scholarly journals A Qualitative Assessment to Understand the Barriers and Enablers Affecting Contraceptive Use Among Adolescent Male Emergency Department Patients

2019 ◽  
Vol 13 (1) ◽  
pp. 155798831982591 ◽  
Author(s):  
Lauren S. Chernick ◽  
Jonathan Y. Siden ◽  
David L. Bell ◽  
Peter S. Dayan
Keyword(s):  
Emergency Department ◽  
Sexual Health ◽  
Teenage Pregnancy ◽  
Contraceptive Use ◽  
The United States ◽  
Sexual Relationships ◽  
Adolescent Males ◽  
Qualitative Assessment ◽  
Adolescent Male ◽  
Barriers And Enablers

Early fatherhood is common in the United States (U.S.). The emergency department (ED) plays a disproportionate role in serving patients with unmet reproductive and sexual health needs. With 8 million adolescent males visiting U.S. EDs annually, the ED is a potential site to implement interventions to minimize early fatherhood and unintended teenage pregnancy. Little is known about how adolescent male ED patients perceive and behave in sexual relationships and how they influence contraceptive decision making. The objective of this study was to identify the barriers and enablers affecting contraceptive and condom use among adolescent male ED patients. Semistructured interviews were conducted with males aged 14–19 in one urban ED. Enrollment continued until saturation of key themes. Interviews were recorded, transcribed, and coded based on thematic analysis using NVivo 10. The Social Ecological Model was used to organize and understand themes. Participants ( n = 24) were predominantly 18–19 years (63%) and Hispanic (92%). Most (71%) had sex ≤3 months prior but infrequently used a condom at last intercourse (42%). The primary barrier influencing contraceptive use was lack of knowledge of effective contraceptives. Other barriers consisted of perceived gender roles, poor partner communication, and little relationship with a primary provider. Enablers included intention not to get a partner pregnant, school-based sexual health education, normalcy to use condoms, and a trustworthy confidante. The identified barriers and enablers influencing adolescent males’ perspectives toward contraceptives should be addressed if designing future ED-based pregnancy prevention interventions targeting teen males.

scholarly journals Young Men’s Perceptions of Teenage Pregnancy

2020 ◽  
Author(s):  
Oluwatoyin Adewole ◽  
Oluwaseun Otubanjo
Keyword(s):  
Sex Education ◽  
Peer Influence ◽  
Teenage Pregnancy ◽  
Contraceptive Use ◽  
Developmental Stages ◽  
Unplanned Pregnancy ◽  
Young Men ◽  
School Curriculum ◽  
Sexual Relationships ◽  
Unprotected Sex

The purpose of the qualitative study was to understand the perceptions and experiences of young men who lived in a county of Texas regarding teenage pregnancy. Face-to-face audio-taped interviews were conducted with 20 young men between ages 18 and 21. Five major themes and one subtheme were uncovered from the interview: unplanned pregnancy/attitude to unprotected sex, being a father at an early age, wanting sex education in the school curriculum, advice for other young men, and desiring parent’s role in sex education. The sub-theme was early childhood education to start at home. The findings of this study demonstrate that young men, like young women, have concerns about teenage pregnancy, contraceptive use, sex education, parent roles, media, and peer influence on teenagers’ sexual decision making. Knowledge about men’s developmental stages could mean a better understanding of young men’s behavior, attitude, and perception about teenage pregnancy. Involving young men in pregnancy prevention programs could improve understanding of the social psychology of men’s development stages and perceive their sexual relationships.

