Cad Saude Publica 2014 Jul;30(7):1525?36

Knowledge of emergency contraception among adolescents in public and private Brazilian high schools

Chofakian CB, Borges AL, Fujimori E and Hoga LA

Abstract

This study aimed to analyze the level of knowledge concerning emergency contraception among adolescents in public and private high schools. This was a cross-sectional study with 705 students 15 to 19 years of age enrolled in public and private high schools in a municipality in São Paulo State, Brazil. The authors used stratified probabilistic sampling by type of school and systematic sampling by class. Sexual initiation and use of emergency contraception were reported by 24.9% of private school students and 32% of public school students. The mean score on knowledge was 3.87 (SD = 2.12) in public schools and 5.14 (SD = 2.00) in private schools. Multiple linear regression analysis showed that higher scores on knowledge concerning emergency contraception were associated with: enrollment in private schools, female gender, older adolescents, sexual initiation, previous use of emergency contraception, and knowing someone who had used the method. The study concludes that few adolescents are properly informed about the method and that many harbor persistent misconceptions.

Comment: This paper from Latin America shows how important it is that adolescents learn about emergency contraception, which can be taught at home, at schools or by public health campaigns. (HMV)