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https://www.readbyqxmd.com/read/29094755/unplanned-pregnancies-in-new-zealand
#1
Bryndl E Hohmann-Marriott
BACKGROUND: Unplanned pregnancies can bring risk. It is important to have an accurate count of unplanned pregnancies, but to date there is no precise number for New Zealand or Australia. AIMS: This analysis estimates the number and proportion of pregnancies in New Zealand that are unplanned. MATERIALS AND METHODS: Estimates were generated using information about unplanned births from the Growing Up in New Zealand study, combined with data on the number of births and abortions from Statistics New Zealand and estimates of miscarriages...
November 2, 2017: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28974359/beyond-the-effects-of-comprehensive-sexuality-education-the-significant-prospective-effects-of-youth-assets-on-contraceptive-behaviors
#2
Jennifer Green, Roy F Oman, Sara K Vesely, Marshall Cheney, Leslie Carroll
PURPOSE: The purpose of the study was to prospectively determine if youth assets were significantly associated with contraception use after accounting for the effects of youths' exposure to comprehensive sexuality education programming. METHODS: Prospective associations between youth asset scores, comprehensive sexuality education topics received, type of contraceptive used, and consistent contraceptive use were analyzed using multinomial and binomial logistic regression in a sample of 757 sexually active youth...
September 30, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28955105/health-care-factors-influencing-teen-mothers-use-of-contraceptives-in-malawi
#3
Kennedy Machira, Martin E Palamuleni
OBJECTIVE: The study seeks to examine factors associated with teen mothers' use of modern contraceptives after giving birth. METHODS: The 2010 Malawi Demographic and Health Survey data was used to test the study objective. A sample of 12, 911 teen mothers aged between 10 and 18 years were extracted from 23, 020 women and were asked of contraceptive usage after first birth experiences, in which, a logistic regression model was employed to estimate correlates of contraceptive usage...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28840401/rural-and-urban-differences-in-sexual-behaviors-among-adolescents-in-florida
#4
Erika L Thompson, Helen Mahony, Charlotte Noble, Wei Wang, Robert Ziemba, Markku Malmi, Sarah B Maness, Eric R Walsh-Buhi, Ellen M Daley
The national teen birth rate is higher in rural compared to urban areas. While national data suggest rural areas may present higher risk for adverse sexual health outcomes among adolescents, it is unknown whether there are differences within the state of Florida. Overall, Florida has poorer sexual health indicators for adolescents compared to national rates. The purpose of this study was to assess differences in sexual behaviors among Florida adolescents by rural-urban community location. This study includes baseline data from a randomized controlled trial conducted in Florida high schools...
August 24, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28811119/family-planning-funding-cuts-and-teen-childbearing
#5
Analisa Packham
Publicly funded family planning clinics provide low-cost and free contraception to nearly 1.5 million teens each year. In recent years, several states have considered legislation to defund family planning services, although little is known about how these cuts affect teen pregnancy. This paper fills this knowledge gap by exploiting a policy change in Texas that reduced funding for family planning services by 67% and resulted in over 80 clinic closures. I estimate the effects of the funding cuts on teen health outcomes using a difference-in-differences approach that compares the changes in teen birth rates in Texas counties that lost family planning funding to changes in counties outside of Texas with publicly funded clinics...
August 3, 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/28676084/social-and-demographic-drivers-of-trend-and-seasonality-in-elective-abortions-in-denmark
#6
Tim A Bruckner, Laust H Mortensen, Ralph A Catalano
BACKGROUND: Elective abortions show a secular decline in high income countries. That general pattern, however, may mask meaningful differences-and a potentially rising trend-among age, income, and other racial/ethnic groups. We explore these differences in Denmark, a high-income, low-fertility country with excellent data on terminations and births. METHODS: We examined monthly elective abortions (n = 225,287) from 1995 to 2009, by maternal age, parity, income level and mother's country of origin...
July 4, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28619692/a-randomized-trial-of-motivational-interviewing-and-facilitated-contraceptive-access-to-prevent-rapid-repeat-pregnancy-among-adolescent-mothers
#7
RANDOMIZED CONTROLLED TRIAL
Jack Stevens, Robyn Lutz, Ngozi Osuagwu, Dana Rotz, Brian Goesling
BACKGROUND: Most interventions designed to reduce teen pregnancy rates have not focused on pregnant and/or parenting adolescents. Therefore, a large randomized controlled trial was conducted regarding a motivational interviewing program entitled Teen Options to Prevent Pregnancy in a low-income sample of adolescent mothers. This program recommended monthly sessions between a participant and a registered nurse over 18 months. This program also featured facilitated birth control access through transportation assistance and a part-time contraceptive clinic...
