Abstract:
BACKGROUND:Despite the vast literature examining disparities in medical care, little is known about racial/ethnic and mental health disparities in sexual health care. The objective of this study was to assess disparities in safe sex counseling and resultant behavior among a patient population at risk of negative sexual health outcomes. METHODS:We conducted a cross-sectional analysis among a sample of substance dependent men and women in a metropolitan area in the United States. Multiple logistic regression models were used to explore the relationship between race/ethnicity (non-Hispanic black; Hispanic; non-Hispanic white) and three indicators of mental illness (moderately severe to severe depression; any manic episodes; ≥ 3 psychotic symptoms) with two self-reported outcomes: receipt of safe sex counseling from a primary care physician and having practiced safer sex because of counseling. RESULTS:Among 275 substance-dependent adults, approximately 71% (195/275) reported ever being counseled by their regular doctor about safe sex. Among these 195 subjects, 76% (149/195) reported practicing safer sex because of this advice. Blacks (adjusted odds ratio (AOR): 2.71; 95% confidence interval (CI): 1.36,5.42) and those reporting manic episodes (AOR: 2.41; 95% CI: 1.26,4.60) had higher odds of safe sex counseling. Neither race/ethnicity nor any indicator of mental illness was significantly associated with practicing safer sex because of counseling. CONCLUSIONS:Those with past manic episodes reported more safe sex counseling, which is appropriate given that hypersexuality is a known symptom of mania. Black patients reported more safe sex counseling than white patients, despite controlling for sexual risk. One potential explanation is that counseling was conducted based on assumptions about sexual risk behaviors and patient race. There were no significant disparities in self-reported safer sex practices because of counseling, suggesting that increased counseling did not differentially affect safe sex behavior for black patients and those with manic episodes. Exploring the basis of how patient characteristics can influence counseling and resultant behavior merits further exploration to help reduce disparities in safe sex counseling and outcomes. TRIAL REGISTRATION:NCT00278447.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
D'Amore MM,Cheng DM,Allensworth-Davies D,Samet JH,Saitz Rdoi
10.1186/1742-4755-9-35subject
Has Abstractpub_date
2012-12-31 00:00:00pages
35issn
1742-4755pii
1742-4755-9-35journal_volume
9pub_type
杂志文章abstract:BACKGROUND:To study maternal anxiety and perinatal outcomes in pregnant women submitted to a Multidisciplinary Program for Childbirth and Motherhood Preparation (MPCM). METHODS:This is a not randomized controlled trial on 67 nulliparous pregnant women divided into two groups according to participation (MPCM Group; n =...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-28
更新日期:2010-10-29 00:00:00
abstract:BACKGROUND:Globally, postpartum haemorrhage (PPH) remains a leading cause of maternal deaths. However in many low and middle income countries, there is scarcity of information on magnitude of and risk factors for PPH (blood loss of 500 ml or more). It is important to understand the relative contributions of different r...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/s12978-016-0154-8
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:A variety of different approaches to measuring contraceptive use have been used or proposed, either to assess current use or adherence over time, using subjective or objective measures. This paper reports an overview of approaches to measuring adherence to the oral contraceptive, intra-uterine device, sub-de...
journal_title:Reproductive health
pub_type: 信件,评审
doi:10.1186/s12978-018-0494-7
更新日期:2018-03-15 00:00:00
abstract:BACKGROUND:It has been proposed that the autonomy of women is one of the mechanisms of how education influences contraceptive use in developing countries. We tested this hypothesis in a national sample of women in Pakistan. METHODS:We used the 2000 Pakistan Reproductive Health and Family Planning Survey, which intervi...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-2-8
更新日期:2005-10-21 00:00:00
abstract:BACKGROUND:Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments h...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0111-y
更新日期:2016-02-06 00:00:00
abstract::While much progress has been achieved globally in the fight against malaria, the significant financial investments made to date have not translated into scaled-up malaria in pregnancy (MiP) prevention efforts. Mothers and newborns remain at risk, and now is the time to refocus efforts. Against the backdrop of a new gl...
