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https://www.readbyqxmd.com/read/28292452/sometimes-you-do-get-a-second-chance-emergency-contraception-for-adolescents
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
Carolyn P Neuhaus, Arielle R Nagler, Seth J Orlow
No abstract text is available yet for this article.
January 11, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28088438/a-snapshot-of-urban-adolescent-women-s-contraceptive-knowledge-at-the-onset-of-a-community-larc-promotion-initiative
#10
K B Greenberg, S C Jenks, N G Piazza, B R Malibiran, C A Aligne
STUDY OBJECTIVE: To contextualize young women's knowledge and attitudes regarding contraception at the outset of an intervention promoting long-acting reversible contraceptives (LARC) for teen pregnancy prevention. DESIGN: and Setting: Our intervention is based on diffusion of innovation theory, and at the outset we were interested in likely early adopters' existing knowledge and attitudes towards contraception. This mixed methods study consists of focus groups within positive youth development programs in Rochester, New York; we discussed young women's knowledge and sources of information for all FDA-approved contraceptive methods...
January 11, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28074980/-implications-of-chilean-legal-framework-in-teen-pregnancy-prevention-conflict-and-insecurity-in-health-professionals
#11
Carolina Luttges D, Carolina Leyton M, Ingrid Leal F, Paulina Troncoso E, Temístocles Molina G
BACKGROUND: Teenage pregnancy is a psychosocial and multifactorial problem described as a lack of exercise of rights in sexual and reproductive health. There are important aspects in the doctor-patient relationship and confidentiality that directly affect the continuity and quality of care. There are controversies in the laws relating to the provision of contraception and confidentiality, and those that protect the sexual indemnity, especially in adolescents under 14 years. AIM: To describe the implications of the legal framework for professional midwives in the care of adolescents younger than 14 years in sexual and reproductive health...
October 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/28069493/-just-wear-dark-underpants-mainly-learning-from-adolescents-and-young-adults-experiences-with-early-discontinuation-of-the-contraceptive-implant
#12
Britt Lunde, Lisa Littman, Samantha Stimmel, Rima Rana, Adam Jacobs, Carol R Horowitz
STUDY OBJECTIVE: Long-acting reversible contraception, including the contraceptive implant, is recommended for teens and young women. However, some young women discontinue the implant early, and we seek to better understand their experiences. DESIGN, SETTING, AND PARTICIPANTS: We conducted interviews with 16 young women ages 14 to 24 who presented for removal of the contraceptive implant within 6 months after placement at outpatient adolescent, family medicine, and obstetrics and gynecology clinics...
January 6, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28058853/postpartum-adolescents-contraceptive-counselling-preferences
#13
Stephanie Sober, Judy A Shea, Allison G Shaber, Paul G Whittaker, Courtney A Schreiber
OBJECTIVES: The optimal approach for provision and timing of postpartum contraceptive counselling for adolescents has not been established. To reduce repeat pregnancies from current USA levels of nearly 20%, a better understanding is needed of postpartum adolescent females' preferences regarding contraceptive counselling and delivery. METHODS: Semi-structured interviews with 30 USA postpartum teens (97% Black) explored pregnancy prevention and contraceptive counselling...
January 6, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/28024989/reducing-health-disparities-by-removing-cost-access-and-knowledge-barriers
#14
Melody Goodman, Ojiugo Onwumere, Laurel Milam, Jeffrey F Peipert
IMPORTANCE: While the rate of unintended pregnancy has declined in the U.S. in recent years, unintended pregnancy among teens in the U.S. is the highest among industrialized nations, and disproportionately affects minority teens. Our objective of this secondary analysis was to estimate the risk of unintended pregnancy for both Black and White women age 15- 19 years when barriers to access, cost, and knowledge are removed. Our hypothesis was that the Black-White disparities would be reduced when access, education, and cost barriers are removed...
December 23, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27928678/usage-of-the-levonorgestrel-releasing-intrauterine-system-lng-ius-in-adolescence-what-is-the-evidence-so-far
#15
REVIEW
Magdalini Patseadou, Lina Michala
PURPOSE: The levonorgestrel-releasing intrauterine system (LNG-IUS) is an effective method of contraception, while also providing various non-contraceptive benefits. Although targeted primarily to adults, there is increasing experience in its use in adolescence. The aim of this review is to assess the available information on LNG-IUS usage in adolescence. METHODS: We conducted an online search on MEDLINE and SCOPUS from inception to May 24, 2015. All studies that examined LNG-IUS use in teen populations were eligible for inclusion...
March 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27864484/down-with-teen-pregnancy-up-with-mobility-teen-pregnancy-prevention-efforts-in-gaston-county-north-carolina
#16
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
https://www.readbyqxmd.com/read/27833070/a-systematic-review-of-apps-using-mobile-criteria-for-adolescent-pregnancy-prevention-mcapp
#17
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
https://www.readbyqxmd.com/read/27832675/adolescent-contraception-before-and-after-pregnancy-choices-and-challenges-for-the-future
#18
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 2016: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/27742427/the-use-of-telehealth-to-teach-reproductive-health-to-female-rural-high-school-students
#19
Jennie Lee Yoost, Rachael Whitley Starcher, Rebecca Ann King-Mallory, Nafeeza Hussain, Christina Ann Hensley, Todd William 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 female students who 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
https://www.readbyqxmd.com/read/27689478/text-messaging-teen-outreach-program-and-sexual-health-behavior-a-cluster-randomized-trial
#20
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
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