Race and Religious Beliefs Are Associated With Communication Regarding Reproductive Health and Preconception Counseling in Young Women With Diabetes

2016 ◽  
Vol 42 (6) ◽  
pp. 721-727 ◽  
Author(s):  
Jessica Anne Devido ◽  
Susan M. Sereika ◽  
Susan Merle Cohen ◽  
Denise Charron-Prochownik
Keyword(s):  
Social Support ◽  
Reproductive Health ◽  
African American Women ◽  
Health Care Providers ◽  
Young Women ◽  
Religious Beliefs ◽  
Sexually Active ◽  
Preconception Counseling ◽  
Care Providers ◽  
External Characteristics

Purpose The purpose of this study was to examine the relationship between selected internal and external characteristics and communication (intended and actual) with health care providers (HCPs) about reproductive health and preconception counseling among adolescent females with diabetes. Methods A descriptive, correlational design was employed to conduct a secondary analysis of baseline data from a multisite, randomized controlled trial. Participants were 110 female adolescents (92% type 1 diabetes). Analysis included multiple linear regression and multivariate binary logistic regression analyses to examine the association of internal characteristics (age, race, religion, and religious beliefs) and external characteristics (ever sexually active, social support, and type of routine HCP). Results Participants were from 13.3 to 20.0 years of age, 82% were Caucasian, 80% had never been sexually active, and 58% perceived low to moderate amounts of social support. For both internal and external characteristics, no significant main effects were found for actual or intended communication. For internal characteristics, there was an interaction between race and religious beliefs for the probability of actual communication. African American women who reported that their religious beliefs did not influence their sexual behavior had the lowest probability of actual communication compared to all other participants. Conclusion Race and religious beliefs should be considered when providing reproductive health information to young women with diabetes. Further research with a larger, more diverse sample is warranted. These results may be considered for future development of novel interventions with targeted messages based on these personal characteristics to empower young women to initiate conversations with HCPs about reproductive health and preconception counseling.

scholarly journals Health Care Providers as Agents of Change: Integrating PrEP With Other Sexual and Reproductive Health Services for Adolescent Girls and Young Women

2021 ◽  
Vol 3 ◽  
Author(s):  
Gabrielle O'Malley ◽  
Kristin M. Beima-Sofie ◽  
Stephanie D. Roche ◽  
Elzette Rousseau ◽  
Danielle Travill ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Young Women ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Worker

Background: Successful integration of pre-exposure prophylaxis (PrEP) with existing reproductive health services will require iterative learning and adaptation. The interaction between the problem-solving required to implement new interventions and health worker motivation has been well-described in the public health literature. This study describes structural and motivational challenges faced by health care providers delivering PrEP to adolescent girls and young women (AGYW) alongside other SRH services, and the strategies used to overcome them.Methods: We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with HCWs from two demonstration projects delivering PrEP to AGYW alongside other SRH services. The Prevention Options for the Women Evaluation Research (POWER) is an open label PrEP study with a focus on learning about PrEP delivery in Kenyan and South African family planning, youth mobile services, and public clinics at six facilities. PrIYA focused on PrEP delivery to AGYW via maternal and child health (MCH) and family planning (FP) clinics in Kenya across 37 facilities. IDIs and FGDs were transcribed verbatim and analyzed using a combination of inductive and deductive methods.Results: We conducted IDIs with 36 participants and 8 FGDs with 50 participants. HCW described a dynamic process of operationalizing PrEP delivery to better respond to patient needs, including modifying patient flow, pill packaging, and counseling. HCWs believed the biggest challenge to sustained integration and scaling of PrEP for AGYW would be lack of health care worker motivation, primarily due to a misalignment of personal and professional values and expectations. HCWs frequently described concerns of PrEP provision being seen as condoning or promoting unprotected sex among young unmarried, sexually active women. Persuasive techniques used to overcome these reservations included emphasizing the social realities of HIV risk, health care worker professional identities, and vocational commitments to keeping young women healthy.Conclusion: Sustained scale-up of PrEP will require HCWs to value and prioritize its incorporation into daily practice. As with the provision of other SRH services, HCWs may have moral reservations about providing PrEP to AGYW. Strategies that strengthen alignment of HCW personal values with professional goals will be important for strengthening motivation to overcome delivery challenges.

Religion and Spirituality in OBGYN

2017 ◽  
Author(s):  
Rachel Peragallo ◽  
John M. Thorp
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Religious Beliefs ◽  
Church Attendance ◽  
Pregnancy Termination ◽  
Religious Practice ◽  
Religion And Spirituality ◽  
Care Providers ◽  
Health Decisions

Abstract: Women’s reproductive health care involves matters of conscience, religion and spirituality on a daily basis. Most patients are are religious and most major religions have positions about reproductive health decisions. Research regarding the effects of religion and spirituality on patients and their decisions is mixed. Measures of religious practice (e.g. church attendance) are most closely tied to sexual practices, contraceptive and pregnancy termination decisions. For most women, the relationship between reproductive health and their religion or spirituality is complicated. There is a great need for research testing interventions including spiritual and religious components for women making difficult reproductive health decisions. Health care providers who hope to provide women’s health care that includes religious and spiritual dimensions should listen to their patients, ask questions, educate themselves about different religious beliefs and practices, offer fertility awareness-based methods of family planning, and reflect on how their own spiritual and or religious beliefs impact their practice.

