Effective Birth Control Use among Women at Risk for Unintended Pregnancy in Los Angeles, California

2012 ◽  
Vol 22 (4) ◽  
pp. e351-e358 ◽  
Author(s):  
Tanya M. Phares ◽  
Yan Cui ◽  
Susie Baldwin
2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 165-165
Author(s):  
Lilah Chase ◽  
Jesse Morrell

Abstract Objectives Research suggests birth control (BC) use alters blood lipids in women. The purpose of this study was to examine the differences in metabolic syndrome risk between birth control users vs. nonusers in a sample of female college students, 18–24 years old. Methods Data were collected between 2005–18 from the College Health and Nutrition Assessment Survey, an ongoing, cross-sectional study conducted at a midsized, northeastern university. Anthropometric, biochemical, and clinical measures were obtained in the fasted state and used to determine metabolic syndrome (MetS) prevalence. BC use was self-reported. Proportional differences between BC vs. non-BC users of MetS and individual MetS components were evaluated via chi-square tests. Results Forty-five % of the final sample (n = 6456) reported using BC. MetS (≥3 MetS criteria) was present in 3.9% of students; 16.7% of students had ≥ 2 MetS criteria. BC users vs. nonusers were more likely to have at-risk triglyceride levels (22.4 vs. 11.0%, P < .001) but less likely to have at-risk HDL levels (21.2 vs. 27.7%, P < .001) and abdominal obesity (14.3% vs. 16.4, P < .05). No significant differences were observed in prevalence of elevated blood pressure or glucose between BC users vs. nonusers. Overall, MetS prevalence did not differ between groups (3.8 vs. 3.9%, P = .85). Conclusions Our findings suggest BC use is common and impacts different MetS criteria in college females. College health providers and nutrition educators can utilize research findings to tailor information for female students at risk for MetS and chronic disease. Funding Sources New Hampshire Agriculture Experiment Station and USDA National Institute of Food and Agriculture Hatch Project 1,010,738.


2021 ◽  
pp. bmjsrh-2020-200944
Author(s):  
Celia Karp ◽  
Shannon N Wood ◽  
Georges Guiella ◽  
Peter Gichangi ◽  
Suzanne O Bell ◽  
...  

IntroductionEvidence from health emergencies suggests COVID-19 will disrupt women’s sexual and reproductive health (SRH). In sub-Saharan Africa, which experiences the highest rates of unintended pregnancy and unsafe abortion globally, COVID-19 is projected to slow recent progress toward universal access to contraceptive services.MethodsWe used longitudinal data collected from women at risk of unintended pregnancy in Burkina Faso (n=1186) and Kenya (n=2784) before (November 2019–February 2020) and during (May–July 2020) COVID-19 to quantify contraceptive dynamics during COVID-19; examine sociodemographic factors and COVID-19 experiences related to contraceptive dynamics; and assess COVID-19-related reasons for contraceptive non-use. Bivariate and multivariate logistic regressions were used to examine correlates of contraceptive dynamics amid COVID-19.ResultsMost women did not change their contraceptive status during COVID-19 (68.6% in Burkina Faso and 81.6% in Kenya) and those who did were more likely to adopt a method (25.4% and 13.1%, respectively) than to discontinue (6.0% and 5.3%, respectively). Most women who switched contraceptives were using methods as or more effective than their pre-pandemic contraception. Economic instability related to COVID-19 was associated with increased contraceptive protection in Burkina Faso but not in Kenya. Altogether, 14.4% of non-contraceptive users in Kenya and 3.8% in Burkina Faso identified COVID-19-related reasons for non-use.ConclusionsThe vast majority of women at risk of unintended pregnancy did not change their contraceptive status during COVID-19, and more women adopted than discontinued methods. A minority of women reported COVID-19-related reasons for non-use, underscoring the importance of expanding safe modes of service delivery during health crises.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S804-S804
Author(s):  
Connie Corley ◽  
Maureen Feldman ◽  
Scott Kaiser

Abstract Resilience has been examined in various age groups, initially focused on vulnerable children and more recently in enhancement of resilience in various age groups and in response to trauma. Based on studies of resilience in Holocaust survivors and intergenerational engagement to promote resilience in former gang members and isolated older adults, Corley’s 3E model of Experience, Expression and Engagement is discussed in terms of multiple studies and the implications for forming and strengthening networks in communities at risk. This includes initiating creative coalition-building endeavors to address loneliness in residential settings for older adults evolving from a project funded to the Motion Picture and Television Fund in Los Angeles from the AARP Foundation.


2015 ◽  
Vol 21 (1) ◽  
pp. 23-36 ◽  
Author(s):  
Jill Antonishak ◽  
Kelleen Kaye ◽  
Lawrence Swiader

We evaluated the effects of Bedsider.org—an online birth control support network—on unintended pregnancies among young women aged 18–29. Bedsider is the centerpiece of a comprehensive digital effort to encourage women to use birth control more consistently and effectively and consider using more effective forms of birth control over time. A sample of 2,284 women was randomly assigned to be exposed to Bedsider or to a control group (no exposure) condition. Women were surveyed throughout a 12-month period. Women in the Bedsider exposure group were less likely to have a pregnancy scare, an unintended pregnancy, or unprotected sex compared to the control group. Additionally, women in the Bedsider exposure group were more likely to use a more effective method of contraception over time compared to the control group. Future studies are needed to examine the dose–response relationship for exposure to Bedsider.org and for whom the intervention is most effective.


Urban Studies ◽  
2020 ◽  
pp. 004209802090301 ◽  
Author(s):  
Benjamin Preis ◽  
Aarthi Janakiraman ◽  
Alex Bob ◽  
Justin Steil

As housing costs continue to increase across many cities in North America and Europe, local governments face pressure to understand how housing’s rising cost is changing neighbourhoods and to ensure that everyone can access a home they can afford. To confront displacement concerns, cities are adapting models developed within academia to identify neighbourhoods that may be susceptible to gentrification and displacement. We compare four gentrification and displacement risk models developed by and for the US cities of Seattle, Washington; Los Angeles, California; Portland, Oregon; and Philadelphia, Pennsylvania, and apply all four methodologies to one city, Boston. We identify the geographic areas of agreement and disagreement among the methods. The comparison reveals striking differences between the models, both in inputs and outputs. Of the 18 variables considered among the four models, only two variables appear in all four models. In the resulting maps, the four methods identified between 25 and 119 of the 180 Boston census tracts as at risk of gentrification and displacement, or as currently gentrifying. There are only seven tracts that all four models agreed were either gentrifying or at risk of gentrification and displacement. The findings indicate a need for cities to consider critically the assumptions of the models that are included in urban policy documents, as indicators and thresholds have major impacts on how neighbourhoods in the liminal space of gentrification and displacement are characterised. This novel comparison of United States local government analyses of gentrification provides insight as modelling moves from theory to practice.


1974 ◽  
Vol 6 (1) ◽  
pp. 50 ◽  
Author(s):  
Randall C. Hulbert ◽  
Robert H. Settlage

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