1.  Title: Condom provision and education in Minnesota public schools: a telephone survey of parents. Author: Eisenberg ME; Bernat DH; Bearinger LH; Resnick MD Source: Journal of School Health. 2009 Sep;79(9):416-24; quiz 438-9. Abstract: BACKGROUND: Increasing correct and consistent condom use among sexually active adolescents continues to be a critical public health goal, with schools serving as key agents for achieving this goal through sexuality education and condom use provision. This research aims to describe the views of parents regarding school-based condom distribution and education programs, and examines how these views differ across demographic groups. METHODS: Parents of school-age children in Minnesota were surveyed in telephone interviews (N = 1605; 63% participation) regarding their beliefs about condom availability and education. Chi-square tests of significance were used to detect differences in agreement with each statement for 10 demographic and personal characteristics. RESULTS: A majority of respondents held supportive views about condom availability and education programs. Strongest support centered on statements in the survey about teenagers needing information about condoms (86%) and showing actual condoms during classroom lessons (77%). Approximately two thirds of the parents agreed that school-based instruction about condoms should be "allowed" at the high school level (65%), and one fifth (21%) believed that this type of education should be "required." Support for condom availability and education programs differed significantly according to certain personal characteristics, with less supportive views from self-identified Born Again Christians and politically conservative parents. CONCLUSIONS: Public discourse regarding school-based sexuality education should include the viewpoints of parents of school-aged children as key stakeholders. Parents' perspectives provide unique and critical insights that school administrators and educators should consider as they develop educational and programmatic offerings regarding condoms. Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | RESEARCH REPORT | SURVEYS | PARENTS | BELIEFS | SEX EDUCATION | CONDOMS | PROGRAM ACCESSIBILITY | Developed Countries | North America | Americas | Sampling Studies | Studies | Research Methodology | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Culture | Education | Barrier Methods | Contraceptive Methods | Contraception | Family Planning | Program Evaluation | Programs | Organization and Administration Document Number: 342559 |
| 3. Title: Progress in introduction of pneumococcal conjugate vaccine--worldwide, 2000-2008. Author: Centers for Disease Control and Prevention (CDC) Source: MMWR. Morbidity and Mortality Weekly Report. 2008 Oct 24;57(42):1148-51. Abstract: Pneumococcal disease is a leading cause of childhood morbidity and mortality globally, causing an estimated 0.7-1.0 million deaths annually among children aged <5 years (1). A pneumococcal conjugate vaccine (PCV) that includes seven pneumococcal serotypes (PCV7) first became available in 2000. Studies in the United States have demonstrated that introduction of universal vaccination with PCV7 resulted in a 77% decrease in invasive pneumococcal disease among children aged <5 years and a 39% decrease in hospital admissions for pneumonia among children aged <2 years (2,3). A similar vaccine with two additional serotypes was highly efficacious against pneumonia and invasive disease in clinical trials in Africa and, in one trial, reduced all-cause mortality among children by 16% (4). Low-income countries, which account for >97% of pneumonia cases in children aged <5 years (5), will benefit most from introduction of PCV. This report summarizes the progress made in introducing PCV7 worldwide. As of August 2008, 26 countries offered PCV7 to all children as part of national immunization programs or had PCV7 in widespread use (i.e., with estimated national coverage >50%); however, none of these countries is a low-income or lower-middle income country. The World Health Organization (WHO) and UNICEF have recognized the safety and effectiveness of PCVs and recommend that these vaccines for young children be included in national immunization programs (1). Overcoming the challenges to global introduction remains an urgent public health priority. (excerpt) Language: English Keywords: MINNESOTA | RESEARCH REPORT | CLINICAL RESEARCH | CASE STUDIES | MEN | OLDER ADULTS | BACTERIAL AND FUNGAL DISEASES | SKELETAL EFFECTS | BLOOD TRANSFUSION | INSECTS | EMBOLISM | SURGERY | COMPLICATIONS | ANTIBIOTICS | United States of America | North America | Americas | Developed Countries | Research Methodology | Studies | Demographic Factors | Population | Adults | Age Factors | Population Characteristics | Infections | Diseases | Physiology | Biology | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Disease Transmission Control | Prevention and Control | Vascular Diseases | Drugs Document Number: 329067 |
