Abstract:
OBJECTIVES:This study investigated rates of discontinuation of the recently introduced injectable contraceptive depot medroxyprogesterone acetate (DMPA) and postdiscontinuation rates of unprotected intercourse and unintended pregnancy. METHODS:A sample of 402 low-income, urban, minority women were interviewed when they initiated DMPA use and 12 months later. RESULTS:The 12-month life-table discontinuation rate was 58%, with half of the discontinuers stopping after only one injection. Menstrual changes and other side effects were the most frequently cited reasons for discontinuation. Approximately half of the discontinuers at risk for unintended pregnancy either did not make the transition to another contraceptive or used contraception only sporadically. The cumulative unintended pregnancy rate by 9 months postdiscontinuation was 20%. CONCLUSIONS:DMPA initiators were at substantial risk for unintended pregnancy because most quickly discontinued use and did not make the transition to consistent use of another contraceptive.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Davidson AR,Kalmuss D,Cushman LF,Romero D,Heartwell S,Rulin Mdoi
10.2105/ajph.87.9.1532subject
Has Abstractpub_date
1997-09-01 00:00:00pages
1532-4issue
9eissn
0090-0036issn
1541-0048journal_volume
87pub_type
杂志文章abstract::Objectives. To determine if and how state and local public health departments present information about climate change on their Web sites, their most public-facing platform.Methods. We collected data from every functioning state (n = 50), county (n = 2090), and city (n = 585) public health department Web site in the U...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305723
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:The purpose of the study was to analyze overall and cause-specific mortality among injection drug users in Rome. METHODS:A cohort of 4200 injection drug users was enrolled in drug treatment centers from 1980 through 1988 and followed up until December 1992. RESULTS:The age-adjusted mortality rate from all ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.851
更新日期:1997-05-01 00:00:00
abstract::We examined associations of different levels of same-ethnicity neighborhood concordance with health care access and utilization among all Asian American, Chinese, Filipino, and Vietnamese adults (aged 18-64 years) using the 2005, 2007, and 2009 California Health Interview Survey and the 2010 US Census. Although associ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302275
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We examined the implications of the current recommended data collection practice of placing self-rated health (SRH) before specific health-related questions (hence, without a health context) to remove potential context effects, between Hispanics and non-Hispanics. METHODS:We used 2 methodologically comparab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301055
更新日期:2014-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.7.1083
更新日期:1999-07-01 00:00:00
abstract::Background. Transgender women (transwomen) in the United States have been shown to have high HIV risk with Black and Hispanic transwomen being particularly vulnerable. Growing research on transgender men (transmen) also shows increased HIV risk and burden, although not as much is known for this transgender population....
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
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更新日期:2019-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140632
更新日期:2010-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.10.1330
更新日期:1988-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.2.185
更新日期:1993-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2016-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305421
更新日期:2020-02-01 00:00:00
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journal_title:American journal of public health
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doi:10.2105/AJPH.2011.300523
更新日期:2012-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301658
更新日期:2014-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305646
更新日期:2020-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.059733
更新日期:2005-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.4.636
更新日期:2001-04-01 00:00:00
abstract::During a mass diphtheria-tetanus immunization campaign in November 1975, more than 220,000 doses of diphtheria-tetanus toxoid, adult type were administered to adults throughout Alaska. In Anchorage, where more than 87,000 doses were given, a survey was conducted to determine the frequency of side effects. Postcard que...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.3.246
更新日期:1979-03-01 00:00:00
abstract::As of April 1987, states were permitted to raise the speed limit on rural interstates to 65 mph without incurring federal sanctions; 38 states elected to do so in 1987. Fatality data for the months when the new limit was in effect in 1987 were compared with fatalities in the same months of 1982-86 on rural interstates...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.10.1392
更新日期:1989-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.033535
更新日期:2005-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2012-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.161638
更新日期:2009-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.10.989
更新日期:1978-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305211
更新日期:2019-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303708
更新日期:2017-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.9.1476
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:We estimated changes in children's insurance status (publicly insured, privately insured, or uninsured) and crowd-out rates during the 2007 to 2009 US recession in Ohio. METHODS:We conducted an estimate of insurance coverage from statewide, randomized telephone surveys in 2004, 2008, 2010, and 2012. We esti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302451
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:Healthy People 2010: Understanding and Improving Health lists 6 areas of disparity in minority health services: infant mortality, cancer, cardiovascular disease, HIV/AIDS, diabetes, and immunizations. This study compiles existing Asian American and Pacific Islander (AAPI) health data to establish a baseline....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.2093
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVES:We examined the impact of a change in New York tax law on the numbers of untaxed cigarettes bootlegged from Native American reservations and resold in the South Bronx. METHODS:Discarded cigarette packs were systematically collected in 30 randomized South Bronx census tracks before and after the amended tax ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302340
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:This study sought to investigate numerous reports emanating from Punta Arenas, Chile (population 110,000, latitude 53 degrees S), that associated acute ocular and dermatologic disease in humans and animals with excess ultraviolet-B (UV-B) exposure in the setting of the thinning of the ozone column. METHODS:...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.4.546
更新日期:1995-04-01 00:00:00
abstract::A fundamental problem with classifying agriculturally related injury is that there is neither a rational nor a comprehensive scheme for grouping incidents into categories describing actual exposures encountered on farms and in agricultural work. Current surveillance systems are unable to differentiate between work tha...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.5.736
更新日期:1993-05-01 00:00:00