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Knowledge of students in higher education regarding contraceptionKitshoff, Carine 12 1900 (has links)
Thesis (MCur (Interdisciplinary Health Sciences. Nursing Science))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: South Africa’s Department of Health has stated that knowledge about contraception and reproduction is
generally poor, mentioning the substantial uncertainty and misperceptions concerning contraception
(Department of Health, 2003:10). Students in higher education institutions are presumed to have a
generally higher level of awareness of accessible methods regarding contraception and emergency
contraception, but the request rate for the termination of pregnancy among students in higher education
remains high (Roberts et al., 2004:441). The researcher identified a need for a study to assess students’
knowledge of contraception and emergency contraception. The goal of this study was to explore the
scope of undergraduate students’ knowledge on the matter and to determine to what extent students
make use of contraception and emergency contraception. In this study a quantitative approach with an
explorative-descriptive research design was applied.
The target population of this study included all the full-time undergraduate students at a particular
university in South Africa (N=15 872). A non probability, convenience sample was used to select a
sample size of 200 undergraduate students at the particular university. Reliability and validity were
assured by means of a pilot test conducted over a period of two weeks. The researcher personally
collected the data which was gathered by means of self-administered questionnaires. Ethical clearance
for this study was obtained from the University Health Research Ethics Committee. As university
students were involved this study, consent was also obtained from the university’s Director of
Institutional Research.
The raw data was entered on a Microsoft Excel spreadsheet. A statistician from the University Centre
for Statistical Consultation was consulted regarding the analysis of the data by making use of Statistica
version 9-software. Quantitative data was presented in histograms and tables, while qualitative data
was analysed by means of Tesch’s approach. The overall conclusion was that students at a higher
education institution generally had a sound knowledge of contraception, but that their knowledge of
emergency contraception was poor. The overall recommendation was that students should be provided
with accurate, specific information regarding contraception and emergency contraception, and that this
information would need to be user friendly, easily accessible and widely available in order to decrease
students’ misperceptions about contraception. / AFRIKAANSE OPSOMMING: Suid-Afrika se Departement van Gesondheid het die stelling gemaak dat kennis oor kontrasepsie en
voortplanting oor die algemeen gebrekkig is en dat daar baie onsekerheid en wanopvattings oor
kontrasepsie bestaan (Department of Health, 2003:10). Studente aan hoëronderwysinstellings is
veronderstel om ‘n algemene hoër vlak van bewustheid te hê omtrent toeganklike metodes van
kontrasepsie en noodkontrasepsie, maar die aantal versoeke vir die terminasie van swangerskappe is
steeds hoog onder hoëronderwysstudente (Roberts et al., 2004:441). Die navorser het die behoefte
geïdentifiseer aan `n studie om studente se kennis betreffende kontrasepsie en noodkontrasepsie te
bepaal. Die doel van die studie was om die omvang van studente se kennis te ondersoek en vas te stel
tot watter mate voorgraadse studente van kontrasepsie en noodkontrasepsie gebruik maak. In hierdie
studie is ‘n kwantitatiewe benadering met ‘n ondersoekend-beskrywende navorsingsontwerp gevolg.
Die teikenpopulasie van die studie het alle voltydse voorgraadse studente aan ‘n Universiteit in die
Wes-Kaap (N=15 872) ingesluit. ‘n Niewaarskynlike, gerieflikheidsteekproef is gebruik om ‘n
steekproefgrootte van 200 uit die voorgraadse studente van die betrokke universiteit te selekteer.
Betroubaarheid en geldigheid is deur ‘n loodsstudie verseker. Die loodsstudie het oor ‘n periode van
twee weke plaasgevind. Die navorser het die data wat deur middel van self-geadministreerde vraelyste
ingewin is, persoonlik ingesamel. Etiese toestemming vir die studie is van die universiteit se Etiese
Komitee vir Gesondheidsnavorsing verkry. Aangesien universiteitstudente by die studie betrokke was,
is toestemming ook van die Direkteur van Institusionele Navorsing van die betrokke universiteit
bekom.
