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https://www.readbyqxmd.com/read/28929860/adolescent-perspectives-on-patient-provider-sexual-health-communication-a-qualitative-study
#1
Andrea J Hoopes, Samantha K Benson, Heather B Howard, Diane M Morrison, Linda K Ko, Taraneh Shafii
BACKGROUND: Adolescents in the United States are disproportionately affected by sexually transmitted infections and unintended pregnancy. Adolescent-centered health services may reduce barriers to health care; yet, limited research has focused on adolescents' own perspectives on patient-provider communication during a sexual health visit. METHODS: Twenty-four adolescents (14-19 years old) seeking care in a public health clinic in Washington State participated in one-on-one qualitative interviews...
September 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28918448/a-systematic-review-of-cost-effectiveness-analysis-of-screening-interventions-for-assessing-the-risk-of-venous-thromboembolism-in-women-considering-combined-oral-contraceptives
#2
REVIEW
Zanfina Ademi, C Simone Sutherland, Joris Van Stiphout, Jöelle Michaud, Goranka Tanackovic, Matthias Schwenkglenks
Use of combined oral contraceptives (COCs) by women increases the risk of venous thromboembolism (VTE), which can have a major impact on an individuals' quality of life. VTE is also associated with an increase in healthcare costs. Our aim was to systematically review cost-effectiveness analyses (CEAs) considering any screening for risk of VTE in women using COCs. The quality of reporting in each study was assessed, a summary of results was prepared, and the key drivers of cost effectiveness in each of the eligible CEAs were identified...
September 16, 2017: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/28915159/contraception-in-us-servicewomen-emerging-knowledge-considerations-and-needs
#3
Lauren A Harrington, Kate A Shaw, Jonathan G Shaw
PURPOSE OF REVIEW: We describe current literature regarding contraceptive use among women serving in the military. We explore the state of contraceptive use by female servicewomen, gaps in knowledge, special considerations, and evidence of unmet needs. RECENT FINDINGS: Recent data on US servicewomen show that overall rates of contraceptive use remain low. Data highlight disparities and suggest barriers to contraceptive uptake persist, with contraceptive use being lower around the time of deployment...
September 14, 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28887327/uterine-flushings-from-women-treated-with-levonorgestrel-affect-sperm-functionality-in-vitro
#4
Mayel Chirinos, Marta Durand, María Elena González-González, Gabriela Hernández-Silva, Israel Maldonado-Rosas, Pablo Lopez, Fernando Larrea
Levonorgestrel (LNG), a synthetic 19 nor-testosterone derivative, is widely used for emergency contraception. It is well known that LNG prevents ovulation only when given prior to the surge of serum luteinizing hormone (LH) during the periovulatory phase of the menstrual cycle. This observation suggests that LNG, given its contraceptive efficacy, has additional effects other than those affecting ovulation. In this study, we have evaluated the effects on human sperm functionality of uterine flushings (UF) obtained from women at day LH+1 of a control cycle (CTR-LH+1) and after receiving LNG (LNG-LH+1) two days before the surge of LH...
September 8, 2017: Reproduction: the Official Journal of the Society for the Study of Fertility
https://www.readbyqxmd.com/read/28882681/provider-communication-with-adolescent-and-young-females-during-sexual-and-reproductive-health-visits-findings-from-the-2011-2015-national-survey-of-family-growth
#5
Nicole Liddon, Riley J Steiner, Gladys M Martinez
OBJECTIVE: National guidelines advise providers to counsel patients about contraception and condom use during sexual and reproductive health care visits. This study assesses provider communication with adolescent and young women about birth control, emergency contraception, and condoms during such visits. STUDY DESIGN: Using data from sexually active 15-24year old women participating in the 2011-2015 National Survey of Family Growth, we examined prevalence of provider communication about birth control, emergency contraception and condoms when receiving other sexual and reproductive health services in the past year...
September 4, 2017: Contraception
https://www.readbyqxmd.com/read/28876325/modernizing-field-services-for-human-immunodeficiency-virus-and-sexually-transmitted-infections-in-the-united-states
#6
Matthew R Golden, David A Katz, Julia C Dombrowski
Public health field services for sexually transmitted infections (STIs) have not adequately evolved to address the expanding scale of the STI problem, its concentration among men who have sex with men, the emergence of new communication technologies and the availability of antiretroviral therapy as a cornerstone of human immunodeficiency virus (HIV) prevention. Field services need to modernize. Modernization should seek to expand field services objectives beyond sex partner STI testing and treatment to include: HIV testing of persons with bacterial STI and their partners, including efforts to promote frequent HIV/STI testing; increased condom access; linkage and relinkage to HIV care and promotion of viral suppression; preexposure prophylaxis promotion; linkage to long-acting contraception; and referral for health insurance...
