Knowledge, Attitude, and Practices Related to the SARS-CoV-2 Pandemic among Women Seeking Contraceptive Methods

Abstract Objective To determine knowledge, attitude, and preventive (KAP) practices towards the SARS-CoV-2 (COVID-19) pandemic among women in reproductive age seeking to use copper or hormonal intrauterine devices (IUD/LNG-IUS). Methods We conducted a cross-sectional study in which we applied a questionnaire on 400 women about KAP practices on COVID-19 at the University of Campinas, Campinas, SP, Brazil, from May to August 2020. Results The mean (±SD) age of the women was 30.8±7.9 years, and 72.8% of them reported being pregnant at least once. Most women (95%) had heard or read about COVID-19, and their main sources of information were television (91%) and government websites (53%). However, 53% of the women had doubts about the veracity of the information accessed. Conclusion Women without a partner and with>12 years of schooling had more information about COVID-19 and on its impact on new pregnancy, and those from high socioeconomic status had a higher chance of maintaining physical distance. Safety, effectiveness, comfort, and absence of hormone in the contraceptive method (in the case of TCu380A IUD) were the main reasons for the participants to seek the service during the pandemic, and the possibility to stop menstrual bleeding was the main reason to choose the LNG-IUS.

摘要：
目的：明确寻求使用铜制或激素宫内节育器（IUD/LNG-IUS）的育龄期女性，针对严重急性呼吸综合征冠状病毒2（SARS-CoV-2，引发新型冠状病毒肺炎COVID-19）大流行的认知、态度与防护行为（Knowledge, Attitude and Preventive practices, KAP）现状。
方法：本研究为横断面研究，于2020年5月至8月在巴西圣保罗州坎皮纳斯市坎皮纳斯大学开展，对400名女性开展新型冠状病毒肺炎相关KAP情况的问卷调查。
结果：受访女性的平均年龄为30.8±7.9岁，其中72.8%的女性报告至少有过1次妊娠经历。95%的女性曾听闻或阅读过新型冠状病毒肺炎相关信息，其获取信息的主要渠道为电视（91%）与政府官方网站（53%）；但53%的女性对所获取信息的真实性存疑。
结论：无伴侣且受教育年限超过12年的女性，对新型冠状病毒肺炎及其对新发妊娠的影响掌握更多相关信息；社会经济地位较高的女性，保持物理社交距离的可能性更高。本次大流行期间，受试者选择寻求避孕服务的主要原因为：避孕方式的安全性、有效性、舒适度，以及（针对TCu380A宫内节育器而言）不含激素；而选择左炔诺孕酮宫内缓释系统（LNG-IUS）的主要原因为其可停止月经出血。