October 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28596123/new-clinical-performance-measures-for-contraceptive-care-their-importance-to-healthcare-quality
#8
Loretta Gavin, Brittni Frederiksen, Cheryl Robbins, Karen Pazol, Susan Moskosky
OBJECTIVES: The National Quality Forum (NQF) recently endorsed the first clinical performance measures for contraceptive care. We present data demonstrating that the measures meet the NQF's criterion "importance to measure and report." STUDY DESIGN: We summarized national contraceptive care initiatives, epidemiologic data documenting the reproductive health burden and the scientific literature examining the association between contraceptive use and unintended pregnancy...
June 5, 2017: Contraception
https://www.readbyqxmd.com/read/28535706/-contraceptive-care-for-adolescents-in-school-based-health-centers-is-essential
#9
Alison Moriarty Daley, E Carol Polifroni
Adolescents often face hurdles that may interfere with accessing contraceptive services. School-based health centers (SBHCs) are available to many teens in the United States; however, only half of SBHCs that serve adolescents are permitted to provide contraception. The aim of this descriptive phenomenological study was to describe the lived experience of nurse practitioners (NPs) providing contraceptive care to teens in SBHCs. Twelve NPs were interviewed and Colaizzi's method of descriptive phenomenological analysis was used to describe the lived experience of NPs providing contraceptive care to adolescents in SBHCs...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/28448483/trends-in-repeat-births-and-use-of-postpartum-contraception-among-teens-united-states-2004-2015
#10
Deborah L Dee, Karen Pazol, Shanna Cox, Ruben A Smith, Katherine Bower, Martha Kapaya, Amy Fasula, Ayanna Harrison, Charlan D Kroelinger, Denise D'Angelo, Leslie Harrison, Emilia H Koumans, Nikki Mayes, Wanda D Barfield, Lee Warner
Teen* childbearing (one or more live births before age 20 years) can have negative health, social, and economic consequences for mothers and their children (1). Repeat teen births (two or more live births before age 20 years) can constrain the mother's ability to take advantage of educational and workforce opportunities (2), and are more likely to be preterm or of low birthweight than first teen births (3). Despite the historic decline in the U.S. teen birth rate during 1991-2015, from 61.8 to 22.3 births per 1,000 females aged 15-19 years (4), many teens continue to have repeat births (3)...
April 28, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28403665/oregon-school-based-health-centers-and-sexual-and-contraceptive-behaviors-among-adolescents
#11
Melina Bersamin, Mallie J Paschall, Deborah A Fisher
This study investigated the association between school-based health centers (SBHCs) and sexual behavior and contraceptive use among 11th graders. The sample included 134 high schools (27 schools with SBHCs) and 11,840 students who participated in the 2015 Oregon Healthy Teens Survey. Multilevel logistic regressions found positive associations between SBHC presence and healthy sexual behavior ( OR = 1.23, p < .05) and contraceptive use ( OR = 1.31, p < .01). Associations were stronger at schools with at least 50% of students receiving free or reduced price lunch...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/28292452/sometimes-you-do-get-a-second-chance-emergency-contraception-for-adolescents
#12
REVIEW
Ellen S Rome, Veronica Issac
Unplanned or unintended pregnancy remains a significant challenge for adolescents; many teens who plan ahead but opt not to choose long-acting reversible contraceptive methods have high failure rates with condom usage, oral contraceptives, and other less long-acting methods. Emergency contraception (EC) remains a necessity for those adolescents seeking a second chance to prevent the unintended consequences of unplanned sexual activity. At present, 5 postcoital methods remain available as EC globally: intrauterine devices, ulipristal acetate, a selective progesterone modulator, mifepristone; levonorgestrel, and ethinyl estradiol plus levonorgestrel or norgestrel (rarely used now that progestin only methods are more readily available)...
April 2017: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/28292450/choosing-the-right-oral-contraceptive-pill-for-teens
#13
REVIEW
Anne Powell
Oral contraceptive pills (OCPs) continue to be the most commonly used form of prescription contraceptives used by adolescents in the United States. With proper use, oral contraceptives provide safe and effective birth control. Broad categories of OCPs include progestin-only pills (POPs) and combined oral contraceptive pills (COCs). Certain types of progestins have more potent antiandrogenic properties and are more effective in treating acne, hirsutism, and polycystic ovary syndrome. This article reviews types of OCPs, discusses risks and benefits of OCPs, and provides guidance for how to choose the most beneficial and appropriate OCP for individual adolescent patients...
