Reproductive health and mifepristone.
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A self weighted, 2 stage probability sample of households in greater Santiago was obtained to select women and men between 15 and 24 years of age in order to obtain information about knowledge of sexual aspects, sexual activity and use of contraception. 35% of females and 65% of males declared to have had premarital sexual intercourse. Mean age at first premarital coitus was 18 and 16 years for women and men, respectively. Partners were 3.5 years older for females and 2.5 years older for males. A steady boy friend was the most common first sexual partner for females. Only 20% of women and 19% of males used contraception at first coitus. Rhythm, pills and withdrawal were the most commonly used methods. Less than 4 coituses in the 2 months preceding the survey were declared by 75% of subjects. All women declared themselves monogamous; 8% of males acknowledged more than one sexual partner in the last month.
The United States has lagged behind other developed nations with respect to infant and maternal mortality. In the past decade, the disparities between races and socioeconomic groups has actually widened. In response, local initiatives have sought to decrease infant mortality by enrolling women into prenatal care programs. These programs have focused solely on pregnancy, despite evidence that access to family planning, abortion, and gynecologic care is necessary to reduce both infant and maternal mortality. These prenatal care initiatives thus miss the opportunity to have an impact on some of the major public health issues facing women.
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Family planning clinics have a special responsibility to educate patients about smoking hazards, since pill users, young mothers and mothers-to-be run high health risks if they smoke. The clinics agree, but their educational efforts vary.
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