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Teen contraception

Christopher C Dobbins, Brittain N Kenney, Carrie E Meier, Velma V Taormina
Unintended pregnancies are typically associated with poor health outcomes for mothers and babies, and they also limit the social mobility of women and their families. Gaston County has achieved great success in reducing both teen pregnancies and unintended pregnancies among low-income women through the Gaston Youth Connected project and the local health department's push to increase accessibility to long-acting reversible contraception. Reductions in the racial disparities in teen pregnancy rates, higher graduation rates for females, and fewer pregnancies among low-income women all indicate a potential for better reproductive health to increase the social mobility of Gaston County women...
November 2016: North Carolina Medical Journal
Elizabeth Chen, Emily Rose Mangone
BACKGROUND: Adolescents in the United States and globally represent a high-risk population for unintended pregnancy, which leads to high social, economic, and health costs. Access to smartphone apps is rapidly increasing among youth, but little is known about the strategies that apps employ to prevent pregnancy among adolescents and young adults. Further, there are no guidelines on best practices for adolescent and young adult pregnancy prevention through mobile apps. OBJECTIVE: This review developed a preliminary evaluation framework for the assessment of mobile apps for adolescent and young adult pregnancy prevention and used this framework to assess available apps in the Apple App Store and Google Play that targeted adolescents and young adults with family planning and pregnancy prevention support...
November 10, 2016: JMIR MHealth and UHealth
Anderson Borovac-Pinheiro, Fernanda Garanhani Surita, Aline D'Annibale, Rodolfo de Carvalho Pacagnella, Joao Luiz Pinto E Silva
Objective To determine methods of contraception used by adolescents before and after pregnancy. Methods A cross-sectional study was performed, and data were collected from medical records of all teens in puerperal consultation at the Hospital da Mulher - José Aristodemo Pinotti (Caism), Universidade Estadual de Campinas (CAISM), São Paulo, Brazil, between July 2011 and September 2013. The inclusion criterion was being 10 to 19 years old, and the exclusion criterion was having a first consultation 90 days after childbirth...
November 10, 2016: Revista Brasileira de Ginecologia e Obstetrícia
J L Yoost, R W Starcher, R A King-Mallory, N Hussain, C A Hensley, T W Gress
STUDY OBJECTIVE: To evaluate the use of telehealth to teach reproductive health to rural areas with high rates of teen pregnancy. DESIGN: Prospective cohort study SETTING: Two high schools in rural West Virginia. PARTICIPANTS: High school females that attended telehealth sessions. INTERVENTIONS: Teleconferencing equipment connected rural high schools to a distal academic institution. Telehealth sessions included reproductive health and life skills topics...
October 11, 2016: Journal of Pediatric and Adolescent Gynecology
Sheana Bull, Sharon Devine, Sara J Schmiege, Leslie Pickard, Jon Campbell, Judith C Shlay
OBJECTIVES: To consider whether Youth All Engaged! (a text message intervention) intensified the effects of the adolescent pregnancy prevention Teen Outreach Program (control) for youths. METHODS: In this trial performed in Denver, Colorado, from 2011 to 2014, we randomized 8 Boys & Girls Clubs each of 4 years into 32 clubs per year combinations to ensure each club would serve as a treatment site for 2 years and a control site for 2 years. Control intervention consisted of the Teen Outreach Program only...
September 2016: American Journal of Public Health
Nancy R Ahern, Traci Bramlett
After years of high teen birth rates, there is currently a decline in U.S. pregnancy and birth rates among teens. Nevertheless, these rates continue to be higher than those of most global counterparts, and psychosocial and physical adversities still occur for pregnant teens and their children. The declining birth rates may be due to teens making better choices about contraceptive use and sexual behaviors. Psychiatric-mental health nurses are in key positions to enhance pregnancy prevention for teens. [Journal of Psychosocial Nursing and Mental Health Services, 54(2), 25-28...
