Factors associated with the non-use of barrier contraceptive methods in the Peruvian LGBTI population, 2017

• Autores: Guillén-Contreras, Mary Carmen, Santos-Rosales, Yuly Raquel, Moquillaza-Alcántara, Victor Hugo
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Sociedad Materno Fetal
• Repositorio: Revista Internacional de Salud Materno Fetal
• Lenguaje: español
• OAI Identifier: oai:ojs2.ojs.revistamaternofetal.com:article/232
• Enlace del recurso: http://ojs.revistamaternofetal.com/index.php/RISMF/article/view/232
• Nivel de acceso: acceso abierto
• Materia: Anticonceptivos; Identidad de género; Minorias sexuales y de género; Perú

Introduction: The LGBTI community has limitations in access to the health system, programs to combat HIV and STIs are poorly focused despite their increase, misinformation generates the absence or inappropriate use of condoms, there are few studies that address this excluded population. Objective: To analyze the factors associated with the non-use of barrier contraceptive methods in the Peruvian LGBTI population, 2017. Materials and Methods: A quantitative, observational, analytical cross-sectional study. Made up of 12,026 people identified as part of the LGBTI community from 24 departments of Peru and the constitutional province of Callao, with a sample of 11,987 Peruvian LGTBI people, the technique was secondary-base analysis of the "First virtual survey for LGTBI people in Peru" , The main variables were associated factors: sociodemographic, health, identity, family and socioeconomic and Non-use of contraceptive methods. STATA software was used to perform bivariate analysis (Pearson's Chi square and Student's t) and multivariate (Poisson regression ) to evaluate the association, with a confidence level of 95%. The nature of the study does not merit approval from the ethics committee. Results: 36.15% (95% CI: 35.29-37.01%) did not use barrier contraception, being more frequent in Tacna (52.03%), Callao (39.90%) and Ayacucho (38,46%), having a secondary education level (p=0.042; aPR:0.77) and higher (p=0.013; aPR:0.74), family ignorance that they are an LGBTI person (p <0.001; aPR: 0.78) and not having a sentimental partner (p<0.001; aPR: 0.79) are protective factors, while being older (p=0.001; aPR:1.002), not having received information on STI prevention o HIV (p<0.001; aPR:1.31) and being female (p <0.001; aPR: 6.66) are risk factors associated with the non-use of contraceptive methods. Conclusions: Sociodemographic, health, identity and family factors are significantly associated with the non-use of barrier contraceptive methods in the LGTBI population in Peru, which makes their approach urgent.