| 4. Title: Presumed influence of DTC prescription drug advertising: Do experts and novices think differently? Author: Huh J; Langteau R Source: Communication Research. 2007 Feb;34(1):25-52. Abstract: Davison's original third-person-effect proposal notes that experts, because of their special knowledge, may exhibit a greater third-person effect than do nonexperts. To gather empirical evidence on this notion, this research investigates whether experts perceive a greater influence of direct-to-consumer (DTC) advertising on others than do novices. The expert-novice distinction is made in two different ways: (a) physicians versus consumers, based on objective knowledge of prescription drugs and (b) consumer experts versus consumer novices, based on familiarity with DTC advertising. Results show that consumer experts clearly exhibit greater perceived DTC advertising influence on others than do novices, and the differences between experts and novices vary by presumed DTC advertising influence dimensions. Future research is advocated on expert views in presumed media influence studies. (author's) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | RESEARCH REPORT | PHYSICIANS | CLIENTS | PRESCRIPTIONS | DRUGS | ADVERTISING | KNOWLEDGE | PERCEPTION | MASS MEDIA | Developed Countries | North America | Americas | Health Personnel | Delivery of Health Care | Health | Program Activities | Programs | Organization and Administration | Distributional Activities | Treatment | Medical Procedures | Medicine | Health Services | Promotion | Marketing | Economic Factors | Sociocultural Factors | Psychological Factors | Behavior | Communication Document Number: 322401 |
| 5. Peer Reviewed Title: Environmental, social, and personal correlates of having ever had sexual intercourse among American Indian youths. Author: Hellerstedt WL; Peterson-Hickey M; Rhodes KL; Garwick A Source: American Journal of Public Health. 2006 Dec 1;96(12):2228-2234. Abstract: We examined the correlates of having ever had sexual intercourse among American Indians aged 13 to 18 years in Minnesota. To assess key environmental, social, and individual correlates of sexual experience, we analyzed data from 4135 American Indian youths who participated in the 1998 and 2001 Minnesota Student Surveys. Forty-two percent of those aged 13 to 15 years and 69% of those aged 16 to 18 years reported that they had ever had sexual intercourse. Correlates of sexual experience varied by age and gender. School connections had the strongest negative associations with sexual experience in young girls, and living with a father had negative associations with sexual experience for younger, but not older, youths. Sexual experience was most strongly and positively associated with risk behaviors such as substance use, violence exposure, and violence perpetuation. The strongest correlates of sexual experience for American Indian youths were high-risk behaviors and exposure to violence. Future work is needed to develop and employ measures that reflect youth assets and that specifically reflect the experiences of American Indian youths. (author's) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | RESEARCH REPORT | SURVEYS | NATIVE AMERICANS | STUDENTS | FAMILY AND HOUSEHOLD | SEXUAL INTERCOURSE | SEX BEHAVIOR | PSYCHOSOCIAL FACTORS | SELF-PERCEPTION | VIOLENCE | SEXUAL ABUSE | North America | Americas | Developed Countries | Sampling Studies | Studies | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Education | Sociocultural Factors | Reproduction | Behavior | Perception | Psychological Factors | Crime | Social Problems Document Number: 310820 |
| 6. Title: Adolescents' knowledge of and attitudes toward Minnesota laws concerning adolescent medical care. Author: Loertscher L; Simmons PS Source: Journal of Pediatric and Adolescent Gynecology. 