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Biomedical subjects

S J Kunitz

Publications and source records attributed to S J Kunitz.

50 records · Page 3Linked to original sources

The use-effectiveness of two contraceptive methods in a Navajo population: the problem of program dropouts.

Navajo Indian intrauterine contraceptive device (IUD) and oral contraceptive users between 1966 and 1971 were followed up to estimate life table rates of complications and continuation. Because of high rates of dropping out, 41.6 per cent of 291 oral contraceptive users and 18.2 per cent of 534 IUD users, a 26 per cent sample survey of the dropout population was used to collate the dropout population data into the life table analysis. Estimates of the IUD continuation rates for one, two, and three years are similar to rates published elsewhere; however, continuation rates for the oral contraceptive are clearly lower than those for other populations, which only 33 per cent continuing after one year, 23 per cent after two years, and 12 per cent after three years. The IUD user is two to three times more successful than the oral contraceptive user in this population.

Adolescent↗

The changing distribution of disease in Regionville.

This survey is a partial replication study of a community with the fictitious name of Regionville which was first studied by Koos in the period 1946-50 (1). In the present paper, we are concerned only with that part having to do with the distribution of disease. Though differences in methods do not allow for a true replication, the indications are that social classes are much more similar in their reported experience of disability now than they were a generation ago. Sources of bias are examined, and it is suggested that differential perceptions of appropriate sick role behaviour may contaminate the findings. Moreover, the sample probably did not include a large enough number of the poverty-stricken population--which is a rather small proportion of the total population--to discover such differences as might in fact exist. It is concluded, however, that the findings do represent a real change in the distribution of disability in the population of Regionville.

Adolescent↗

Changing health care opinions in Regionville, 1946-1973.

This study is a partial replication study of a community with the fictious name of Regionville which was first studied by E. L. Koos in the period 1946-50. In the present paper, we are concerned principally with that part having to do with the changing health care beliefs in this community. The indications are that: 1) there has been considerably liberalization of opinion, particularly among upper class respondents, in terms of issues relating to national health insurance and the role of ancillary medical personnel such as social workers; and 2) social classes are much more similar in their perceptions of many medical care issues now than they were a generation ago. Finally, we suggest that the changing pattern of response of the questions asked in the late 1940s and again in the 1973 is reflective of profound changes in American life.

Attitude to Health↗