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Perspectives on Sexual and Reproductive Health

Marta A Cabral, Rosalyn Schroeder, Elizabeth Mitchell Armstrong, Alison M El Ayadi, Aleka L Gürel, Janet Chang, Cynthia C Harper
CONTEXT: Community college students, representing more than one-third of U.S. undergraduates, are a diverse population of young people motivated to seek higher education who are at elevated risk of unintended pregnancy. However, it is unknown how well prepared they are to prevent pregnancy and what they think about it in terms of their educational aspirations. METHODS: In-depth interviews were conducted with 57 students aged 18-25, inclusive of all genders, in three community colleges in California in 2015...
October 30, 2018: Perspectives on Sexual and Reproductive Health
(no author information available yet)
No abstract text is available yet for this article.
October 4, 2018: Perspectives on Sexual and Reproductive Health
Jenny O'Donnell, Alisa Goldberg, Theresa Betancourt, Ellice Lieberman
CONTEXT: Studies of how women's individual characteristics and place of residence are related to variability in gestational age at the time of abortion have not examined county of residence and county-level characteristics. The county level is potentially meaningful, given that county is the smallest geographic unit with policy implications. METHODS: Data on 38,611 abortions that took place in North Carolina, Virginia and West Virginia in 2012 were used to study the relationship between gestational age and county-level attributes (e...
September 20, 2018: Perspectives on Sexual and Reproductive Health
Summer L Martins, Susan M Mason, Wendy L Hellerstedt, Sonya S Brady
CONTEXT: International travel is common and may influence women's sexual and reproductive health through myriad pathways. Existing studies focus on travelers' risk of acquiring STDs, but not their pregnancy prevention behaviors. Further, it is unclear whether sexual and reproductive health outcomes observed for female travelers are associated with travel itself, because few studies compare travelers with nontravelers. METHODS: An online survey was conducted in 2016-2017 among females attending a U...
August 17, 2018: Perspectives on Sexual and Reproductive Health
Mieke C W Eeckhaut, Megan M Sweeney, Lei Feng
CONTEXT: For decades, high reliance on female sterilization in the United States has been accompanied by a high level of desire for sterilization reversal, and less-educated women have been more likely than better educated women to use the method and desire a reversal. Little is known about how levels of and educational differentials in such desire have changed in recent decades. METHODS: Data from 4,147 women who reported being sterile from a tubal sterilization in the 1995, 2002 and 2006-2010 waves of the National Survey of Family Growth were analyzed using chi-square and Wald tests and binary logistic regression analyses...
September 2018: Perspectives on Sexual and Reproductive Health
Karen Benjamin Guzzo, Kasey Eickmeyer, Sarah R Hayford
CONTEXT: Women with an unintended birth have an elevated risk of subsequent unintended pregnancy, and multiple unintended pregnancies could exacerbate any negative consequences of such births. It is therefore important to understand whether postpartum contraceptive use differs by birth intendedness. METHODS: Data on 2,769 births reported in the 2011-2015 cycles of the National Survey of Family Growth were used to examine postpartum contraceptive use. Life-table estimates were employed to assess differences by birth intendedness in timing of postpartum contraceptive use, and multinomial logistic event history methods were used to model initial contraceptive uptake and efficacy by birth intendedness...
September 2018: Perspectives on Sexual and Reproductive Health
Alison Gemmill
CONTEXT: Women who view themselves as having difficulty becoming pregnant (i.e., being subfecund) may feel that they do not need to use contraceptives to prevent unintended pregnancy. However, subfecundity perceptions are not always medically accurate and may therefore confer a false sense of protection. The extent to which perceived fecundity is related to contraceptive use is not well understood. METHODS: Multinomial logistic regression was used to investigate the relationship between perceived fecundity at age 25-30 and contraceptive use among 2,091 women from the National Longitudinal Survey of Youth 1997 cohort...
September 2018: Perspectives on Sexual and Reproductive Health
Elizabeth Janiak, Jill Clark, Deborah Bartz, Ana Langer, Barbara Gottlieb
CONTEXT: Structural barriers to the provision of long-acting reversible contraceptive (LARC) methods at community health centers have been identified in quantitative research, but the processes and behaviors by which center staff respond to these barriers are poorly understood. METHODS: Focus group discussions were conducted with clinical, support and administrative staff at three Massachusetts community health centers between April 2014 and January 2015. The centers were purposively selected to constitute a sample with diverse characteristics...
September 2018: Perspectives on Sexual and Reproductive Health
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Perspectives on Sexual and Reproductive Health
Megan L Kavanaugh, Mia R Zolna, Kristen L Burke
CONTEXT: As federal initiatives aim to fundamentally alter or dismantle the Affordable Care Act (ACA), evidence regarding the use of insurance among clients obtaining contraceptive care at Title X-funded facilities under ACA guidelines is essential to understanding what is at stake. METHODS: A nationally representative sample of 2,911 clients seeking contraceptive care at 43 Title X-funded sites in 2016 completed a survey assessing their characteristics and insurance coverage and use...