2006 Jun;19(3):205-207. Abstract: Healthcare delivery to adolescents involves consent to care, confidentiality, and reimbursement in attendance to patients' medical problems. State laws address the medical care of minors with respect to privacy and autonomy. This study was conducted to determine adolescents' knowledge and attitudes toward the laws in their state, Minnesota, that influence their medical care. This information may guide health care providers in their education of adolescent patients, as well as advise future legislation on the healthcare of minors. Written questionnaires were administered to 636 9th through 12th grade students in required classes at the three public high schools in Rochester, MN, providing a representative sample of approximately fifty participants from each of the four grades. Results from the sixteen-question, anonymous survey were compiled to calculate an overall median knowledge score. Median scores were also reported by individual question, policy category, gender, grade, and socioeconomic status. Adolescent opinion was scored on a system in which 11 signified a ''good law,'' 0 ''neither a good nor bad law,'' and 21 a ''bad law.'' These opinion scores were used to determine adolescents' attitudes by category as well as an overall positive, negative, or neutral opinion toward the laws. 594(93.4%) students returned surveys. Adolescents obtained a median score of 31.3% (range, 0--100%) correct on a knowledge test. Opinion score was positive, with a median of 1 0.38. 81.1% of adolescents reported that the laws in the survey had no effect on their lives. These results indicate that adolescents are not knowledgeable of Minnesota laws regarding their medical care. Overall opinion of the existing laws is positive, particularly of those laws that protect minor consent. Most adolescents feel that these laws have not affected their lives. Low knowledge and a lack of a sense of impact from these laws indicate a need for clinicians to educate patients and their families about the legal aspects of adolescent medical care. These results are particularly relevant at a time when changes to current minor health care legislation are under consideration. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | KAP SURVEYS | ADOLESCENTS | MINORS | ATTITUDES | KNOWLEDGE | LEGISLATION | INFORMED CONSENT | PARENTAL CONSENT | CONFIDENTIAL INFORMATION | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Psychological Factors | Behavior | Sociocultural Factors | Political Factors | Health Services | Delivery of Health Care | Health | Ethics Document Number: 302498 |
| 7. Peer Reviewed Title: Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. Author: Neumark-Sztainer D; Paxton SJ; Hannan PJ; Haines J; Story M Source: Journal of Adolescent Health. 2006 Aug;39(2):244-251. Abstract: This study addresses the question, "Does body satisfaction matter?" by examining longitudinal associations between body satisfaction and weight-related health-promoting and health-compromising behaviors five years later among adolescents. Project EAT-II followed an ethnically and socioeconomically diverse sample of 2516 adolescents from 1999 (Time 1) to 2004 (Time 2). Associations between body satisfaction at Time 1 and health behaviors at Time 2 were examined, adjusting for sociodemographic characteristics and Time 1 health behaviors, with and without adjustment for body mass index (BMI). In females, lower body satisfaction predicted higher levels of dieting, unhealthy and very unhealthy weight control behaviors and binge eating, and lower levels of physical activity and fruit and vegetable intake. After adjusting for BMI, associations between body satisfaction and dieting, very unhealthy weight control behaviors, and physical activity remained statistically significant. In males, lower body satisfaction predicted higher levels of dieting, healthy, unhealthy, and very unhealthy weight control behaviors, binge eating, and smoking, and lower levels of physical activity. After adjusting for BMI, associations between body satisfaction and dieting, unhealthy weight control behavior, and binge eating remained statistically significant. The study findings indicate that, in general, lower body satisfaction does not serve as a motivator for engaging in healthy weight management behaviors, but rather predicts the use of behaviors that may place adolescents at risk for weight gain and poorer overall health. Interventions with adolescents should strive to enhance body satisfaction and avoid messages likely to lead to decreases in body satisfaction. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | LONGITUDINAL STUDIES | KAP SURVEYS | ADOLESCENTS | SELF ESTEEM | SELF-PERCEPTION | RISK BEHAVIOR | SEX FACTORS | DIET | SATISFACTION | TOBACCO USE | FITNESS | LIFE STYLE | United States of America | North America | Americas | Developed Countries | Studies | Research Methodology | Surveys | Sampling Studies | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Psychological Factors | Behavior | Perception | Nutrition | Health Document Number: 304833 |
8.  Title: What if: How declines in teen births have improved poverty and child well-being in Minnesota. 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 | MINNESOTA | 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: 307041 |
