1.  Title: Voice onset time in women as a function of oral contraceptive use. Author: Morris RJ; Gorham-Rowan MM; Herring KD Source: Journal of Voice. 2009 Jan;23(1):114-8. Abstract: Previous studies of the effect of hormonal changes across phases of the menstrual cycle on voice onset time (VOT) have not considered the variable of oral contraceptive use. The purpose of this study was to examine both the effects of menstrual cycle phase and that of oral contraceptive use on VOT. It was hypothesized that women taking oral contraceptives would exhibit smaller VOT differences across the phases of their menstrual cycles. The study was a prospective matched-group experimental design. Participants were 10 women who were on oral contraceptives and 10 who were not. The participants were recorded over two menstrual cycles, on the 10th and 20th day to evaluate their speech during the preovulation and premenstrual phases of their menstrual cycle. Participants produced 10 repetitions of the phrase "Speak ___ to me" containing the target syllables /bae/ and /pae/. Repeated measure ANOVAs revealed no significant differences in VOT between the two groups. Statistical results showed significant interactions between the menstrual cycle phase and the 2 recording months. It is possible that month-to-month differences in hormonal levels and other factors that can affect speech may have a greater effect on VOT than either the taking of oral contraceptives or the phase differences within a menstrual cycle. Language: English Keywords: FLORIDA | RESEARCH REPORT | CLINICAL RESEARCH | PROSPECTIVE STUDIES | CASE CONTROL STUDIES | MATCHED GROUPS | WOMEN | ORAL CONTRACEPTIVES, SIDE EFFECTS | MENSTRUAL CYCLE | Developed Countries | United States of America | North America | Americas | Research Methodology | Studies | Control Groups | Demographic Factors | Population | Contraceptive Safety | Safety | Public Health | Health | Menstruation | Reproduction Document Number: 331291 |
2.  Title: HIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA. Author: Akin M; Fernandez MI; Bowen GS; Warren JC Source: Revista Panamericana de Salud Pública / Pan American Journal of Public Health. 2008 May 20;23(5):341-348. Abstract: The goal of this study is to describe the sexual practices, drug use behaviors, psychosocial factors, and predictors of unprotected anal intercourse (UAI) in a sample of Hispanic men who have sex with men (MSM) born in Latin American and Caribbean (LAC) countries who currently reside in Miami-Dade County, Florida. Hispanic MSM (N = 566) recruited from community and Internet venues completed a computer-assisted self-interview assessing sociodemographic factors, drug use, sexual behaviors, and psychosocial factors. We focused on the 470 men who were born in LAC countries, including Puerto Rico. We first examined separately, by country of origin, the sexual practices, drug use behaviors, and psychosocial factors of the sample. We then collapsed the groups and examined the factors associated with UAI in the previous 6 months for the entire sample of Hispanic MSM from LAC countries. In the previous 6 months, 44% of the sample engaged in UAI, and 41% used club drugs. At the multivariate level, psychological distress, higher number of sexual partners, club drug use, HIV-positive status at the time of immigration, and greater orientation to American culture were significantly associated with UAI in the previous 6 months. Many MSM born in LAC countries engage in HIV-related risk behaviors in the AIDS epicenter of Miami-Dade County, Florida. Culturally appropriate interventions should address these risk behaviors in this underserved population. (author's) Language: English Keywords: FLORIDA | CARIBBEAN | RESEARCH REPORT | KAP SURVEYS | MEN HAVING SEX WITH MEN | HISPANICS | IMMIGRANTS | MULTIPLE PARTNERS | URBAN POPULATION | PSYCHOSOCIAL FACTORS | SEX BEHAVIOR | RISK BEHAVIOR | DRUG USE AND ABUSE | STRESS | CULTURAL BACKGROUND | Developed Countries | United States of America | North America | Americas | Developing Countries | Surveys | Sampling Studies | Studies | Research Methodology | Behavior | Ethnic Groups | Population Characteristics | Demographic Factors | Population | Migrants | Migration | Population Dynamics | Sexual Partners | Psychological Factors Document Number: 326968 |
| 3. Title: Beyond the most willing audiences: a meta-intervention to increase exposure to HIV-prevention programs by vulnerable populations. Author: Albarracin D; Durantini MR; Earl A; Gunnoe JB; Leeper J Source: Health Psychology. 2008 Sep;27(5):638-44. Abstract: OBJECTIVE: Enrollment in HIV-prevention interventions is more likely when the audience has safer rather than riskier HIV-relevant behavior. Thus, a meta-intervention was designed to increase participation by an audience of infrequent condom users in Florida. DESIGN: Participants (N = 400) were randomly assigned to 1 of 4 conditions varying the introduction to a counseling program. In the experimental condition, participants were told that the intervention gave participants options but might not change their behavior. In a standard-introduction condition, participants were told that the program was highly effective at changing participants' behaviors. There was also an information-control group containing a description of the program, and a no-information-control group solely containing an invitation. MAIN OUTCOME MEASURES: The outcome measure was actual participation in the offered counseling. RESULTS: Findings indicated that the experimental introduction was the most successful at yielding participation in the counseling program when the audience had low intentions to use condoms in the future. CONCLUSION: Intervention introductions countering participants' resistance to change increase participation in HIV-prevention counseling among reluctant clients. Other meta-interventions may be explored to systematically augment the effectiveness of evidence-based health-promotion interventions. Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | HIV PREVENTION | PARTICIPATION | CONDOM USE | SEX BEHAVIOR | RISK REDUCTION BEHAVIOR | PROMOTION | COUNSELING | PROGRAM EFFECTIVENESS | Developed Countries | North America | Americas | HIV Infections | Viral Diseases | Diseases | Social Behavior | Behavior | Marketing | Economic Factors | Clinic Activities | Program Activities | Programs | Organization and Administration | Program Evaluation Document Number: 329646 |
| 4. Title: Surgical removal of an intrauterine device perforating the sigmoid colon: a case report. Author: Mederos R; Humaran L; Minervini D Source: International Journal of Surgery. 2008 Dec;6(6):e60-2. Abstract: BACKGROUND: Intrauterine devices (IUDs) are among the most common contraceptive methods in the world, but have been associated with extrauterine dislocation and bowel perforation. We report a case of an IUD perforation of the sigmoid colon. CASE REPORT: A 35-year-old woman with complaints of abdominal pain, fever, and diarrhea underwent exploratory laparotomy. During the procedure, a left tubo-ovarian abscess was found as well as an IUD extruding through the uterine cavity with the two wings of the device entirely in the lumen of the sigmoid colon. The patient had total abdominal hysterectomy with bilateral salpingo-oophorectomy with resection of the sigmoid colon. CONCLUSION: This is a report of a symptomatic perforation by an IUD into the sigmoid colon after a period of 10years in situ. Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | CASE STUDIES | WOMEN | IUD COMPLICATIONS | UTERINE PERFORATION | MEDICAL PROCEDURES | TREATMENT | Developed Countries | North America | Americas | Studies | Research Methodology | Demographic Factors | Population | IUD | Contraceptive Methods | Contraception | Family Planning | Perforations | Diseases | Medicine | Health Services | Delivery of Health Care | Health Document Number: 330847 |
