Document Detail


Failure of family-planning referral and high interest in advanced provision emergency contraception among women contacted for STD partner notification.
MedLine Citation:
PMID:  14969673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Few data are available on the risk of unintended pregnancy in women with STD or how contraceptive services can be integrated into STD control activities. OBJECTIVE: To define the risk for unintended pregnancy and assess the effectiveness of family-planning (FP) referral and interest in advanced provision emergency contraception (APEC) among women with gonorrhea or chlamydial infection. METHODS: Female participants in a randomized trial of different approaches to partner notification were interviewed, offered referral for FP services and asked if they would want APEC. RESULTS: Among participants ages 14-24, the observed past pregnancy rate and age-adjusted anticipated past pregnancy rate were, respectively, 196 and 72 per 1000 women-years. Of 474 nonpregnant participants who did not desire pregnancy, 127 (34%) were using no contraception or condoms alone, of whom 8 (6%) requested a FP appointment and 81% wanted APEC. CONCLUSIONS: Women treated for STD are at high-risk for unintended pregnancy. Although referral for FP was ineffective, interest in APEC was very high.
Authors:
Matthew R Golden; William L H Whittington; H Hunter Handsfield; Agnes Clark; Cheryl Malinski; Jennifer R Helmers; Matthew Hogben; King K Holmes
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Contraception     Volume:  69     ISSN:  0010-7824     ISO Abbreviation:  Contraception     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-02-18     Completed Date:  2004-06-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0234361     Medline TA:  Contraception     Country:  United States    
Other Details:
Languages:  eng     Pagination:  241-6     Citation Subset:  IM    
Affiliation:
Division of Infectious Diseases and the Center for AIDS and STD, Harborview Medical Center, University of Washington, Box 359777, 325 9th Avenue, Seattle, WA 98104-2499, USA. golden@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Contact Tracing*
Contraception Behavior / statistics & numerical data*
Emergencies
Family Planning Services / methods*,  standards
Female
Humans
Interviews as Topic
Logistic Models
Pregnancy
Pregnancy, Unwanted*
Questionnaires
Sexually Transmitted Diseases / prevention & control*
Grant Support
ID/Acronym/Agency:
AI31448/AI/NIAID NIH HHS; K23 AI01846-02/AI/NIAID NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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