scholarly journals Missed Opportunities to Address Pregnancy Prevention With Young Men in Primary Care

2018 ◽  
Vol 57 (13) ◽  
pp. 1558-1566 ◽  
Author(s):  
Noah J. Wheeler ◽  
Nanlesta Pilgrim ◽  
Jacky M. Jennings ◽  
Renata Sanders ◽  
Kathleen R. Page ◽  
...  
Keyword(s):  
Primary Care ◽  
Physical Examination ◽  
Poisson Regression ◽  
Regression Models ◽  
Young Men ◽  
Pregnancy Prevention ◽  
Sexually Active ◽  
Perceived Learning ◽  
Missed Opportunities ◽  
Prevention Services

Young men (aged 15-24 years) have pregnancy prevention needs, yet little is known about whether they perceive they learn about pregnancy prevention in primary care. A sample of 190 young men seen in primary care in one city from April 2014 to September 2016 were assessed on perceived learning about pregnancy prevention, background and visit characteristics, pregnancy prevention care receipt, and contraception needs at last sex. The majority of participants were non-Hispanic black (92%), aged 15 to 19 years (54%), seen for a physical examination (52%), and established patients (87%). Few participants perceived they learned about pregnancy prevention (32%), regardless of sexual activity (33% among sexually active participants, 26% among never sexually active). Poisson regression models determined that perceived learning about pregnancy prevention was independently associated with young men’s pregnancy prevention care receipt and contraception needs at last sex. Findings highlight the need to improve providers’ delivery of pregnancy prevention services to young men.

scholarly journals Trichomonas vaginalis Incidence Associated with Hormonal Contraceptive Use and HIV Infection among Women in Rakai, Uganda

2014 ◽  
Vol 2014 ◽  
pp. 1-10
Author(s):  
Heena Brahmbhatt ◽  
Richard Musoke ◽  
Frederick Makumbi ◽  
Godfrey Kigozi ◽  
David Serwadda ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Poisson Regression ◽  
Regression Models ◽  
Trichomonas Vaginalis ◽  
Contraceptive Use ◽  
Hormonal Contraception ◽  
Hormonal Contraceptive ◽  
Sexually Active ◽  
Rate Ratios

Background. Data on the incidence of Trichomonas vaginalis and use of hormonal contraception (HC) are limited. Methods. 2,374 sexually active women aged 15–49 years from cohort surveys in Rakai, Uganda, were included. Incidence of T. vaginalis was estimated per 100 person years (py) and association between HC (DMPA, Norplant, and oral contraceptives) and T. vaginalis infection was assessed by incidence rate ratios (IRR), using Poisson regression models. Results. At baseline, 34.9% had used HC in the last 12 months, 12.8% HIV+, 39.7% with high BV-scores (7–10), and 3.1% syphilis positive. The 12-month incidence of T. vaginalis was 2.4/100 py; CI (1.90, 3.25). When stratified by type of HC used, compared to women who did not use HC or condoms, incidence of T. vaginalis was significantly higher among users of Norplant (adj.IRR = 3.01, CI: 1.07–8.49) and significantly lower among DMPA users (adj.IRR = 0.55, CI: 0.30, 0.98) and women who discontinued HC use at follow-up (adj.IRR = 0.30, CI: 0.09, 0.99). HIV infection was associated with an increase in incidence of T. vaginalis (adj.IRR = 2.34, CI: 1.44, 3.78). Conclusions. Use of Norplant and being HIV+ significantly increased the risk of T. vaginalis, while use of DMPA and discontinuation of overall HC use were associated with a decreased incidence of T. vaginalis.

Do Young Men Learn About Pregnancy Prevention in Primary Care?

2018 ◽  
Vol 62 (2) ◽  
pp. S71
Author(s):  
Noah Wheeler ◽  
Nanlesta Pilgrim ◽  
Jacky Jennings ◽  
Renata Sanders ◽  
Kathleen Page ◽  
...  
Keyword(s):  
Primary Care ◽  
Young Men ◽  
Pregnancy Prevention

scholarly journals Anticipated help-seeking for cancer symptoms before and after the coronavirus pandemic: results from the Onco-barometer population survey in Spain

2021 ◽  
Author(s):  
Dafina Petrova ◽  
Marina Pollán ◽  
Miguel Rodriguez-Barranco ◽  
Dunia Garrido ◽  
Josep M. Borrás ◽  
...  
Keyword(s):  
Poisson Regression ◽  
Help Seeking ◽  
Regression Models ◽  
Population Survey ◽  
Waiting Times ◽  
Perceived Barriers ◽  
Older Individuals ◽  
Cancer Symptoms ◽  
Before And After ◽  
Diagnostic Delays