| 5. Peer Reviewed Title: Depo-Provera and skeletal health: a survey of Florida obstetrics and gynecologist physicians. Author: Paschall S; Kaunitz AM Source: Contraception. 2008 Nov;78(5):370-6. Abstract: OBJECTIVE: In November of 2004, the US Food and Drug Administration (FDA) issued a black box warning regarding skeletal health concerns with depot medroxyprogesterone acetate (DMPA) contraception. This FDA labeling change has the potential to impact how this contraceptive is used. Our goal was to assess the impact of the FDA decision on how Florida obstetrician-gynecologists prescribe DMPA. METHODS: A survey was conducted with questions and case scenarios regarding the use of DMPA before and after the black box warning. The survey was sent to all members of the Florida Obstetric and Gynecologic Society. RESULTS: Four hundred twenty-five surveys were mailed and 149 were returned - a 35% return rate. Forty-six percent of physicians surveyed indicated that they place a time limit on DMPA use, and 66% stated that this limit was based on the FDA black box warning. Sixty-five percent of respondents ordered bone mineral density (BMD) testing solely due to the use of DMPA, with 58% indicating that this decision was based on the black box warning. Eight (5.4%) of the respondents indicated they selectively prescribe bisphosphonates for patients based solely on the use of DMPA, while 33% of respondents state that they use estrogen supplementation. There was a trend towards fewer DMPA injections per week after the black box warning as compared to before; however, this trend was not statistically significant (p<.125). CONCLUSION: Respondents may be writing fewer prescriptions for DMPA, are likely to institute a time limit on said prescription and are likely to order BMD testing, using the black box warning as justification. Continued education is necessary to prevent inappropriate restrictions on DMPA use and the performance and/or prescription of inappropriate tests and medications. Language: English Keywords: FLORIDA | RESEARCH REPORT | KAP SURVEYS | WOMEN | PHYSICIANS | DEPO-PROVERA | SKELETAL EFFECTS | CONTRACEPTIVE PREVALENCE | CONTRACEPTION CONTINUATION | CONTRACEPTION TERMINATION | TIME FACTORS | CONTRACEPTIVE AGENTS, SIDE EFFECTS | CONTRACEPTIVE SAFETY | PACKAGING | ESTROGENS | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Demographic Factors | Population | Health Personnel | Delivery of Health Care | Health | Medroxyprogesterone Acetate | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Physiology | Biology | Contraceptive Usage | Population Dynamics | Safety | Public Health | Marketing | Economic Factors | Hormones | Endocrine System Document Number: 329153 |
| 6. Title: Knowledge and attitudes toward HIV / AIDS and risky sexual behaviors among Caribbean African American female adolescents. Author: Archibald C Source: Journal of the Association of Nurses in AIDS Care. 2007 Jul-Aug;18(4):64-72. Abstract: The incidence of HIV/AIDS among African Americans in culturally blended south Florida constantly challenges the health care community to reconsider prevention efforts. Very few studies examine the Caribbean population. This study was performed to identify and describe knowledge and attitudes toward HIV/AIDS and risky sexual behaviors in Caribbean African American female adolescents. Three focus group sessions were conducted using a sample of 22 adolescents. The questions included, "What do you know about HIV/AIDS?" "How would a friend's diagnosis of HIV affect your friendship?" and "Why do your peers engage in risky sexual behaviors?" Adolescents abstained from sexual activity mainly because of parental fear and church teachings. Some had accurate knowledge of HIV/AIDS, but all expressed reluctance to share space and personal items with an HIV/AIDS-infected friend. Sharing personal items with a close friend is a common Caribbean practice. This unwillingness suggests a need and direction for further inquiry. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | FOCUS GROUPS | QUALITATIVE RESEARCH | ADOLESCENTS, FEMALE | BLACKS | HIV | AIDS | SEX BEHAVIOR | RISK BEHAVIOR | RISK FACTORS | ATTITUDES | PSYCHOSOCIAL FACTORS | AWARENESS | PARENTAL INVOLVEMENT | Developed Countries | North America | Americas | Data Collection | Research Methodology | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Ethnic Groups | Cultural Background | HIV Infections | Viral Diseases | Diseases | Behavior | Biology | Psychological Factors | Knowledge | Sociocultural Factors | Child Rearing Document Number: 313733 |
| 7. Peer Reviewed Title: Endometrial expression of epithelial neutrophil-activating peptide-78 during the menstrual cycle or in progestin-only contraceptive users with breakthrough bleeding and the influence of doxycycline therapy. Author: Chegini N; Luo X; Pan Q; Rhoton-Vlasak A; Archer DF Source: Human Reproduction. 2007;22(2):427-433. Abstract: Endometrial breakthrough bleeding is characterized by an inflammatory reaction and increased production of proinflammatory mediators, one of which may be epithelial neutrophil-activating peptide-78 (ENA-78), a chemokine with neutrophil-activating properties. We therefore investigated the endometrial expression of ENA-78 in Norplant users as progestin-only contraceptive with various bleeding patterns (n = 35) as compared with non-users with a normal menstrual cycle (n = 55). The endometrial stromal cells (ESCs) were the major site of ENA-78 expression with the highest levels found during the secretory phase. The expression of ENA-78 was increased in Norplant users with irregular bleeding as compared with those with regular cycles and amenorrhoea. The levels of ENA-78 detected in uterine washes and sera after the use of Norplant for 3-6 months (n = 25) increased compared with baseline (P < 0.05). These levels did not significantly change in Norplant users who received doxycycline (Dox) therapy (25 mg/twice daily for 6 months) when measured midway through or at the conclusion of study when compared with the baseline (n = 25). Treatments with medroxyprogesterone acetate (MPA) and tumour necrosis factor-a (TNF-a) (25 ng/ml), but not 17ß-estradiol (E/2) or E/2 + MPA (10/-8 M), representing endometrium exposed to contraceptive and inflammatory conditions, respectively, increased the levels of ENA-78 production by ESCs, and this was reduced by co-treatments with Dox (25 mg/ml) (P < 0.05). The endometrial production of ENA-78 is altered in progestin-only contraceptive users experiencing breakthrough bleeding and is regulated by MPA and TNF-a in ESCs. Although Dox therapy did not alter uterine ENA-78 secretion, its suppression in ESCs suggests that Dox, acting site-specifically and through an anti-inflammatory mechanism, may influence the outcome of breakthrough bleeding in contraceptive users. (author's) Language: English Keywords: FLORIDA | RESEARCH REPORT | CLINICAL RESEARCH | WOMEN | ENDOMETRIAL EFFECTS | LOW-DOSE PROGESTINS | METRORRHAGIA | DRUGS | CONTRACEPTIVE IMPLANTS | MENSTRUATION DISORDERS | MEDROXYPROGESTERONE ACETATE | Developed Countries | United States of America | North America | Americas | Research Methodology | Demographic Factors | Population | Endometrium | Uterus | Genitalia, Female | Genitalia | Urogenital System | Physiology | Biology | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Bleeding | Signs and Symptoms | Diseases | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Contraceptive Methods Document Number: 312199 |
