiva, uso prévio de métodos anticoncepcionais, o processo de decis o para esterilizar-se, o acesso à esteriliza o e à adapta o após o procedimento. Os resultados mostraram que mesmo para as mulheres de baixa renda o acesso à esteriliza o é regulado pelo pagamento ao médico. A baixa qualidade e cobertura das atividades de planejamento familiar do Programa de Assistência Integral à Saúde da Mulher, assim como a ausência de regulamenta o, está provavelmente contribuindo para a escolha da esteriliza o feminina por mulheres jovens. A forma que a esteriliza o tem sido realizada fere preceitos éticos. O estudo mostra que a irreversibilidade do procedimento n o foi adequadamente entendida por quase 40% das mulheres esterilizadas. Discute-se a aceitabilidade da esteriliza o como resultado de uma estratégia social complexa com o envolvimento de vários setores da sociedade brasileira aliada à necessidade de regula o da fertilidade das mulheres. A necessidade de regular e controlar o procedimento também é discutida. A regulamenta o criaria condi es mais justas de acesso à esteriliza o para as mulheres de baixa renda e poderia salvaguardar aspectos éticos na sua escolha.
Debate sobre o artigo de Maria Andréa Loyola
Vieira Elisabeth Meloni
Cadernos de Saúde Pública , 2003,
Abstract:
Do women's attitudes towards abortion and contraceptive methods influence their option for sterilization?
Vieira Elisabeth Meloni
Cadernos de Saúde Pública , 1999,
Abstract: This paper analyzes the attitudes of low-income women towards abortion and contraception. A survey was conducted in 1992 with a total of 3,149 childbearing-age women living on the outskirts of the Greater Metropolitan S o Paulo Area. The study focuses on a sub-sample of 583 women. Attitudes of sterilized and non-sterilized women are compared. Women, especially those sterilized, found the most important attribute of a contraceptive method to be its effectiveness. Women currently taking the pill were less likely than those sterilized to agree that sterilization was the best method because of its effectiveness. Sterilized women were less likely than non-sterilized women to trust the pill. Sterilized women were more likely than non-sterilized to have reported adverse effects from the pill. Most women found abortion unacceptable except in the case of risk to the woman's life. Women using more effective methods showed stronger negative attitudes towards abortion. The tendency to be sterilized while still young was associated with more negative attitudes towards abortion. Family planning activities in basic health care services should include individual counseling for contraceptive use.
O arrependimento após a esteriliza o feminina
Vieira Elisabeth Meloni
Cadernos de Saúde Pública , 1998,
Abstract: A esteriliza o feminina é o método anticoncepcional mais usado pelas mulheres brasileiras, embora este método n o seja oferecido pelo sistema de saúde. Ele n o tem sido recomendado pelos Conselhos de Medicina como um procedimento ético devido à sua ambigüidade legal. Em um estudo realizado na regi o metropolitana de S o Paulo entre mar o e julho de 1992 foram entrevistadas 3.149 mulheres sobre o uso de anticoncepcionais. Delas, 407 mulheres com menos de 40 anos e que haviam sido esterilizadas há pelo menos um ano foram questionadas sobre a adapta o após a cirurgia. Entrevistas em profundidade com 15 mulheres que estavam arrependidas foram analisadas para um melhor entendimento da natureza do arrependimento. Os resultados incluem: a adapta o após a esteriliza o, a oferta da cirurgia, o conhecimento dos métodos anticoncepcionais, o uso prévio de métodos entre as mulheres esterilizadas e os fatores associados ao arrependimento. Os dados qualitativos enfocam a falta de informa o das mulheres esterilizadas. Os resultados mostram a necessidade de regulamentar este procedimento de forma a salvaguardar a saúde das mulheres, seus direitos reprodutivos e os princípios fundamentais da ética médica.
O conhecimento sobre doen?as sexualmente transmissíveis entre adolescentes de baixa renda em Ribeir?o Preto, S?o Paulo, Brasil
Doreto, Daniella Tech;Vieira, Elisabeth Meloni;
Cadernos de Saúde Pública , 2007, DOI: 10.1590/S0102-311X2007001000026
Abstract: this study examined female adolescents' knowledge concerning stds and transmission, condom use, and health care. it was a cross-sectional study of 90 adolescents living in an area covered by the family health program in ribeir?o preto, s?o paulo, brazil. data were collected through household interviews using a structured questionnaire, followed by preliminary analysis of simple frequency of variables. most adolescents were single, sexually active, and with limited knowledge concerning stds. condoms were known as the main means of prevention, but only 35.2% of the sample reported always using them. there was a large drop in condom use (from 71.1% to 37.1%) when comparing the first versus the most recent sexual intercourse. teenagers did not consider themselves at risk of stds (65.5%), although 57.8% reported related symptoms and 36.7% had never undergone gynecological examination. the results point to the need for special attention to adolescent health care. the lack of effective protection makes them vulnerable to stds, including hiv/aids, even though they do not consider themselves at risk.
Provision of female sterilization in Ribeir?o Preto, S?o Paulo, Brazil
Vieira, Elisabeth Meloni;Ford, Nicholas John;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000500013
Abstract: forty percent of brazilian married women from 15 to 49 years of age have undergone surgical sterilization. the 1988 brazilian constitution states that all scientifically proven contraceptive methods should be available to all citizens, but it was only in 1997 that specific family planning legislation was approved. this study examines physicians' perceptions and attitudes towards the current provision of female sterilization and its legal implications, as well as women's experience with obtaining and undergoing sterilization. the study design included: (1) an investigation of the hospitals and health professionals and (2) a survey of women sterilized in combination with cesarean delivery in 1998. the survey showed they had a median of 3 living children, 60.0% had been sterilized between 30 and 39 years of age, and 61.0% had paid for the procedure. many women reported previous method failure and adverse effects with hormonal contraceptives. women with less schooling and lower socioeconomic status had more children and had begun childbearing and had been sterilized at younger ages than women with more schooling and higher socioeconomic status. inequalities related to reproduction were strongly associated with teenage pregnancy and inadequate knowledge about contraceptives.
Aborto: conhecimento e opini?o de médicos dos servi?os de emergência de Ribeir?o Preto, S?o Paulo, Brasil, sobre aspectos éticos e legais
Loureiro, David Camara;Vieira, Elisabeth Meloni;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000300004
Abstract: this study focused on the knowledge and opinions of physicians regarding legal and ethical aspects of abortion. a self-administered questionnaire was filled out by 57 physicians working in the emergency rooms of two hospitals in ribeir?o preto, s?o paulo state, brazil in 2001. the questionnaire had 38 questions on general knowledge, legislation, and attitudes towards abortion. interviewees' mean age was 28.3, most were females, 52.6% were single, 42.1% were married, 54.4% were catholic, and 21% were spiritists. although most of the physicians had a good level of overall knowledge on abortion (70%), one in five was not aware that abortion is the main cause of maternal mortality in brazil. most accepted the prevailing legal conditions for performing an abortion in brazil but would also include fetal malformation incompatible with life, while opposing decriminalization of abortion on other grounds. limited knowledge is revealed by misconceptions concerning enforcement of the prevailing legislation in practice. the study strongly suggests that many physicians lack knowledge or face difficulties in conforming to the brazilian legislation on abortion.
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