Die rou data is op ‘n Microsoft Excel werkblad ingevoer. ‘n Statistiese ontleder van Stellenbosch
Universiteit se Sentrum vir Statistiese Konsultasie is geraadpleeg omtrent die analise van data met
behulp van Statistica weergawe 9-sagteware. Kwantitatiewe data is voorgestel deur histogramme en
tabelle, en die kwalitatiewe data is geanaliseer deur middel van Tesch se benadering. Die
hoofbevindinge was dat studente aan ‘n hoëronderwysinstelling se kennis van kontrasepsie oor die
algemeen goed was, maar dat hulle nie voldoende kennis oor noodkontrasepsie gehad het nie. Die
hoofaanbeveling was dat studente voorsien moet word van akkurate, spesifieke inligting rakende
kontrasepsie en noodkontrasepsie, en dat die inligting verbruikersvriendelik, maklik toeganklik en wyd
beskikbaar moet wees om studente se wanopvattings ten opsigte van kontraseptiewe middels te
verminder.
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Contraceptive knowledge and practices among students in federal polytechnic Kaduna, Nigeria : an exploratory studyZaggi, Hilary Yacham 12 1900 (has links)
Thesis (MA)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: The Population Reference Bureau (PRB) in 2011 reported a low rate of contraceptive use among Nigerian youths at 29%, despite reported high rates of sexual activity and increased awareness of the existence of contraceptive methods. This exposes the youths to the risk of contracting sexually transmitted infections and the effects associated with unwanted pregnancy. From a social constructionist standpoint, I used a mixed method research design to explore contraceptive knowledge and practices among students (18 to 25 years of age) at the Federal Polytechnic Kaduna.
I see students’ attitudes towards contraception as being historically and culturally located and dependent on the prevailing cultural arrangement at that period. I thus distance myself from the position of the Health Belief Model (HBM) by recognising that individuals’ attitudes towards contraception is not only informed by the perceived benefits of contraceptive use but also by certain external social factors which could serve as barriers to the individual’s decision to use contraceptives. I collected data from 187 students out of a sample of 200 who had been systematically selected from the Departments of Mass Communication and Architecture at the polytechnic between August and September 2013. In addition, I conducted fifteen follow-up semi-structured interviews with students and three key informant interviews; two staff at the polytechnic clinic and one private pharmacist close to the polytechnic.
Similar to other Nigerian studies among tertiary students, there is a relatively high level of sexual activity as well as high level awareness of contraceptive methods among students; however, they lack sufficient knowledge of how contraceptives function. Contraceptive use among sexually active students was also low either due to negative attitudes towards contraceptives resulting from inadequate or incomplete contraceptive information from friends or due to lack of easy access to contraceptive methods by students, partners’ influence or influences from cultural, including religious, beliefs and practices, thereby making students vulnerable to the risk associated with unprotected sex. There is therefore the need for interventions by relevant stakeholders that will seek to provide adequate information to students and develop in them positive attitudes towards contraceptive use. / AFRIKAANSE OPSOMMING: In 2011 het Nigerië se Bevolkingsverwysingsburo (PRB) ’n lae gebruikskoers van kontrasepsiemiddels (29%) onder Nigeriese jeugdiges gerapporteer, afgesien van die hoë koers van seksuele aktiwiteit en verhoogde bewustheid oor die bestaan van kontrasepsiemetodes. Dit stel jongmense bloot aan die risiko om seksueel-oordraagbare infeksies op te doen, sowel as aan die negatiewe gevolge wat met ongewensde swangerskap gepaard gaan. Vanuit ’n sosiaal-konstruksionistiese standpunt het ek ’n gemengdemetodenavorsingsontwerp gebruik om kennis oor voorbehoedmiddels en gebruike onder studente (18 tot 25 jaar oud) aan die Federal Polytechnic Kaduna (’n politegniese tersiêre instelling) in noordelike Nigerië te ondersoek.
