<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812023000200084</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v7i2.283</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adherencia y barreras en el uso de anticonceptivos en mujeres adultas jóvenes atendidas en establecimientos de salud del primer nivel de atención, Perú]]></article-title>
<article-title xml:lang="en"><![CDATA[Adherence and barriers to contraceptive use in young adult women attending first level health care facilities, Peru]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Crespo]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huaman-Carhuas]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cehua-Alvarez]]></surname>
<given-names><![CDATA[Efraín Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matzumura-Kasano]]></surname>
<given-names><![CDATA[Juan Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdeiglesias-Ochoa]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Mayor de San Marcos Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Peruana Cayetano Heredia Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Privada San Juan Bautista Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>7</volume>
<numero>2</numero>
<fpage>84</fpage>
<lpage>94</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812023000200084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812023000200084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812023000200084&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En los países en vías de desarrollo, la existencia de barreras de acceso de las mujeres a la anticoncepción genera baja adherencia al uso de los diferentes métodos anticonceptivos.  Objetivo:  Describir la adherencia y barreras en el uso los métodos anticonceptivos en una población de mujeres adultas.  Metodología: Estudio cuantitativo, observacional, descriptivo de corte trasversal, con una muestra no probabilística de mujeres mayores de 18 años atendidas en un centro de salud de primer nivel, a quienes se aplicó criterios de selección y se obtuvo consentimiento voluntario para su participación. El estudio siguió los principios de Helsinki y contó con la aprobación del Comité de Ética de la Sociedad Peruana de Obstetricia y Ginecología. El instrumento utilizado fue el IRB Study (Barriers to adolescent contraception adherence) con una consistencia Alfa de Cronbach de 0,79. Se usó estadística descriptiva y la prueba exacta de Fisher para el análisis bivariado.  Resultados:  Participaron 353 mujeres, la edad media fue 24,6 ± 4,2 años. El 65,7 % fueron solteras y 19,5 % convivientes; el 58,4 % refirió nivel de estudios universitarios; el 73,7 % son de religión católica frente al 26,3% de evangélicos. Los métodos más usados fueron el condón masculino con 37,2 % y las píldoras orales con 23%. Los principales obstáculos fueron el temor por los efectos colaterales de los anticonceptivos con 66,2% y el desplazamiento al centro de salud para su control con 23,5 %.  Discusión:  La edad y la práctica de actividad sexual son factores que estuvieron vinculados a la adherencia de los anticonceptivos. La preocupación por el aumento de peso, sangrado y riesgo para la salud fueron las principales barreras.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In developing countries, the existence of barriers to women's access to contraception generates low adherence to the use of different contraceptive methods.  Objective:  To describe the adherence and barriers in the use of contraceptive methods in a population of adult women.  Methods:  Quantitative, observational, descriptive, cross-sectional study, with a non-probabilistic sample of women over 18 years of age attended at a first level health center, to whom selection criteria were applied and voluntary consent was obtained for their participation. The study followed the Helsinki principles and was approved by the Ethics Committee of the Peruvian Society of Obstetrics and Gynecology. The instrument used was the IRB Study (Barriers to adolescent contraception adherence) with a Cronbach Alpha consistency of 0.79. Descriptive statistics and Fisher's exact test were used for bivariate analysis.  Results:  A total of 353 women participated, the mean age was 24.6 ± 4.2 years; 65.7% were single and 19.5% were cohabiting; 58.4% reported university education; 73.7% were Catholic compared to 26.3% Evangelical. Male condoms (37.2%) and oral pills (23%) were the most commonly used methods. Fear of the side effects of contraceptives (66.2%) and travel to the health center for control (23.5%) were the main obstacles.  Discussion:  Age and sexual activity were factors associated with contraceptive adherence. Concern about weight gain, bleeding and health risk were the main barriers.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[acceso]]></kwd>
<kwd lng="es"><![CDATA[anticoncepción]]></kwd>
<kwd lng="es"><![CDATA[mujeres]]></kwd>
<kwd lng="en"><![CDATA[access]]></kwd>
<kwd lng="en"><![CDATA[contraception]]></kwd>
<kwd lng="en"><![CDATA[women]]></kwd>
</kwd-group>
</article-meta>
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