[Accesibility and tolerability on the use of subcutaneous hormone implants in a socially excluded population].

Objective: To determine the acceptability and tolerability of subcutaneous implants used in a socially excluded population from El Vacie, Seville.

Design: Prospective cohort study with follow-up.

Setting: Pino Montano B Outpatient Department in Seville, Spain.

Participants: A total of 66 females between 15-49 years who had a subcutaneous implant inserted, of whom 44.6% were from El Vacie (a shantytown outside Seville, Spain).

Interventions: Pre-implant questionnaire, placing of the implant and a post-implant questionnaire 3 months later.

Main Measurements: A study of the sociodemographic variables with frequency tables. Comparison of the tolerability with the place of residence variable (from El Vacie/not from El Vacie) using the Chi squared statistic, and the acceptability with frequency tables.

Results: There were no statistically significant differences between the tolerability variables studied (P=.618), with a (relative risk) RR of 1.33 (0.430-4.134). The women not from El Vacie were less tolerant than the women from El Vacie. The great majority of women (93.1% El Vacie women and 88.9% non-El Vacie women) would come back to use this contraceptive method again after it expires in 3 years, and 84.7% of El Vacie women and 82.4% of those not from El Vacie considered the method as excellent.

Conclusions: Subcutaneous hormone implants were a safe, tolerable and accepted method with no cultural differences.