Reassessing Adolescent Male Sexual and Reproductive Health in the United States: Research and Recommendations

2007 ◽  
Vol 2 (1) ◽  
pp. 40-56 ◽  
Author(s):  
Laura Duberstein Lindberg ◽  
Adam Sonfield ◽  
Alison Gemmill
Keyword(s):  
Reproductive Health ◽  
Sexual Behaviors ◽  
Sexual And Reproductive Health ◽  
The United States ◽  
Adolescent Males ◽  
Adolescent Male ◽  
Important Concern ◽  
Societal Consensus ◽  
Safer Sexual Behaviors ◽  
Abstinence Only

Adolescent males are practicing safer sexual behaviors and experiencing healthier outcomes than their predecessors. In recent years, adolescent males have tended to start having sex later in life, have fewer sexual partners, use condoms and other contraceptive methods more often, and father fewer children. Yet sexual activity during adolescence remains the norm, and thus adolescent sexual and reproductive health (SRH) remains an important concern. Moreover, large disparities remain in risk and outcomes according to race/ethnicity, sexual orientation, social connectivity, and where men live. Policy and program advances have been limited. Adolescent males are less likely than they were a decade ago to be receiving broad-based SRH information in school, and their access to clinical services has increased only marginally. Most new funding has been provided for ineffective abstinence-only education programs. Prerequisites for continued progress include research to fill in gaps in our knowledge, arriving at societal consensus around key controversies, and new tactics and allies in the political arena.

scholarly journals Family and Peer Networks in Intimate and Sexual Relationships Amongst Teenagers in a Multicultural Area of East London

2006 ◽  
Vol 11 (1) ◽  
pp. 74-86 ◽  
Author(s):  
Shamser Sinha ◽  
Katherine Curtis ◽  
Amanda Jayakody ◽  
Russell Viner ◽  
Helen Roberts
Keyword(s):  
Young People ◽  
Cultural Diversity ◽  
Identity Formation ◽  
Teenage Pregnancy ◽  
Contraceptive Use ◽  
Sexual Relationships ◽  
Peer Networks ◽  
Sociological Research ◽  
Black African ◽  
Parents And Children

The Minister for Children has recently suggested on the basis of research evidence that parents need to talk more to their children about sex in order to encourage them to start sex later and improve contraceptive use, with a view to reducing teenage conceptions. We report here on a mixed-methods project funded by the Teenage Pregnancy Unit and the Department of Health which draws on accounts of young people aged 15-18 from diverse ethnic groups in East London describing their inclination (or otherwise) to talk with parents, other family members, and peers about sex and intimate relationships. Recent sociological research describes diversity in sexual relationships, family practices and ways in which people love and care for each other, but work addressing ethnicity in these areas has been less well developed. Drawing on research into ethnicity, youth and identity formation in an urban multicultural area, our work indicates that Black African, Bangladeshi, Indian and Pakistani young people living in East London talk to a range of people for support in addition to, or instead of parents. Thus, the siblings and extended families to whom they go for advice may well have a role in health promotion as may existing peer networks. The findings we report here reflect cultural diversity, re-working of cultural traditions and emerging youth identities in multicultural areas. Whilst there may be benefits in some families from more open talk between parents and children about sex, our work suggests that this could helpfully be supplemented by an increased appreciation of what cultural diversity and youth networks can offer.

Adolescent male receptivity to sexual health interventions in the emergency department

Contraception ◽  
2018 ◽  
Vol 98 (4) ◽  
pp. 366
Author(s):  
L Chernick ◽  
M Popkin ◽  
B Wallace ◽  
D Bell ◽  
P Dayan
Keyword(s):  
Emergency Department ◽  
Sexual Health ◽  
Health Interventions ◽  
Adolescent Male

Adolescent Male Receptivity of and Preferences for Sexual Health Interventions in the Emergency Department

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lauren S. Chernick ◽  
Brendan K. Wallace ◽  
Maxmoore T. Potkin ◽  
David L. Bell ◽  
Peter S. Dayan
Keyword(s):  
Emergency Department ◽  
Sexual Health ◽  
Health Interventions ◽  
Adolescent Male

scholarly journals Sexual behaviour and knowledge of adolescent males in the Molopo region of Bophuthatswana

Curationis ◽  
1991 ◽  
Vol 14 (1) ◽  
Author(s):  
M. Kau
Keyword(s):  
Sex Education ◽  
Sexual Behaviour ◽  
Teenage Pregnancy ◽  
Contraceptive Use ◽  
Sexual Practices ◽  
Adolescent Male ◽  
Premarital Pregnancy ◽  
The Subject ◽  
The Many

