Abstract:
STUDY OBJECTIVE:Identify correlates of contraceptive discontinuation, which if modified, might make teenagers more, not less, effective contraceptors as they age. SETTING:Teen clinic. PARTICIPANTS:Teenagers who used contraception at first intercourse (N = 120). Some "never" used contraception during the 4 months immediately prior to the survey ("contraceptive stoppers"; n = 38). The others (n = 82) did so "always" or "most of the time" ("consistent contraceptive users"). INTERVENTIONS:Questionnaire responses were used to determine univariate and multivariate associations between contraceptive use group and five categories of factors: inability to plan for sex, belief that pregnancy is unlikely to occur, belief that contraceptives are unsafe, inability to negotiate contraceptive use, and lack of desire to remain non-pregnant. MAIN OUTCOME MEASURE:Odds of being a contraceptive stopper. RESULTS:In univariate analyses contraceptive stoppers scored significantly higher on scales that assessed inability to plan for sex, belief that pregnancy is unlikely, and lack of desire to remain non-pregnant. Contraceptive stoppers were also older and more likely to have been sexually active for at least 6 months. In multivariate analyses, those who were sexually active for at least 6 months (odds ratio [OR]: 2.9, confidence interval [95%CI]: 1.1-7.1), those who believed that pregnancy was unlikely (OR: 3.8; 95% CI: 1.7-8.6), and those who lacked the desire to remain non-pregnant (OR: 2.7; 95% CI: 1.4-5.1) were more likely to stop using contraception. CONCLUSIONS:Our findings suggest that teens who use contraception at coitarche stop doing so as they mature sexually because they begin to doubt the necessity and desirability of using contraceptives. Longitudinal studies are needed to determine if such doubts are preventable and if doing so encourages teens to continue to use contraception.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Kinsella EO,Crane LA,Ogden LG,Stevens-Simon Cdoi
10.1016/j.jpag.2007.01.004subject
Has Abstractpub_date
2007-04-01 00:00:00pages
73-81issue
2eissn
1083-3188issn
1873-4332pii
S1083-3188(07)00030-7journal_volume
20pub_type
杂志文章abstract:STUDY OBJECTIVE:The aim of this study was to determine the prevalence of gestational diabetes mellitus (GDM) and gestational impaired glucose tolerance (GIGT) in adolescent pregnancies, associated risk factors, and pregnancy complications. DESIGN:Retrospective study. SETTINGS:Community-based teaching hospital. PARTI...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2010.07.003
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Medical child abuse is a challenging diagnosis to make, particularly in older children with unusual presenting symptoms. CASE:A 7-year-old child with complex medical history presented with anogenital bleeding of unknown origin. Extensive laboratory testing, imaging studies, and diagnostic procedures were ne...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2018.06.011
更新日期:2018-12-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the impact of operating surgeon specialty on rates of ovarian preservation, and to explore differences in surgical management when malignant lesions are identified. DESIGN:Retrospective study. SETTING:Education and research hospitals. PARTICIPANTS:Between January 1, 2003 and January 1,...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2011.03.012
更新日期:2011-10-01 00:00:00
abstract:STUDY OBJECTIVE:To compare the efficacy of oral tranexamic acid (TA) with combined oral contraceptives (COC) in reducing menstrual blood loss (MBL) and improving quality of life in adolescent heavy menstrual bleeding (HMB). DESIGN, SETTING, AND PARTICIPANTS:A prospective randomized crossover trial with 17 postmenarcha...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jpag.2014.12.012
更新日期:2015-08-01 00:00:00
abstract::The objective of the study was to determine if any anthropometric measurements, including weight, height, and upper arm circumference, or the calculated body mass index observed at the time of menarche may be used as a threshold for menarche. The sample was randomly selected from 1133 girls aged 10-18 years from two g...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(96)70024-4
更新日期:1996-08-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the prevalence of reproductive coercion, a form of intimate partner violence (IPV) including contraceptive sabotage and pregnancy pressure, among urban high school-aged girls and to examine its associations with reproductive health risks. DESIGN AND SETTING:A self-administered survey compl...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.06.007
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair. CASE:A 1...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2018.04.005
