title: [Effects of a contraceptive counselling intervention in adolescents from deprived neighbourhoods with a high proportion of immigrants].
abstract: OBJECTIVE
  To evaluate the effectiveness of a contraceptive counselling intervention among adolescents by sex and origin.
  
  
  METHODS
  A pre-post study with a 3-month follow-up was conducted in adolescents from three disadvantaged neighbourhoods. Participants received a counselling session at a community centre. Contraception use at last intercourse and knowledge, beliefs and self-efficacy before and after the intervention were compared with χ(2) and McNemar tests, stratified by sex and origin (autochthonous or immigrant).
  
  
  RESULTS
  A total of 138 (76%) participants completed the follow-up. Fifty-five percent of the participants were girls, 85% were aged 16-19 years and 71% were immigrants. Knowledge and several self-efficacies increased after the intervention. Condom use increased by 5.4% and the proportion not using any method declined by 7.7%.
  
  
  CONCLUSIONS
  Contraceptive counselling in the community setting increased the use of contraception and improved psychosocial determinants, especially in immigrant adolescents.
authors.affiliation: CEPS Salut (Associació per la Prevenció i la Promoció de la Salut), Barcelona, España.
authors.forename: Laia
authors.initials: L
authors.lastname: Nebot
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Programa de Doctorat en Salut Pública, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: ediez@aspb.cat.
authors.forename: Elia
authors.initials: E
authors.lastname: Díez
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España.
authors.forename: Sílvia
authors.initials: S
authors.lastname: Martín
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España.
authors.forename: Lluïsa
authors.initials: L
authors.lastname: Estruga
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Universitat Pompeu Fabra, Barcelona, España.
authors.forename: Joan R
authors.initials: JR
authors.lastname: Villalbí
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Universitat Pompeu Fabra, Barcelona, España.
authors.forename: Glòria
authors.initials: G
authors.lastname: Pérez
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España.
authors.forename: Mireia G
authors.initials: MG
authors.lastname: Carrasco
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Universitat Pompeu Fabra, Barcelona, España.
authors.forename: María José
authors.initials: MJ
authors.lastname: López
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003268:Contraception Behavior / Q000523:psychology / Q000706:statistics & numerical data; D003376:Counseling; D004522:Educational Status; D054242:Emigrants and Immigrants / Q000523:psychology; D005193:Family Planning Services; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011204:Poverty Areas; D015397:Program Evaluation; D000297:Psychology, Adolescent; D012111:Residence Characteristics; D064890:Social Determinants of Health; D013030:Spain; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult
keywords: Conducta contraceptiva; Contraceptive behaviour; Determinantes sociales de la salud; Efectividad; Effectiveness; Evaluación; Evaluation; Immigration; Inmigración; Intervención; Intervention; Social determinants of health