Ek beskou studente se ingesteldheid jeens kontrasepsie as histories- en kultuurgefundeerd en onderworpe aan die heersende kulturele reëlings van die tydperk. Ek distansieer my dus van die posisie van die gesondheidoortuigingsmodel (HBM) deur erkenning te gee aan die feit dat individue se ingesteldheid jeens kontrasepsie nie net deur die waargenome voordele van kontrasepsiegebruik ingelig word nie, maar ook deur bepaalde eksterne maatskaplike faktore wat struikelblokke kan skep by ’n individu se besluit om kontrasepsiemiddels te gebruik. Tussen Augustus en September 2013 het ek data van 187 studente uit ’n steekproef van 200, wat stelselmatig in die Departement Massakommunikasie en Argitektuur aan die Politegniese skool gedoen is, versamel. Verder het ek vyftien semigestruktureerde opvolgonderhoude met studente gevoer, asook drie sleutelinformantonderhoude, waaronder twee met personeellede by die Politegniese kliniek en een met ʼn privaat apteker in die omgewing van die Politegniese skool. Soortgelyk aan ander Nigeriese studies onder tersiêre studente het ek gevind dat ofskoon daar ’n relatief hoë seksueleaktiwiteitsvlak, asook ’n hoë bewustheidsvlak van kontrasepsiemetodes onder studente bestaan, die meeste studente onvoldoende ingelig was oor hoe kontrasepsiemiddels regtig werk. Daar is ook gevind dat kontrasepsiegebruik onder seksueel-aktiewe studente weens verskeie faktore redelik laag was, ingesluit negatiewe ingesteldhede oor kontrasepsiemetodes as gevolg van onvoldoende of onvolledige kontrasepsie-inligting (wat hoofsaaklik van vriende bekom is); ’n gebrek aan maklike toegang tot kontrasepsiemetodes; beïnvloeding deur seksmaats; asook invloede vanweë kulturele oortuigings en gebruike, met inbegrip van geloof. Die gevolg is dat studente kwesbaar is vir die risiko’s wat met onbeskermde seks gepaard gaan. Daar bestaan dus ’n behoefte aan intervensies deur die betrokke belanghebbendes wat studente van voldoende inligting sal voorsien en positiewe ingesteldhede oor die gebruik van kontrasepsiemiddels by studente sal kweek.
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A study of the molecular mechanism of progestin-induced regulation of IL-12 and IL-10 and implications for HIV pathogenesisLouw, Renate 03 1900 (has links)
Thesis (PhD)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: Medroxyprogesterone acetate (MPA) and norethisterone (NET) and its derivatives (norethisterone
enanthate (NET-EN); norethisterone acetate (NET-A)), designed to mimic the actions of the
endogenous hormone progesterone (Prog), are extensively used by women as contraceptives and in
hormone replacement therapy (HRT). A number of reports have indicated that these synthetic
progestins affect immune function in the female genital tract thereby increasing the risk of acquiring
sexual transmitted infections. Despite these findings, very little is known about their mechanism of
action at the cellular level, in particular their steroid receptor-mediated effects on cytokine gene
expression. In the first part of this thesis, the effect of Prog, MPA and NET-A on the expression of
the endogenous pro-inflammatory cytokine gene, interleukin (IL)-12p40, and anti-inflammatory
cytokine gene, IL-10, was investigated in a human ectocervical epithelial cell line, Ect1/E6E7.