| 9. Peer Reviewed Title: Vaginal contraceptive activity of a chelated vanadocene. Author: D'Cruz OJ; Uckun FM Source: Contraception. 2005;72:146-156. Abstract: Bis(cyclopentadienyl) complexes of vanadium (IV) or vanadocenes are rapid and potent inhibitors of human sperm motility with potential as a new class of contraceptive agents. This study sought to determine the vaginal contraceptive activity of vandocene dithiocarbamate (VDDTC), a stable vanadocene (IV)-chelated complex, using the standard rabbit model as well as the domestic pig as a physiologically relevant animal model for contraception. In experiment I, ovulating New Zealand White does in subgroups of eight were artificially inseminated (AI) with semen mixed with VDDTC (0.01-1 mM) or vehicle. In experiment II, ovulating does in subgroups of 18 were AI at 5 and 60 min after intravaginal application of a gel with and without 0.1% VDDTC or 2% nonoxynol-9 (N-9) (Gynol II, Ortho Pharmaceutical, Raritan, NJ), and allowed to complete term pregnancy. In experiment III, seven sexually mature Duroc gilts in standing estrus were AI with and without intravaginal application of 0.1% VDDTC gel microemulsion. Exposure of rabbit semen to VDDTC at the time of artificial insemination resulted in a dose-dependent reduction in fertility. Exposure of semen to 1 mM VDDTC led to complete inhibition of fertility as assessed by the number of embryos (control 49/94 vs. VDDTC-treated 0/117, p <.0001) or the percent embryos (52% vs. 0%, respectively) based on number of embryos to corpora lutea. Intravaginal administration of 0.1% VDDTC gel microemulsion of Gynol II prior to artificial insemination significantly inhibited term pregnancy rates (88% and 62% inhibition, respectively) when compared to control gel alone. Vanadocene dithiocarbamate gelmicroemulsion provided 80% inhibition of fertility even when insemination was delayed until 60 min after intravaginal application of VDDTC gel microemulsion. Rabbits that delivered litters despite intravaginal exposure of semen to VDDTC via gel microemulsion had healthy offsprings with no apparent perinatal repercussions. In domestic pigs, intravaginal applications of 0.1% VDDTC gel microemulsion prior to artificial insemination led to complete inhibition of fertility as assessed by the number of embryos (control 29/52 vs. VDDTC-treated 0/44, p <.0001) or the percent embryos (56% vs. 0%, respectively) based on the number of embryos to corpora lutea. These results suggest that VDDTC is a potent contraceptive agent in vivo. Intravaginal use of VDDTC via a gel microemulsion has clinical potential as a safe alternative to currently used detergent-type contraceptives. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | EVALUATION | LABORATORY ANIMALS | SPERM IMMOBILIZING AGENTS | VAGINAL GEL | ADMINISTRATION AND DOSAGE | CONTRACEPTIVE SAFETY | CONTRACEPTIVE EFFECTIVENESS | United States of America | North America | Americas | Developed Countries | Clinical Research | Research Methodology | Spermicidal Contraceptive Agents | Contraceptive Agents | Contraception | Family Planning | Vaginal Spermicides | Contraceptive Methods | Drugs | Treatment | Safety | Public Health | Health Document Number: 288319 |
| 10. Peer Reviewed Title: Adolescent girls with high body satisfaction: who are they and what can they teach us? Author: Kelly AM; Wall M; Eisenberg ME; Story M; Neumark-Sztainer D Source: Journal of Adolescent Health. 2005 Nov;37(5):391-396. Abstract: The purpose of this study was 2-fold: (1) to determine the prevalence of high body satisfaction in a multi-ethnic, urban population of adolescent females, and (2) to examine the demographic, socioenvironmental, personal, and behavioral factors associated with high body satisfaction among adolescent girls. The study population included 2,357 female middle and high school students who completed surveys in 1998–1999. High body satisfaction and its association with a range of socioenvironmental, personal, and behavioral factors were assessed. Associations were examined through comparisons of means (unadjusted and adjusted for grade level, race, socioeconomic status, and body mass index [BMI]) for continuous variables, and percentages and odds ratios for dichotomized variables. Over a quarter (26.7%) of adolescent girls reported high body satisfaction. High body satisfaction was most common among African-American (40.1%) and underweight girls (39.0%). In adjusted analyses, girls with high body satisfaction were more likely to report parental and peer attitudes that encouraged healthy eating and exercising to be fit (p < .001) versus dieting, and less likely to report personal weight-related concerns and behaviors (p < .001). The immediate subculture in which adolescent girls exist may play an important role in fostering high body satisfaction. Parents and health care providers often struggle with how to address the topic of weight management in teens without causing further injury to body image. Findings from the present study suggest the importance of providing a social environment that focuses on health and fitness, rather than on weight control, to increase adolescent girls’ likelihood of being satisfied with their bodies. