Changing disparities in teen birth rates and repeat birth rates in Georgia: implications for teen pregnancy prevention.


OBJECTIVE:To understand teen birth trends in Georgia by racial and geographic factors. STUDY DESIGN:We analyzed overall birth and repeat teen birth rates by race, urban/rural status and adequacy of obstetric care from 2008 to 2016 using vital records from all Georgia counties. RESULTS:Overall birth rates among teens analyzed decreased dramatically in Georgia, from 45.63 births per 1000 teens in 2008-2010 to 26.28 per 1000 teens in 2014-2016. Repeat birth rates followed a similar decline, from 9.40 to 4.53 repeat births per 1000 teens over the same time period. These rates decreased in all subgroups of teens but to varying degrees. The difference in birth and repeat birth rates between black and white teens decreased fourfold during this time period, whereas the declines in these rates for teens living in rural versus urban counties and with inadequate versus adequate obstetric care were less pronounced. CONCLUSION:While remarkable reductions in teen birth and repeat birth rates have occurred since 2008, these declines have not been equally experienced by all groups of teens. IMPLICATIONS:Our analysis suggests that persistent disparities in teen birth and repeat birth rates exist, particularly in areas with limited or threatened access to reproductive health care. Applying targeted teen pregnancy prevention initiatives to these areas could help ensure equitable health and social outcomes for teens.






Nandi P,Kramer M,Kottke M




Has Abstract


2019-03-01 00:00:00














  • Disturbance of tryptophan metabolism and its correction during hormonal contraception.

    abstract::Blood pyrodoxine hydrochloride (vitamin-B6) concentration was determined in 50 women using combined oral contraceptives (OCs), 24 women who received an intramuscular injection of 150 mg medroxyprogesterone acetate (MPA) every 12 weeks, and in 14 women who used an intrauterine device (IUD) at the out-patient contracep...


    pub_type: 杂志文章


    authors: Bennink HJ,Schreurs WH

    更新日期:1974-04-01 00:00:00

  • Controversies in family planning: persistently elevated serum human chorionic gonadotropin levels after aspiration abortion.

    abstract::Low but rising serum human chorionic gonadotropin (hCG) levels occur infrequently after an induced abortion. Because this scenario rarely occurs after suction aspiration, clinicians may have higher suspicion for an uncommon diagnosis. The differential diagnosis includes both common and uncommon diagnoses, such as inco...


    pub_type: 杂志文章


    authors: Chen MJ,Pymar H,Creinin MD

    更新日期:2018-12-01 00:00:00

  • Contraceptive failure in the United States.

    abstract::This review provides an update of previous estimates of first-year probabilities of contraceptive failure for all methods of contraception available in the United States. Estimates are provided of probabilities of failure during typical use (which includes both incorrect and inconsistent use) and during perfect use (c...


    pub_type: 杂志文章,评审


    authors: Trussell J

    更新日期:2011-05-01 00:00:00

  • Pharmacodynamic effects of once-a-month combined injectable contraceptives.

    abstract::The pharmacology and clinical assessment of existing first generation once-a-month combined injectable contraceptives, mainly Deladroxate and Chinese Injectable No. 1, are reviewed. Although these two types of monthly injectables have been used in some million women in China and Latin America, Deladroxate needs indept...


    pub_type: 杂志文章,评审


    authors: Sang GW

    更新日期:1994-04-01 00:00:00

  • "And Isn't that the point?": pleasure and contraceptive decisions.

    abstract:OBJECTIVE:Previous survey research indicates that women and men experience reduced sexual pleasure when using condoms, especially compared to nonbarrier family planning methods. This study seeks to explore those experiences of reduced pleasure in-depth and how they affect contraceptive method decisions and use. STUDY ...


    pub_type: 杂志文章


    authors: Fennell J

    更新日期:2014-04-01 00:00:00

  • Postpartum unintended pregnancy and contraception practice among rural-to-urban migrant women in Shanghai.

    abstract:BACKGROUND:Rural-to-urban migrant women in Shanghai have poor reproductive health; the incidence of postpartum unintended pregnancy and contraceptive practices has not been adequately studied in this population. STUDY DESIGN:This retrospective study examined the incidence of postpartum unintended pregnancy and associa...


    pub_type: 杂志文章


    authors: Huang YM,Merkatz R,Kang JZ,Roberts K,Hu XY,Di Donato F,Sitruk-Ware R,Cheng LN

    更新日期:2012-12-01 00:00:00

  • Safety of hormonal contraception and intrauterine devices among women with depressive and bipolar disorders: a systematic review.