Teenage pregnancy is one of the many public health problems facing the community in Bophuthatswana and neighbouring areas: Health professionals have attempted to address the problem yet little has been done to determine the role of the adolescent male in the prevention of this community problem. This study addresses the male adolescent’s sexual behaviour, his attitude towards contraception, contraceptive use and premarital pregnancy. The study revealed that most of the respondents commenced sexual practices at about 12years of age. These young men believed that girls should prove their fertility before marriage, although they viewed contraception as a joint responsibility between the two partners. The respondents were found to have a positive attitude towards contraception and contraceptive use, yet when they were asked what method of contraception they used since they were sexually active, only 24,5% reported use of a condom. Ignorance about reproduction and the effects of contraceptives Was confirmed When 48% of the respondents indicated that they were unaware of the fact that pregnancy could result from first coitus, and they also believed that oral contraceptives had dangerous side effects. The study further revealed that parents did not discuss teenage pregnancy and contraception with their children, instead this subject was discussed among friends at school. Respondents expressed fear when asked why the subject was never discussed with parents, some actually stated that their parents would ‘flog’ them if they initiated the subject on sex and related matters. The urgent need for formalised sex education in Bophuthatswana was expressed by 77% of the respondents.

Divergence in the epidemiological estimates of traumatic brain injury in the United States: comparison of two national databases

2020 ◽  
pp. 1-10
Author(s):  
Brittany M. Stopa ◽  
Maya Harary ◽  
Ray Jhun ◽  
Arun Job ◽  
Saef Izzy ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Data Bank ◽  
The United States ◽  
National Sample ◽  
Population Based ◽  
Weighted Estimates ◽  
True Incidence ◽  
Ed Visits

OBJECTIVETraumatic brain injury (TBI) is a leading cause of morbidity and mortality in the US, but the true incidence of TBI is unknown.METHODSThe National Trauma Data Bank National Sample Program (NTDB NSP) was queried for 2007 and 2013, and population-based weighted estimates of TBI-related emergency department (ED) visits, hospitalizations, and deaths were calculated. These data were compared to the 2017 Centers for Disease Control and Prevention (CDC) report on TBI, which used the Healthcare Cost and Utilization Project’s National (“Nationwide” before 2012) Inpatient Sample and National Emergency Department Sample.RESULTSIn the NTDB NSP the incidence of TBI-related ED visits was 59/100,000 in 2007 and 62/100,000 in 2013. However, in the CDC report there were 534/100,000 in 2007 and 787/100,000 in 2013. The CDC estimate for ED visits was 805% higher in 2007 and 1169% higher in 2013. In the NTDB NSP, the incidence of TBI-related deaths was 5/100,000 in 2007 and 4/100,000 in 2013. In the CDC report, the incidence was 18/100,000 in both years. The CDC estimate for deaths was 260% higher in 2007 and 325% higher in 2013.CONCLUSIONSThe databases disagreed widely in their weighted estimates of TBI incidence: CDC estimates were consistently higher than NTDB NSP estimates, by an average of 448%. Although such a discrepancy may be intuitive, this is the first study to quantify the magnitude of disagreement between these databases. Given that research, funding, and policy decisions are made based on these estimates, there is a need for a more accurate estimate of the true national incidence of TBI.

Telemedicine for Patients with Inflammatory Bowel Disease (TELE-IBD) Clinical Trial: Qualitative Assessment of Participants’ Perceptions of the TELE-IBD Intervention (Preprint)

2019 ◽  
Author(s):  
Charlene C Quinn ◽  
Sarah Chard ◽  
Erin G Roth ◽  
J. Kevin Eckert ◽  
Katharine M Russman ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Disease Activity ◽  
Remote Monitoring ◽  
Standard Care ◽  
Disease Process ◽  
The United States ◽  
Qualitative Assessment ◽  
Structured Interviews ◽  
Treatment Groups ◽  
Inflammatory Bowel

