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Perspectives on Sexual and Reproductive Health

Carie Muntifering Cox, Fathi Ahmed, Ashley Mitchell, Abdillahi Ganey, Adar Kahin, Abdillahi Kahin
CONTEXT: Since civil unrest broke out in Somalia in the 1990s, large numbers of Somalis have immigrated to Western countries, including the United States. It is unknown whether these immigrants maintain their cultural norms of low contraceptive use and high fertility when they live in settings with different norms. METHODS: In 2016, interviews were conducted in Minnesota with Somali immigrants and refugees to explore couple communication and decision making regarding child spacing...
April 12, 2019: Perspectives on Sexual and Reproductive Health
Margaretha de Looze, Aubrey S Madkour, Tim Huijts, Nathalie Moreau, Candace Currie
CONTEXT: Although an association between gender equality and contraceptive use has been confirmed among adult samples, few studies have explored this relationship among adolescents. An examination of whether adolescents' contraceptive use is more prevalent in countries with higher levels of gender equality is needed to fill this gap. METHODS: Nationally representative data from 33 countries that participated in the 2013-2014 Health Behaviour in School-Aged Children study and country-level measures of gender equality-using the 2014 Global Gender Gap Index-were analyzed...
February 28, 2019: Perspectives on Sexual and Reproductive Health
Alhambra Frarey, Courtney Schreiber, Arden McAllister, Allison Shaber, Sarita Sonalkar, Mary D Sammel, Judith A Long
CONTEXT: Advancing gestational age can increase the cost of an abortion and is a significant risk factor for complications. While obesity is not associated with increased risks, anecdotal evidence suggests that obese women seeking services at freestanding abortion clinics are often referred for hospital-based care, which can lead to delays. METHODS: In 2016, a cross-sectional survey collected data on the experiences of 201 women who had obtained abortions at a hospital-based clinic in Philadelphia; rates of medical complications were determined from hospital records...
March 2019: Perspectives on Sexual and Reproductive Health
Anu Manchikanti Gómez, Stephanie Arteaga, Elodia Villaseñor, Jennet Arcara, Bridget Freihart
CONTEXT: Researchers have developed various measures of pregnancy ambivalence in an effort to capture the nuance overlooked by conventional, binary measures of pregnancy intention. However, the conceptualization and operationalization of the concept of ambivalence vary widely and may miss the complexity inherent in pregnancy intentions, particularly for young people, among whom unintended pregnancy rates are highest. METHODS: To investigate the utility and accuracy of current measures of pregnancy ambivalence, a mixed-methods study was conducted with 50 young women and their male partners in northern California in 2015-2016...
February 14, 2019: Perspectives on Sexual and Reproductive Health
Madina Agénor, Jaquelyn L Jahn, Eriko Kay, Rachel A Bishop, Sarah M Peitzmeier, Jennifer Potter, S Bryn Austin
CONTEXT: Some sexual minority women may be less likely than other women to engage in human papillomavirus (HPV) prevention behaviors. Although risk perceptions have been found to be associated with health behaviors, HPV risk perceptions among U.S. sexual minority women have not been examined. METHODS: In 2016-2017, in-depth interviews were conducted in Boston with 29 sexual minority individuals aged 18-36 who were assigned female at birth (AFAB) and identified as women or nonbinary...
February 12, 2019: Perspectives on Sexual and Reproductive Health
Natasha Crooks, Barbara King, Audrey Tluczek, Jessica McDermott Sales
Black females in the United States disproportionately suffer from STDs, including HIV. Understanding the sociocultural conditions that affect their risk is essential to developing effective and culturally relevant prevention programs. METHODS: In 2016-2017 in Madison, Wisconsin, 20 black females aged 19-62 completed interviews that explored the sociocultural conditions associated with sexual development and STD/HIV risk. Interviews were guided by grounded theory; open, axial and selective coding and constant comparative analysis were used to identify developmental phases and relevant sociocultural conditions...
January 16, 2019: Perspectives on Sexual and Reproductive Health
(no author information available yet)
No abstract text is available yet for this article.
December 2018: Perspectives on Sexual and Reproductive Health
Kate Coleman-Minahan, Chloe H Dillaway, Caitlin Canfield, Daniela M Kuhn, Katherine S Strandberg, Joseph E Potter
CONTEXT: Early access to contraception may increase postpartum contraceptive use. However, little is known about women's experiences receiving their desired method at the first postpartum visit or how access is associated with use. METHODS: In a 2014-2016 prospective cohort study of low-income Texas women, data were collected from 685 individuals who desired a reversible contraceptive and discussed contraception with a provider at their first postpartum visit, usually within six weeks of birth...
December 2018: Perspectives on Sexual and Reproductive Health
Dore Hollander
No abstract text is available yet for this article.
November 29, 2018: Perspectives on Sexual and Reproductive Health
Marta A Cabral, Rosalyn Schroeder, Elizabeth Mitchell Armstrong, Alison M El Ayadi, Aleka L Gürel, Janet Chang, Cynthia C Harper
CONTEXT: Community college students, representing more than one-third of U.S. undergraduates, are a diverse population of young people motivated to seek higher education who are at elevated risk of unintended pregnancy. However, it is unknown how well prepared they are to prevent pregnancy and what they think about it in terms of their educational aspirations. METHODS: In-depth interviews were conducted with 57 students aged 18-25, inclusive of all genders, in three community colleges in California in 2015...