scholarly journals MODEL OF PREVENTION OF ADOLESCENT UNWANTED PREGNANCY IN INDONESIA: REVIEW ARTICLE

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Arip Ambulan Panjaitan
Keyword(s):  
Reproductive Health ◽  
Health Care Providers ◽  
Young Women ◽  
Health Workers ◽  
Unwanted Pregnancy ◽  
Health Problems ◽  
Hiv And Aids ◽  
Early Marriage ◽  
Care Providers ◽  
Social Risks

Adolescent reproductive health problems are an international problem. Circumstances that occur in Indonesia, young women are more afraid of social risks such as virginity loss, extramarital pregnancies that will be a source of public gossip compared to sexual risk, which concerns reproductive health and sexual health. This study aims to collect and analyze articles relating to the development of reproductive health models based on needs, needs, schools, culture and family as an effort to prevent pregnancy in adolescents. The method used is literature review, articles are collected using search engines such as EBSCO, Sciencedirect, googlesholar. The criteria for the articles used are those published in 1995-2018. Based on the results that the reproductive health situation of young women is a problem behind the still high maternal and infant mortality rates. This condition is exacerbated by other factors such as early marriage, early pregnancy, STIs, HIV and AIDS and non-communicable diseases such as breast and cervical cancer, abortion, premarital sex, nutrition and others. Exposure of adolescent girls to reproductive health from the social environment about health education through adolescent approaches involving peers, BK teachers, family or parents, health workers and stakeholders. Information about reproductive health issues, besides being important to be known by health care providers, decision makers, is also important for stakeholders, so that they can help reduce reproductive health problems for young women.

scholarly journals MODEL OF PREVENTION OF ADOLESCENT UNWANTED PREGNANCY IN INDONESIA: REVIEW ARTICLE

2019 ◽  
Vol 1 (2) ◽  
pp. 60-73
Author(s):  
Arip Ambulan Panjaitan
Keyword(s):  
Reproductive Health ◽  
Health Care Providers ◽  
Young Women ◽  
Health Workers ◽  
Unwanted Pregnancy ◽  
Health Problems ◽  
Hiv And Aids ◽  
Early Marriage ◽  
Care Providers ◽  
Social Risks

Adolescent reproductive health problems are an international problem. Circumstances that occur in Indonesia, young women are more afraid of social risks such as virginity loss, extramarital pregnancies that will be a source of public gossip compared to sexual risk, which concerns reproductive health and sexual health. This study aims to collect and analyze articles relating to the development of reproductive health models based on needs, needs, schools, culture and family as an effort to prevent pregnancy in adolescents. The method used is literature review, articles are collected using search engines such as EBSCO, Sciencedirect, googlesholar. The criteria for the articles used are those published in 1995-2018. Based on the results that the reproductive health situation of young women is a problem behind the still high maternal and infant mortality rates. This condition is exacerbated by other factors such as early marriage, early pregnancy, STIs, HIV and AIDS and non-communicable diseases such as breast and cervical cancer, abortion, premarital sex, nutrition and others. Exposure of adolescent girls to reproductive health from the social environment about health education through adolescent approaches involving peers, BK teachers, family or parents, health workers and stakeholders. Information about reproductive health issues, besides being important to be known by health care providers, decision makers, is also important for stakeholders, so that they can help reduce reproductive health problems for young women.

835-P: Examining and Validating Social Support (SS) Related to Reproductive Health (RH) Behaviors and Seeking Preconception Counseling (PC) in Female Adolescents with Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 835-P
Author(s):  
HIBA ABUJARADEH ◽  
SUSAN M. SEREIKA ◽  
DOROTHY J. BECKER ◽  
ANDREA F. FISCHL ◽  
DENISE CHARRON-PROCHOWNIK
Keyword(s):  
Social Support ◽  
Reproductive Health ◽  
Female Adolescents ◽  
Preconception Counseling

scholarly journals Community Integration After Traumatic Brain Injury and Related Factors: A Study in the Nepalese Context

2020 ◽  
Vol 6 ◽  
pp. 237796082098178
Author(s):  
Sumana Lama ◽  
Jintana Damkliang ◽  
Luppana Kitrungrote
Keyword(s):  
Social Support ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Care Providers ◽  
Physical Environment ◽  
Community Integration ◽  
Sampling Technique ◽  
Care Providers ◽  
Related Factors ◽  
High Level

Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson’s correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.

scholarly journals What methods and challenges for taking account of context when transferring complex interventions?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Villadsen ◽  
S Dias
Keyword(s):  
Public Health ◽  
Health Care ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Complex Interventions ◽  
Health Interventions ◽  
Care Providers ◽  
Public Health Interventions ◽  
Reproductive Health Care

