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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
281

Knowledge of students in higher education regarding contraception

Kitshoff, 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.
282

Contraceptive knowledge and practices among students in federal polytechnic Kaduna, Nigeria : an exploratory study

Zaggi, 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.
283

A study of the molecular mechanism of progestin-induced regulation of IL-12 and IL-10 and implications for HIV pathogenesis

Louw, 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.
284

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.
285

Long-Acting Reversible Contraceptives In Vermont: A Survey Based Assessment Of Current Knowledge Of Providers Of Women Of Reproductive Age

O'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.
286

Predictors of Sexual Relationship Power, Communication and Sexual Decision Making among Latino Couples

Matsuda, 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.
287

Targeting the Male in Teen Pregnancy Prevention

Burgan, 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.
288

ARE YOU COVERED? EXAMINING HOW KNOWLEDGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT INFLUENCES USE OF PREVENTIVE REPRODUCTIVE HEALTH SERVICES

Sawyer, 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.
289

Ovlivnění svalového napětí hormonální antikoncepcí / The influence of muscle tonus with hormonal contraception

Vojtová, 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
290

Charakter umělé potratovosti v České republice, Francii, Itálii a Švédsku / Patterns of induced abortion in the Czech Republic, France, Italy, and Sweden

Mistrová, 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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