The Impact of an Adolescent Gynecology Provider on Intrauterine Device and Subdermal Contraceptive Implant Use Among Adolescent Patients

Crain, Courtney; DeFruscio, Anne; Shah, Preeya T.; Hunt, Laura; Yoost, Jennie

doi:10.1016/j.jpag.2020.02.004

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…Despite these instances of improved contraceptive access at Title X facilities, one study indicated that Title X clinics did not differ from other facilities in the accessibility of emergency contraception (French et al, 2018). Title X facilities were more likely than non-Title X facilities to meet the needs of specific at-risk populations by providing youth-friendly services such as protecting confidentiality and providing youth with contraception (Beeson et al, 2016;Carter et al, 2016;Crain et al, 2020;Kavanaugh et al, 2013;Mead et al, 2015), providing materials and services in Spanish, offering extended clinic hours, and providing outreach to hard-to-reach populations (de Bocanegra et al, 2012). Additionally, Title X providers were less likely than other providers to hold misconceptions about the safety of contraception (Jatlaoui et al, 2017;Shah et al, 2019;K.…”

Section: Title X Of the Public Health Service Actmentioning

confidence: 99%

Policy impacts on contraceptive access in the United States: a scoping review

Swan

2023

J Pop Research

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Contraceptive access is influenced by policy decisions, which can expand and constrict the contraceptive options available. This study explored the impact of recent US federal policies on contraceptive access by identifying and reviewing empirical literature, which is then presented and discussed using Levesque et al.’s (2013) healthcare access framework. A scoping review was conducted to identify empirical studies (N = 96) examining the impact of recent federal policy (passed from 2009 to 2019) on contraceptive access. Most identified studies examined the role of the Affordable Care Act (n = 53) and Title X of the Public Health Service Act (n = 25), showing many benefits of both policies for contraceptive access, particularly through improved affordability, availability, and appropriateness of contraceptive care. Other identified studies examined the impact of policies funding abstinence-only sex education (n = 2) and the Teen Pregnancy Prevention Program (n = 3), military policies related to the availability of contraception (n = 1), guidelines for quality contraceptive care (n = 3), Title IX of the Education Amendments (n = 4), the Violence Against Women Act (n = 1), and the Veterans Access, Choice, and Accountability Act (n = 4). Through increased outreach efforts, normalising of care, availability of services, cost subsidies, and provider competencies, recent federal policy has, overall, enhanced contraceptive access across the dimensions of healthcare access. Numerous policy and practice gaps and needs are identified, and future directions for research, policy, and practice are suggested.

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Section: Title X Of the Public Health Service Actmentioning

confidence: 99%

Policy impacts on contraceptive access in the United States: a scoping review

Swan

2023

J Pop Research

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“…Paula Isabel Araya Calvo 1 Stuard Chacón Díaz 2 Gindrezca Palzano Venega 3 1,2 y 3 Médico general. Trabajador independiente, San José Costa Rica.…”

Section: /Sep/2021unclassified

Implante Subdérmico. revision bibliográfica.

Calvo

Díaz

Venega³

2021

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Los implantes subdérmicos son un método de anticoncepción, de acción prolongada utilizados alrededor de todo el mundo para el control de la natalidad principalmente en la población adolescente, grupo en donde se presenta una alta tasa de embarazos no deseados. Objetivos: Explicar la composición de los implantes subdérmicos, así como sus indicaciones, aplicación y efectos adversos que se reporta en la literatura. Metodología: Se desarrolló una revisión de la literatura sistemática sobre el uso de los anticonceptivos subdérmicos en las últimas décadas, en artículos científicos buscados en diversos recursos electrónicos. Resultados: El implanon viene a ser un tipo de anticonceptivo que ha demostrado una alta efectividad, seguridad, de larga data de uso y aceptable por la comunidad fértil. Su principal objetivo es reducir el número de embarazos no deseados principalmente en adolescentes. Las implicaciones en la salud de la mujer más asociadas al uso de implantes subdérmicos son las alteraciones del ciclo menstrual, cefaleas, cambios en el estado de ánimo y acné. Conclusiones: al contar con los efectos adversos mencionados, estos constituyen una causa frecuente de discontinuación del método anticonceptivo, el saber cómo manejarlos ha alcanzado una aceptación de una importante cantidad de usuarias, y así poder utilizarlo además se ha logrado una reducción notable en el número de embarazos no deseados.

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