Abstract:
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.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Nandi P,Kramer M,Kottke Mdoi
10.1016/j.contraception.2018.11.007subject
Has Abstractpub_date
2019-03-01 00:00:00pages
175-178issue
3eissn
0010-7824issn
1879-0518pii
S0010-7824(18)30491-8journal_volume
99pub_type
杂志文章相关文献
CONTRACEPTION文献大全abstract::For women with a history of cervical insufficiency, treatment with transvaginal (TV) or abdominal (TA) cerclage is often recommended; however management of pregnancy complications necessitating uterine evacuation in the second trimester are challenging. We present a patient at 17 weeks 3 day gestation with preterm pre...
journal_title:Contraception
pub_type:
doi:10.1016/j.contraception.2020.01.013
更新日期:2020-05-01 00:00:00
abstract::The potent luteinizing hormone-releasing hormone (LRH) agonist D-Ser(TBU)6-EA10-LRH was administered in a daily subcutaneous dose of 5 or 25 microgram for 1, 3 or 5 consecutive days to twelve regularly menstruating women in the early follicular phase of the menstrual cycle in an attempt to disturb follicular maturatio...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(82)90016-6
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Barriers to intrauterine device (IUD) use in nulliparous women include fear of pain with insertion and provider perception of difficulty with insertion. The goal of this study was to evaluate whether misoprostol prior to IUD insertion in nulliparous women eased insertion and decreased pain. STUDY DESIGN:Thi...
journal_title:Contraception
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.contraception.2013.07.011
更新日期:2013-12-01 00:00:00
abstract::The possibility of permanent sterility following use of modern contraceptive agents is a concept which causes great concern amongst members of the lay public. However, a thorough review of the literature gives a great deal of reassurance on this topic. The combined oral contraceptive pill causes slight delay, and the ...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/0010-7824(82)90105-6
更新日期:1982-10-01 00:00:00
abstract::In an open study the acceptability of a newly designed vaginal ring was evaluated. The ring, being developed for contraceptive purposes, was made of Silastic and did not contain any medication. Three groups of 10 healthy female volunteers were selected after informed consent. The 6 nulliparous and 24 parous women were...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(90)90103-3
更新日期:1990-08-01 00:00:00
abstract::A cross-sectional descriptive study on knowledge, attitudes, and practice about emergency contraception (EC) was conducted among nurses and nursing students using a self-administered questionnaire. One-hundred-sixty-seven qualified nurses and 63 nursing students completed the questionnaire. Over 95% listed at least on...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(99)00023-2
更新日期:1999-04-01 00:00:00
abstract::Numerous non-comparative clinical trials of the Dalkon Shield appear to provide ample evidence that the Dalkon Shield was an effective IUD; they seem to yield little evidence that it was a dangerous device, nor markedly different from its contemporaries. Equating the performance of the Dalkon Shield IUD to that of the...
journal_title:Contraception
pub_type: 临床试验,杂志文章,meta分析,随机对照试验
doi:10.1016/0010-7824(93)90060-k
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVES:To examine trends and utilization patterns of NYC abortion services by nonresidents since growing abortion restrictions across many states could drive women to seek care in less restrictive jurisdictions including NYC. STUDY DESIGN:We used data from Induced Termination of Pregnancy certificates filed with t...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2019.05.008
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Medroxyprogesterone acetate (MPA), which increases high-density lipoprotein level, has not been used as a progestin in combination with estrogen in a transdermal patch to date. The aim of the research was to develop and evaluate a matrix-type transdermal drug delivery (TDD) system of a combination of ethinyl...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2011.03.005
更新日期:2011-11-01 00:00:00
abstract::Cyproterone acetate (CPA) was administered in a dose of 50 mg to 6 lactating women delivered by caesarean section. All women had to discontinue breast feeding the day before treatment. Prior to, and 3 and 9 hours after ingestion of the drug, plasma and milk specimens were taken. Total daily milk volume was recorded. C...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(80)90101-8
更新日期:1980-11-01 00:00:00
abstract:OBJECTIVES:To measure the 24-month impact on continuation, unintended pregnancy and satisfaction of trying long-acting reversible contraception (LARC) in a population seeking short-acting reversible contraception (SARC). STUDY DESIGN:We enrolled 916 women aged 18-29 who were seeking pills or injectables in a partially...
journal_title:Contraception
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.contraception.2018.02.001
更新日期:2018-06-01 00:00:00
abstract::The presence of medical conditions that might affect the use of depot-medroxyprogesterone acetate (DMPA) as a contraceptive method was assessed in a rural district in Nepal. A general health survey was conducted in nonpregnant and noncontracepting women aged 15-44 years to determine the presence of any health problems...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(99)00056-6
更新日期:1999-07-01 00:00:00
abstract::The results of a prospective longitudinal controlled study comparing the coagulation effects of a standard low-dose combined oral contraceptive (Microgynon 30), a desogestrel-containing pill (Marvelon) and a triphasic preparation (Triquilar) after one year's treatment in ethnic Chinese women is presented in this paper...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0010-7824(89)90116-9
更新日期:1989-04-01 00:00:00
abstract:BACKGROUND:This study was conducted to compare breast epithelial-cell proliferation and estrogen and progesterone receptor levels in women taking one of two oral contraceptives (OCs) containing the same dose of estrogen but different doses of the progestin norethindrone (NET). STUDY DESIGN:Thirty-three women were rand...
