Health care costs of copd in Colombia
Artículo de revista
Corporación Universidad de la Costa
Describe the average age of sexual life onset from young people and adolescents, the prevalence of contraceptive methods and explore determinants of pregnancy. A retrospective cohort (2014-2018) was followed by a health insurer of the subsidized regime in Colombia. The study sample consisted of 35,214 young people aged 10-24 years living in 21 municipalities of the Colombian Caribbean region. For the social determinants of pregnancy, a multivariate probit model was estimated using as explanatory variables, housing area, education, family functionality and sexual behavior. 10.3% of women and 14.1% of men had their first sexual encounter before age 14 and 43.5% of women and 37.4% of men began their sex life after age 17. From the young people who claimed to have started their sexual life, 70.9% of the men made use of the condom as a contraceptive method, while the women divided on average 27.2% for the pills and / or injections followed by 16 , 1% in the use of the subdermal implant. As determinants of pregnancy in young people under 20, it was found that variables such as suspending school years [Yes (β = 0.6, p = 0.006)], being planned with hormonal method [Yes (β = 0.5, p = 0.000)] or start sexual life [Between 10 to 14 years (β = 0.14, p = 0.000)], increase the likelihood of young women becoming pregnant at some time in their life. These results also showed that the schooling of the young [University (β = -0.4, p = 0.038)] and always use condoms in sexual intercourse [Yes (β = -0.5, p = 0.042)] help prevent the pregnancy event from occurring. The age of sexual onset establishes a basis on which decision makers should intervene for promote a safe sex life, from use of anticonceptives in young people and thus avoiding unplanned pregnancy.
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