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Recurrent adnexal torsion rarely affects girls. Various surgical techniques for its prevention are available. We describe a case of recurrent asynchronous bilateral torsions in a prepubertal patient. CASE:An 8-year-old girl first presented with a right adnexal torsion and underwent a laparoscopic untwisting...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2013.01.060
更新日期:2013-06-01 00:00:00
abstract:STUDY OBJECTIVE:To describe repeat pregnancy among adolescents and to compare those who experienced a repeat pregnancy to those who did not. DESIGN, SETTING, PARTICIPANTS:Retrospective case control of all adolescents who entered and exited the Teen Mother & Child Program, a multidisciplinary clinic for pregnant and pa...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(03)00011-1
更新日期:2003-04-01 00:00:00
abstract:STUDY OBJECTIVE:Topical microbicides are being developed to provide an alternative method of prevention of HIV and sexually transmitted infections. Although topical microbicides would be a female-controlled method of prevention, their use is likely to be disclosed to partners. Thus, the characteristics of the partner r...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2009.02.003
更新日期:2009-10-01 00:00:00
abstract::Acquired and inherited platelet disorders can present with bleeding symptoms during adolescence. Platelet disorders include disorders of platelet number and disorders of platelet function. In adolescent females with platelet disorders, menorrhagia is a common presenting bleeding symptom. Other associated bleeding symp...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2010.08.012
更新日期:2010-12-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the suitability and efficacy of methotrexate (MTX) therapy for adolescent patients with ectopic pregnancy. MATERIALS:Patients with ectopic pregnancy were treated with methotrexate, 50 mg/m2 intramuscularly. Follow-up determinations of quantitative beta hCG levels were done on days 1, 4, an...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(96)70013-x
更新日期:1996-04-01 00:00:00
abstract:STUDY OBJECTIVE:To describe a hybrid simulation model for pediatric and adolescent gynecology (PAG) examination teaching, to evaluate if it would be feasible to be conducted as a part of the PAG training, and to find out how it would be perceived by the trainees. DESIGN:The development process and a 2-day workshop is ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2018.12.001
更新日期:2019-04-01 00:00:00
abstract:UNLABELLED:PAPER OBJECTIVE: This paper is designed to help clinicians understand the relationship between hormonal contraceptive side effects and the potential development of general and reproductive health concerns that can impact on adherence to hormonal contraception. By understanding the concerns raised by young wo...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/s1083-3188(01)00123-1
更新日期:2001-11-01 00:00:00
abstract:STUDY OBJECTIVE:In this study, we aimed to determine the frequency of menstrual history and sexual history documentation in the inpatient setting. DESIGN, SETTING, AND PARTICIPANTS:A retrospective chart review was conducted for 307 female patients ages 11-18 years admitted from the emergency department at a single ins...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2019.05.007
更新日期:2019-10-01 00:00:00
abstract:STUDY OBJECTIVES:To report a rare reason for primary amenorrhea, a Frasier syndrome, XY gonadal dysgenesis associated with renal failure with eventual development of gonadoblastoma. To study immunohistochemical analysis of gonadoblastoma and dysgerminoma. To analyze the possibility of androgen receptor mutation in this...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(02)00147-x
更新日期:2002-06-01 00:00:00
abstract::This article reviews typical symptoms of depression presented by adolescents in the reproductive care practice setting, provides an overview of the assessment process, and offers options for referral and/or treatment of this common, yet often unrecognized, mood disorder. Because females have a two-fold higher prevalen...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2007.04.010
更新日期:2007-12-01 00:00:00
abstract:STUDY OBJECTIVE:To document an unusual presentation of a pure Sertoli Cell tumor. DESIGN:Case report. RESULTS:We present a 10-year-old female who presented with abdominal pain and diarrhea with no symptoms of puberty. Surgical exploration revealed a metastatic pure Sertoli Cell tumor, which was treated with resection...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2007.04.009
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:Pregnancy prevention counseling addresses future goals as a motivator for contraceptive use, but this is often unsuccessful. This study investigated how adolescent females define success and whether they believe teen childbearing will be a barrier to their success. METHODS:A racially and ethnically diverse gro...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2013.12.009