| 8. Peer Reviewed Title: Pharmacy access to emergency hormonal contraception in Jacksonville, FL: a secret shopper survey. Author: French AC; Kaunitz AM Source: Contraception. 2007 Feb;75(2):126-130. Abstract: Emergency hormonal contraception (EC) has the potential to reduce the number of unintended pregnancies and induced abortions, but many barriers to more prevalent usage exist. We evaluated one aspect of access -- pharmacy availability of levonorgestrel EC (Plan B) or alternatives -- in Jacksonville, FL. Female "secret shoppers" presented in person and by telephone to pharmacies in Jacksonville, FL, and inquired if Plan B would be available if they were to return with a prescription. Availability of the medication, as well as offers of EC alternatives or alternate methods of obtaining EC, was noted. Furthermore, pharmacist and pharmacy staff knowledge regarding appropriate use of the product was assessed. Of 54 pharmacies visited by secret shoppers, 21 (39%) had Plan B in stock and were willing to dispense it. Sixteen pharmacies (29%) could order it and have it available within 24 h, or knew of nearby pharmacies that stocked the medication. Neither Plan B nor other EC options were offered by 17 pharmacies (31%). One hundred thirty-three pharmacies, including those that were visited in person, were contacted by telephone. Forty-two (32%) of these had Plan B in stock. Another 22 pharmacies (17%) offered to order Plan B for availability within 24 h or less. Furthermore, 11 pharmacies suggested other stores that were more likely to carry it. Of 40 pharmacy staff members asked how long following unprotected intercourse a patient had to take the product, 20 (50%) correctly stated 72 h. Plan B was not in stock in a majority of pharmacies within this large city. Availability was increased by offers to order the medication or by suggestions to seek the prescription at nearby pharmacies. Many pharmacists and their staff were unfamiliar with the medication and its correct usage. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | SURVEYS | PHARMACISTS | EMERGENCY CONTRACEPTION | PHARMACY DISTRIBUTION | PROGRAM ACCESSIBILITY | PRESCRIPTIONS | CONTRACEPTIVE AVAILABILITY | North America | Americas | Developed Countries | Sampling Studies | Studies | Research Methodology | Health Personnel | Delivery of Health Care | Health | Contraception | Family Planning | Nonclinical Distribution | Distributional Activities | Program Activities | Programs | Organization and Administration | Program Evaluation Document Number: 311489 |
| 9. Peer Reviewed Title: Provision of emergency contraceptive pills at college and university student health centers in Florida. Author: Hemmick RS; McCarthy SK Source: Journal of Adolescent Health. 2007 Jan;40(1):92-95. Abstract: Provision of emergency contraceptive (EC) pills at Florida university and college student health centers was examined. Practices related to dosages, pill brands, advance prescriptions, restrictions, written policy, printed materials, routine contraceptive counseling, and publicity were identified. Barriers for centers not providing EC pills and practices were also determined. (author's) Language: English Keywords: FLORIDA | RESEARCH REPORT | KAP SURVEYS | OPERATIONS RESEARCH | WOMEN | STUDENTS | UNIVERSITIES | CLINICAL DISTRIBUTION | EMERGENCY CONTRACEPTION | CONTRACEPTIVE DISTRIBUTION | COUNSELING | ADMINISTRATION AND DOSAGE | PRESCRIPTIONS | PRINTED MEDIA | ADVERTISING | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Program Evaluation | Programs | Organization and Administration | Demographic Factors | Population | Education | Schools | Distributional Activities | Program Activities | Contraception | Family Planning | Clinic Activities | Drugs | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Mass Media | Communication | Promotion | Marketing | Economic Factors Document Number: 310595 |
| 10. Peer Reviewed Title: Progestin-releasing intrauterine systems and leiomyoma. Author: Kaunitz AM Source: Contraception. 2007 Jun;75(6 Suppl 1):S130-S133. Abstract: Review of the existing published literature suggests that, in women with uterine fibroids, with or without menorrhagia, the high contraceptive efficacy of the levornorgestrel intrauterine system (LNG-IUS) remains intact. In such women, the LNG-IUS reduces menstrual blood loss and likely reduces menstrual pain. However, use of the LNG-IUS does not appear to reduce overall uterine dimensions or those of uterine fibroids. In women with uterine fibroids and menorrhagia, LNG-IUS expulsion rates may be somewhat higher than in women without fibroids. Although symptomatic relief is not guaranteed, these findings indicate that insertion of a LNG-IUS represents an appropriate therapeutic option for selected women with menstrual symptoms associated with uterine fibroids. Questions remain regarding the usefulness of routine preinsertion evaluation of the endometrial cavity as well as ultrasound-guided LNG-IUS insertion. Clinicians who candidly inform their patients regarding what we do and do not know regarding the benefits and risks of the LNG-IUS in women with fibroids should selectively make this therapy available prior to resorting to surgical therapies. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | LITERATURE REVIEW | WOMEN | FIBROIDS | UTERUS | LEVONORGESTREL | CONTRACEPTIVE IMPLANTS | MENORRHAGIA | IUD, HORMONE RELEASING | North America | Americas | Developed Countries | Demographic Factors | Population | Neoplasms, Benign | Neoplasms | Diseases | Genitalia, Female | Genitalia | Urogenital System | Physiology | Biology | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Contraceptive Methods | Menstruation Disorders | IUD Document Number: 316974 |
| 11. Title: HIV risk reduction among young minority adults in Broward County. Author: Hlaing WM; Darrow WW Source: Journal of Health Care for the Poor and Underserved. 2006 May;17(2 Suppl):159-173. Abstract: We examined changes in perceptions of HIV risk, abstinence, condom use, and intentions to use condoms for disease protection among African American, Hispanic, Haitian, and Afro-Caribbean unmarried and married men and women living in Broward County, Florida. Data were collected through computer-assisted telephone interview surveys conducted during 2001, 2002, and 2003 with cross-sectional probability samples of 18--39 year old residents of 12 high AIDS incidence ZIP code areas. Perceptions of HIV risk increased over time for men, but not for women. Unmarried Haitian women 18--22 years old were most likely to report abstinence. Condom use during the last 12 months increased among sexually active respondents. Among residents reporting exposure to project interventions, condom use increased from 53.6% in 2001 to 64.7% in 2002 and 71.6% in 2003. HIV-prevention programs should (1) consider locally collected data; (2) take into account cultural, living situation, and other significant differences; and (3) be evaluated to assess differentiated impact. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | INTERVIEWS | MINORITY GROUPS | YOUTH | HIV INFECTIONS | RISK FACTORS | PERCEPTION | KNOWLEDGE | CONDOM USE | ABSTINENCE | North America | Americas | Developed Countries | Data Collection | Research Methodology | Population Characteristics | Demographic Factors | Population | Age Factors | Viral Diseases | Diseases | Biology | Psychological Factors | Behavior | Sociocultural Factors | Risk Reduction Behavior | Family Planning, Behavioral Methods | Family Planning Document Number: 307585 |
