scholarly journals Parent-Teen Communication about Sexual and Reproductive Health: Cohort Differences by Race/Ethnicity and Nativity

2019 ◽  
Vol 16 (5) ◽  
pp. 833 ◽  
Author(s):  
Hannah Lantos ◽  
Jennifer Manlove ◽  
Elizabeth Wildsmith ◽  
Bianca Faccio ◽  
Lina Guzman ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Teen Pregnancy ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Future Research ◽  
Foreign Born ◽  
Cohort Differences ◽  
Different Types ◽  
Males And Females ◽  
Race Ethnicity

Parent-teen discussions about sexual and reproductive health (SRH) are associated with delayed sex and higher contraceptive use among teens. Using the National Survey of Family Growth, we conducted bivariate and multivariate analyses of different types of parent-teen SRH discussions among two cohorts of teens. We describe differences in patterns for males and females by race/ethnicity and nativity, and test for racial/ethnic interactions within each cohort. Analyses found that the prevalence of parent-teen discussions about SRH increased across cohorts. For males and females, there were increases in parent-teen discussions about condoms, and for males only, there were increases in any SRH discussions and discussions about contraception and STIs. Based on interactions, parent-teen discussions and STI discussions increased most for Hispanic females, and among Hispanics, increased most for the foreign-born. These data indicate increases in different types of parent-teen SRH discussions, particularly for males and foreign-born teens overall, and for Hispanic teen females regarding condom use. Future research should examine what factors are driving these changes, including changes in the structure of U.S. Hispanic communities and expansion of evidence-based teen pregnancy prevention programs.

scholarly journals Impact of the COVID-19 pandemic on sexual and reproductive health among women with induced abortion

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pengcheng Tu ◽  
Jianan Li ◽  
Xiaomei Jiang ◽  
Kaiyan Pei ◽  
Yiqun Gu
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Induced Abortion ◽  
Future Research ◽  
Reproductive Health Services ◽  
Global Pandemic ◽  
Using Data ◽  
Long Term Impact ◽  
The Impact

AbstractThe coronavirus disease (COVID-19) has already been declared a global pandemic. To our knowledge, there is very little information regarding the effects of COVID-19 on women seeking reproductive health services, specifically abortion. This study was aimed to assess the impact of the COVID-19 pandemic on reproductive and sexual health among women seeking abortion services. We conducted a series of preliminary analyses using data collected from ten maternal and child health hospitals of seven provinces in China before and during the COVID-19 lockdown. The present study showed that a significant decrease was observed in the frequency of sexual intercourse during the COVID-19 pandemic. Moreover, a significant increase in contraceptive use including condom, rhythm method and coitus interruptus whereas a decrease in choosing oral contraceptives were observed during the COVID-19 pandemic. In addition, the pandemic was associated with increased intention of seeking induced abortion due to social factors. Future research should look into the long-term impact of the COVID-19 pandemic on sexual and reproductive health.

scholarly journals Sexual and reproductive health services provided by community pharmacists: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e047034
Author(s):  
Javiera Navarrete ◽  
Nese Yuksel ◽  
Theresa J Schindel ◽  
Christine A Hughes
Keyword(s):  
Reproductive Health ◽  
Scoping Review ◽  
Sexual And Reproductive Health ◽  
Community Pharmacists ◽  
Cochrane Library ◽  
Future Research ◽  
Chlamydia Screening ◽  
Community Pharmacies ◽  
Pharmacy Services ◽  
Reproductive Health Services