June 14, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28863005/hiv-and-contraception
#7
Wing K Fok, Paul D Blumenthal
PURPOSE OF REVIEW: Contraception is a vital component of medical care for women with HIV or at high risk of acquiring HIV. Over the last several years, there has been emerging evidence regarding the safety and effectiveness of various contraceptive methods, ultimately leading to a revision in the WHO Medical Eligibility Criteria for contraceptive use. RECENT FINDINGS: Progestogen-only injectables may be associated with an increased risk of HIV acquisition and its use has been revised to category 2 from category 1...
August 31, 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28859613/clinical-care-given-to-victims-of-sexual-assault-at-kadoma-general-hospital-zimbabwe-a-secondary-data-analysis-2016
#8
Stanley Tapesana, Daniel Chirundu, Gerald Shambira, Notion Tafara Gombe, Tsitsi Patience Juru, Tshimanga Mufuta
BACKGROUND: Despite the guidelines for managing sexual assault being in place, victims of sexual assault attended to at Kadoma General Hospital consistently raised complaints related to the quality of care offered. Medicolegal data for sexual assault has been collected at the hospital since 2012. However, no analysis had been done regardless of complaints having been raised. We analysed the dataset to determine the quality of clinical care offered to sexual assault victims. METHODS: A retrospective cross-sectional study based on secondary data was conducted...
August 31, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28845409/level-and-factors-related-to-unintended-pregnancy-with-a-brief-review-of-new-population-policies-in-iran
#9
Khadijeh Asadi Sarvestani, Aliyar Ahmadi, Halimeh Enayat, Majid Movahed
BACKGROUND: High rate of unintended pregnancies in Iran is one of problems in family planning. The main goal of this study was to determine the rate of unintended pregnancies and to examine factors among married women in Shiraz City, Iran. It also discusses the possible effects of new population policies on the rate of unintended pregnancy. METHODS: In this quantitative and survey study, data were collected by researcher-made questionnaire with interviewer from 400 pregnant women in Shiraz City referred to public and private health centers for prenatal care in 2013...
July 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28835323/developing-the-evidence-base-for-gender-and-age-relevant-school-sex-education-questionnaire-findings-from-an-adolescent-sample-using-an-augmented-theory-of-planned-behaviour
#10
Julie E Bayley, Darrin Baines, Katherine E Brown
Background: Positive adolescent sexual health is supported by effective school-based sex education. Methods to promote positive sexual health need to reflect determinants of contraception intention, which must include understanding gender and age (year group) differences. To date, there has been limited theory-based exploration of these determinants in school age participants, placing limitations on sexual health educators to tailor learning most effectively. Methods: Cross-sectional survey data were collected from UK school pupils (n=1378) aged 12-16 years...
August 24, 2017: Sexual Health
https://www.readbyqxmd.com/read/28806964/intervention-now-to-eliminate-repeat-unintended-pregnancy-in-teenagers-interupt-a-systematic-review-of-intervention-effectiveness-and-cost-effectiveness-and-qualitative-and-realist-synthesis-of-implementation-factors-and-user-engagement
#11
Rabeea'h W Aslam, Maggie Hendry, Andrew Booth, Ben Carter, Joanna M Charles, Noel Craine, Rhiannon Tudor Edwards, Jane Noyes, Lupetu Ives Ntambwe, Diana Pasterfield, Jo Rycroft-Malone, Nefyn Williams, Rhiannon Whitaker
BACKGROUND: Unintended repeat conceptions can result in emotional, psychological and educational harm to young women, often with enduring implications for their life chances. This study aimed to identify which young women are at the greatest risk of repeat unintended pregnancies; which interventions are effective and cost-effective; and what are the barriers to and facilitators for the uptake of these interventions. METHODS: We conducted a mixed-methods systematic review which included meta-analysis, framework synthesis and application of realist principles, with stakeholder input and service user feedback to address this...
August 15, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28803883/the-provision-of-emergency-contraception-in-kinshasa-s-private-sector-pharmacies-experiences-of-mystery-clients
#12
Julie H Hernandez, Muanda Fidèle Mbadu, Mélissa Garcia, Annie Glover
OBJECTIVES: Recent programmatic and research efforts on addressing gaps in health systems of low-income countries increasingly see task shifting, i.e. the provision of healthcare by non-medically trained personnel, as a possible solution to increase the availability of specific services and commodities. In Kinshasa, private-sector pharmacies are the primary and preferred provider of family planning (FP) methods, and thus constitute a potential resource for expanding access to specific contraceptives...
August 10, 2017: Contraception
https://www.readbyqxmd.com/read/28799272/results-of-a-national-multicenter-audit-assessment-of-gynecologic-history-in-surgical-patients
#13
Michael S J Wilson, Matilda Powell-Bowns, Andrew G Robertson, Andreas Luhmann, Colin H Richards
OBJECTIVE: To determine the adequacy of assessing gynecologic history for females of reproductive age (FRA) admitted to a general surgery department. METHODS: The present prospective multicenter audit included FRA who were admitted for elective or emergency procedures to general surgery departments in Scotland between May 11 and May 25, 2015. Data were compared between patients who were admitted for elective and emergency treatment. RESULTS: There were 530 FRA included from 18 centers, including 169 (31...