journal_title:Reproductive health
pub_type: 信件
doi:10.1186/s12978-018-0573-9
更新日期:2018-07-27 00:00:00
abstract:BACKGROUND:In order to set research priorities for reproductive health in the occupied Palestinian territory, it is vital to know what current research has been done in the field of reproductive health. The purpose of this scoping review is to examine the range and nature of reproductive health research in the occupied...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-019-0699-4
更新日期:2019-04-03 00:00:00
abstract:BACKGROUND:Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-13
更新日期:2014-02-03 00:00:00
abstract:BACKGROUND:A cultural preference for sons has been well documented in India, resulting in skewed sex ratios, especially exhibited in northwest India. Previous research has shown that family sex composition is associated with family planning (FP) use and couples' desire for more children. This study examines family sex ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-48
更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:Globally, an estimated 287 000 maternal deaths occurred in 2010 annually as a result of complications of pregnancy and childbirth. Sub-Saharan Africa and Southern Asia were accounted for 85% of the global burden (245 000 maternal deaths) including Ethiopia. Obstetric related complications cannot be reliably ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-55
更新日期:2014-07-20 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0787-5
更新日期:2019-08-19 00:00:00
abstract:BACKGROUND:Vaginal examination (VE), is a frequent procedure during childbirth. It is the most accepted ways to assess progress during childbirth, but its repetition at short intervals has no value. Over years, VE continued to be plagued by a nature that implies negative feelings and experiences of women. The aim of th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-16
更新日期:2012-08-28 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0156-6
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:There have been few studies to examine antenatal predictors of incident postnatal depression, particularly in low- and middle-income countries (LMICs). The aim of this study was to investigate antenatal predictors of incident and persistent maternal depression in a rural Ethiopian community in order to infor...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0690-0
更新日期:2019-03-04 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0477-8
更新日期:2018-03-13 00:00:00
abstract:BACKGROUND:Disrespectful and abusive treatment during childbirth is a violation of women's right to dignified, respectful healthcare throughout pregnancy and childbirth. Although reports point out that marginalized groups in society such as single mothers are particularly vulnerable to abusive and disrespectful care, t...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0290-9
更新日期:2017-03-04 00:00:00
abstract:BACKGROUND:Despite a variety of mainly school-driven prevention strategies, the number of adolescent pregnancies in Rwanda is worryingly high and is even expected to increase. The aim of this study is to empower Kirehe secondary school students aged 15-19 years old in sexual and reproductive health (SRH) by developing ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00986-9
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:We thank Bijlmakers et al. for their interest in our article, "A never-before opportunity to strengthen investment and action on adolescent contraception, and what we must do to make full use of it", and are grateful for the opportunity to respond to their four key assertions. RESPONSE:First, we fully agree...
journal_title:Reproductive health
pub_type: 社论
doi:10.1186/s12978-018-0457-z
更新日期:2018-01-30 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-8-2
更新日期:2011-01-17 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/1742-4755-12-S2-S8
更新日期:2015-01-01 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-10-19
更新日期:2013-04-12 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-018-0529-0
更新日期:2018-06-22 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0254-5
更新日期:2016-12-07 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-6
更新日期:2008-10-28 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00962-3
更新日期:2020-07-29 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-020-00950-7
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Previous studies in developing countries suggest that a husband plays an influential role in a woman's contraceptive use. The influence of a husband/partner's healthcare decision making power on a woman's intention to use contraceptives in Mozambique has not been studied. The present study examined this rela...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0010-2
更新日期:2015-04-23 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-10
更新日期:2014-01-30 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01010-w
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:A review of validated methods for assessing female sexual dysfunction and a review of male and female sexual dysfunction did not refer to any specific questionnaire for evaluating sexuality during pregnancy. A study was performed at the Obstetrics and Gynecology Department of Botucatu Medical School, São Pau...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-6-12
更新日期:2009-07-29 00:00:00