ObjectivesPharmacists are increasingly providing patient-focused services in community pharmacies, including in the area of sexual and reproductive health (SRH). Specific SRH areas have been the focus of research, but a broader perspective is needed to position pharmacists as SRH providers. This review explored research that described and evaluated professional pharmacy services across a broad range of SRH areas.DesignScoping reviewData sourcesMedline, EMBASE, CINAHL, Web of Science, Scopus and Cochrane Library (January 2007–July 2020).Study selectionStudies reporting on the description and evaluation of professional pharmacy SRH services provided by community pharmacists.Data extractionTwo investigators screened studies for eligibility, and one investigator extracted the data. Data were analysed to primarily describe professional pharmacy services and intervention outcomes.ResultsForty-one studies were included. The main SRH areas and professional pharmacy services reported were sexually transmitted and bloodborne infections (63%) and screening (39%), respectively. Findings showed that pharmacists’ delivery of SRH services was feasible, able to reach vulnerable and high-risk groups, and interventions were highly accepted and valued by users. However, integration into daily workflow, pharmacist remuneration, cost and reimbursement for patients, and policy regulations were some of the barriers identified to implementing SRH services. Studies were primarily in specific areas such as chlamydia screening or hormonal contraception prescribing, while studies in other areas (ie, medical abortion provision, long-acting reversible contraception prescribing and vaccine delivery in pregnant women) were lacking.ConclusionThis scoping review highlights the expansion of pharmacists’ roles beyond traditional product-focused services in a number of SRH areas. Given the potential feasibility, users’ acceptability and reach, pharmacists are ideally situated to enhance SRH care access. Future research describing implementation and evaluation of professional pharmacy services in all SRH areas is needed to promote access to these services through community pharmacies and position pharmacists as SRH providers worldwide.

An application of Systematic Anomalous Case Analysis to improve models predicting contraceptive use in the Philippines

2021 ◽  
pp. 1-14
Author(s):  
Subasri Narasimhan ◽  
Jessica D. Gipson
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Case Analysis ◽  
Reproductive Behaviour ◽  
The Philippines ◽  
Health And Nutrition ◽  
Depth Interviews

Abstract Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) – a mixed-methods technique – was employed to examine predictors of women’s lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998–2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013–2014) for further examination. Qualitative findings from 24 women highlighted ‘control over life circumstances’ was critical, prompting the addition of two items to the original quantitative models predicting any contraceptive use (n=532). Each of the items, ‘what happens to [them] is their own doing’ and ‘[I] do not [have] enough control over direction life is taking [me]’, significantly and independently predicted any contraceptive use (aOR: 2.37 (CI: 1.24–4.55) and aOR: 0.46 (CI: 0.28–0.77), respectively). The findings demonstrate the utility of SACA to improve the understanding and measurement of sexual and reproductive health outcomes and underscore the importance of integrating psychosocial constructs into existing models of fertility and reproductive behaviour in the Philippines to improve sexual and reproductive health outcomes.

Understanding sexual and reproductive health needs of immigrant adolescents in Canada: A scoping review

2021 ◽  
pp. e20210006
Author(s):  
Samantha Louie-Poon ◽  
Mehnaz Rehmani ◽  
Megan Kennedy ◽  
Shannon Scott ◽  
Bukola Salami ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Scoping Review ◽  
Cultural Sensitivity ◽  
Information Needs ◽  
Sexual And Reproductive Health ◽  
Careful Consideration ◽  
Future Research ◽  
Immigrant Adolescents ◽  
School Based ◽  
Strength Based

Despite the large number of immigrant adolescents in Canada, research on their knowledge of sexual and reproductive health and rights (SRHR) and information needs is nearly nonexistent. A scoping review was undertaken following the PRISMA-ScR statement to identify and assess the existing literature regarding SRHR needs of immigrant adolescents in Canada. Of the 1514 articles retrieved from our search strategy, 15 studies met our inclusion criteria. The results from our review identifies three unique themes related to immigrant adolescents’ SRHR needs: knowledge needs, access to SRHR education and services, and approaches to SRHR education and services. Immigrant adolescents’ knowledge needs includes needs on HIV/STI transmission and protection, unintended pregnancy, sexual activity, family planning, pubertal education, navigating the health care system, and confidentiality legislations. Our results revealed that immigrant adolescents’ access SRHR education and services through both school-based and community-based settings. Lastly, approaches to SRHR education and services for immigrant adolescents should include cultural sensitivity, an intersectional approach, interactive learning, a strength-based approach, and reassuring confidentiality rights. The multi-faceted SRHR needs of immigrant adolescents in Canada demonstrates that future research, program development, and policymaking requires careful consideration of these intersecting forces. Inclusive SRHR education and services can be achieved through the employment of a critical cultural approach and intersectional strategies.