journal_title:Contraception
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.contraception.2011.12.015
更新日期:2012-09-01 00:00:00
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...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2004.11.003
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Within the setting of a UK community sexual health service, the cost-effectiveness of Implanon and oral contraception provision over a 36-month period was compared. STUDY DESIGN:A case-controlled retrospective cost-effectiveness study was done on a cohort of 493 Implanon users and 493 oral contraceptive use...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2008.11.003
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Including support staff in practice change initiatives is a promising strategy to successfully implement new reproductive health services. The Resident Training Initiative in Miscarriage Management (RTI-MM) is an intervention designed to facilitate implementation of manual vacuum aspiration (MVA) for managem...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2013.06.007
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:This study was conducted to evaluate the effect of levonorgestrel-releasing intrauterine devices (LNG-IUDs) on menorrhagia in patients receiving anticoagulant therapy after cardiac valve replacement. STUDY DESIGN:Forty women with menorrhagia who underwent cardiac valve replacement and were taking anticoagul...
journal_title:Contraception
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.contraception.2009.02.007
更新日期:2009-08-01 00:00:00
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...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0010-7824(93)90095-o
更新日期:1993-05-01 00:00:00
abstract::The study was conducted to profile women seeking abortions at the National University Hospital, with particular interest in the trend of teenage pregnancies with the aim of identifying risk factors for late presentation for abortions. All patients who underwent an abortion at our center from January 1, 1996 to Decembe...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(02)00317-7
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:The objective was to describe the efficacy of medical abortion using mifepristone and misoprostol for gestations less than 6 weeks. STUDY DESIGN:We searched PubMed and Cochrane databases for articles in any language that examined the success of mifepristone and misoprostol abortion at gestational ages <42 da...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2017.09.006
更新日期:2018-02-01 00:00:00
abstract::STS 557 (17 alpha-cyanomethyl-17 beta-hydroxy-estra-4.9(10)-diene-3-one) is a potent progestin. This compound was 10 times as potent as the standard levonorgestrel as judged by the classic Clauberg-McPhail Assay. The antiprogestational response is significant when STS 557 treatment starts 2 days before progesterone ad...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(80)90140-7
更新日期:1980-01-01 00:00:00
abstract::The continuation rate at the end of this five-year clinical study was 60% with no accidental pregnancy occurring throughout the five years. The post-removal conception rate in women desiring pregnancy was 92% at the end of two years. The majority of acceptors described the overall experience with the implants as favou...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(92)90139-k
更新日期:1992-01-01 00:00:00
abstract::The effect of propanolol hydrochloride (PH) and oxprenolol hydrochloride (OH) on ovulation was studied in mature rabbits. PH-treated animals did not accept mating and ovulation was suppressed after forced mating. 5 of 6 OH-treated animals refused mating. No implantation sites or corpora lutea were found in the anim...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(75)80036-9
更新日期:1975-07-01 00:00:00
abstract::Emergency contraception promises to reduce Mexico's high unwanted pregnancy and unsafe abortion rates. Because oral contraceptives are sold over-the-counter, several emergency contraceptive regimens are already potentially available to those women who know about the method. Soon, specially packaged emergency contracep...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(99)00088-8
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Detection of semen biomarkers in vaginal fluid can be used to assess women's recent exposure to semen. Quantitative tests for detection of prostate-specific antigen (PSA) perform well, but are expensive and require specialized equipment. We assessed two rapid immunochromatographic strip tests for identificat...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2010.02.022
更新日期:2010-09-01 00:00:00
abstract::Related to concerns about the role of obesity in the efficacy of contraceptive drugs, a review of the literature was carried out in regard to the pharmacokinetics of ethinyl estradiol and various progestins given by various routes of administration. Most studies show that obese women exhibit modestly lower plasma conc...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/j.contraception.2016.08.003
更新日期:2017-01-01 00:00:00
abstract::Barrier contraceptive trials and disease intervention studies often utilize coital diaries to measure sexual exposures: dates and frequency of intercourse, product use, additional or alternative contraceptive use, and menstrual bleeding. The validity of these self-reported data is a matter of debate, but if used, bett...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0010-7824(01)00183-4
更新日期:2001-03-01 00:00:00
abstract::A moderately effective oral progestogen contraceptive, R-2323 (13beta-ethyl-17alpha-ethynyl-17-hydroxy-gona-4,9,11-trien,3-one), was administered weekly in doses of 2.5 mg and 5 mg to 5 subjects each for 8 weeks. In 2 of the 10 treatment cycles of 2.5 mg and 4 of the 10 treatment cycles of 5 mg, progesterone levels i...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(74)90071-7
更新日期:1974-08-01 00:00:00
abstract:OBJECTIVES:Healthy People 2020 establishes objectives for reducing the proportion of pregnancies in the United States that are unintended and for improving contraceptive use. This analysis describes ways to more closely align measurement of contraceptive use with periods of risk for unintended pregnancy using the Natio...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2020.04.009
更新日期:2020-08-01 00:00:00