Quantitative realtime PCR (qPCR) showed that all three ligands significantly upregulated the tumor
necrosis factor alpha (TNF )-induced IL-12p40 gene expression, while IL-10 gene expression was
downregulated. Moreover, by reducing the glucocorticoid receptor (GR) levels with siRNA, these
effects were shown to be mediated by the GR. A more detailed investigation into the molecular
mechanism of the progestogen-induced upregulation of IL-12p40 gene expression, using chromatin
immunoprecipitation (ChIP), siRNA, co-immunoprecipitation and re-ChIP analyses, showed that
the progestogen-bound GR is recruited to the CCAAT enhancer binding protein (C/EBP)-
regulatory element of the IL-12p40 promoter, most likely via an interaction with the transcription
factor C/EBP . Similar experiments for the progestogen-induced downregulation of IL-10 gene
expression showed that the progestogen-bound GR is recruited to the signal transducer and activator
of transcription (STAT)-3 regulatory element of the IL-10 promoter, most likely via an interaction
with the transcription factor STAT-3. The second part of this study elucidated the influence of the
HIV-1 accessory viral protein R (Vpr) on progestogen-induced regulation of IL-12p40, IL-12p35
and IL-10 in the Ect1/E6E7 cell line. Results showed that in these cells, the overexpression of Vpr
significantly modulated the effects of Prog, MPA and NET-A on the mRNA expression of IL-
12p40 and IL-10, while only the NET-A effect was modulated on IL-12p35. Moreover, reducing
the GR protein levels by siRNA suggested that the GR is required by Vpr to mediate its effects.
Taken together, these results show that Prog, MPA and NET-A promote the pro-inflammatory
milieu in the ectocervical environment, and that during HIV-1 infections, this milieu is modulated.
Furthermore, the results suggest that the use of MPA or NET in vivo may cause chronic
inflammation of the ectocervical environment, which may have important implications for
ectocervical immune function, and hence susceptibility to infections such as HIV-1. / AFRIKAANSE OPSOMMING: Medroksieprogesteroon asetaat (MPA), noretisteroon (NET) en derivate daarvan noretisteroon
enantaat (NET-EN); noretisteroon asetaat (NET-A), ontwerp om die funksies van die natuurlike
hormone progesteroon (Prog) na te boots, word wêreldwyd deur vroue as voorbehoedmiddels sowel
as vir hormoon vervangingsterapie (HVT) gebruik. Daar is verskeie aanduidings dat hierdie
sintetiese progestiene die immuunfunksie in die vroulike geslagskanaal kan beïnvloed en ook die
moontlike vatbaarheid van seksueel oordraagbare infeksies kan verhoog. Ten spyte hiervan, is baie
min bekend oor hulle meganisme van werking op ‘n molekulêre vlak, veral in die besonder hul
effek op sitokinien geenuitdrukking. Die effek van Prog, MPA en NET-A op die geenuitdrukking
van ’n endogene pro-inflammatoriese sitokinien, interleukin (IL)-12, en ’n anti-inflammatoriese
sitokinien, IL-10, asook die onderliggend meganisme van werking, in ’n menslike ektoservikale
sellyn, Ect1/E6E7, is in die eerste deel van hierdie studie ondersoek. Kwantitatiewe “realtime”
polimerisasie ketting reaksie (PKR) het getoon dat al drie die ligande die tumor nekrosis faktor alfa
(TNF- )-geïnduseerde IL-12p40 geenuitdrukking opreguleer en IL-10 geenuitdrukking onderdruk.
Verder is gevind dat induksie van IL-12p40 en inhibisie van IL-10 deur Prog, MPA en NET-A deur
die glukokortikoïed reseptor (GR) gedryf word, aangesien volledige opheffing van die effekte op
hierdie sitokinien gene waargeneem is wanneer die GR proteïen vlakke deur middel van kort
inmengende ribonukleïensuur (siRNS) verminder is. 'n Meer beskrywende ondersoek in die
molekulêre meganisme is uitgevoer deur gebruik te maak van chromatien immunopresipitasie
(ChIP), siRNS, mede-immunopresipitasie en her-ChIP analises. Hierdie resultate het voorgestel dat
die progestogeen (Prog en die sintetiese progestiene)-gebonde GR tot die CCAAT verbeterende
bindings protein (C/EBP)- regulatoriese element van die IL-12p40 promotor betrek word en dat
die transkripsie faktor C/EBP benodig word om transkripsie van die IL-12p40 geen te aktiveer.