Abstract Background The patient interval—the time patients wait before consulting their physician after noticing cancer symptoms—contributes to diagnostic delays. We compared anticipated help-seeking times for cancer symptoms and perceived barriers to help-seeking before and after the coronavirus pandemic. Methods Two waves (pre-Coronavirus: February 2020, N = 3269; and post-Coronavirus: August 2020, N = 1500) of the Spanish Onco-barometer population survey were compared. The international ABC instrument was administered. Pre–post comparisons were performed using multiple logistic and Poisson regression models. Results There was a consistent and significant increase in anticipated times to help-seeking for 12 of 13 cancer symptoms, with the largest increases for breast changes (OR = 1.54, 95% CI 1.22–1–96) and unexplained bleeding (OR = 1.50, 1.26–1.79). Respondents were more likely to report barriers to help-seeking in the post wave, most notably worry about what the doctor may find (OR = 1.58, 1.35–1.84) and worry about wasting the doctor’s time (OR = 1.48, 1.25–1.74). Women and older individuals were the most affected. Conclusions Participants reported longer waiting times to help-seeking for cancer symptoms after the pandemic. There is an urgent need for public interventions encouraging people to consult their physicians with symptoms suggestive of cancer and counteracting the main barriers perceived during the pandemic situation.

scholarly journals Annual Physical Examination Reports Vary by Gender Once Teenagers Become Sexually Active

2011 ◽  
Vol 49 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Arik V. Marcell ◽  
Pam Matson ◽  
Jonathan M. Ellen ◽  
Carol A. Ford
Keyword(s):  
Physical Examination ◽  
Sexually Active

Exploring experience of and engagement in coercive pregnancy behaviors among sexually active young men from five clinics in Baltimore, MD

Contraception ◽  
2021 ◽  
Author(s):  
Nicholas B. Dimenstein ◽  
Laura D. Lindberg ◽  
Renata Sanders ◽  
Jacky M. Jennings ◽  
Lori F. Frohwirth ◽  
...  
Keyword(s):  
Young Men ◽  
Sexually Active

scholarly journals Identifying Missed Opportunities for the Pneumococcal Conjugate Vaccine (PCV13)

2017 ◽  
Vol 34 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Lauren Jindracek ◽  
Jennifer E. Stark
Keyword(s):  
Primary Care ◽  
Influenza Vaccine ◽  
Conjugate Vaccine ◽  
Health Care Professionals ◽  
Pneumococcal Conjugate Vaccine ◽  
Unexpected Finding ◽  
Primary Care Visit ◽  
Electronic Reminder ◽  
Missed Opportunities ◽  
Care Appointment

Background: The recommendation for the pneumococcal conjugate vaccine (PCV13) in adults 65 years and older is recent, and the dosing schedule of PCV13 and the pneumococcal polysaccharide vaccine (PPSV23) can be complex in this population. Objective: The authors assessed the rate of PCV13 immunization in patients 65 years of age and older and identified barriers that contributed to missed opportunities for PCV13. Methods: This retrospective review evaluated outpatient Veterans age 65 years or older who did not receive PCV13 at a scheduled primary care appointment despite an electronic reminder. Investigators recorded any documented reason for the patient not receiving PCV13. Results: The rate of PCV13 immunizations administered during the primary care visit study period was 37% (89 of 239 PCV13 eligible patients). Of the 150 patients identified who did not receive PCV13, 92% were not offered the vaccine, 6.7% declined vaccination, and 0.7% reported an allergy to vaccination. Electronic immunization records revealed that 48 of the 150 patients who did not receive PCV13 at their clinic appointment did receive PCV13 later the same year. Most patients received PCV13 in influenza vaccine season on the same day as receiving the influenza vaccine. Conclusion: The main barrier identified was not offering the vaccination during primary care visits. Pneumococcal vaccine administration was delayed until the influenza vaccine season in a significant portion of patients. This unexpected finding represents a target for education: ensuring health care professionals are reminded that PCV13 is not a seasonal vaccine like the influenza vaccine, but should be offered throughout the year.

Integrating Pregnancy Prevention Into an HIV Counseling and Testing Program in Pediatric Primary Care

2018 ◽  
Vol 63 (1) ◽  
pp. 50-56
Author(s):  
Noah J. Wheeler ◽  
Krishna K. Upadhya ◽  
Marie-Sophie Tawe ◽  
Kathy Tomaszewski ◽  
Renata Arrington-Sanders ◽  
...  
Keyword(s):  
Primary Care ◽  
Pregnancy Prevention ◽  
Pediatric Primary Care ◽  
Hiv Counseling And Testing ◽  
Testing Program ◽  
Hiv Counseling ◽  
Counseling And Testing
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