Resumo

PERDOMO ESTRADA, Enrique Jesús; SANTANA PEREZ, Felipe; CRUZ VALDES, Aurelio  e  PADRON DURAN, Rubén. Factors associated with the use of IUD in women aged 35-49 in a polyclinic of Havana City . Rev Cubana Endocrinol [online]. 2004, vol.15, n.2, pp. 0-0. ISSN 1561-2953.

The purpose of the present paper was to determine the frequency of the use of the intrauterine device and the sociodemographic, reproductive and information factors associated with it in women aged 35-49. In 1999, a survey on the use of contraceptives was done among 375 women from "Moncada" Polyclinic, in Havana City. The analysis included non-conditioned logistical regression to determine the association among the sociodemographic, biological, reproductive and educative, or information variables and the use of IUDs. The measure of association used was the ratio of momios at a confidence interval of 95 %. As a result, it was observed that the IUD was used by 43.3 % of women using contraceptives; of them, 61.5 % had one or no child. The probability of use of the IUD was higher in women aged 35-39 (RM=286, CI: 95 % = 1.43 - 5.75) and 40-44 (RM = 2.42, CI: 95 % = 1.13 - 5.45) than in females aged 45-49. The use of the IUD was also greater in women having less than 2 children (RM = 3.33, CI: 95 % = 1.94 - 5.36), and it was even higher if they were informed (RM = 2.42, CI: 95 % = 2.27 - 12.03) or if they have received medical counselling (RM = 2.35, CI: 95 % = 1.16 -4.78). Other variables were associated with the use of IUDs, but only parity and the indication of the method by the physician maintained their significance in the multivariate analysis. It was concluded that the medical guidance is a variable that influences positively on the studied women aged 35-49 at the time of deciding whether to use the IUD, much more if parity is considered "satisfied" or "concluded".

Palavras-chave : Intrauterine device; age; parity; medical guidance.