{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T02:41:04Z","timestamp":1773369664514,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T00:00:00Z","timestamp":1758326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T00:00:00Z","timestamp":1758326400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004586","name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro","doi-asserted-by":"publisher","award":["E\u201026\/203.043\/2019"],"award-info":[{"award-number":["E\u201026\/203.043\/2019"]}],"id":[{"id":"10.13039\/501100004586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Hormonal contraception, especially combined oral contraceptives, is associated with an increase in cardiovascular risk. Thus, we aimed to analyze the use of hormonal contraceptive methods in the state of Rio de Janeiro (Brazil), with a focus on determining whether contraceptive use follows the cardiovascular profile of women according to the World Health Organization Medical Eligibility Criteria for Contraceptive Use (MEC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a descriptive cross\u2010sectional study based on a self\u2010completed online survey about information concerning socioeconomic status, cardiovascular profile, and hormonal contraceptive use. A total of 501 responses were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Combined oral contraceptive was the choice of 58.97% of participants. Our data show that 88.27% of participants presented at least one cardiovascular risk factor, with sedentary lifestyle, overweight, and obesity being the most prevalent. Regarding cardiovascular risk factors considered in MEC, 81.60% of participants use the appropriate contraceptive for their health. Most women reported using the contraceptive with a prescription, including 83.33% of participants in categories 3 and 4, which represent contraindications for hormonal contraceptive use according to MEC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although most women living in Rio de Janeiro use an appropriate hormonal contraceptive, clinical management and cardiovascular risk assessment must be improved to protect women's health and ensure an evidence\u2010based family planning strategy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70548","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T07:12:24Z","timestamp":1758352344000},"page":"1675-1683","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cardiovascular risk profile according to World Health Organization medical eligibility criteria for contraceptive use of women using hormonal contraception in Rio de Janeiro state, Brazil"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6553-0331","authenticated-orcid":false,"given":"Isabela Pereira Fonseca","family":"Brusth","sequence":"first","affiliation":[{"name":"Pathophysiology Laboratory Federal University of Rio de Janeiro \u2014 Multidisciplinary Center UFRJ Maca\u00e9  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9152-4931","authenticated-orcid":false,"given":"Juliana Montani","family":"Raimundo","sequence":"additional","affiliation":[{"name":"Research Group in Pharmacology of Bioactive Products Federal University of Rio de Janeiro \u2014 Multidisciplinary Center UFRJ Maca\u00e9  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5729-9785","authenticated-orcid":false,"given":"Helene Nara Henriques","family":"Blanc","sequence":"additional","affiliation":[{"name":"Pathophysiology Laboratory Federal University of Rio de Janeiro \u2014 Multidisciplinary Center UFRJ Maca\u00e9  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,20]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"United Nations Department of Economic and Social Affairs PD.World Family Planning2022: Meeting the Changing Needs for Family Planning: Contraceptive Use by age and Method.2022."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.21392"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.43730"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmv023"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2020.05.008"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487318774847"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1919-9558"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2020.1837364"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.14104"},{"key":"e_1_2_11_11_1","volume-title":"Medical Eligibility Criteria for Contraceptive Use","author":"World Health Organization","year":"2015"},{"key":"e_1_2_11_12_1","first-page":"1","article-title":"What's new in female contraception?","volume":"52","author":"Raccah\u2010Tebeka B","year":"2024","journal-title":"Gynecol Obstet Fertil Senol"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00684-X"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.36660\/abc.20220734"},{"key":"e_1_2_11_15_1","article-title":"Cardiovascular disease in Latin American women: gaps and opportunities","volume":"37","author":"Due\u00f1as\u2010Criado KA","year":"2024","journal-title":"Int J Cardiovasc Sci"},{"key":"e_1_2_11_16_1","first-page":"1","article-title":"Proportional mortality by cause groups in women in Brazil in 2010 and 2019","volume":"52","author":"Brazil. Secretariat of Health Surveillance. Ministry of Health","year":"2021","journal-title":"Epidemiol Bull"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1518-8787.2017051006113"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2002000100010"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1518-8787.2016050006176"},{"key":"e_1_2_11_20_1","unstructured":"Brazil. Ministry of Health. Secretariat of Health Surveillance. Department of Analysis in Health and Surveillance of Noncommunicable Diseases.Vigitel Brazil 2020: Surveillance of Risk and Protective Factors for Chronic Diseases by Telephone Survey: Estimates of Frequency and Sociodemographic Distribution of Risk and Protective Factors for Chronic Diseases in the Capitals of the 26 Brazilian States and the Federal District in 2020. 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