October 30, 2018: Perspectives on Sexual and Reproductive Health
(no author information available yet)
No abstract text is available yet for this article.
October 4, 2018: Perspectives on Sexual and Reproductive Health
Jenny O'Donnell, Alisa Goldberg, Theresa Betancourt, Ellice Lieberman
CONTEXT: Studies of how women's individual characteristics and place of residence are related to variability in gestational age at the time of abortion have not examined county of residence and county-level characteristics. The county level is potentially meaningful, given that county is the smallest geographic unit with policy implications. METHODS: Data on 38,611 abortions that took place in North Carolina, Virginia and West Virginia in 2012 were used to study the relationship between gestational age and county-level attributes (e...
September 20, 2018: Perspectives on Sexual and Reproductive Health
Mieke C W Eeckhaut, Megan M Sweeney, Lei Feng
CONTEXT: For decades, high reliance on female sterilization in the United States has been accompanied by a high level of desire for sterilization reversal, and less-educated women have been more likely than better educated women to use the method and desire a reversal. Little is known about how levels of and educational differentials in such desire have changed in recent decades. METHODS: Data from 4,147 women who reported being sterile from a tubal sterilization in the 1995, 2002 and 2006-2010 waves of the National Survey of Family Growth were analyzed using chi-square and Wald tests and binary logistic regression analyses...
September 2018: Perspectives on Sexual and Reproductive Health
Karen Benjamin Guzzo, Kasey Eickmeyer, Sarah R Hayford
CONTEXT: Women with an unintended birth have an elevated risk of subsequent unintended pregnancy, and multiple unintended pregnancies could exacerbate any negative consequences of such births. It is therefore important to understand whether postpartum contraceptive use differs by birth intendedness. METHODS: Data on 2,769 births reported in the 2011-2015 cycles of the National Survey of Family Growth were used to examine postpartum contraceptive use. Life-table estimates were employed to assess differences by birth intendedness in timing of postpartum contraceptive use, and multinomial logistic event history methods were used to model initial contraceptive uptake and efficacy by birth intendedness...
September 2018: Perspectives on Sexual and Reproductive Health
Alison Gemmill
CONTEXT: Women who view themselves as having difficulty becoming pregnant (i.e., being subfecund) may feel that they do not need to use contraceptives to prevent unintended pregnancy. However, subfecundity perceptions are not always medically accurate and may therefore confer a false sense of protection. The extent to which perceived fecundity is related to contraceptive use is not well understood. METHODS: Multinomial logistic regression was used to investigate the relationship between perceived fecundity at age 25-30 and contraceptive use among 2,091 women from the National Longitudinal Survey of Youth 1997 cohort...
September 2018: Perspectives on Sexual and Reproductive Health
Elizabeth Janiak, Jill Clark, Deborah Bartz, Ana Langer, Barbara Gottlieb
CONTEXT: Structural barriers to the provision of long-acting reversible contraceptive (LARC) methods at community health centers have been identified in quantitative research, but the processes and behaviors by which center staff respond to these barriers are poorly understood. METHODS: Focus group discussions were conducted with clinical, support and administrative staff at three Massachusetts community health centers between April 2014 and January 2015. The centers were purposively selected to constitute a sample with diverse characteristics...
September 2018: Perspectives on Sexual and Reproductive Health
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Perspectives on Sexual and Reproductive Health
Megan L Kavanaugh, Mia R Zolna, Kristen L Burke
CONTEXT: As federal initiatives aim to fundamentally alter or dismantle the Affordable Care Act (ACA), evidence regarding the use of insurance among clients obtaining contraceptive care at Title X-funded facilities under ACA guidelines is essential to understanding what is at stake. METHODS: A nationally representative sample of 2,911 clients seeking contraceptive care at 43 Title X-funded sites in 2016 completed a survey assessing their characteristics and insurance coverage and use...
September 2018: Perspectives on Sexual and Reproductive Health
Hilary K Brown, Yolanda A Kirkham, Yona Lunsky, Virginie Cobigo, Simone N Vigod
CONTEXT: Women with intellectual and developmental disabilities who experience pregnancy, like all women, require postpartum care that supports their contraceptive knowledge and decision making. Yet, little is known about the postpartum contraceptive care these women receive, or how it compares with care given to other women. METHODS: A population-based study using linked health and social services administrative data examined provision of postpartum contraceptive care to women who had a live birth in Ontario, Canada, in 2002-2014 and were beneficiaries of Ontario's publicly funded drug plan...
September 2018: Perspectives on Sexual and Reproductive Health
Summer L Martins, Susan M Mason, Wendy L Hellerstedt, Sonya S Brady
CONTEXT: International travel is common and may influence women's sexual and reproductive health through myriad pathways. Existing studies focus on travelers' risk of acquiring STDs, but not their pregnancy prevention behaviors. Further, it is unclear whether sexual and reproductive health outcomes observed for female travelers are associated with travel itself, because few studies compare travelers with nontravelers. METHODS: An online survey was conducted in 2016-2017 among females attending a U...
August 17, 2018: Perspectives on Sexual and Reproductive Health
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