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At least 487 records · Page 27Linked to original sources
PubMed2003

Maternal attitudes and values to youth sexuality-related activities in Delta State, Nigeria.

This descriptive study assessed maternal attitudes to youth-related activities in Delta State. Using an adapted questionnaire, 300 women with adolescent children were chosen through a multistage sampling technique and relevant data obtained regarding their socio-economic status, perceptions and values as well as their knowledge of basic reproductive health concerns. Most of the women interviewed (95%), believed it was very important that young people completed secondary education and another 72% said they would normally set rules in their homes regarding what young people should read or watch. Sixty-seven percent of those studied, discussed sexuality issues regularly with their adolescent children, though only 46.4% of them were comfortable discussing these issue and about 50% admitted having enough information in such discussions. Another 76% of the women would approve of their children receiving reproductive health information and service including contraceptive condoms. The mothers studied believed that guided reproductive health information and services should be routinely provided for young people. The findings strongly suggest that the mothers who are important stakeholders in Adolescent Health would most likely be supportive of youth programmes. Most of the findings differ from those of other studies, and a qualitative study would be carried out to identify the reasons for these interesting findings.

Adolescent↗
PubMed2002

A model of teen-friendly care for young women with negative pregnancy test results.

Sexually active adolescents, and especially those who receive negative pregnancy test results, are a self-identified group at particularly high risk for STIs and unintended pregnancies. Although reproductive health care alone will not totally prevent the occurrence of teen pregnancy and STIs, providing care that is accessible and designed to be teen-friendly will help diminish this area of health risk for hundreds of thousands of U.S. adolescents. Clinical interventions that are theoretically sound and based on research allow for the development of innovative, individualized, and evolving models of adolescent health care to address the needs of a challenging group of patients within a changing and competitive health care environment.

Adolescent↗
PubMed2004

Sexual and reproductive health: challenges for priority-setting in Ghana's health reforms.

Many countries are undertaking widespread structural change of their health sectors. There is mounting concern that priority-setting mechanisms used in planning the reforms are not suited to recognizing or taking account of the needs and priorities of sexual and reproductive health (SRH) services. The main aim of this research was to assess the sensitivity of the priority-setting tools and mechanisms used in the development of the health sector reforms in Ghana, to the needs and priorities of SRH services, and to consider how priority-setting mechanisms could be improved. We conclude that priority-setting tools in Ghana's reform process were rudimentary, and SRH donors and advocates were little involved. While it is tempting for a strong programme like Ghana's SRH programme to remain independent, we argue that closer involvement in system-wide reforms is a preferable long-term objective. Clearly, SRH priorities need safeguarding within a systems approach and we suggest a number of ways in which this can be achieved. Most importantly, the SRH community, in collaboration with the wider development community, needs to challenge current priority-setting mechanisms and the long-held view that traditional disease-ranking and cost-effectiveness measures are necessarily the best, most accurate way to measure health priorities. Traditional priority-setting tools do not adequately reflect the long-term benefits of preventive interventions such as family planning, and are therefore not an adequate reflection of holistic health sector planning needs. In response to this, there needs to be greater commitment from the international development and research communities to: (1) support collaboration between economists and reproductive health specialists to develop better measures for the effectiveness and impact of SRH services; and (2) in the interim, accept proxies for priority-setting which may include small-scale, qualitative research data combined with priorities identified by SRH specialists. To achieve this, the priority-setting processes need to become more inclusive and SRH specialists need to be proactive in their engagement with health sector decision-makers.

Ghana↗
PubMed2004

Decision making and referral prior to abortion: a qualitative study of women's experiences.

BACKGROUND: Despite abortion being one of the most common gynaecological procedures performed in the UK, significant regional variation exists in access to services. OBJECTIVE: This study explores women's experience of referral for abortion in three inner London boroughs to determine if services met their expectations. METHOD: In-depth interviews conducted with 21 women of varying ages, gestations and ethnicity, 3-9 weeks after termination of their pregnancy. The data were subjected to qualitative analysis. RESULTS: Most women had made a decision to proceed with abortion before approaching the health service, and expected non-judgmental support, information and prompt referral. We found variations in the extent to which these expectations were met. Delays in referral occurred when health professionals either required women to have more thinking time, referred them elsewhere for pregnancy testing or avoided discussing abortion. This was further compounded by difficulties in making appointments via the centralised telephone booking service. The brief counselling session offered to most women by the abortion providers, although helpful to some women, was viewed as unnecessary and intrusive by others. CONCLUSIONS: Most women seeking an abortion prefer not to discuss their decision but expect information and prompt referral. Delays in referral cause distress and later abortions and should be avoided. High-quality counselling should be targeted at those in need.

Abortion, Induced↗
PubMed2006

Female conduct disorder: health status in young adulthood.

PURPOSE: One of the risk factors for poor adult health may be adolescent antisocial behavior, especially in girls. This study was conducted to determine if negative young adult health outcomes in girls who previously had adolescent antisocial behavior could be explained by demographic factors and pre-existing health problems. METHODS: This 3-year longitudinal study recruited 93 girls, ages 15-17 years (52 with conduct disorder [CD]; 41 with no psychiatric illness [normal controls; NC]) from the community. Baseline interviews of girls and parents collected demographic, psychiatric, and medical history data. Three annual interviews collected data about medical problems, health care service utilization, and reproductive health. In addition, the final follow-up included a standardized self-report questionnaire about young adult health status. RESULTS: CD and NC groups did not differ in age, racial composition, social class, proportion of smokers, or drug and alcohol experimentation. They were qualitatively different in baseline medical histories. Controlling for age at follow-up and baseline medical problems, the CD group as young adults had worse overall health, more discomfort, higher rates of unhealthy habits, lower rates of healthy behaviors, and more pregnancies at earlier ages. There were no group differences in rates of disorders, injuries, or health care usage. CONCLUSIONS: Adolescent girls with CD as young adults have poorer overall health, more discomfort, more health risk behaviors, and earlier onset of adult reproductive behaviors, even when controlling for demographic factors and pre-existing health history. Clinical and research implications are discussed.

Adolescent↗