    abstract:BACKGROUND:Women with depressive or bipolar disorders are at an increased risk for unintended pregnancy. OBJECTIVE:To examine the safety of hormonal contraception among women with depressive and bipolar disorders. METHODS:We searched for articles published through January 2016 on the safety of using any hormonal cont...


    pub_type: 杂志文章,评审


    authors: Pagano HP,Zapata LB,Berry-Bibee EN,Nanda K,Curtis KM

    更新日期:2016-12-01 00:00:00

  • Emergency contraception in Jordan: Assessing retail pharmacists' awareness, opinions, and perceptions of need.

    abstract:OBJECTIVES:Jordan has a robust contraceptive method mix in both the public and private sectors and oral contraceptive pills and the copper-T intrauterine device are widely available. However, Jordan remains one of only a few countries in the world without a registered dedicated product for emergency contraception (EC)....


    pub_type: 杂志文章


    authors: El-Mowafi IM,Foster AM

    更新日期:2020-04-01 00:00:00

  • Can mifepristone medical abortion be simplified? A review of the evidence and questions for future research.

    abstract::Mifepristone medical abortion has been a valuable addition to the reproductive health options of women. Aspects of its provision have however sometimes limited its accessibility and use. This article summarizes existing evidence for simplifying the provision of medical abortion and thus increasing its availability. We...


    pub_type: 杂志文章,评审


    authors: Clark WH,Gold M,Grossman D,Winikoff B

    更新日期:2007-04-01 00:00:00

  • The effect of nitroglycerin on the IUD insertion experience in nulliparous women: a pilot study.

    abstract:OBJECTIVE:Concern about pain during placement of an intrauterine device (IUD) represents a barrier to use, especially among nulliparous women. We hypothesized that nitroglycerin gel applied vaginally 30 min prior to IUD placement would reduce insertion-related pain. STUDY DESIGN:We designed a randomized, double-blinde...


    pub_type: 杂志文章,随机对照试验


    authors: Micks EA,Jensen JT,Bednarek PH

    更新日期:2014-07-01 00:00:00

  • Hemostatic changes in women using a monthly injectable contraceptive for one year.

    abstract::The effect of consecutively injecting a one-a-month contraceptive (norethisterone enantate 50 mg with estradiol valerate 5 mg) for one year on haematological parameters was evaluated in 42 Chinese women. The healthy volunteers were randomly allocated to either the treatment group (22) or a control group (20). Blood sa...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Meng YX,Jiang HY,Chen AJ,Lu FY,Yang H,Zhang MY,Shen KY,Sun DL,Shao QX,Fotherby K

    更新日期:1990-10-01 00:00:00

  • Continuation of copper-containing intrauterine devices at 6 months.

    abstract:BACKGROUND:Intrauterine devices (IUDs) are highly effective at preventing pregnancy and cost-effective. Suboptimal continuation of IUDs places women at risk of unintended pregnancy. Little is known about prevalence or predictors of discontinuation of IUDs within the first 6 months. STUDY DESIGN:A retrospective cohort ...


    pub_type: 杂志文章


    authors: Garbers S,Haines-Stephan J,Lipton Y,Meserve A,Spieler L,Chiasson MA

    更新日期:2013-01-01 00:00:00

  • Is there an association between the use of oral contraception and depressive symptoms in young Australian women?

    abstract:PURPOSE:The purpose of this study was to explore the relationship between oral contraceptive pill (OCP) use and the experience of depressive symptoms among a representative sample of young Australian women. METHODS:The study sample comes from the Australian Longitudinal Study on Women's Health. Analysis was confined t...


    pub_type: 杂志文章


    authors: Duke JM,Sibbritt DW,Young AF

    更新日期:2007-01-01 00:00:00

  • Menses induction and second-trimester pregnancy termination using a polymeric controlled release vaginal delivery system containing (15S)15-methyl PGF2 alpha methyl ester.

    abstract::A polymeric controlled release vaginal delivery system was developed for 15(S)15-methyl PGF2 alpha methyl ester. This delivery system is a reservoir-type device consisting of laminated membranes that are mounted on an inert holder. The delivery systems were designed to have in vitro steady-state release rates of 50 or...


    pub_type: 杂志文章


    authors: Bygdeman M,Christenssen N,Gréen K,Vesterqvist O,Roseman TJ,Tuttle ME,Spilman CH

    更新日期:1983-02-01 00:00:00

  • Hormonal contraception, breastfeeding and bedside advocacy: the case for patient-centered care.