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this paper is to further describe prepubertal distal longitudinal vaginal folds and its natural history. DESIGN:Biopsy of the folds and follow-up through puberty. RESULTS:Histology of the folds shows normal vaginal mucosa over loose fibrous connective tissue without a firm fibrous core. The f...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2007.10.001
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Acute lymphoblastic leukemia is a malignant disease of the bone marrow in which early lymphoid precursors proliferate and replace normal marrow hematopoietic cells, resulting in a marked decrease in the production of normal blood cells. CASE REPORT:We report a case of isolated ovarian relapse 7 years after ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2008.05.007
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To preliminarily study the feasibility of oocyte cryopreservation in postpubertal girls aged between 13 and 15 years who were at risk for premature ovarian failure due to the accelerated follicle loss associated with Turner syndrome or cancer treatments. DESIGN:Retrospective cohort and review of literature. ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2014.01.003
更新日期:2014-12-01 00:00:00
abstract:STUDY OBJECTIVE:To learn the relationship between X;autosome chromosome translocation and hypoplastic external genitalia. BACKGROUND:An X;autosome translocation usually presents with phenotypic features similar to Turner syndrome. PARTICIPANTS:We present three female siblings and their mother with X;autosome transloc...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1038-3188(99)00011-x
更新日期:1999-08-01 00:00:00
abstract:PURPOSE:Despite hypothesized relationships between lack of partner support during a woman's pregnancy and adverse birth outcomes, few studies have examined partner support among teens. We examined a potential proxy measure of partner support and its impact on adverse birth outcomes (low birth weight (LBW), preterm birt...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2013.08.002
更新日期:2014-02-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the racial/ethnic differences in the correlates of spontaneous and medically-indicated late preterm birth (LPTB), defined as deliveries between 34 0/7 and 36 6/7 weeks gestation, among US adolescents. DESIGN:Population-based, retrospective cohort study. SETTING:Births in the United Stat...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2016.08.004
更新日期:2017-02-01 00:00:00
abstract:STUDY OBJECTIVE:To develop and evaluate an educational activity designed to teach the adolescent Home, Education and employment, Eating, Activities, Drugs, Sexuality, Suicide/depression, and Safety (HEADS) examination. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Participants were third-year...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.11.003
更新日期:2018-04-01 00:00:00
abstract::Receiving the diagnosis of Primary Ovarian Insufficiency (POI) can be emotionally difficult and confusing for young girls and their families. Parents need assistance in knowing how to help their daughters understand and live with the diagnosis in a way that allows for healthy growth and development. This paper provide...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,病人教育讲义
doi:10.1016/j.jpag.2010.12.004
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:To assess resident physicians' clinical recognition skills in Pediatric and Adolescent Gynecology. MATERIALS:1) A questionnaire to identify demographic data and self-assessment as to the ability to perform a gynecologic evaluation of children. 2) Twenty color photographs of normal genitalia and common gynecolo...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(96)70004-9
更新日期:1996-02-01 00:00:00
abstract:STUDY OBJECTIVE:This study was designed to determine the prevalence and factors associated with vaginal douching among secondary school girls in a metropolitan city in Ogun State, Nigeria. DESIGN:A descriptive cross-sectional study was carried out using a semi-structured interviewer-assisted questionnaire adapted from...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2020.06.003
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Isolated tubal torsion in a premenarchal adolescent girl is a rare phenomenon. Preoperative diagnosis remains a challenge. CASE:A 14-year-old premenarchal girl, with a history of bilateral ovarian torsion treated by laparoscopic detorsion and oophoropexy two years prior, presented to the emergency room with...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2013.02.002
更新日期:2013-08-01 00:00:00