Abstract For complex public health interventions to be effective their implementation needs to adapt to the situation of those implementing and those receiving the intervention. While context matter for intervention implementation and effect, we still insist on learning from cross-country comparison of implementation. Next methodological challenges include how to increase learning from implementation of complex public health interventions from various context. The interventions presented in this workshop all aims to improve quality of reproductive health care for immigrants, however with different focus: contraceptive care in Sweden, group based antenatal care in France, and management of pregnancy complications in Denmark. What does these interventions have in common and are there cross cutting themes that help us to identify the larger challenges of reproductive health care for immigrant women in Europe? Issues shared across the interventions relate to improved interactional dynamics between women and the health care system, and theory around a woman-centered approach and cultural competence of health care providers and systems might enlighten shared learnings across the different interventions and context. Could the mechanisms of change be understood using theoretical underpinnings that allow us to better generalize the finding across context? What adaption would for example be needed, if the Swedish contraceptive intervention should work in a different European setting? Should we distinguish between adaption of function and form, where the latter might be less important for intervention fidelity? These issues will shortly be introduced during this presentation using insights from the three intervention presentations and thereafter we will open up for discussion with the audience.

Association between religious beliefs and discussions regarding advance care planning: A nationwide survey

2021 ◽  
pp. 026921632110295
Author(s):  
Jun Miyashita ◽  
Sayaka Shimizu ◽  
Shunichi Fukuhara ◽  
Yosuke Yamamoto
Keyword(s):  
Health Care Providers ◽  
Advance Care Planning ◽  
Religious Beliefs ◽  
Nationwide Survey ◽  
Care Planning ◽  
Care Providers ◽  
Logistic Regression Models ◽  
Japanese Buddhism ◽  
Advance Care ◽  
Quota Sampling

Background: The relationship between advance care planning and religious beliefs, which are important for palliative care, is controversial in Western countries and has not been verified in Asian countries. Aim: To investigate the association between advance care planning discussions and religious beliefs in Japan. Design: A nationwide survey conducted in 2016 using a quota sampling method to obtain a representative sample of Japan’s general population. Setting/participants: We analyzed responses from 3167 adults aged 20–84 years (mean age ± standard deviation, 50.9 ± 16.8 years). The outcome was measured by asking whether the respondents had ever discussed advance care planning, and the main exposure by whether they had any religious beliefs or affiliations, and if so, their degree of devoutness. We analyzed religious beliefs, affiliations, and devoutness in relation to the occurrence of discussions using multivariable logistic regression models adjusted for possible sociodemographic covariates. Results: Compared with respondents without, those with religious beliefs had significantly higher odds of having had discussions (adjusted odds ratio: 1.45, 95% confidence interval: 1.22–1.73). The devoutness of religious belief was proportional to the propensity of the occurrence of discussions ( p for trend < 0.001). In addition, Buddhists and Christians had higher odds of having had discussions than did nonbelievers. Conclusion: The results suggest that holding religious beliefs, especially in Japanese Buddhism and Christianity, facilitates advance care planning discussions among Japanese adults, and thus, may help health-care providers identify those prioritized for facilitating engagement in advance care planning, especially in palliative and spiritual care settings.

scholarly journals Men’s perceptions of sexual and reproductive health education within the context of pregnancy and HIV in Zambia: a descriptive qualitative analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tulani Francis L. Matenga ◽  
Joseph Mumba Zulu ◽  
Sharon Nkwemu ◽  
Perfect Shankalala ◽  
Karen Hampanda
Keyword(s):  
Reproductive Health ◽  
Antenatal Care ◽  
Health Care Providers ◽  
Sexual And Reproductive Health ◽  
Decision Makers ◽  
Care Providers ◽  
Convenience Sample ◽  
Essential Information ◽  
Women Living With Hiv ◽  
The Family

Abstract Background Although health care providers are beginning to focus on men’s roles as fathers and husbands, there is limited understanding of how men view their ability to promote sexual and reproductive health in families affected by HIV and their experiences with receiving education through antenatal care. This paper aims to explore men’s perceptions of the education they need regarding sexual and reproductive health within the family in the context of HIV. Methods We interviewed a convenience sample of 18 male partners of pregnant women living with HIV in Lusaka, Zambia. Atlas.ti was used to facilitate data management and content analysis. Results Men reported being the primary decision-makers regarding sexual and reproductive issues in the family; however, they admitted far-reaching unmet needs in terms of information on sexual and reproductive health in the context of HIV. Most men felt that antenatal care was not a conducive setting to fully educate men on sexual and reproductive health because it is a woman’s space where their health concerns were generally neglected. There was a strong desire for more education that was specific to men’s sexual and reproductive health, especially because all the couples were affected by HIV. Men especially requested education on sexual preparedness, safe sex, the use of condoms in sero-concordant and sero-discordant relationships and general health information. Although men stated they were the main decision-makers regarding sexual and reproductive issues such as pregnancy, most men were not confident in their ability to promote sexual and reproductive health in the family because of limited knowledge in this area. Conclusion There is need to change the environment and messaging of antenatal care, as well as offer relevant education opportunities outside health facility settings to empower men with essential information for meaningful involvement in sexual and reproductive health in the context of HIV.

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