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Biomedical subjects

C F Roye

Publications and source records attributed to C F Roye.

10 recordsLinked to original sources
PubMed1998

Condom use by Hispanic and African-American adolescent girls who use hormonal contraception.

PURPOSE: The purpose of the present study was to examine condom use by teens who use hormonal contraceptives [i.e., Depo-Provera, Norplant, or oral contraceptives (OCs)]. METHODS: This is a cross-sectional study of 578 Hispanic and African-American female adolescents between the ages of 12 and 21 years who came to a reproductive health care clinic. A paper-and-pencil questionnaire which addressed sexual behaviors, sexual history, and communication about sexuality was distributed to adolescent girls attending the clinic. Several important analyses included only those who had been sexually active in the last 4 weeks (n = 452). RESULTS: Adolescents who used OCs [odds ratio (OR) 1.7], long-acting agents (i.e., Depo-Provera or Norplant) (OR 1.6), were less likely to have used a condom in the last 4 weeks than teens whose only method of birth control was condoms. Only those teens who had previously been diagnosed with a sexually transmitted disease (STD) were more likely to have used a condom (OR .67 for not using a condom). Overall, condom use by teens in this sample was low, with only 19% reporting that they "always" use a condom, and 47% of the teens who had been sexually active in the last 4 weeks reporting that they had not used a condom at least once during that time. CONCLUSIONS: This study provides data which suggest that adolescent girls who use hormonal contraceptives are less likely to use condoms than other sexually active teens. Therefore, when prescribing hormonal contraception to prevent pregnancy, clinicians must provide appropriate counseling to mitigate against the potential to increase the risk of STDs.

Adolescent↗
PubMed1996

The relationship of partner support to outcomes for teenage mothers and their children: a review.

This article reviews the literature on the relationship of partner support to outcomes for teenage mothers and their children. It discusses the changing alliance over time between men who father their babies and the young mothers and their children. This report considers both adults and adolescents who father children with adolescent women. The discussion focuses on the relationship between partner support and three outcomes for the mothers: educational outcomes, economic outcomes, and psychological well-being. The general association between partner support and the children's development is also examined. In addition, partner support is viewed within the context of the teenager's family system, providing a framework for assessing key features of support for teenage mothers. The article outlines suggestions for future research.

Adolescent↗
PubMed1992

Abnormal cervical cytology in adolescents: a literature review.

This article reviews the literature on the subject of cervical cytological abnormalities in teenagers, defined as a Papanicolaou (Pap) smear result more severe than inflammation. There is discussion of the increasing prevalence of this problem in adolescents. Behavioral and biologic risk factors are examined. The role of the human papillomavirus, widely believed to be the etiologic agent, is addressed. Atypia, its relationship to cervical malignancies, and its management are reviewed. The possible role of the human immunodeficiency virus in the increasing prevalence of cytological abnormalities in teens is considered.

Adolescent↗
PubMedDate not supplied

Pap smear screening for adolescents: rationale, technique, and follow-up.

Cervical cytologic abnormalities are increasingly prevalent in teenagers. Adolescents are at greater risk for cervical neoplasia than adult women because of the biologic changes occurring in the cervix during puberty, the prevalence of human papillomavirus, and the behavioral risk factors in this age group. Two behavioral risk factors are early age at first coitus and multiple sex partners. Human papillomavirus is widely believed to be the etiologic agent associated with the spectrum of cervical neoplasias. Papanicolaou smear technique, reporting, and management of abnormal smears in teens is explained.

Adolescent↗
PubMedDate not supplied

A qualitative assessment of condom use decisions by female adolescents who use hormonal contraception.

Young women who use hormonal contraception are at increased risk of HIV. This study, based on the Health Belief Model, was designed to understand how adolescent women who use hormonal contraceptives make decisions about condom use. Thirty-nine young, minority women participated in open-ended interviews. The interviews were transcribed and analyzed by both authors separately. The results suggest that barriers to condom use include use of a hormonal method of contraception, perceived trust in a partner, and a perception of the condom as "irritating." Facilitators for condom use included not being with a steady partner and fear of pregnancy and infection. The young women also suggested that being able to talk to their parents about condom use, having condoms widely available, and seeing HIV-prevention messages in many venues would increase their use of condoms. They noted that seeing young, HIV-positive women demographically similar to themselves would also prompt them to use condoms. Nurses should incorporate these factors into HIV-prevention interventions for adolescents.

Adolescent↗
PubMedDate not supplied

Evaluation of an intergenerational program for pregnant and parenting adolescents.

PROBLEM: Poor life outcomes for teenage mothers SUBJECTS: Young mothers (N = 65) several years after the birth of their first child. Half had mothers (called grandmothers) who attended the Teenage Mothers-Grandmothers program. METHODS: A long-term evaluation study of the effects of the Teenage Mothers-Grandmothers Program on outcomes for the teens. Instruments used: demographic questionnaire, the Rosenberg Self-Esteem Scale, the Arizona Social Support Inventory Schedule, and an open-ended questionnaire. FINDINGS: Teens whose mothers participated in the program were significantly less likely to drop out of school and had significantly better self-esteem. CONCLUSIONS & IMPLICATIONS FOR NURSING: Including the mothers of pregnant and parenting adolescents in programs can be beneficial.

Adolescent↗