February 1, 2016: Journal of Psychosocial Nursing and Mental Health Services
Michelle Johnson-Motoyama, Mindi Moses, Tiffany Koloroutis Kann, E Susana Mariscal, Michelle Levy, Carolina Navarro, Paula J Fite
Teen pregnancy remains a public health concern particularly among Latinos, whose pregnancy rate of 83.5 per 1000 girls constitutes one of the highest rates of teen pregnancy among all ethnic and racial groups in the United States. To enhance the effectiveness of interventions for diverse Latino populations in the US, it is crucial to assess the community's understanding of the etiology of the problem of adolescent pregnancy and to implement programs that reflect the local community's beliefs and preferences...
September 15, 2016: Journal of Primary Prevention
Deirdre A Quinn, Stephanie J Mitchell, Amy Lewin
STUDY OBJECTIVE: To explore interpersonal factors associated with maintaining contraceptive use over time among urban, African American teen mothers. DESIGN: Longitudinal study, 2011-2015. SETTING: Six pediatric primary care sites in the same city, all of which primarily serve urban, low-income, African American families. PARTICIPANTS: Teen mothers accessing health services for their child at one of the six study sites...
August 23, 2016: Journal of Pediatric and Adolescent Gynecology
Edward J Saunders
The U.S. Office of Adolescent Health and the Centers for Disease Control continue to promote a community mobilization model in support of teen pregnancy prevention in new grant initiatives. The most recent federal grant program-the "Communitywide Initiatives (2010-2015)" grant-promoted pregnancy prevention using three teams within the nine targeted communities to promote evidence-based sexuality education programs and enhanced access to contraceptive services among adolescents. The "lessons" reported in this article are compiled from three key informant interviews conducted with all project coordinators over the course of the 5 years (2010-2015) that this grant was implemented...
August 16, 2016: Health Promotion Practice
Susan F Wilson, Nathalie Degaiffier, Sarah J Ratcliffe, Courtney A Schreiber
AIM: To evaluate the impact peer counselling has on same-day desire for long-acting, reversible contraception (LARC) among adolescents attending a family planning clinic. METHODS: A randomised, controlled trial of 110 adolescent females attending an outpatient clinic for contraception in 2013. Adolescents received either brief peer counselling about LARC with routine contraceptive counselling, or routine counselling alone. Bivariate analyses and multivariable logistic regression assessed the primary outcome of same-day desire for LARC and secondary outcomes of change in knowledge and attitudes regarding LARC...
October 2016: European Journal of Contraception & Reproductive Health Care
Amy Lewin, Stephanie Mitchell, Lee Beers, Kristine Schmitz, Michel Boudreaux
PURPOSE: The Generations program, a patient-centered medical home, providing primary medical care, social work, and mental health services to teen mothers and their children, offers a promising approach to pregnancy prevention for teen mothers. This study tested whether the Generations intervention was associated with improved rates of contraceptive and condom use among participants 12 months after program entry. METHODS: This study compared teen mothers enrolled in Generations to those receiving standard community-based pediatric primary care over 12 months...
August 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Nditsheni J Ramakuela, Tsakani R Lebese, Sonto M Maputle, Lindiwe Mulaudzi
BACKGROUND: Teenage pregnancy is a global social health concern especially because of the HIV and AIDS pandemic, sexually transmitted infections, high rate of termination of pregnancy (TOP), adolescents' parenthood and decreased level of contraceptives. AIM: To explore the views of teenagers on the TOP at Muyexe high school in a rural village of Mopani District, Limpopo Province. SETTING: Muyexe high school in a rural village of Mopani District, Limpopo Province, in South Africa...
2016: African Journal of Primary Health Care & Family Medicine
Carrie Cwiak, Brandon Howard, Jennifer Hsieh, Nancy Ricciotti, Gina S Sucato
STUDY OBJECTIVE: Unintended pregnancy rates in the United States remain high among adolescents. Emergency contraception (EC) provides the only option for pregnancy prevention after unprotected sex. To better define the population of adolescents who request and use EC pills, we performed a post-hoc analysis of an over-the-counter simulation study of EC pills. SETTING: Teen reproductive health clinics in 5 cities. PARTICIPANTS: Adolescents between the ages of 13 and 17 who requested EC...
