Contraception for young people

2021 ◽  
Vol 14 (3) ◽  
pp. 159-167
Author(s):  
Rajesh Varma

Significant progress has been made in improving the awareness of young people of available contraception services and their access to these services. Nonetheless, many young people are reluctant to engage with health care professionals, and thus, can experience adverse consequences, such as unplanned pregnancy and sexually transmitted infection. This article presents a best practice approach to the management of young people requesting contraception in primary care. A systematic approach is advocated, employing an age-appropriate consultation style, confidentiality, competency testing, risk assessment and an individualised contraceptive treatment plan.

2021 ◽  
Vol 598 (3) ◽  
pp. 3-17
Author(s):  
Urszula Kempińska ◽  
Anna Nowak

This article aims to present the characteristics of sex education in selected European countries. Particular attention should be paid to the need for compulsory and diligently conducted sexual education of young people as a preventive measure and a factor providing objective scientific truth. Normative systems and set of beliefs often create social taboos about sexuality. Based on the analysis of scientific sources published in Polish, French and English, this article also shows the essence of sex education in schools, as a way for young people to make the right choices, reduce the occurrence of risky behaviors and protect against and prevent sexually transmitted diseases, unplanned pregnancy and sexual violence. Acquiring true and consistent with the current state of knowledge information on the human sexual sphere should be carried out throughout life. Conducting professional sex education classes at school would be an opportunity for all students to have equal access to information on this subject. Both for those who talk to their parents and those for whom it is a taboo. The presented effects of the lack of sexual education in schools show that its reliable and professional implementation is a means of providing help to young people and their families. However, in order to change the approach of parents and students to attending classes in this subject, it is necessary to improve the quality of teaching in this subject and to make some changes to the curriculum.


2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia


2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia


2004 ◽  
Vol 8 (43) ◽  
Author(s):  
D S LaMontagne ◽  
K. A. Fenton ◽  
Sarah Randall ◽  
S Anderson ◽  
P Carter

Chlamydia trachomatis is the most frequently reported bacterial sexually transmitted infection (STI) in England, and is also common in many European countries


2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background: Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15-24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods: The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the study. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done to identify the sources of heterogeneity. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion: Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Although there are studies on the sexually transmitted infection preventive practice, there is no study finding on the pooled prevalence of the preventive practices of sexually transmitted infection and its determinants among young people in Ethiopia. Thus, this systematic review and meta-analysis will help to develop appropriate interventions.


2020 ◽  
Vol 35 (6) ◽  
pp. 538-552 ◽  
Author(s):  
Andrea Waling ◽  
Roz Bellamy ◽  
Paulina Ezer ◽  
Lucille Kerr ◽  
Jayne Lucke ◽  
...  

Abstract Relationships and sexuality education for young people in Australia and elsewhere is a controversial topic. Numerous studies in Australia have focused on curriculum, policy, teachers, schools, sexting and other behaviours, and knowledge regarding sexually transmitted infection (STI)/human immunodeficiency virus (HIV) and pregnancy prevention. Few large-scale national studies have engaged with young people about what they want out of their sex education, and what they suggest would be most valuable for future programs in Australia. Data for the study included qualitative comments about experiences of sex education (n = 2316) provided in a national survey of adolescent sexual health. An initial thematic inductive analysis identified comments falling into two dominant themes: positive and negative experiences of their sex education. Results indicate that young people in Australia are articulate and understanding of the gaps in their sex education. A majority of comments highlighted negative experiences. These comments primarily discussed issues of delivery (timing, environment, person) and content quality (comprehensiveness). A minority highlighted positive commentary also around delivery (environment, person) and content quality (comprehensiveness). The findings of this study illuminate contemporary adolescent concerns regarding their experiences of education. Understanding these experiences can inform future curriculum development, teacher training and the design and implementation of policy.


2007 ◽  
Vol 12 (1) ◽  
Author(s):  
T M M Maja

Young people are vulnerable to risky behaviors that cause major health problems such as sexual behaviour resulting in early, unplanned pregnancy and sexually transmitted diseases (STDs) including human immunodeficiency virus (HIV). ABSTRAK Die jeug is besonder kwesbaar as gevolg van riskante gedrag wat groot gesondheidsprobleme soos seksuele gedrag veroorsaak wat tot seksueel oordraagbare siektes en VIGS mag lei. Hierdie studie is gedoen om die faktore wat ’n impak het op die gebruik van voorbehoedmiddels en dienste hiervoor vir jeugdiges in Noord-Tshwane te identifiseer en te beskryf.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S216-S216
Author(s):  
Tasleem Chechi ◽  
Allyson C Sage ◽  
Nam Tran ◽  
Sarah Waldman ◽  
Larissa S May

Abstract Background Syphilis incidence across all regions of California increased by 22% compared with 2016 cases; with the largest number of chlamydia, gonorrhea, syphilis, and congenital syphilis cases among all states (CDC 2017). The USPSTF recommends targeted syphilis screening in patients at increased risk. However, in emergency departments (EDs) targeted syphilis screening is not routinely performed even when patients present for concerns of a sexually transmitted infection (STI). The purpose of this program was to implement routine syphilis screening among ED patients being tested for chlamydia and gonorrhea (CT/GC) through the use of an EHR enhancement to maximize the number of new syphilis diagnoses. Methods From November 27, 2018 to March 31, 2019, EHR-based syphilis screening was implemented in a quaternary care ED in Northern California serving urban and rural populations. EMR best practice alerts (BPA) were developed and populated on patients receiving STI testing. Syphilis testing employed a reverse sequence algorithm, which is suggested for high prevalence settings and provides rapid turnaround time. Patients were excluded if they opted out from testing. We determined the proportion of all CT/GC tested patients who underwent syphilis screening and the prevalence of syphilis among this group. Results During a four-month period, 649 ED patients with suspected STI received a BPA to screen for syphilis. Of those, 425 patients (65.5%) were screened for syphilis, 22 had a reactive IgG/IgM and RPR, while 5 patients had a reactive IgG/IgM and a nonreactive RPR which required a TPPA test to detect their infection. Fourteen of the 22 patients with a reactive RPR had titers of 1:32 or higher. Nine (32%) of those with a positive CT/GC test tested positive for syphilis. Conclusion Implementation of a syphilis screening program in patients undergoing testing for other STIs yielded 28 new diagnoses compared with those tested prior to the screening in 2018. Introducing an automated EMR-based syphilis screening program is an effective method to maximize syphilis screening in all ED patients seeking treatment for STIs. The screening data suggest that the majority of patients undergoing STI testing in our ED are not screened for syphilis, yet the prevalence of infection in those screened is substantial. Disclosures All authors: No reported disclosures.


Author(s):  
Suzanne M. Dolwick Grieb ◽  
Molly Reddy ◽  
Brittany Griffin ◽  
Becky Slogeris ◽  
Vira David-Rivera ◽  
...  

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