    abstract::Postpartum contraceptive decision making is complex, and recommendations may be influenced by breastfeeding intentions. While biologically plausible, concerns about the adverse impact of hormonal contraception on breast milk production have not been supported by the clinical evidence to date. However, the data have li...


    pub_type: 社论


    authors: Bryant AG,Lyerly AD,DeVane-Johnson S,Kistler CE,Stuebe AM

    更新日期:2019-02-01 00:00:00

  • Reference value of semen quality in Chinese young men.

    abstract::The purpose of the study was to evaluate semen quality in young Chinese men and to establish reference values. Normal healthy young men from seven geographical areas were enrolled. The study showed that the mean sperm volume was 2.61 mL, and mean percent of sperm with forward progression was 59.89, while median of sem...


    pub_type: 杂志文章


    authors: Junqing W,Qiuying Y,Jianguo T,Wei Y,Liwei B,Yuxian L,Yumei Z,Kangshou Y,Weiqun L,Lu C,Ersheng G

    更新日期:2002-05-01 00:00:00

  • Comparative in vitro spermicidal effects of (+/-)-gossypol, (+)-gossypol, (-)-gossypol and gossypolone.

    abstract::The comparative in vitro spermicidal effects of (+)-gossypol, (-)-gossypol and (+/-)-gossypol were evaluated on the spermatozoa of human, monkey, rabbit, mouse, rat and hamster. The spermicidal effects of gossypol isomers were also compared with those of gossypolone, which is a proposed major metabolite of gossypol. G...


    pub_type: 杂志文章


    authors: Kim IC,Waller DP,Marcelle GB,Cordell GA,Fong HH,Pirkle WH,Pilla L,Matlin SA

    更新日期:1984-09-01 00:00:00

  • The effects of Implanon on lipid metabolism in comparison with Norplant.

    abstract::This open, randomized study was intended to assess the effects of the new single-rod contraceptive implant (Implanon) containing etonogestrel on lipid metabolism in Indonesian women, in comparison with the six-rod implant Norplant, containing levonorgestrel. The effects of both products were compared with a control gr...


    pub_type: 临床试验,杂志文章,随机对照试验,收录出版


    authors: Suherman SK,Affandi B,Korver T

    更新日期:1999-11-01 00:00:00

  • IUD use among parous women and risk of uterine perforation: a secondary analysis.

    abstract:OBJECTIVE:The objective of the study was to determine if delivery and lactation are risk factors for complete intrauterine device perforations. STUDY DESIGN:We performed a reanalysis of the European Active Surveillance Study on Intra-Uterine Devices data set using complete penetration of the myometrium as the definiti...


    pub_type: 杂志文章


    authors: Heinemann K,Barnett C,Reed S,Möhner S,Do Minh T

    更新日期:2017-06-01 00:00:00

  • Intrauterine contraception with copper and with levonorgestrel: a randomized study of the TCu 380Ag and levonorgestrel 20 mcg/day devices.

    abstract::First year results of a randomized study of 1509 users of the Copper T380Ag with a silver core or of an IUD releasing 20 mcg day of levonorgestrel are reported. The cumulative gross pregnancy rate for each device was 0.3 per 100 at one year, with more than 490 women having one year of use with each device. The levonor...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Sivin I,Alvarez F,Diaz J,Diaz S,el Mahgoub S,Coutinho E,Brache V,Diaz MM,Faundes A,Pavez M

    更新日期:1984-11-01 00:00:00

  • Cyproterone acetate affects protamine gene expression in the testis of adult male rat.

    abstract::The temporal effects of oral administration of cyproterone acetate (CPA), a progestational androgen receptor blocker, were studied on the fertility of adult male rat sires, at a dose of 20 mg kg-1 day-1 after 15 days of gavage. The treatment reduced the fertility and weights of accessory sex glands, without altering t...


    pub_type: 杂志文章


    authors: Aleem M,Padwal V,Choudhari J,Balasinor N,Parte P,Gill-Sharma M

    更新日期:2005-05-01 00:00:00

  • Evaluation of sulprostone for second trimester abortions and its effects on liver and kidney function.

    abstract::Sulprostone was given intramuscularly in two dose schedules of 0.5 mg at 4 hourly intervals for 8 doses and 1.0 mg at 8-hour intervals for 4 doses to 56 women in the 12th-20th week of gestation coming for termination of pregnancy. Forty-nine of them aborted within the 30-hour observation period, giving a success rate ...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Ranjan V,Hingorani V,Kinra G,Agarwal N,Pande Y