Met betrekking tot IL-10, het die resultate voorgestel dat die progestogeen-gebonde GR tot die sein
transduksie en aktiveerder van transkripsie (STAT)-3 regulatoriese element van die IL-10 promotor
betrek word en dat die transkripsie faktor STAT-3 benodig word om transkripsie van die IL-10 geen
te onderdruk. Die tweede deel van die studie het die invloed van die MIV-1 aksesorale virale
proteïen R (Vpr) op sitokinien geenuitdrukking, spesifiek die progestogeen-geïnduseerde regulering
van IL-12p40, IL-10 en IL-12p35, in die Ect1/E6E7 sellyn ondersoek. Resultate het getoon dat
ooruitdrukking van Vpr in hierdie sellyn die effekte van Prog, MPA en NET-A op die mRNS
uitdrukking van IL-12p40 en IL-10, en slegs die NET-A effek op IL-12p35, aansienlik moduleer.
Vermindering van die GR proteïen vlakke deur middel van siRNS het getoon dat Vpr die GR
benodig om hierdie veranderinge mee te bring. In samevatting, die resultate van hierdie proefskrif
stel voor dat Prog, MPA en NET-A die pro-inflammatoriese milieu in die ektoservikale omgewing
bevorder, en dat hierdie milieu gedurende MIV-1 infeksies verander. Verder, die resultate van
hierdie studie impliseer dat die gebruik van MPA en NET in vivo nadelige lokale
immuunonderdrukkende effekte mag hê wat kan lei tot kroniese inflammasie van die ektoservikale
omgewing en ‘n moontlike verhoging in die vatbaarheid van infeksies soos MIV-1.
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Health locus-of-control, health beliefs and family planning behavior among Middle Eastern women living in the United States.Mahmoud, Nadia Mohamed January 1993 (has links)
The purpose of this study was to determine the nature of the relationships among health locus of control, health beliefs and family planning behavior among Middle Eastern women living temporarily in the United States. A correlational descriptive design was used. A convenience sample of 80 Middle Eastern women were chosen as representatives for this study from the University of Arizona Family Housing, Tucson Islamic Center, Saudi Arabian Student Club, and the University of Arizona International Student Center. Four instruments were utilized to collect data: (1) Health Locus of Control Scale, (2) Modified Health Belief Instrument, (3) Demographic/Preferences Data Tool, and (4) Family Planning Survey. Data analysis included use of descriptive statistics to summarize the differences between the two groups (adequate and inadequate contraceptive users) on each set of health belief variables, health locus of control variables and demographic/preferences variables. Significant findings on the health belief and health locus of control instruments, separately and together was followed by stepwise discriminant analysis to identify the variables on which the groups differ and the nature of the dimensions on which they differ. The study findings indicated that adequate contraceptive users perceived the seriousness of pregnancy and benefits of contraception, while inadequate contraceptive users perceived barriers of contraception. On the other hand adequate contraceptive users had self-control over health, belief in provider control over health, had less general health threat, and more health value than inadequate contraceptive users. Four variables in the health belief and health locus of control scales were included in a discriminant function analysis. This indicated that general health, self-control over health, barriers of contraception and seriousness of pregnancy variables fully differentiated the two groups.
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Long-Acting Reversible Contraceptives In Vermont: A Survey Based Assessment Of Current Knowledge Of Providers Of Women Of Reproductive AgeO'Brien, Erin 01 January 2016 (has links)
Unintended pregnancies are a long-standing public health issue nationally, with percentages hovering around 50% for at least the last five years. Vermont is doing slightly better than the national average, but is faced with it's own challenges due to it's rural nature. Agencies and organizations, such as the World Health Organization, March of Dimes and the Vermont Department of Health have made decreasing unintended pregnancies one of their priorities to improve maternal and fetal health outcomes, as well as social and economic opportunities for families. Current evidence-based guidelines call for long- acting reversible contraceptives (LARCs), including intrauterine devices (IUDs) and implants, as the first-line recommendation by healthcare providers for decreasing unintended pregnancies.
