DETERMINANTES SOCIAIS DA SAÚDE: ACESSO DE MULHERES A MÉTODOS CONTRACEPTIVOS NO SISTEMA ÚNICO DE SAÚDE

This study aims to analyze, through a integrative review, how the Social Determinants of Health (SDH) influence women’s access to contraceptive methods in Brazil’s Unified Health System (SUS). Articles published between 2020 and 2025 were selected from PubMed and LILACS databases, focusing on the relationship between factors such as education, income, race, culture, and access to information with the use and continuity of contraceptive methods. The findings reveal that, although contraceptive methods are provided free of charge by SUS, structural, institutional, and cultural barriers significantly limit women’s reproductive autonomy, particularly among adolescents, black women, and socially vulnerable populations. The low adherence to long-acting reversible contraceptives (LARC), such as the intrauterine device (IUD), is related to a lack of supplies, insufficient professional training, and the lack of inclusive public policies. It is concluded that strengthening equity strategies, health education, and reproductive justice is essential to ensure universal and comprehensive access to contraception.