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Biomedical subjects

K R Hope

Publications and source records attributed to K R Hope.

9 recordsLinked to original sources
PubMed2001

Population mobility and multi-partner sex in Botswana: implications for the spread of HIV/AIDS.

For cultural and economic reasons, Botswana has one of the most mobile populations in the world. People move around the country frequently for employment opportunities and because of the nature of the settlement patterns. Also, there is extensive multi-partner sexual activity in the country. This study analyses the relationship between population mobility and multi-partner sex and their implications for the spread of HIV and AIDS in Botswana. The unit of analysis is a sample of 292 mobile working in rural and urban settings in four selected districts of the country.

Adolescent↗
PubMed1992

Child survival and health care among low-income African-American families in the United States.

This paper provides an assessment and analysis of the increasing rates of mortality among the children of low-income African-American families in the United States and the intensifying problem of improper health care that seems to have given rise to it. The paper first documents the nature and determinants of the problem and then addresses the issue of policy prescriptions for eradicating the dilemma. The primary problem underlying the health-care access of low-income African-Americans is that there is neither a system of universal entitlement that ties their health care in with the rest of the population nor an explicit and comprehensive strategy for care outside the dominant private system.

Adult↗
PubMed1991

Birth outcomes of prostituting adolescents.

In 1989, researchers at the University of Washington, Division of Adolescent Medicine, described the multifactorial risks of pregnancy for adolescents engaged in prostitution activities. Factors identified as placing this population at particular risk were transience, substance abuse, violence, sexually transmitted diseases, inadequate (or no) medical care, and poor nutrition. The relationship between such risks in the pregnant adolescent and poor birth outcome has been widely demonstrated. In this follow-up study, we describe the birth outcomes of 54 of the original sample of 61 prostituting adolescents who delivered infants between November 1987 and November 1989 in Seattle, Washington. The data were collected by retrospective chart review. Maternal factors evaluated were 1) age 2) ethnic group 3) substance abuse history 4) number of prenatal visits 5) maternal complications and 6) parity. The infant inpatient charts were reviewed for the following characteristics: 1) birth weight 2) occipitofrontal head circumference 3) length 4) Apgar scores and 5) neonatal complications. Results indicated high rates of maternal and infant complications with respect to: preterm birth (22%), precipitous delivery (15%), pregnancy-induced hypertension (16%), positive toxicology screens (28%), meconium staining (30%), infant hypertonicity (30%), and small for gestational age infants (14.5%).

Adolescent↗