June 16, 2016: Journal of Pediatric and Adolescent Gynecology
J N Becnel, M H Zeller, J G Noll, D B Sarwer, J Reiter-Purtill, M Michalsky, J Peugh, F M Biro
BACKGROUND: There is an increasing adolescent population with severe obesity with impairments in social and romantic relationships that are seeking clinical weight management, including weight loss surgery (WLS). OBJECTIVE: To document romantic, sexual and sexual risk behaviours in a clinical sample of adolescent females with severe obesity (BMI > 40 kg/m(2) ) compared to those of healthy weight (HW). METHODS: This multi-site study-an ancillary to a prospective longitudinal observational study documenting health in adolescents having WLS-presents pre-operative/baseline data from 108 females undergoing WLS, 68 severely obese seeking lifestyle intervention and 118 of HW...
May 30, 2016: Pediatric Obesity
Kathleen N Conroy
No abstract text is available yet for this article.
June 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Tiana Won, Jennifer Blumenthal-Barby, Mariam Chacko
Pregnant adolescents have a higher risk of poor maternal and fetal outcomes, particularly in the setting of concomitant maternal alcohol and other drug (AOD) use. Despite numerous programmes aimed at reducing overall teen pregnancy rates and the recognition of AOD use as a risk factor for unintended pregnancy in adolescents, interventions targeting this specific group have been sparse. In adult drug-using women, financial incentives for contraception have been provided but are ethically controversial. This article explores whether a trial could ethically employ monetary incentives in adolescents with AOD use to promote the use of long-acting reversible contraception (LARC), with special attention to the relevant distinctions between adults and adolescents...
May 13, 2016: Journal of Medical Ethics
Hilary O Broughton, Christina M Buckel, Karen J Omvig, Jennifer L Mullersman, Jeffrey F Peipert, Gina M Secura
Unintended pregnancy is a public health problem with societal consequences. The Contraceptive CHOICE Project (CHOICE) demonstrated a reduction in teen pregnancy and abortion by removing barriers to effective contraception. The purpose of the study was to describe the dissemination approach used to create awareness of and promote desire to adopt the CHOICE model among selected audiences. We used a 4-stage approach and detail the work completed in the first 2 stages. We describe stakeholder involvement in the first stage and the process of undertaking core strategies in the second stage...
April 26, 2016: Translational Behavioral Medicine
Laureen M Lopez, Thomas W Grey, Elizabeth E Tolley, Mario Chen
BACKGROUND: Global high rates of unplanned pregnancy and abortion among young women demonstrate the need for increased access to modern contraceptive services. In sub-Saharan Africa, the birth rate for those aged 15 to 19 years is 121 per 1000. In the USA, 6% of teens aged 15 to 19 years became pregnant in 2010. Most pregnancies among young women to age 25 are unintended. OBJECTIVES: The aim was to identify brief educational interventions for improving contraceptive use among young people that are feasible for implementing in a clinic or similar setting with limited resources...
2016: Cochrane Database of Systematic Reviews
Porjai Pattanittum, Naowarat Kunyanone, Julie Brown, Ussanee S Sangkomkamhang, Joanne Barnes, Vahid Seyfoddin, Jane Marjoribanks
BACKGROUND: Dysmenorrhoea refers to painful menstrual cramps and is a common gynaecological complaint. Conventional treatments include non-steroidal anti-inflammatory drugs (NSAIDs) and oral contraceptive pills (OCPs), which both reduce myometrial activity (contractions of the uterus). A suggested alternative approach is dietary supplements. We used the term 'dietary supplement' to include herbs or other botanical, vitamins, minerals, enzymes, and amino acids. We excluded traditional Chinese medicines...
2016: Cochrane Database of Systematic Reviews
Paula J Adams Hillard
Because 83% of adolescent pregnancies among teens 15 to 19 years old are unintended and because adolescents with chronic medical conditions are as likely to be sexually involved as are healthy teens, preventing unintended pregnancies among teens with chronic endocrine conditions, including diabetes mellitus (both types 1 and 2), PCOS, and thyroid dysfunction, is critically important. Evidence-based guidelines are available to assist with assessment of the risks versus the benefits of specific options for contraception in teens with these and other medical conditions...
August 2015: Adolescent Medicine: State of the Art Reviews
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