Social determinants of contraception in a context of chronic illness in hospitals in Senegal

Social determinants of contraception in a context of chronic illness in hospitals in Senegal

Ndiaye Ndongo Ndèye Dialé, Sow Fatimata, Camara Momar, Sylla Aida, Thiam Mamadou Habib
Service de Psychiatrie CHNU Fann, Dakar Sénégal

Objective: We studied the socio-cultural aspects of contraception in a population of women followed for rheumatoid arthritis (RA) during the introduction of methotrexate. RA is a chronic inflammatory disease of the joints; methotrexate, its standard of care, which requires effective contraception before starting.
Patients and methods: This was a descriptive cross-sectional study that included 42 women with RA of reproductive age.
Results: The mean age of the patients was 34 years, extreme 20 and 49 years. The age group of 30-34 years was the most representative. In our study population 93% of women were married. The average duration of progression of their rheumatic disease was 60 months.
Different constraints to the practice of contraception were identified: need of downstream of the spouse (90,47%), need of downstream of the beautiful family (23,8%), fear of the side effects (45,23%) , the desire of pregnancy for a better image in society (14,28%).
Conclusion: several socio-cultural aspects hinder the practice of contraception in our study population. Their taking into account and a good involvement of the family is essential.

Keywords: social determinants, psychosocial,chronic illness, Senegal

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How to cite this article:
Ndiaye Ndongo Ndèye Dialé, Sow Fatimata, Camara Momar, Sylla Aida, Thiam Mamadou Habib. Social determinants of contraception in a context of chronic illness in hospitals in Senegal. International Journal of Psychological Research and Reviews, 2019, 2:10. DOI: 10.28933/ijprr-2019-02-2506

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