| 12. Peer Reviewed Title: HIV, HBV, and HCV infections among drug-involved, inner-city, street sex workers in Miami, Florida. Author: Inciardi JA; Surratt HL; Kurtz SP Source: AIDS and Behavior. 2006 Mar;10(2):139-147. Abstract: This study describes the rates of HIV, HBV, and HCV seropositivity among drug-involved, female street sex workers in low-income, inner-city sections of Miami, Florida; further, their sociodemographic characteristics, drug use, and sexual risk behaviors were assessed; and predictors of infection were reported. A sample of 586 sex workers was recruited through targeted sampling methods, interviewed, and counseled and tested for the presence of antibody to HIV, HBV, and HCV. Respondents' median age was 38 years, median time in sex work was 14 years, all were heavily involved in the use of alcohol and drugs, and 42% were homeless. More than half (51.0%) had engaged in unprotected vaginal sex in the past month. Prevalences were HIV, 22.4%; HBV, 53.4%; HCV, 29.7%. A multidimensional public health program must address not only issues related to unsafe sex, but also the problems of drug abuse, homelessness, and other lifestyle factors that contribute to risk behaviors. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | SAMPLING STUDIES | WOMEN | SEX WORKERS | HOMELESS PERSONS | HIV INFECTIONS | HEPATITIS | PREVALENCE | DRUG USE AND ABUSE | ALCOHOL USE AND ABUSE | North America | Americas | Developed Countries | Studies | Research Methodology | Demographic Factors | Population | Sex Behavior | Behavior | Residence Characteristics | Population Distribution | Geographic Factors | Viral Diseases | Diseases | Measurement Document Number: 298471 |
| 13. Peer Reviewed Title: Characteristics of adult women who abstain from sexual intercourse. Author: Nettleman M; Ingersoll KS; Ceperich SD Source: Journal of Family Planning and Reproductive Health Care. 2006;32(1):23-24. Abstract: The objectives were to evaluate demographic and behavioural characteristics of sexually active women compared to those who had abstained from intercourse in the past 6 months. The study participants were women of childbearing age from six sites in three states in the USA. Survey questions were asked of women who were not surgically sterile and who had not gone through menopause. The main outcome measures were correlates of sexual abstinence. Of the 1801 respondents, 244 (14%) reported abstaining from intercourse in the past 6 months. Univariate analysis revealed that abstinent women were less likely than sexually active women to have used illicit drugs [odds ratio (OR) 0.47; 95% CI 0.35-0.63], to have been physically abused (OR 0.44, 95% CI 0.31-0.64), to be current smokers (OR 0.59, 95% CI 0.45-0.78), to drink above risk thresholds (OR 0.66, 95% CI 0.49-0.90), to have high Mental Health Inventory-5 scores (OR 0.7, 95% CI 0.54-0.92) and to have health insurance (OR 0.74, 95% CI 0.56-0.98). Abstinent women were more likely to be aged over 30 years (OR 1.98, 95% CI 1.51-2.61) and to have a high school education (OR 1.38, 95% CI 1.01-1.89). Logistic regression showed that age >30 years, absence of illicit drug use, absence of physical abuse and lack of health insurance were independently associated with sexual abstinence. Prolonged sexual abstinence was not uncommon among adult women. Periodic, voluntary sexual abstinence was associated with positive health behaviours, implying that abstinence was not a random event. Future studies should address whether abstinence has a causal role in promoting healthy behaviours or whether women with a healthy lifestyle are more likely to choose abstinence. (author's) Language: English Keywords: UNITED STATES OF AMERICA | TEXAS | FLORIDA | VIRGINIA | RESEARCH REPORT | FERTILITY SURVEYS | WOMEN | COITAL FREQUENCY | ABSTINENCE | TOBACCO USE | ALCOHOL USE AND ABUSE | PHYSICAL ABUSE | RISK BEHAVIOR | North America | Americas | Developed Countries | Fertility Measurements | Fertility | Population Dynamics | Demographic Factors | Population | Sex Behavior | Behavior | Family Planning, Behavioral Methods | Family Planning | Violence Document Number: 294323 |
| 14. Title: Women and abortion: the past reaches into the present. Author: Trybulski J Source: Journal of Advanced Nursing. 2006;54(6):683-690. Abstract: This paper reports a study of women's responses to abortion over an extended time. Most studies of postabortion responses do not portray what women experience over an extended time period, since many only use a 24 month follow-up period. Results from previous studies indicate that women have thoughts about their abortion that they suppress or find intrusive. Sixteen women who had chosen to terminate a pregnancy for non-medical reasons at least 15 years previously were interviewed during the years 1999--2001. This phenomenological study revealed their responses to and thoughts about their abortion(s). Each of the women spoke about thinking of their abortion(s) at varied times. The abortion(s) was/were not a time-limited event; instead thoughts, emotions, and insights about the meaning of these experiences were on-going, as life events unfolded. The past reached into the present in varied ways and at unplanned times. Difficulties with subsequent pregnancies, life milestones, and mundane occurrences involving friends' children were common triggers for recurring thoughts about past abortions. These recurrent thoughts had characteristics of avoidance or suppression and intrusion. When taking an obstetric history, nurses and midwives should be sensitive when inquiring about discrepancies between the number of times a woman has been pregnant and the number of living children. Opportunity should be given for a woman to discuss in a safe, non-judgmental environment any emotions or thoughts she may express. Providers of women's healthcare services must reflect about ways to reassure women of the common nature of recurrent thoughts and the spectrum of emotional responses that, even years later, is normal. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | INTERVIEWS | WOMEN | PREGNANT WOMEN | HEALTH PERSONNEL | PHYSICIAN-PATIENT RELATIONS | POSTABORTION | North America | Americas | Developed Countries | Data Collection | Research Methodology | Demographic Factors | Population | Population Characteristics | Delivery of Health Care | Health | Interpersonal Relations | Behavior | Reproduction Document Number: 301911 Notification |
