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Biomedical subjects

J Boggess

Publications and source records attributed to J Boggess.

7 recordsLinked to original sources
PubMed1997

Risk factors for adult paternity in births to adolescents.

OBJECTIVE: To examine the risk factors for adult (aged 20 years and older) paternity in births to teenagers (14-17 years of age). METHODS: This was a population-based, retrospective cohort analysis of 27,215 adolescent mothers residing in California who had a live singleton birth during 1993. Adjusted risks for adult paternity by paternal and maternal characteristics were derived from comparisons of adult-teen and teen-teen couples. RESULTS: Adult fathers, who were responsible for 49.2% of births to teenage mothers, were a mean of 6.4 years older than the mother. The most important risk factors for adult paternity were as follows: father's (odds ratio [OR] 5.19; 95% confidence interval [CI] 4.43, 6.08) or mother's (OR 1.33; 95% CI 1.14, 1.55) educational attainment of at least 3 years lower than expected for their age, two or more previous live births (OR 3.34; 95% CI 2.48, 4.53), mother's birthplace outside the United States (OR 2.33; 95% CI 2.11, 2.58), father's (OR 2.16; 95% CI 1.98, 2.36) or mother's (OR 1.28; 95% CI 1.15, 1.42) educational attainment 1-2 years lower than expected for their age, one previous live birth (OR 1.92; 95% CI 1.75, 2.12), and Asian (OR 1.29; 95% CI 1.04, 1.62) or African American race (OR 1.25; 95% CI 1.06, 1.46) of the father. CONCLUSIONS: Teenage pregnancy prevention programs must address adult paternity, which contributed to almost half of the births in our study. These programs should consider education adequacy, cultural beliefs and practices, previous live births, and race and ethnicity when designing programs to decrease the number of adults involved in teenage births.

Adolescent↗
PubMed1994

Nurse practitioners.

Explore the source record for details and available documents.

Attitude of Health Personnel↗
PubMed1982

Immature male and adult male interactions in bisexual langur (Presbytis entellus) troops.

One bisexual troop of langurs (Presbytis entellus) was intensively investigated for 32 months at the Junbesi-Ringmo study site in Nepal. Observations occurred during three separate studies and span a period of 6 years. All members of the study troop could be individually recognized throughout the three studies. During this investigation data were collected on immature male (from birth to 5 years of age) social relations with adult males. Social relations between these two classes of males varied both in type and in frequency of behaviors displayed. During the first study, when the troop was predominantly multi-male, young males directed various tense behaviors toward adult males. Monthly rates of occurrence of such behaviors fluctuated and showed a positive correlation with rates of agonistic behaviors between adult males. In contrast, interactions between the adult and immature males were considerably more relaxed during the second and third studies when the troop had but 1 adult male. Based on the results of these studies, and data evaluated from other studies of P. entellus, it is hypothesized that the frequency and patterning of interactions between adult males affect adult male relations with young males.

Age Factors↗
PubMed1982

The implementation of model standards in local health departments.

Four local health departments in California tested a process of state/local negotiations for the purpose of implementing model standards in community preventive health services. The standards, which covered five program areas, had been developed by a collaborative work group of representatives from the United States Conference of City Health Officers, the National Association of County Health Officials, the Association of State and Territorial Health Officials, the American Public Health Association, and the US Department of Health, Education, and Welfare. Evaluation of the project indicates that the success of the negotiation transactions and results varied, both among local health departments and program areas. A number of factors have been identified as influencing the negotiations, including the availability of baseline data, the extent to which individual programs are currently affected by required standards of performance, and health department attitude toward the project. The future utility of this model is considered within the broader context of changes now occurring in the financing and organization of public health within the United States. Project findings suggest that the Model Standards negotiations could provide state and local levels of government with a valuable management tool for determining health care priorities and generating objective programmatic data for budget justification.

Attitude of Health Personnel↗
PubMed1979

Troop male membership changes and infant killing in langurs (Presbytis entellus).

Almost all studies of Presbytis entellus have resulted in observations of troop male membership changes. Reports from three studies indicate that in some cases troop male membership change occurs through rapid and complete adult male replacement with attendant infant mortality. Data from other investigations of P. entellus show or suggest a different pattern of troop male membership change with no infant mortality. The phenomena of infant killing and rapid male replacement are evaluated on the basis of review of data from ten P. entellus studies. While these and my own data indicate that male social instability (i.e. frequent changes in troop male membership) is species-typical for P. entellus, they do not support the hypothesis that infant killing represents part of an evolved male reproductive strategy.

Aggression↗
PubMedDate not supplied

A profile of the adolescent male family planning client.

CONTEXT: Family planning programs and policies increasingly focus on the male partner's roles and responsibilities in contraceptive decision-making and use. To effectively tailor services for males, policymakers and providers must refine their understanding of men's psychosocial and reproductive health needs. METHODS: Using self-administered questionnaires, 1,540 sexually active males aged 19 and younger who attended family planning clinics in California provided information about their sexual behavior, contraceptive use, pregnancy and parenting history, and psychosocial characteristics. Logistic regression was used to examine factors that contributed to effective contraceptive use. RESULTS: Although 73% of participants reported having used a birth control method at first intercourse, only 59% said that they or their partner had used an effective method at last intercourse, and 35% had used no method. If the client was uncomfortable with his method, the odds that he had used an effective method at last intercourse were reduced (odds ratio, 0.4). The likelihood of use at last intercourse was increased among males who agreed with their partner about their method and those who had never impregnated a partner (1.4 and 1.9, respectively). CONCLUSIONS: To adequately serve young males, clinics must take into account their sexual and contraceptive histories. But screening should go beyond traditional family planning techniques to discuss how to improve communication with partners and other lifestyle issues that may interfere with consistent use.

Adolescent↗