April 2017: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/28292447/talking-to-parents-about-adolescent-sexuality
#14
REVIEW
Amie M Ashcraft, Pamela J Murray
This article is intended as a resource for pediatric providers to help them guide parents in increasing the quantity and quality of their communication about sexuality. The article provides an overview of the best practices associated with parent-adolescent communication about major topics related to sexuality (eg, masturbation, contraception, romantic relationships). In additionally, the article includes concrete suggestions for parents to improve their communication with teens as well as resources for further guidance...
April 2017: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/28259621/long-term-improvements-in-knowledge-and-psychosocial-factors-of-a-teen-pregnancy-prevention-intervention-implemented-in-group-homes
#15
Jennifer Green, Roy F Oman, Minggen Lu, Kristen D Clements-Nolle
PURPOSE: Youth in out-of-home care have higher rates of sexual risk behaviors and pregnancy than youth nationally. This study aimed to determine if Power Through Choices (PTC), a teen pregnancy prevention program developed for youth in out-of-home care, significantly improves knowledge and psychosocial outcomes regarding HIV and sexually transmitted infections (STIs), sexual activity and contraception methods, long term. METHODS: A cluster randomized controlled trial was conducted with 1,036 ethnically diverse youths (aged 13-18 years) recruited from 44 residential group homes in three states...
March 1, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28235437/exploring-african-american-and-latino-teens-perceptions-of-contraception-and-access-to-reproductive-health-care-services
#16
Charlotte T Galloway, Jennifer L Duffy, Rena P Dixon, Taleria R Fuller
PURPOSE: Reducing disparities in teen pregnancy and birth rates among African American and Latina teens is a central focus of a community-wide teen pregnancy prevention initiative implemented by the South Carolina Campaign to Prevent Teen Pregnancy. Disparities in teen pregnancy and birth rates are driven, in part, by differential access to contraception and reproductive health care services. The purpose of this qualitative study was to understand African American and Latino teens' 1) preferences for finding health information, 2) perceptions of accessing reproductive health services, and 3) beliefs about contraception...
March 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28235435/integrated-community-strategies-for-linking-youth-to-adolescent-reproductive-health-services-a-case-study
#17
Joy Sotolongo, L Duane House, Sally Swanson, Sarah E H Davis
PURPOSE: This article describes the development and promotion of a full-service adolescent health center at a local health department intended to increase teen access to contraceptive and reproductive health care. This work was conducted as part of a multicomponent, community-based teen pregnancy prevention initiative in Gaston County, North Carolina. METHODS: To increase access to adolescent reproductive health services, we implemented multiple integrated strategies: (1) building community support for adolescent reproductive health services; (2) providing technical assistance to the health department in opening the Teen Wellness Center (TWC), a teen-centered, full-service clinic; (3) strengthening referral partnerships between community organizations and clinical services; and (4) educating teens on how to access reproductive health services...
March 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28235433/efforts-to-increase-implementation-of-evidence-based-clinical-practices-to-improve-adolescent-friendly-reproductive-health-services
#18
Lisa M Romero, Oluwatosin Olaiya, Rachel Hallum-Montes, Balalakshmi Varanasi, Trisha Mueller, L Duane House, Karen Schlanger, Dawn Middleton
PURPOSE: The purposes of this study were to describe changes in implementation of evidence-based clinical practices among health center partners as part of a multicomponent, community-wide teen pregnancy prevention initiative; to better understand the barriers to and facilitators of implementation of the evidence-based clinical practices; and to describe the technical assistance and training provided to the health center partners and key lessons learned. METHODS: Health center data from the second and third years (2012 and 2013) of the teen pregnancy prevention community-wide initiative were analyzed from 10 communities (the first year was a planning year; program implementation began in the second year)...
March 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28215379/promoting-teen-contraceptive-use-by-intervention-with-their-mothers
#19
Richard A Crosby, Tom Collins, Lindsay R Stradtman
INTRODUCTION: The purpose of this pilot study was to test a community outreach model designed to help mothers in a rural, medically underserved area navigate their teen daughters to health department services for long-acting reversible contraception (LARC) or alternative contraception. METHODS: The pilot study used a single-group, post-test only design. Mothers of teen daughters (N=142) received a 1-hour, one-to-one intervention session (in outreach settings) from Community Liaisons...
March 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28097320/teens-acne-and-oral-contraceptive-pills-the-need-for-greater-clarity-on-when-teens-can-consent
#20
Carolyn P Neuhaus, Arielle R Nagler, Seth J Orlow
No abstract text is available yet for this article.
April 1, 2017: JAMA Dermatology
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