BACKGROUND Inflammatory bowel diseases (IBD), comprising Crohn’s disease and ulcerative colitis, affects 1 to 3 million people in the United States. Telemedicine has shown promise in IBD. The objective of the parent study, TELE-IBD, was to compare disease activity and quality of life (QoL) in a one-year randomized clinical trial of IBD patients receiving telemedicine versus standard care. Treatment groups experienced improvements in disease activity and QoL but there was not significant differences between groups. Study adherence to the text-based intervention was less than the 80% of the targeted goal. OBJECTIVE To understand adherence to remote monitoring, the goal of this qualitative assessment was to obtain TELE-IBD trial participants’ perceptions of the TELE-IBD system, including their recommendations for future TELE-IBD monitoring. METHODS In the parent study, patients attending three tertiary referral centers with worsening IBD symptoms in the previous two years were eligible for randomization to remote monitoring via texts every other week (EOW), weekly (W) or standard care. Participants (n=348) were evenly enrolled in the treatment groups and 259 (74.4%) completed the study. For this study, a purposive sample of adherent (N=15) and non-adherent (N=14) patients was drawn from the TELE-IBD trial population. Adherence was defined as the completion of 80% or more of the W or EOW self-assessments. Semi-structured interviews conducted by phone surveyed 1) the strengths and benefits of TELE-IBD; 2) challenges associated with using TELE-IBD; and 3) how to improve the TELE-IBD intervention. Interviews were recorded, professionally transcribed, and coded based on a priori concepts and emergent themes with the aid of ATLAS.ti qualitative data analysis software. RESULTS Participants' discussions centered on three elements of the intervention: 1) self-assessment questions, 2) action plans, and 3) educational messages. Participants also commented on: text-based platform, depression and adherence, TELE-IBD system in place of office visit, and their recommendations for future TELE-IBD systems. Adherent and non-adherent participants prefer a flexible system that is personalized, including targeted education messages, and they perceive TELE-IBD as effective in facilitating IBD self-management. CONCLUSIONS Participants identified clear benefits to the TELE-IBD system, including obtaining a better understanding of the disease process, monitoring their symptoms, and feeling connected to their health care provider. Participants' perceptions obtained in this qualitative study will assist in improving the TELE-IBD system to be more responsive to patients with IBD. CLINICALTRIAL NCT01692743

scholarly journals National Trends in Emergency Department Care Processes for Acute Myocardial Infarction in the United States, 2005 to 2015

2020 ◽  
Vol 9 (20) ◽  
Author(s):  
Akshay Pendyal ◽  
Craig Rothenberg ◽  
Jean E. Scofi ◽  
Harlan M. Krumholz ◽  
Basmah Safdar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Length Of Stay ◽  
Real World ◽  
The United States ◽  
Emergency Department Care ◽  
Care Processes ◽  
Ed Visits

Background Despite investments to improve quality of emergency care for patients with acute myocardial infarction (AMI), few studies have described national, real‐world trends in AMI care in the emergency department (ED). We aimed to describe trends in the epidemiology and quality of AMI care in US EDs over a recent 11‐year period, from 2005 to 2015. Methods and Results We conducted an observational study of ED visits for AMI using the National Hospital Ambulatory Medical Care Survey, a nationally representative probability sample of US EDs. AMI visits were classified as ST‐segment–elevation myocardial infarction (STEMI) and non‐STEMI. Outcomes included annual incidence of AMI, median ED length of stay, ED disposition type, and ED administration of evidence‐based medications. Annual ED visits for AMI decreased from 1 493 145 in 2005 to 581 924 in 2015. Estimated yearly incidence of ED visits for STEMI decreased from 1 402 768 to 315 813. The proportion of STEMI sent for immediate, same‐hospital catheterization increased from 12% to 37%. Among patients with STEMI sent directly for catheterization, median ED length of stay decreased from 62 to 37 minutes. ED administration of antithrombotic and nonaspirin antiplatelet agents rose for STEMI (23%–31% and 10%–27%, respectively). Conclusions National, real‐world trends in the epidemiology of AMI in the ED parallel those of clinical registries, with decreases in AMI incidence and STEMI proportion. ED care processes for STEMI mirror evolving guidelines that favor high‐intensity antiplatelet therapy, early invasive strategies, and regionalization of care.

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