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PubMed1993

Contraception choice and sexually transmitted disease.

Sexually active couples need to be concerned with the risk of sexually transmitted diseases (STDs) and how their choice of contraception influences that risk. Condoms provide the best documented protection against such pathogens as: gonorrhea, herpes simplex virus (HSV), hepatitis B, HIV, and chlamydia. Female dependent barrier methods also provide protection against most STDs and also possibly HIV. Most hormonal non-barrier contraceptives, although providing excellent protection against unwanted pregnancies, provide little protection against STDs. Oral contraceptive pills (OCP) may increase the risk of infection with human papillomavirus (HPV) and cervical infections of chlamydia. Individuals at high risk for both an unwanted pregnancy and an STD should be counseled to use both a hormonal and barrier contraceptive. Recently, nonoxynol-9 (N-9) and OCP use have been associated with an increase in HIV infection in African women at high risk for HIV. This association has not been found in other studies and currently does not outweigh the proven benefits of these contraceptive methods.

Choice Behavior↗
PubMed2003

Informed choice--the timing of postpartum contraceptive initiation.

BACKGROUND: In South Africa injectable progestogen-only contraceptives (IPC) are typically administered to women immediately after delivery. Several guidelines advise that breast-feeding women should not commence IPC until 6 weeks postpartum on the basis of theoretical risks to the infant. OBJECTIVE: We examined women's preferences regarding timing of postpartum IPC initiation, as well as women's contraceptive and breast-feeding behaviours and pregnancy risk in the early postpartum period. DESIGN AND DATA COLLECTION: A cross-sectional study was conducted among 200 antenatal clinic (ANC) attendees and 180 mothers attending a child health clinic (CHC). At the ANC, women were given information on the theoretical risks of IPC and re-interviewed about their postpartum contraceptive intentions. RESULTS: Most ANC women planned to use IPCs (92%) and to breast-feed (98%) after delivery. Most CHC mothers had used IPCs (91%) and had breast-fed (83%) after delivery. When women at the ANC were provided with appropriate information they made decisions about when to initiate IPC by balancing the theoretical risks of IPC to their infant against their personal risk of pregnancy and ability to return to a clinic in the early postpartum period. CONCLUSION: It is important to include informed choice in postpartum IPC initiation guidelines.

Adolescent↗
PubMed1980

Sexual experience, birth control usage, and sex education of unmarried Canadian university students: changes between 1968 and 1978.

Changes in coital experience, birth control usage, and sex education between 1968, 1971, 1974, and 1978 were studied in unmarried Canadian university students. The percentage of coitally experienced females increased from 32% in 1968 to 58% in 1978 and of males from 40% to 62%. There was no significant change between 1974 and 1978 for either sex, nor were there sex differences in coital experience in either year. Coitally experienced females were more likely to have had intercourse in the 3 months preceding both 1974 and 1978 surveys, but otherwise there were no sex differences in coital frequency, lifetime number of coital partners, or age at first intercourse. Religion was a more reliable indicator of coital experience in 1968 than in 1978. Males were more likely than females to report postpubertal sexual contacts which they classified as homosexual (16.5% vs. 7%) whereas 12-13% of both sexes reported no sexual contacts of any kind with another person. Contraceptive risk-taking was high at first intercourse and among those having infrequent coitus. However, both this group and more coitally active students were less likely to take such risks in 1978 than in 1968, almost entirely because of increased pill use. Coitally experienced vs. inexperienced students differed in their ranking of the major influences on their knowledge and attitudes about sex.

Abortion, Induced↗
PubMed2006

Working women and contraception: History, health, and choices.

Contraception is not a new concept. Historically, various contraceptive methods and practices have been used throughout the world. Contraception is often a topic of great interest to working women because family planning helps them balance work and home more effectively. Occupational health nurses can play a vital role in supporting these women by providing education regarding health, contraception, and contraceptive choices.

Choice Behavior↗
PubMed1985

Cognitive development and aspects of adolescent sexuality.

Difficulty with adjustment to sexuality by adolescents has been of increasing concern to both educators and human service professionals in recent years. The cognitive development and behavior of adolescents as it pertains to sexuality and the implications for helping them overcome maladaptive sexual behavior is discussed.

Adolescent↗