    更新日期:1982-02-01 00:00:00

  • A cross-over study of three oral contraceptives containing ethinyloestradiol and either desogestrel or levonorgestrel.

    abstract::A randomised cross-over trial was performed to compare the pharmacodynamic actions of three low-dose oral contraceptives (OCs): Marvelon (150 micrograms desogestrel (DSG)+ 30 micrograms ethinyloestradiol (EE)), Mercilon (150 micrograms DSG + 20 micrograms EE) and Microgynon (150 micrograms levonorgestrel (LNG) + 30 mi...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Song S,Chen JK,Yang PJ,He ML,Li LM,Fan BC,Rekers H,Fotherby K

    更新日期:1992-06-01 00:00:00

  • Contraceptive sterilization use among married men in the United States: results from the male sample of the National Survey of Family Growth.

    abstract:BACKGROUND:Surgical sterilization has many advantages. Previous information on prevalence and correlates was based on surveys of women. STUDY DESIGN:We estimated the prevalence of vasectomy and tubal ligation of partners for male participants in the 2002 National Survey of Family Growth, a nationally representative su...


    pub_type: 杂志文章


    authors: Anderson JE,Warner L,Jamieson DJ,Kissin DM,Nangia AK,Macaluso M

    更新日期:2010-09-01 00:00:00

  • Pilot trial of a gonadotropin hormone agonist with replacement hormones as a prototype contraceptive to prevent breast cancer.

    abstract::Combination oral contraceptive (COC) users have reduced risks of ovarian and endometrial cancer, but COCs have not reduced breast cancer risk. We have previously argued that a hormonal contraceptive with substantially lower doses of sex-steroids should reduce breast cancer risk by decreasing the breast epithelial cell...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Spicer DV,Pike MC,Pike A,Rude R,Shoupe D,Richardson J

    更新日期:1993-05-01 00:00:00

  • Weight change with oral contraceptive use and during the menstrual cycle. Results of daily measurements.

    abstract::Although weight gain is among the most common complaints of women using oral contraceptives (OC) and a frequent reason for discontinuation, studies demonstrate little basis for this perception. We explored this issue by analyzing the daily weights of 128 women during four cycles of triphasic OC use. The mean weight at...


    pub_type: 临床试验,杂志文章


    authors: Rosenberg M

    更新日期:1998-12-01 00:00:00

  • Gestational dating using last menstrual period and bimanual exam for medication abortion in pharmacies and health centers in Nepal.

    abstract:OBJECTIVE:To evaluate whether conducting a bimanual examination prior to medication abortion (MAB) provision results in meaningful changes in gestational age (GA) assessment after patient-reported last menstrual period (LMP) in Nepal. STUDY DESIGN:Women ages 16-45 (n=660) seeking MAB at twelve participating pharmacies...


    pub_type: 杂志文章


    authors: Averbach S,Puri M,Blum M,Rocca C

    更新日期:2018-10-01 00:00:00

  • Progestogen-only contraceptive use among women with sickle cell anemia: a systematic review.

    abstract::The use of progestogen-only contraceptives among women with sickle cell anemia has generated concerns about possible hematological and other clinical complications. Based on the literature, we assessed whether use of progestogen-only contraceptives is associated with adverse health effects among women with sickle cell...


    pub_type: 杂志文章,评审


    authors: Legardy JK,Curtis KM

    更新日期:2006-02-01 00:00:00

  • The effects of progesterone and progestins on endometrial proliferation.

    abstract::A total of 99 premenopausal and 27 postmenopausal women were evaluated to determine the quantity of glandular proliferation resulting from progestin inhibition of estrogen-primed subjects and of subjects without hormonal stimulation. Endometrial glandular proliferation rates were determined by using mitosis counts, pr...


    pub_type: 杂志文章


    authors: Moyer DL,Felix JC

    更新日期:1998-06-01 00:00:00

  • Results and lessons learned from a small medical abortion clinical study in Turkey.

    abstract::This article presents results from a small, introductory clinical study offering a simplified regimen medical abortion to women in Turkey. A total of 208 women from five sites were recruited from July 2000 through March 2001. All eligible consenting women were given 200 mg oral mifepristone at the clinic followed by 4...


    pub_type: 杂志文章


    authors: Akin A,Blum J,Ozalp S,Onderoğlu L,Kirca U,Bilgili N,Koçoğlu G,Philip N,Winikoff B

    更新日期:2004-11-01 00:00:00