August 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28793980/a-peer-led-social-media-delivered-safer-sex-intervention-for-chinese-college-students-randomized-controlled-trial
#14
Wai Han Sun, Carlos King Ho Wong, William Chi Wai Wong
BACKGROUND: The peer-led, social media-delivered intervention is an emerging method in sexual health promotion. However, no research has yet investigated its effectiveness as compared with other online channels or in an Asian population. OBJECTIVE: The objective of this study is to compare a peer-led, social media-delivered, safer sex intervention with a sexual health website. Both conditions target Chinese college students in Hong Kong. METHODS: A randomized controlled trial was conducted with a peer-led, safer sex Facebook group as the intervention and an existing online sexual health website as the control...
August 9, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28783237/for-emergency-contraception-political-gaps-are-not-scientific-gaps
#15
D K Turok
No abstract text is available yet for this article.
August 7, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28780215/knowledge-of-and-interest-in-the-copper-intrauterine-device-among-women-seeking-emergency-contraception
#16
Christine Edwards, Dilzayn Panjwani, Ciara Pendrith, Anna Ly, Sheila Dunn
OBJECTIVE: Emergency contraception (EC) includes hormonal pills (levonorgestrel or ulipristal acetate) and the copper IUD (Cu-IUD). The Cu-IUD is more effective for EC than hormonal pills but remains underused, possibly because of lack of knowledge or interest. The objective of this study was to examine knowledge of and interest in the Cu-IUD for EC among Canadian women seeking EC. METHODS: The study used a cross-sectional convenience survey of English-speaking women presenting for EC at two sexual health clinics in Toronto...
August 2, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28776253/adolescent-health-in-the-eastern-mediterranean-region-findings-from-the-global-burden-of-disease-2015-study
#17
Ali H Mokdad
OBJECTIVES: The 22 countries of the East Mediterranean Region (EMR) have large populations of adolescents aged 10-24 years. These adolescents are central to assuring the health, development, and peace of this region. We described their health needs. METHODS: Using data from the Global Burden of Disease Study 2015 (GBD 2015), we report the leading causes of mortality and morbidity for adolescents in the EMR from 1990 to 2015. We also report the prevalence of key health risk behaviors and determinants...
August 3, 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/28776000/pharmacy-professionals-dispensing-practice-knowledge-and-attitude-towards-emergency-contraceptives-in-gondar-town-northwestern-ethiopia-a-cross-sectional-study
#18
Sewunet Admasu Belachew, Dawit Kumilachew Yimenu, Begashaw Melaku Gebresillassie
BACKGROUND: Pharmacy professionals, as the most available members of medical team, have an important role in educating patients about the effective and appropriate use of contraceptives. The purpose of this study was to assess pharmacy professionals' dispensing practice, knowledge, and attitude towards emergency contraceptives use in Gondar town, northwestern Ethiopia. METHODS: An institution based cross-sectional study was employed from May 14 to June 14, 2016, on 60 pharmacy professionals, who have been working in 8 randomly selected pharmacies and 6 drug stores...
2017: International Journal of Reproductive Medicine
https://www.readbyqxmd.com/read/28766313/interventions-for-emergency-contraception
#19
REVIEW
Jie Shen, Yan Che, Emily Showell, Ke Chen, Linan Cheng
BACKGROUND: Emergency contraception (EC) is using a drug or copper intrauterine device (Cu-IUD) to prevent pregnancy shortly after unprotected intercourse. Several interventions are available for EC. Information on the comparative effectiveness, safety and convenience of these methods is crucial for reproductive healthcare providers and the women they serve. This is an update of a review previously published in 2009 and 2012. OBJECTIVES: To determine which EC method following unprotected intercourse is the most effective, safe and convenient to prevent pregnancy...
August 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28759402/access-to-emergency-contraception-after-removal-of-age-restrictions
#20
COMPARATIVE STUDY
Tracey A Wilkinson, Porsche Clark, Sally Rafie, Aaron E Carroll, Elizabeth Miller
BACKGROUND: Levonorgestrel emergency contraception (EC) is safe and effective for postcoital pregnancy prevention. Starting in 2013, the US Food and Drug Administration removed age restrictions, enabling EC to be sold over the counter to all consumers. We sought to compare the availability and access for female adolescents with the 2012 study, using the same study design. METHODS: Female mystery callers posing as 17-year-old adolescents in need of EC used standardized scripts to telephone 979 pharmacies in 5 US cities...
July 2017: Pediatrics
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