| 15. Title: Comparing patient telephone callback rates for different hormonal birth control delivery systems. Author: Victor I; Fink RA Source: American Journal of Therapeutics. 2006 Nov-Dec;13(6):507-512. Abstract: This study was conducted to determine the number of office telephone callbacks in the first 3 months after initiating use of the vaginal ring, the transdermal patch, or an oral contraceptive. If a patient called back, the reason for her call was noted. Patients were prospectively followed from sites in New Jersey and Florida for 3 months after initiation of hormonal contraception (oral, transdermal, vaginal) and the number of callbacks for each method was assessed. Before study recruitment, the patients had either never used or discontinued hormonal contraception for at least 1 month. All patients were given standard counseling, which included reference handouts specific to their chosen form of contraception. The number of callbacks for patients on oral contraceptives was 30/96 (26 patients, 4 of the 26 with 2 callbacks each); for the transdermal patch, 20/40 (17 patients, 3 of the 17 with 2 callbacks each); and for the vaginal ring, 11/72 (11 patients). Pearson x/2 analysis revealed that all 3 groups were significantly different from each other (P = 0.0004). Most patients called back for side effects related to their method of choice, and some patients called back more than once. Rate of callbacks after initiation of hormonal contraception was the least with the vaginal ring. Use of oral contraception, often considered the gold standard, resulted in a callback rate that was midway between the number of callbacks for the vaginal ring and the number of callbacks for the transdermal patch. The lower observed rate of callbacks with the vaginal ring compared with oral and transdermal contraception may provide clinicians the confidence that this method is well tolerated by their patients. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | NEW JERSEY | RESEARCH REPORT | CLIENTS | HOTLINES | CONTRACEPTION | ORAL CONTRACEPTIVES | VAGINAL RING | DIMETHYLPOLYSILOXANES | INFORMATION | North America | Americas | Developed Countries | Program Activities | Programs | Organization and Administration | Family Planning | Contraceptive Methods | Silicone | Silicon | Inorganic Chemicals | Ingredients and Chemicals Document Number: 314506 |
| 16. Peer Reviewed Title: The impact of community risks and resources on adolescent risky behavior and health care expenditures. Author: Youngblade LM; Curry LA; Novak M; Vogel B; Shenkman EA Source: Journal of Adolescent Health. 2006 May;38(5):486-494. Abstract: The purpose was to examine a nested model that predicts adolescent risky behavior, health care use, and health care expenditures from individual characteristics, such as age and gender, and community characteristics such as social capital and community-level risky behavior rates. Claims and encounter data were used to classify adolescents enrolled in Florida's Healthy Kids Program into two groups: those who engaged in risky behavior (ARB) and those who did not (NRB). Hierarchical linear modeling techniques were used to predict the odds of risky behavior, the odds of health care use, and health care expenditures based on individual and community characteristics. ARB consumed significantly more health care services than NRB, and their higher use and charges were attributable not only to individual level factors (i.e., age, gender, presence of special health care need, metropolitan residence status), but also to community level factors (i.e., social capital, risky behavior rates, violence, and ethnic/racial composition) as well. In particular, community investment in social capital predicted lower levels of risky behavior as well as lower health care expenditures. This information is important in terms of policy efforts at providing health care for this vulnerable group of individuals, as well as in developing prevention and intervention programs that can be delivered through the health care system and via links to community supports. (author's) Language: English Keywords: FLORIDA | RESEARCH REPORT | THEORETICAL MODELS | RETROSPECTIVE STUDIES | COMMUNITY | ADOLESCENTS | RISK BEHAVIOR | EXPENDITURES | ADOLESCENT HEALTH SERVICES | UTILIZATION OF HEALTH CARE | HUMAN CAPITAL | HEALTH INSURANCE | DEMOGRAPHIC FACTORS | United States of America | North America | Americas | Developed Countries | Research Methodology | Studies | Residence Characteristics | Population Distribution | Geographic Factors | Population | Youth | Age Factors | Population Characteristics | Behavior | Financial Activities | Economic Factors | Health Services | Delivery of Health Care | Health | Human Resources Document Number: 299541 |
| 17. Title: What if: How declines in teen births have improved poverty and child well-being in Florida. Author: National Campaign to Prevent Teen Pregnancy Source: Washington, D.C., National Campaign to Prevent Teen Pregnancy, 2005 Apr. 3 p. Abstract: Years of research have closely linked teen pregnancy and early childbearing to a host of other critical social issues, including overall child health and well-being, out-of-wedlock births, educational attainment and workforce readiness, responsible fatherhood, and poverty in particular -- especially child poverty. For example, young children born to a mother who is a teenager, is not married, and did not finish high school are nine times more likely to be poor than children born to mothers without these three risk factors. Adolescent pregnancy and childbearing cost taxpayers at least $7 billion annually and place a serious economic burden on schools and on health, welfare and social service systems. The U.S. teen birth rate declined by 30 percent between 1991 and 2002--a significant decrease that has made major contributions to American communities. Illustrating this very point, the U.S. Congress' Joint Economic Committee completed an analysis in April 2004 that the National Campaign in turn summarized. The congressional study posed an intriguing question: if the nation's teen birth rate had remained at its 1991 level through 2002 (rather than decreasing as it did), how many more children would have been born to teen mothers and to single mothers, and what would have been the effect on poverty and on the living arrangements of children? Findings included the following: if teen birth rates had not declined nationally by 30 percent during that time, there would have been an additional 1.2 million more children born to teen mothers, approximately 460,000 additional children in poverty and almost 700,000 more children living with a single mother. (excerpt) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | ADOLESCENTS, FEMALE | ADOLESCENT PREGNANCY | ONE PARENT FAMILY | BIRTH RATE | POVERTY | CHILD HEALTH | SOCIOECONOMIC FACTORS | CAMPAIGNS | FERTILITY DECLINE | North America | Americas | Developed Countries | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Reproductive Behavior | Fertility | Population Dynamics | Family Characteristics | Family and Household | Sociocultural Factors | Fertility Measurements | Economic Factors | Health | Communication Programs | Communication | Fertility Changes Document Number: 307101 |