scholarly journals “The Financial Is the Main Issue, It’s Not Even the Child”: Exploring the Role of Finances in Men’s Concepts of Fatherhood and Fertility Intention

2018 ◽  
Vol 12 (4) ◽  
pp. 1074-1083 ◽  
Author(s):  
Megan Hamm ◽  
Elizabeth Miller ◽  
Lovie Jackson Foster ◽  
Mario Browne ◽  
Sonya Borrero
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Low Income ◽  
Financial Stability ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Fertility Intention ◽  
Reproductive Health Services ◽  
Family Planning Services

Despite demonstrable need, men’s utilization of sexual and reproductive health services remains low. This low utilization may particularly affect low-income men, given the disproportionate prevalence of unintended pregnancy in low-income populations. Bolstering men’s utilization of sexual and reproductive health services requires understanding the services that are most relevant to them. Semistructured interviews about fatherhood, fertility intention, and contraceptive use were conducted with 58 low-income Black and White men in Pittsburgh, Pennsylvania. The interviews were analyzed using content analysis to determine common themes that were most relevant to the men interviewed. The primacy of financial stability emerged as a dominant theme in men’s perceptions of fatherhood readiness, successful fathering, and fertility intentions. However, men had children despite feeling financially unprepared, and their contraceptive use was not always congruent with their stated fertility intentions. Some men described financial services as a feature of family planning services that they would find useful. Because of the salience of financial stability in preparation for fatherhood, integrating financial counseling and job skills training into the context of sexual and reproductive health services could be a useful structural intervention to increase men’s use of family planning services and to provide them with the support they say they need as fathers.

scholarly journals 'I feel like a person has a right to use a product to protect themselves…': a qualitative study of the risk–benefit calculus on women's contraceptive use and choice

Sexual Health ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 262
Author(s):  
Sofía L. Carbone ◽  
Melissa Guillen ◽  
Jaime J. Ramirez ◽  
Sara E. Vargas ◽  
Connie Fei Lu ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Qualitative Interviews ◽  
Attitudes And Beliefs ◽  
Pregnancy Risk ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Health Products ◽  
Beliefs And Attitudes

Background Reducing pregnancy risk requires a multidimensional approach to sexual and reproductive health product development. The purpose of this analysis is to identify, compare, and contrast women’s pre-use beliefs and attitudes about three different forms of contraceptives: intravaginal rings; spermicide in conjunction with condoms; and oral contraceptive pills – and explore how those attitudes and beliefs, along with actual method-use experience, may affect potential choices in contraceptive method moving forward. The relationship of beliefs and attitudes to their risk–benefit calculations when using these methods was also considered.? Methods: Women used one or more contraceptive methods, each for 3–6 months. Qualitative data from individual in-depth interviews completed after each 3-month use period were analysed using a summary matrix framework. Data were extracted and summarised into themes. Each woman’s experiences were compared among the methods she used; comparisons were also made across participants. Results: The data consist of 33 90–120 min in-depth qualitative interviews from 16 women aged 20–34 years, in which they discussed various elements of their method use experience. One prominent theme was identified: the influence of attitudes and beliefs on the risk–benefit calculus. There were six key elements within the theme: pregnancy prevention; dosing and the potential for user error; side-effects; familiarity; disclosure; and sexual partnerships. Conclusions: Women weighed perceived risks and benefits in their decision-making and, ultimately, their contraception choices. Understanding women’s beliefs and attitudes that contribute to a calculation of risk–benefit can inform the development of sexual and reproductive health products.

