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Reported Contraceptive Use in the Month of Becoming Pregnant among U.S. Abortion Patients in 2000 and 2014

ObjectivesTo determine whether types of contraceptive methods used by abortion patients in the month they became pregnant changed between 2000 and 2014. Study DesignWe used secondary data from the 2000 (n=10,015) and 2014 (8177) Abortion Patient Surveys. Patients were asked which contraceptive methods they had last used and when they had stopped or if they were still using them. The main outcome variable was type of contraceptive method used in the month the pregnancy began. We used bivariate logistic regressions to assess changes in the demographic and contraceptive use profiles of abortion patients. ResultsIn both years slightly more than half of patients reported that they had used a contraceptive method in the month they became pregnant, though the decline from 54% in 2000 to 51% in 2014 was statistically significant (p=.011). The methods most commonly reported to have been used in the month the pregnancy began were condoms (28% and 24% in 2000 and 2014, p
Source: The Guttmacher Institute - Category: International Medicine & Public Health Authors: Source Type: news

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Purpose: In recent years, the Unites States (US) has seen large reductions in rates of teen pregnancy, births and abortions, along with declines in the number of adolescents engaging in sexual activity. Although promising, considerable and persistent racial/ethnic and geographic disparities exist for unintended pregnancy, STIs and HIV within the US, particularly among African-American youth and those residing in the South and in rural communities. Yet little is known about the sexual behavior of African-American youth residing in rural communities in the Southern US across the important developmental periods of adolescence...
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Purpose: Leaders that develop and support adolescent health initiatives spend a substantial amount of time identifying and adopting evidence-based programs to meet the needs of their target population. However, adaptations or novel methods are often needed to embrace a human-centered approach which meets the target populations' needs. Much of the research that examines innovation in public health focuses on the rigorous evaluation and adoption of programs, however, these programs often lack the ability to report on key components and characteristics that made them innovative during the early stages of development.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Purpose: There is a need to engage males in unintended and teen pregnancy prevention by promoting their support of partner contraceptive use. Little is known about young men's sexual health goals, knowledge about contraception, and experience with discussing contraception with partners.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Purpose: Sexuality education curricula are seldom developed with information relevant and necessary for sexual minorities. Studies have shown that sexuality education is overwhelmingly heterosexually centered, provides the message that sex is unsafe, and lacks basic health information. Despite empirical evidence that lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are at risk for STI/HIV infection, unplanned pregnancy, and interpersonal violence, there is limited research regarding LGBTQ youth's preferences regarding sexuality education compared to their heterosexual counterparts.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Purpose: Rural youth have significant sexual health inequities, including unintended pregnancy. Healthy relationships, connectedness to parents and school, and communication are important protective factors. Sexual coercion is a risk factor for pregnancy. We examine the associations among sexual coercion, parent-child communication about sex, and connectedness with parents and school.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Purpose: Despite many available options for prevention, unplanned pregnancy continues to be a lingering problem. The variety of contraceptive methods available to adolescents and young adults (AYA) includes the copper intrauterine device (CIUD), which is the only form of contraception that can serve as both an emergency and long-acting reversible contraceptive. Despite its beneficial versatility, contraceptive utilization of the CIUD remains a challenge in AYA health. In an effort to better understand AYA contraceptive decision-making process, the purpose of this study is to identify AYA knowledge, attitudes and practice (...
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
This study investigates numerous patient factors that influence contraception use, particularly for LARCs, including attitudes towards sex and pregnancy, and patient beliefs regarding contraception and side effects.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Purpose: Unintended teen pregnancy continues to be a problem in both the United States and Delaware. Communication within families about reproductive health and sexual decision making can significantly impact the outcome of an adolescent's life. Long Acting Reversible Contraception (LARC) methods have been shown to be the most effective form of birth control for women of all ages. There is a statewide emphasis on increasing LARC provision in Delaware, however there is limited data on parental preferences of its use in teens.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
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