This study, in collaboration with several Vermont state organizations and agencies, engaged healthcare professionals throughout the state with an electronically disseminated survey aimed at assessing their knowledge of LARCs. The aim of this study was to ascertain whether healthcare professionals caring for women of reproductive age, are using current evidence-based practice guidelines to counsel women in their contraceptive choices.
Survey results revealed that the majority of the respondents consider themselves to be knowledgeable about and had received a high level of training in IUD counseling and/or insertion. Areas of uncertainty were primarily about side effects and the insertion and removal processes of the implant, as well as a few categories of medical eligibility. This was especially apparent when results were stratified by urban and rural regions of Vermont.
Although there seems to be a high level of provider confidence in knowledge about LARCs and reported counseling of LARCs as first-line, there is a discrepancy between what providers think they know and current evidence based contraception guidelines. Many factors exist that could explain this discrepancy, including but not limited to lack of training, provider bias, and system barriers. This study aims to illuminate gaps in provider knowledge to improve uptake of LARCs and over time make a shift in the numbers of unintended pregnancies in Vermont.
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Predictors of Sexual Relationship Power, Communication and Sexual Decision Making among Latino CouplesMatsuda, Yui 07 May 2012 (has links)
Unintended pregnancy (UP) is increasing among Latinos in the United States. Unintended pregnancy contributes to many negative consequences for infants, mothers and families. Concurrently, various factors affect Latino couples’ sexual relationship power, communication and decision making about family planning, including sexual relationship power, relationship commitment, dyadic adjustment, individual background, and cultural characteristics. Previous research has not focused on understanding the factors that affect Latino couples’ sexual relationship power, communication and sexual decision making from each partner’s perspective. The purpose of this study was to examine the association between sexual relationship power, communication, and sexual decision making from each partner’s perspective in relationship to family planning. In a cross-sectional design, recruited were a convenience sample of 40 Latino couples whose female partners in their second/third trimester from prenatal care clinics. Almost half of the participants were Mexican (males: 48%; females: 43%). The mean ages were 28 years (males, SD:5.67) and 26.5 years old (females, SD 4.81). Sample characteristics and partner responses were compared and contrasted. Machismo, perceived relationship commitment, relationship satisfaction and perceived decision making significantly contributed to the variance in sexual relationship power among women (F(8,26) = 6.776, p < 0.001). Increasing sexual relationship power through Latina empowerment and mutual decision making has the potential to build sustainable relationships. Relationship commitment, relationship satisfactions as well as cultural values (machismo and marianismo) were also the significant predictors for most of the study key variables. Decision making conversations among couples should optimally begin before the initiation of sexual activity and continue throughout the couples’ active sexual relationship. Couples communication facilitates making known each other’s will and thoughts and helps to promote healthy reproductive and sexual lives. Findings will contribute to developing targeted interventions to decrease UP while increasing quality of life for Latino families.
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Targeting the Male in Teen Pregnancy PreventionBurgan, Terri 01 January 2004 (has links)
Study Objectives: To examine demographic characteristics and contraceptive habits of young men.Methods: A descriptive study was conducted utilizing data analyzed from three waves of the National Survey of the Adolescent Male (NSAM) administered in 1988, 1991, and 1995. The first wave consisted of 1,880, never-married, noninstitutionalized 15-19 year old men living in the United States. The second wave consisted of 1,676 re-interviewed respondents who were 17-22 years old. The third wave consisted of 1,377 re-interviewed respondents who were 22-27 years old. Descriptive statistics were used to compare personal and demographic characteristics across each year group. Odds ratios, and their corresponding 95% confidence intervals were used to determine demographic risk factors; p-values, and chi-square tests were included in the demographic analysis.Results:The majority of the young men in waves 2 and 3 believed the male equally responsible if their partner became pregnant (92% vs. 96%). These young men also believed the male should ask their female partner about contraception before being intimate (71%, waves 2 and 3). Only 3% (wave 2), to 4% (wave 3), believed they would feel more like a man if his partner became pregnant. Almost 50% of males, ages 17-22 (wave 1), and 21-27 (wave 2), believed there was "a little chance" to a "50-50 chance" that they would feel embarrassed to put on a condom. The majority of young men in wave 2 (61%), and approximately half (48%) of young men in wave 3 felt there was "a little chance" to a "50-50 chance" that condom use reduced their sexual pleasure. Only 12% of waves 2 and 3 respondents, felt there was "no chance" a female would become pregnant, if a condom was used during intercourse. Indicating a lack of knowledge regarding the overall benefits of condom use. In addition, less than 50% of waves 2 and 3 felt they had a "pretty good chance" to avoid a STD/AIDS if a condom was used. Conclusions: Results indicated that although the cohort was more cognizant of reproductive responsibility as they matured, steps are still needed to address behavioral changes.