September 2018: Perspectives on Sexual and Reproductive Health
Hilary K Brown, Yolanda A Kirkham, Yona Lunsky, Virginie Cobigo, Simone N Vigod
CONTEXT: Women with intellectual and developmental disabilities who experience pregnancy, like all women, require postpartum care that supports their contraceptive knowledge and decision making. Yet, little is known about the postpartum contraceptive care these women receive, or how it compares with care given to other women. METHODS: A population-based study using linked health and social services administrative data examined provision of postpartum contraceptive care to women who had a live birth in Ontario, Canada, in 2002-2014 and were beneficiaries of Ontario's publicly funded drug plan...
September 2018: Perspectives on Sexual and Reproductive Health
Abigail R A Aiken, Kathleen Broussard, Dana M Johnson, Elisa Padron
CONTEXT: State legislation restricting access to abortion in the clinic setting raises the possibility that an increasing number of individuals in the United States will self-manage their abortion at home. Medications sourced online represent a potential pathway to abortion self-management. Yet, very little is known about the reasons U.S. residents may seek abortion online or their experiences finding medications and information. METHODS: In January-June 2017, anonymous in-depth interviews were conducted with 32 people from 20 states who sought abortion medications online (30 women and two men seeking medications for their partners)...
July 11, 2018: Perspectives on Sexual and Reproductive Health
Brian T Nguyen, Luciana E Hebert, Sara L Newton, Melissa L Gilliam
CONTEXT: Although men are commonly viewed as unaware, uninvolved and even obstructive regarding their partner's abortion access, those who accompany women to an abortion appointment may be more supportive. A better understanding of men's motivations could inform clinic policies regarding their involvement. METHODS: In 2015-2016, data were collected from male partners of women seeking an abortion at two clinics in a large Midwestern city. Twenty-nine interviews were conducted to explore how men wanted to be involved in the abortion and why they accompanied their partners...
June 2018: Perspectives on Sexual and Reproductive Health
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Perspectives on Sexual and Reproductive Health
Alissa Koski, Jody Heymann
CONTEXT: Marriage before the age of 18, commonly referred to as child marriage, is legal under varying conditions across the United States. The prevalence of child marriage among recent cohorts is unknown. METHODS: American Community Survey data for 2010-2014 were used to estimate the average national and state-level proportions of children who had ever been married. Prevalence was calculated by gender, race and ethnicity, and birthplace, and the living arrangements of currently married children were examined...
June 2018: Perspectives on Sexual and Reproductive Health
Katharine B Simmons, Lauren Zapata, Kathryn M Curtis
CONTEXT: Women who are living with HIV use IUDs at a lower rate than the general population, and it is unclear whether health care providers' misconceptions about IUD safety contribute to this disparity. METHODS: A 2013-2014 nationwide survey of 1,998 U.S. family planning providers assessed perceptions of IUD safety for women with HIV or other medical conditions. Multivariable logistic regression was used to examine associations between provider characteristics and whether individuals believed IUDs were safe for HIV-positive women...
June 2018: Perspectives on Sexual and Reproductive Health
Leah E Masselink, Julie Lewis, Clare Coleman, Susan F Wood
CONTEXT: Under the Affordable Care Act (ACA), the number of patients who have health insurance among those receiving family planning and reproductive health services at Title X-funded health centers has grown. However, billing some patients' insurance for services may be difficult because of Title X's extensive confidentiality protections. Little is known about health centers' experiences in addressing these difficulties. METHODS: Eight focus group discussions were conducted with a convenience sample of 54 Title X-funded health center staff members and state program administrators in January and April 2015...
June 2018: Perspectives on Sexual and Reproductive Health
Amy Bleakley, Atika Khurana, Michael Hennessy, Morgan Ellithorpe
CONTEXT: Parents, peers and media are informal sources of sexual information for adolescents. Although the content of sexual information communicated by these sources is known to vary, little is known about what adolescents report actually learning from each source. METHODS: Data from 1,990 U.S.14-17-year-olds who participated in an online survey in 2015 were used to assess learning about four topics (sex, condoms, hormonal birth control and romantic relationships) from three informal sources (parents, peers, and television and movies)...
March 2018: Perspectives on Sexual and Reproductive Health
Molly Frances Battistelli, Sara Magnusson, M Antonia Biggs, Lori Freedman
CONTEXT: Access to abortion care in the United States varies according to multiple factors, including location, state regulation and provider availability. In 2013, California enacted a law that authorized nurse practitioners (NPs), certified nurse-midwives (CNMs) and physician assistants (PAs) to provide first-trimester aspiration abortions; little is known about organizations' experiences in implementing this policy change. METHODS: Beginning 10 and 24 months after implementation of the new law, semistructured interviews were conducted with 20 administrators whose five organizations trained and employed NPs, CNMs and PAs as providers of aspiration abortions...
March 2018: Perspectives on Sexual and Reproductive Health
Tiara C Willie, Tamora A Callands, Trace S Kershaw
CONTEXT: The transition to parenthood is a stressful time for young couples and can put them at risk for acquiring STDs. Mechanisms underlying this risk-particularly, intimate partner violence (IPV) and sexual autonomy-have not been well studied. METHODS: Between 2007 and 2011, a prospective cohort study of the relationships and health of pregnant adolescents and their male partners recruited 296 couples at four hospital-based obstetrics and gynecology clinics in the U...
March 2018: Perspectives on Sexual and Reproductive Health
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