scholarly journals P4.116 Long-acting reversible contraceptive use and receipt of sexual health services among young women: implications for sti/hiv prevention

Author(s):  
Riley Steiner ◽  
Karen Pazol ◽  
Andrea L Swartzendruber ◽  
Michael R Kramer ◽  
Laurie Gaydos ◽  
...  
2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
James Van Leeuwen ◽  
Humphrey Nabimanya ◽  
Andrew Ward ◽  
Ryan Grundy ◽  
Mark Thrun

From 2014 through 2016, we produced a music festival in rural Kabale, Uganda in order to facilitate HIV testing and reproductive health services offered by NGOs specializing in HIV and sexual health. Our aim was to assess the effectiveness of a music festival to engage persons in sexual health and HIV screening services. Clinical service data was compiled and analyzed. Between 2014 and 2016, over 38,000 persons attended the annual festivals and were exposed to HIV prevention messaging. Over 7,000 persons have been tested for HIV. In 2016, 4,588 HIV tests were performed. In addition, 36 long-acting means of contraception were placed, 33 women were screened for cervical cancer, 2 tubal ligations were performed, and 193 men were referred for circumcision. Music festivals created a novel opportunity to provide sexual health services including prevention education, reproductive healthcare, and HIV testing to persons at risk for HIV in rural Uganda.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Elliot M Levine ◽  
Carlos M Fernandez

Long-acting reversible contraceptive choices are becoming more popular among young women, and providers may need to keep in mind those methods that are likely to be most successful.  The dimensions of the uterine cavity vary according to the parity of a user, with the nulliparous woman having a smaller uterine space.  With the known intrauterine contraceptive device side effects being possible, and with smaller such devices being clinically available for patients, selection of those smaller devices for contraceptive use may be more ideal for those younger nulliparous women.  In this way, complications with this method may possibly be avoided.    


Author(s):  
Shandhini Raidoo ◽  
Marit Pearlman Shapiro ◽  
Bliss Kaneshiro

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.


2020 ◽  
Vol 222 (4) ◽  
pp. S913-S914
Author(s):  
Maria I. Rodriguez ◽  
Mekhala Dissanayake ◽  
Jonas J. Swartz ◽  
Suzanne Funkhouser ◽  
Maureen K. Baldwin

2019 ◽  
Vol 133 (1) ◽  
pp. 191S-192S
Author(s):  
Ali McGregor ◽  
David Hackney ◽  
Obinna Ugwuegbu ◽  
Cydni Akesson ◽  
Lisa Perriera

Contraception ◽  
2011 ◽  
Vol 84 (3) ◽  
pp. 326
Author(s):  
R. McDonald-Mosley ◽  
K. Severson ◽  
A.E. Burke ◽  
J. Perritt ◽  
R. Jamshidi ◽  
...  

Sexual Health ◽  
2015 ◽  
Vol 12 (5) ◽  
pp. 383 ◽  
Author(s):  
Anthony J. Santella ◽  
Timothy E. Schlub ◽  
Catriona Ooi ◽  
Rick Varma ◽  
Martin Holt ◽  
...  

Background Sexual behaviour and HIV prevention needs of men who have sex with men (MSM) attending suburban Sex on Premises Venues (SOPVs) are understudied. Methods: A cross-sectional survey examining sexual activity, health services utilisation, sexual health services needs and STI knowledge was conducted among MSM over 18 years old attending a SOPV in Western Sydney between June and July 2013. Results: A total of 213 MSM were sampled; approximately half of the respondents (51%) reported that they only had sex with other men, and 46% had sex with both men and women. Condom use varied considerably, with ~50% of responders not using condoms consistently during anal sex. Consistent condom usage was not associated with having regular, casual or a mix of regular and casual partners during anal sex (P = 0.09). The majority (59.5%) obtained sexual health screening services from general practitioners; only 15.0% sought services from a local sexual health clinic. Over half of respondents (57.7%) believed that SOPVs should offer on-site and free testing services. Those with the highest level of previous STI diagnoses were gay men (41%), those who only had casual partners (38%) and those who did not complete high school (65%). Conclusions: Sexual health services and non-government organisations should consider targeting bisexual men with rapid HIV testing and condom usage campaigns. Low cost or free on-site HIV and STI testing at SOPVs and stronger partnerships between general practitioners and sexual health services are needed.


Contraception ◽  
2017 ◽  
Vol 96 (4) ◽  
pp. 267
Author(s):  
AF Koenig ◽  
X Zhao ◽  
LS Callegari ◽  
M Mor ◽  
S Borrero

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