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ARE YOU COVERED? EXAMINING HOW KNOWLEDGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT INFLUENCES USE OF PREVENTIVE REPRODUCTIVE HEALTH SERVICESSawyer, Ashlee 01 January 2016 (has links)
The Patient Protection and Affordable Care Act (PPACA) expanded access to insurance coverage and health care services for many citizens, and has increased access for women in particular by including preventive reproductive health services as essential health benefits. The current national rates of sexually transmitted infections (STIs), reproductive cancer diagnoses, and unintended pregnancy serve as major areas of concern for women’s health and public health. The present study examined how knowledge of the PPACA influences receipt of preventive reproductive health services among women. Results indicate that higher levels of knowledge of the PPACA are associated with a greater likelihood of receiving cancer and STI screenings, as well as contraceptive counseling, and that increasing contraceptive knowledge, rates of contraceptive counseling, and pap screenings are related to greater use of highly effective contraception. The present study offers support for increased outreach and education efforts, along with additional policy and provider involvement.
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Ovlivnění svalového napětí hormonální antikoncepcí / The influence of muscle tonus with hormonal contraceptionVojtová, Karolína January 2015 (has links)
Title The influence of muscle tonus with hormonal contraception Objective The thesis aims to determine whether and to what extent the use of hormonal contraception affects muscle tension, which can vary depending on the current phase of the menstrual cycle in women. Method The thesis is divided into theoretical part where there is a summary of information on this topic from the literature Czech and world, a special part that is treated as research using noninvasive myotonometer. The measurement is performed in 12 probands four times in four weeks, always at some stage of their menstrual cycle. The measurement results are compared between the two groups by probands and is found to influence hormonal contraceptives on muscle tension during the menstrual cycle. Results Measurement myotonometer shows that hormonal contraceptive use affects muscle tension. The measurement results show a stable and predictable changes in fluctuating muscle tension in probands who use hormonal contraceptives, but the rate changes are subject to interpersonal differences, and these results can not give a general opinion. Key words Menstrual cycle, hormonal contraception, muscle tension, myotonometer
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Charakter umělé potratovosti v České republice, Francii, Itálii a Švédsku / Patterns of induced abortion in the Czech Republic, France, Italy, and SwedenMistrová, Aneta January 2013 (has links)
Goal of this diploma thesis is to present trends of induced abortions attitudes towards abortion in four European countries at the end of 20th century and beginning of 21st century. At first, study mentions definitions and legislations related to induced abortions. Furthemore there is mentioned methodology which is used in this study. In this part issue of international comparison of induced abortion is emphasized. Introduction into matter of induced abortion is provided by next part and it includes continuity with anticonception. Afterthat analysis of induced abortions follows. There is briefly mentioned long-range development in the Czech Republic, France, Italy and Sweden and then scope is dedicated to induced abortion patterns by age of women. These trends are represented by rates and ratios. At the end of this part is mentioned average age of woman at induced abortion. On the basis of international survey European Values Study, was examined public attitude in chosen European countries towards induced abortions. Next to last part is devoted to this topic. At the beginning of this part are used variables and basic hypothesis. Respondent's attitudes are analysed not only by descriptive statistics but also by binary logistic regression and GLM. In conclusion are summarized the main findings of this diploma...
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