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


Psychiatric Research and Reviews1

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


References:

1. Adam MP, Manning MA, Beck AE et al Methotrexate/ misoprostol embryopathy: report of four cases resulting from failed medical abortion. Am J Med Genet 2003; 123: 72-8.
2. Elisabeth Elefant, Marie Pierre Cournot, Delphine Beghin et al Médicament et grossesse en rhumatologie. Rev Rhum 2010 ; 77 : 506-10
3. Arnette FC, Edworthy SM, Bloch DA et al. The American Association 1987 revised criteria for the classification of the rheumatoid arthritis. Arthritis Rheum 1988; 31: 315-324.
4. Ndongo S, Pouye A, Ndao A.C et Al Aspects généraux de la polyarthrite rhumatoïde dans une population noire africaine : étude de 308 observations au sénégal. Rev Med Int 2011 ; 32 : P S292.
5. Mijiywa M Aspects épidémiologiques et sémiologiques de la polyarthrite rhumatoïde dans le tiers monde. Rev Rhum 1995 ; 62 : 127-32.
6. Solomon L, Robin G, Walkenburg HA Rhumatoid arthritis in an urban south African negro population. Ann Rheum Dis 1975; 34: 128-35.
7. Moutandou G, Wantou T Comportement contraceptive des gabonnaises. Les méthodes modernes : Faibles taux d’utilisation et déficit d’information. Médecine d’Afrique Noire 2008 ; 48(5) : p19
8. Floréa A, Deslandre CJ Polyarthrite rhumatoïde et grossesse. Presse Med 2008 ; 37 : 1644-51.
9. Schenk DK Emergency contraception : lessons from the UK. J Fam Planning Reproduction health Care 2003; 29: 35-40.
10. Laveissière MN, Pélissier C, Lêla MG La contraception orale en France en 2001 : Résultats d’une enquête par sondage portant sur 3609 femmes en âge de 15 à 45ans. Gynécologie Obstétrique et Fertilité 2003 ; 31 : 220-9.
11. Bouanene I, Mhamdi SE, Soltani M et Al Prévalence et facteurs associés à la pratique contraceptive chez les femmes de Monastir Tunisie. Rev epid et de santé Pub 2012 ; 60 : p132-3.
12. Dial, F. B. (2007). Le divorce, une source d émancipation pour les femmes? Une enquête à Dakar et Saint- Louis. In T. Locoh. Genre et sociétés en Afrique : implications pour le développement (pp ). Paris : INED.
13. Lecarme-Frassy, M. (2000). Marchandes dakaroises entre maison et marché. Approche anthropologique. Paris : l Harmattan.