| 18. Title: Implementation research: a synthesis of the literature. Author: Fixsen DL; Naoom SF; Blase KA; Friedman RM Source: Tampa, Florida, University of South Florida, Louis de la Parte Florida Mental Health Institute, National Implementation Research Network, 2005. [125] p. Abstract: In the past few years several major reports highlighted the gap between our knowledge of effective treatments and services currently being received by consumers. These reports agree that we know much about interventions that are effective but make little use of them to help achieve important behavioral health outcomes for children, families, and adults nationally. This theme is repeated in reports by the Surgeon General (United States Department of Health and Human Services, 1999; 2001), the National Institute of Mental Health [NIMH] National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment (2001), Bernfeld, Farrington, & Leschied (2001), Institute of Medicine (2001), and the President's New Freedom Commission on Mental Health (2003). The authors call for applied research to better understand service delivery processes and contextual factors to improve the efficiency and effectiveness of program implementation at local, state, and national levels. Our understanding of how to develop and evaluate evidence-based intervention programs has been furthered by on-going efforts to research and refine programs and practices, to define "evidence bases", and to designate and catalogue "evidence-based programs or practices". However, the factors involved in successful implementation of these programs are not as well understood. Current views of implementation are based on the scholarly foundations prepared by Pressman & Wildavsky's (1973) study of policy implementation, Havelock & Havelock's (1973) classic curriculum for training change agents, and Rogers' (1983; 1995) series of analyses of factors influencing decisions to choose a given innovation. These foundations were tested and further informed by the experience base generated by pioneering attempts to implement Fairweather Lodges and National Follow-Through education models, among others. Petersilia (1990) concluded that, "The ideas embodied in innovative social programs are not self-executing." Instead, what is needed is an "implementation perspective on innovation--an approach that views postadoption events as crucial and focuses on the actions of those who convert it into practice as the key to success or failure". (excerpt) Language: English Keywords: FLORIDA | METHODOLOGICAL STUDIES | LITERATURE REVIEW | RESEARCH METHODOLOGY | EXPERIMENTAL MODELS | POLICYMAKERS | HEALTH PERSONNEL | IMPLEMENTATION | RESEARCH ACTIVITIES | PROGRAM SUSTAINABILITY | INTERVENTIONS | BEST PRACTICES | TRAINING PROGRAMS | United States of America | North America | Americas | Developed Countries | Administrative Personnel | Organization and Administration | Delivery of Health Care | Health | Programs | Education Document Number: 311712 |
| 19. Peer Reviewed Title: Main partner’s resistance to condoms and HIV protection among disadvantaged, minority women. Author: Perrino T; Fernandez MI; Bowen GS; Arheart K Source: Women and Health. 2005;42(3):37-56. Abstract: From a study of high-risk minority women, we examined data for a subgroup of 201 women who participated in a “male condom-focused” HIV prevention intervention, and who reported having attempted to convince their main partner to use condoms in the 3 months following intervention. Factors related to consistent condom use with a main partner post-intervention were not living with the partner, fewer sexual encounters, and no recent sexual encounter in which either partner was under the influence of drugs. At 3 months following intervention, factors related to women’s future intentions to use condoms consistently with a main partner were: no recent sex while either partner was under the influence of drugs, and the woman’s desire to use condoms consistently with the partner. Main partner’s resistance to condoms was unrelated to consistent condom use or future intentions to use condoms consistently. Findings identify barriers to consistent condom use within primary relationships, a critical yet challenging focal point for HIV prevention interventions. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | LONGITUDINAL STUDIES | WOMEN | SEXUAL PARTNERS | BLACKS | VIOLENCE | HIV PREVENTION | HIV TRANSMISSION | RISK BEHAVIOR | CONDOM USE | North America | Americas | Developed Countries | Studies | Research Methodology | Demographic Factors | Population | Sex Behavior | Behavior | Ethnic Groups | Cultural Background | Population Characteristics | HIV Infections | Viral Diseases | Diseases | Risk Reduction Behavior Document Number: 300249 |
| 20. Title: Intercouple dating on a college campus. Author: Reiter MD Source: College Student Journal. 2005 Sep;39(3):[8] p.. Abstract: Four-hundred-eighty-six university students completed a confidential questionnaire designed to assess a multitude of aspects of their current and past dating relationships. The 24-item questionnaire was designed to highlight the prevalence and rate that individuals were involved in InterCouple relationships; these being interfaith, intercultural, and/or interracial romantic relationships. 66% of the participants reported being involved at some time in an InterCouple relationship. The overall results of the survey and the importance to college personnel and students are given. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | QUESTIONNAIRES | STUDENTS | UNIVERSITIES | RACE RELATIONS | CULTURAL BACKGROUND | RELIGION | INTERPERSONAL RELATIONS | COUPLES | ATTITUDES | Developed Countries | North America | Americas | Education | Schools | Political Factors | Sociocultural Factors | Population Characteristics | Demographic Factors | Population | Behavior | Family Characteristics | Family and Household | Psychological Factors Document Number: 296009 |
| 21. Peer Reviewed Title: Histological characteristics and altered expression of interleukins (IL) IL-13 and IL-15 in endometria of levonorgestrel users with different uterine bleeding patterns. Author: Rhoton-Vlasak A; Chegini N; Hardt N; Williams RS Source: Fertility and Sterility. 2005 Mar;83(3):659-665. Abstract: Objective: To determine the relationship between uterine bleeding patterns in levonorgestrel users with endometrial histology and expression of interleukins (IL) IL-13 and IL-15. Design: Prospective observational study. Setting: Academic research center. Patient(s): Questionnaires were sent to patients (n = 578) who had levonorgestrel implants concerning bleeding patterns; 35 of these patients were identified to have regular cycle (n = 13), amenorrhea (n = 8), or metrorrhagia (n = 14). Intervention(s): Endometrial biopsies, serum, histology, and immunostaining. Main Outcome Measure(s): Endometrial histological assessment and immunostaining for IL-13 and IL-15 and for blood levonorgestrel, E2, and progesterone levels by ELISA or RIA. Result(s): No correlation was found between circulating levonorgestrel, E2, or progesterone levels with the bleeding patterns, although a trend toward a lower E2 level was observed in patients with amenorrhea who had inactive endometrium. There was a direct correlationbetween bleeding patterns and endometrial histology, as well as IL-13 and IL-15 expression in patients with regular cycles and metrorrhagia, demonstrating secretory and proliferative endometrium, respectively. Some patients in each group were also identified as demonstrating endometritis. Conclusion(s): Endometrial histology may assist directing therapy and subsequently increasing compliance in progestin-only contraceptive users with irregular bleeding who fail to respond to standard therapies. Altered endometrial expression of IL-13 and IL-15, key cytokines in inflammatory and immune cell trafficking, may influence events, leading to irregular bleeding Language: English Keywords: FLORIDA | RESEARCH REPORT | CLINICAL RESEARCH | PROSPECTIVE STUDIES | WOMEN | AMENORRHEA | METRORRHAGIA | MENSTRUATION | LEVONORGESTREL | HISTOCHEMICAL EFFECTS | CONTRACEPTIVE IMPLANTS | IMMUNOLOGICAL EFFECTS | PROGESTERONE | ENDOMETRIAL EFFECTS | IMMUNITY, CELLULAR | Developed Countries | United States of America | North America | Americas | Research Methodology | Studies | Demographic Factors | Population | Menstruation Disorders | Diseases | Bleeding | Signs and Symptoms | Reproduction | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Cytologic Effects | Physiology | Biology | Contraceptive Methods | Immunity | Immune System | Progestational Hormones | Hormones | Endocrine System | Endometrium | Uterus | Genitalia, Female | Genitalia | Urogenital System Document Number: 340159 |