scholarly journals Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 251-256
Author(s):  
Ranjeeta Subedi ◽  
Israt Jahan ◽  
Pam Baatsen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Health Workers ◽  
Influential Factors ◽  
Modern Contraceptive ◽  
Factors Influencing ◽  
Modern Contraceptive Use ◽  
Health Rights

In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use.Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information.A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed. Keywords: Adolescent; barriers; contraceptive; Nepal; SRHR.

scholarly journals Births, miscarriages and induced abortions among foreign born women in Finland

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Jokela ◽  
M Koukkula ◽  
E Lilja ◽  
R Klemetti ◽  
P Koponen
Keyword(s):  
Soviet Union ◽  
Middle East ◽  
Reproductive Health ◽  
Former Soviet Union ◽  
Sexual And Reproductive Health ◽  
Well Being ◽  
Induced Abortion ◽  
Foreign Born ◽  
Region Of Origin ◽  
Induced Abortions

Abstract Background The increasing number of foreign-born women living in Finland has raised a need for more information about their sexual and reproductive health and need for services. This study explores the prevalence of births, induced abortions and miscarriages as well as the associated socioeconomic factors of foreign-born women. Methods This study used data collected in the Survey on Well-Being Among Foreign Born Population (FinMonik), conducted in 2018-2019. The random sample (n = 6 695) consisted of women aged 18 to 64 years and living in Finland. The participation rate among women was 56% (n = 3 746). The results were stratified according to country groups based on geographic region of origin: Middle East and Africa; Russia, former Soviet Union and Estonia; Asia; EU, North America, Latin America and others. The analyses were conducted with logistic regression adjusting for age. In the analyses, weights were used to reduce non-response bias. Results The proportion of women who had at least one birth in their lifetime varied from 67 to 80%. Those from the Middle East or Africa had the highest proportion of three or more births (41%). The proportion of women who had experienced induced abortion was highest among women from Russia, former Soviet Union and Estonia: 34% of these women had experienced at least one abortion while 20% had experienced at least two abortions. No difference in reported miscarriages was observed between the groups (20-27%). In all groups, married women (82%) and those with only basic education (82%) had more often at least one birth than unmarried women (61%) and those with higher education (70%). Compared to the other groups, lower educated Russian, former Soviet Union and Estonian women had more often experienced at least one induced abortion (44 %). Conclusions There are major differences in the prevalence of births and abortions among women from different regions and educational level. Key messages Challenges in sexual and reproductive health vary by region of origin. Low-threshold health services and health education are needed to guarantee better sexual and reproductive health for all women.

An Examination of the Shadow of Sexual Assault Hypothesis Among Men and Women in South Korea

2019 ◽  
Vol 30 (4) ◽  
pp. 386-405 ◽  
Author(s):  
Jaeyong Choi ◽  
Haneul Yim ◽  
Daniel R. Lee
Keyword(s):  
Sexual Assault ◽  
Fear Of Crime ◽  
Future Research ◽  
Crime Victim ◽  
Men And Women ◽  
South Korean ◽  
Different Types ◽  
Males And Females ◽  
Insight Into ◽  
Shadow Of Sexual Assault

Using a South Korean sample from 2010 National Crime Victim Survey, the current research examined the gender differences of fear of four different types of crime testing the shadow of sexual assault thesis, which asserts that sexual assault operates as a master offense for females. The current study provides insight into the robustness of the shadow hypothesis by controlling for various covariates (e.g., perceptions of the neighborhood and crime-related media consumption) that have been often omitted in this line of literature. Results show that the largest difference in fear between males and females was the fear of sexual assault, and based on coefficient comparison tests, fear of sexual assault was a stronger predictor of fear of other crimes among males than among females. The current study calls for future research to disentangle the shadow of sexual hypothesis in different settings and to conduct more studies specifically on men’s fear of crime.

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