| Abstract: | The reduction of the rate of growth of the Brazilian population from 3% in the 1960s to 2% by 1993 resulted from a significant reduction of fertility. According to the 1986 national maternal-child health and family planning survey (PNSMIPF) results, 43.3% of women were using some type of contraception: 65.6% of married or cohabiting women. Women relied most on sterilization (17.2%), followed by oral contraceptives (OCs) (17%), the rhythm method (2.8%), the condom (1.1%), and others (5.2%). Only in the south was OC use more prevalent (28.5%) than sterilization (12.2%). The proportion of sterilization reached 27.8% in the north/center-east urban regions. In urban areas sterilization averaged 18.7% vs. 12.7% in rural areas. 26.9% of currently married women in the age range of 15-44 years had been sterilized. A 1990 international estimation indicated that the proportion of sterilization amounted to 36.9% in China, 30.95 in India, 29.7% in Brazil, 47.6% in South Korea, 30.4% in Thailand, and 36.5% in the Dominican Republic. The 1986 PNSMIPF survey also indicated that sterilized women were better informed than other women about contraception. 75% of the former had used OCs, 5% had used the diaphragm, 3% the IUD, 30% the condom, and 35% coitus interruptus at one time or other. The sterilized women had an average of 1.7 more children than those who were using other methods of contraception. 48.6% of women were sterilized before the age of 30, when they had had an average of 3.6 children. 66.6% of the sterilized women who had given birth before the age of 20 had 4 or more live births as compared to 5.9% of sterilized women aged 30 with the same number of children. 47% of women without any schooling were using some kind of contraception vs. 77% of those who had completed secondary school. A multivariate analysis also showed that the age of the mother, the number of live births, the educational status of the mother, and family income were positively correlated with sterilization. |