| 22. Title: Gender differences in adolescent attitudes and receptivity to sexual abstinence education. Author: Smith TE; Steen JA; Schwendinger A; Spaulding-Givens J; Brooks RG Source: Children and Schools. 2005 Jan;27(1):45-50. Abstract: This article reports on a study conducted to assess the effect of gender on pre- and postintervention attitudes about sexual abstinence after an abstinence education intervention. Gender had a statistically significant effect on the pretest response for each item. Gender had a statistically significant effect on the posttest response for most of the items. Gender had no effect on items related to the negative impact on future endeavors of having sex and having children. Overall, boys entered the program with stronger attitudes against abstinence than did girls but demonstrated more change toward pro-abstinence beliefs after the intervention. In conclusion, the authors suggest the creation of gender-specific health promotion modules and further research on the efficacy of these modules. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | SURVEYS | ADOLESCENTS, MALE | ADOLESCENTS, FEMALE | SEX EDUCATION | ABSTINENCE | GENDER ISSUES | North America | Americas | Developed Countries | Sampling Studies | Studies | Research Methodology | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Education | Family Planning, Behavioral Methods | Family Planning | Sociocultural Factors Document Number: 298654 |
| 23. Peer Reviewed Title: Ask the experts: Answering your questions on DMPA use and weight. Source: Contraceptive Technology Update. 2004 Dec;25(12):[2] p.. Abstract: Should a woman who is obese and continues to gain weight on Depo-Provera [depot medroxyprogesterone acetate (DMPA), Pfizer, New York City] be allowed to continue its use if she so desires? Are providers contributing to the health risk of obesity by allowing a woman to do so? These questions are addressed by two members of the Contraceptive Technology Update editorial advisory board: Robert Hatcher, MD, MPH, professor of gynecology and obstetrics at Emory University School of Medicine in Atlanta, and Andrew Kaunitz, MD, professor and assistant chair in the obstetrics and gynecology department at the University of Florida Health Science Center/Jacksonville. (excerpt) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | WOMEN | OBESITY | DEPO-PROVERA | INJECTABLES | CONTRACEPTIVE IMPLANTS | RISK FACTORS | BODY WEIGHT | North America | Americas | Developed Countries | Demographic Factors | Population | Physiology | Biology | Medroxyprogesterone Acetate | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Contraceptive Methods Document Number: 281891 |
| 24. Peer Reviewed Title: Reach out to teens: one agency's story. Source: Contraceptive Technology Update. 2004 Oct;25(10):[2] p.. Abstract: Want to see more adolescents at your facility? Planned Parenthood of South Palm Beach and Broward County (PPSPBBC) in Boca Raton, FL, has captured teens’ attention by packaging a comprehensive health screening with a year’s supply of free birth control pills. Since the agency kicked off the Teen Health Broward program in July 2004 at its Fort Lauderdale, Pembroke Pines, and Tamarac health clinics, a steady stream of teens have been coming in for care, says Carla Shulman, RNC, OGNP, ARNP, LHCRM, vice president of medical services and risk manager for the agency. A $50 fee charged for the health screening covers a check of the heart, lungs, thyroid, and breasts, accompanied by an abdominal assessment, pelvic exam, and Pap smear. Teens also can opt to choose another form of birth control, but have to pay for the alternate selection. Those teens who cannot take the Pill do have to pay for an alternate method. While the offer of a free year’s worth of birth control pills may attract some teens, the service is not designed to advocate teen sex, she emphasizes. (excerpt) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | ADOLESCENTS, FEMALE | YOUTH | CLINIC ACTIVITIES | FAMILY PLANNING | REPRODUCTIVE HEALTH | SCREENING | CONTRACEPTION | COMMUNITY-BASED DISTRIBUTION | CONTRACEPTIVE AVAILABILITY | CONTRACEPTIVE DISTRIBUTION | YOUTH PROGRAMS | North America | Americas | Developed Countries | Adolescents | Age Factors | Population Characteristics | Demographic Factors | Population | Program Activities | Programs | Organization and Administration | Health | Examinations and Diagnoses | Nonclinical Distribution | Distributional Activities Document Number: 281881 |
| 25. Title: Use of preventive health services by Hispanic / Latino women in two urban communities: Atlanta, Georgia and Miami, Florida, 2000 and 2001. Author: Asamoa K; Rodriguez M; Ginés V; Varela R; Dominguez K Source: Journal of Women's Health. 2004;13(6):654-661. Abstract: During the 1990s, a 58% increase in the Hispanic/Latino population, fueled by the century’s largest immigration wave and the highest fertility of any group, resulted in Hispanics becoming the largest U.S. minority group. To assess use of preventive services by Hispanics in Atlanta, Georgia, the largest Hispanic new destination, and Miami, Florida, the largest established Hispanic community in the Southeast, survey data were analyzed. Miami-Ft. Lauderdale and Atlanta metropolitan area data from the 2000 National Health Interview Survey (NHIS) and from anonymous surveys conducted at health festivals in Miami and Atlanta in 2001 were analyzed. Female non-Hispanic white and black NHIS respondents were more likely than Hispanic counterparts to report annual household income _$20,000 (77.3%, 70.8% vs. 67.7%), usual source of healthcare (61.5%, 56.4% vs. 50.2%), or ever having had Pap screening (88.8%, 86.7% vs. 80.7%) or oral contraceptive use (55.7%, 59.7% vs. 33.7%). Miami-Ft. Lauderdale Hispanics were less likely than Atlanta respondents to be monolingual Spanish speakers, to lack usual source of healthcare, or to have less than 12 years of education. Of 295 female health festival respondents, the 160 Miami participants were more likely than Atlanta participants to have health insurance, monthly income >$1000, and prior Pap screening (p < 0.01) but less likely to have used contraception (p = 0.07). Most Hispanics felt they had inadequate healthcare; 15.0% reported being denied healthcare because of inability to pay. Low income, uninsured status, and language barriers were associated with lower use of preventive services among Hispanics in these Southeastern communities, particularly Atlanta, a new destination. (author's) Language: English Keywords: FLORIDA | GEORGIA (UNITED STATES) | UNITED STATES OF AMERICA | RESEARCH REPORT | URBAN POPULATION | WOMEN | WHITES | BLACKS | HISPANICS | UTILIZATION OF HEALTH CARE | HEALTH SERVICES | PREVENTIVE MEDICINE | SOCIOECONOMIC FACTORS | Developed Countries | North America | Americas | Population Characteristics | Demographic Factors | Population | Ethnic Groups | Cultural Background | Delivery of Health Care | Health | Medicine | Economic Factors Document Number: 275514 |
| 26. Peer Reviewed Title: Correlates of engaging in unprotected sex while experiencing dysuria or discharge: a study of men with confirmed gonorrhea. Author: Crosby RA; Liddon N; Martich FA; Brewer T Source: Sexually Transmitted Diseases. 2004 Jul;31(7):421-423. Abstract: Objectives: To identify the prevalence and correlates of engaging in unprotected sex while experiencing symptoms of gonorrhea among a sample of men with a laboratory confirmed diagnosis. Methods: Cross-sectional interview data were analyzed from 237 men, reporting dysuria or discharge, with a laboratory- confirmed diagnosis of gonorrhea. Results: A total of 21.1% reported engaging in unprotected sex while having symptoms. In multivariate analyses, men engaging in sex >/=5 times in the past 30 days were 3.5 times more likely to report unprotected sex while symptomatic (P = 0.001). Men reporting condom use Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | INTERVIEWS | MEN | GONORRHEA | SEX BEHAVIOR | RISK BEHAVIOR | UROGENITAL EFFECTS | CONDOM USE | SEXUALLY TRANSMITTED DISEASES | Developed Countries | North America | Americas | Data Collection | Research Methodology | Demographic Factors | Population | Reproductive Tract Infections | Infections | Diseases | Behavior | Urogenital System | Physiology | Biology | Risk Reduction Behavior Document Number: 277951 |
| 27. Title: Linkages among adolescent girls' romantic relationships, best friendships, and peer networks. Author: Kuttler AF; La Greca AM Source: Journal of Adolescence. 2004;27:395-414. Abstract: This study examined the linkages among girls’ best friendships and romantic relationships and accounted for the level of dating involvement as a moderating variable. Social exchange and Sullivan’s socioemotional theories served as guides in this process. Questionnaires were administered to 446 girls aged 15–19 years. Results showed that: (a) dating is associated with more positive and less negative interactions with best friends; (b) increasing age and dating involvement are linked with increased reliance on romantic partners; (c) romantic relationships have more negative interactions than best friendships; and (d) peer-network size and structure is related to dating behaviour. Mid to late adolescence is a time when girls shift attention away from friends and towards romantic partners. (author's) Language: English Keywords: FLORIDA | UNITED STATES OF AMERICA | QUESTIONNAIRES | ADOLESCENTS | FRIENDS AND RELATIVES | INTERPERSONAL RELATIONS | Developed Countries | North America | Americas | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Family and Household | Behavior Document Number: 275505 |
| 28. Title: Postabortion grief: evaluating the possible efficacy of a spiritual group intervention. Author: Layer SD; Roberts C; Wild K; Walters J Source: Research on Social Work Practice. 2004 Sep;14(5):344-350. Abstract: Objective: Although not every woman is negatively affected by an abortion, researchers have identified a subgroup of women susceptible to grief and trauma. The primary providers for postabortion grief (PAG) groups are community faith-based agencies. Principle features of PAG are shame and post- traumatic stress disorder (PTSD) symptoms. Method: This study measured the efficacy of a spiritually based grief group intervention for women grieving an abortion. Thirty-five women completed the Impact of Event Scale-Revised (IES-R) and the Internalized Shame Scale (ISS) pre- and postintervention along with posttest open-ended questions. Results: Postintervention measures indicated significant decrease in shame (p < .000) and PTSD symptoms (p < .002). More than 80% reported their religious beliefs and the spiritual intervention played a strong to very strong role in the group. Conclusion: Social workers need to screen for PAG with a postabortive woman and when appropriate refer her to agencies offering such groups. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | WOMEN | ABORTION | POSTABORTION CARE | PSYCHOLOGICAL FACTORS | STRESS | RELIGION | INTERVENTIONS | GROUP PROCESSES | PROGRAM EVALUATION | North America | Americas | Developed Countries | Research Methodology | Demographic Factors | Population | Fertility Control, Postconception | Family Planning | Health Services | Delivery of Health Care | Health | Behavior | Programs | Organization and Administration | Social Behavior Document Number: 283287 Notification |
| 29. Title: Condom use history as a determinant of university students' condom evaluative index. Author: McDermott RJ; Noland VJ Source: Psychological Reports. 2004 Jun;94(3 Pt 1):889-893. Abstract: Researchers examined the mean sum scores of 15 semantic differential scales to specify the evaluative index assigned to the term condom by 173 undergraduate students at a large public university. Of interest was whether evaluative indices were different for men and women, and for condom ever-users versus never-users. There was no sex difference in semantic evaluation of condom. However, the mean sum score of persons with prior condom experience reflected a significantly more positive rating compared to persons who were never-users. Because use of condoms is associated with an evaluative index that is statistically more favorable, encouraging sexually active young adults to try condoms may promote consistency of use, and thereby reduce undesired pregnancies and sexually transmitted infections. (author's) Language: English Keywords: UNITED STATES OF AMERICA | FLORIDA | RESEARCH REPORT | AUDIENCE RESEARCH | STUDENTS | SEX BEHAVIOR | CONDOM USE | SEXUALLY TRANSMITTED DISEASE PREVENTION | ATTITUDES | Developed Countries | North America | Americas | Market Research | Research Methodology | Education | Behavior | Risk Reduction Behavior | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Diseases | Psychological Factors Document Number: 277952 |
| 30. Title: College students and HIV / AIDS: more insights on knowledge, testing, and sexual practices. Author: Opt SK; Loffredo DA Source: Journal of Psychology. 2004;138(5):389-402. Abstract: In this study, the authors confirm and expand previous findings (M. Anastasi, R. G. Sawyer, & P. J. Pinciaro, 1999; J. E. Lewis & R. M. Malow, 1997) concerning college students' knowledge and perceptions about HIV/AIDS. Although students are knowledgeable about HIV/AIDS, they have little personal concern about becoming infected and do not take appropriate safe sex precautions. Findings of the present study show that gender, ethnic background, and knowing someone infected by HIV/AIDS influence students' level of concern about infection. In addition, older students and those who know someone infected by HIV/AIDS are more likely to have been tested. Results are compared with national surveys of other age groups, and the authors suggest specific intervention strategies for college students. (author's) Language: English Keywords: FLORIDA | RESEARCH REPORT | KAP SURVEYS | STUDENTS | ETHNIC GROUPS | SEX BEHAVIOR | HIV TESTING | RISK BEHAVIOR | HIV INFECTIONS | KNOWLEDGE | PERCEPTION | SEX FACTORS | AGE FACTORS | RELIGIOUS ASPECTS | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Education | Cultural Background | Population Characteristics | Demographic Factors | Population | Behavior | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Viral Diseases | Diseases | Psychological Factors | Religion Document Number: 283645 |
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