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | KAP SURVEYS | ADOLESCENTS, FEMALE | BLACKS | SATISFACTION | PREVALENCE | SELF-PERCEPTION | PSYCHOSOCIAL FACTORS | DEMOGRAPHIC FACTORS | BODY WEIGHT | PEER PRESSURE | PARENTAL INVOLVEMENT | FITNESS | DIET | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Adolescents | Youth | Age Factors | Population Characteristics | Population | Ethnic Groups | Cultural Background | Psychological Factors | Behavior | Measurement | Perception | Physiology | Biology | Child Rearing | Health | Nutrition Document Number: 292362 |
| 11. Peer Reviewed Title: Schoolwide food practices are associated with body mass index in middle school students. Author: Kubik MY; Lytle LA; Story M Source: Archives of Pediatrics and Adolescent Medicine. 2005 Dec;159(12):1111-1114. Abstract: The objective was to examine the association between body mass index in young adolescents and school-wide food practices such as foods used in school fundraising and in the classroom as incentives and rewards. Using a cross-sectional study design, we collected data from both the schools and the students. School administrators provided information on school-wide food policies and practices. Eighth-grade students provided self-reported heights and weights. Setting: Sixteen middle schools in the Minneapolis- St Paul metropolitan area. The study included 3088 eighth-grade students. Students were participants in a school-based dietary intervention study. Main Outcome Measures:: Body mass index was calculated from self-reported height and weight data. A 7-item school-wide food practices scale (Cronbach a = 0.83) was created using data collected from school administrators. The mean number of food practices permitted by a school was 3 (range, 0-7). The most prevalent food practices were the use of food as incentives and rewards (69%) and in classroom fundraising (56%). Body mass index of the students increased 10% for every additional food practice permitted in their school (P < .03). School-wide food practices that supported frequent snacking and the consumption of foods and beverages high in calories and low in nutrients by students throughout the school day were common and adversely associated with body mass index of the students. Prevention of overweight in childhood must include attention to the nutrition integrity of schools, and school nutrition policies that consistently support and promote healthy dietary practices among young adolescents are urgently needed. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | EVALUATION INDEXES | ADOLESCENTS | BODY WEIGHT | HEALTH STATUS INDEXES | FOOD AND BEVERAGE | INCENTIVES | DIET | SCHOOL-BASED SERVICES | United States of America | North America | Americas | Developed Countries | Quantitative Evaluation | Evaluation | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Physiology | Biology | Health | Nutrition | Policy | Programs | Organization and Administration Document Number: 294177 |
| 12. Peer Reviewed Title: Sexual abuse history, risk behavior, and sexually transmitted diseases: the impact of age at abuse. Author: Ohene S; Halcon L; Ireland M; Carr P; McNeely C Source: Sexually Transmitted Diseases. 2005 Jun;32(6):358-363. Abstract: The objective of this study was to examine the relationship between age at onset of sexual abuse, risk behaviors, and a diagnosis of sexually transmitted disease (STD) in a clinic-attending adolescent population. Bivariate analyses were used to test association among age at onset of sexual abuse, risk behaviors, and STD diagnosis (n = 2175). Relationship between sexual abuse and STD acquisition was assessed by regression analysis. More females than males reported sexual abuse, 26.75% and 5.4%, respectively. Abuse at or before 10 years of age was associated with more lifetime and recent partners. History of abuse was associated with higher rates of STD tests. In regression analysis, for males and females, the odds of having an STD were 2.5 times greater if abuse occurred at 10 years or younger. Sexual abuse at a younger age is associated with more sexual risk behaviors and is a risk factor for STDs. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | STATISTICAL REGRESSION | ADOLESCENTS | SEXUAL ABUSE | SEXUALLY TRANSMITTED DISEASES | RISK BEHAVIOR | AGE FACTORS | SEX FACTORS | FIRST INTERCOURSE | United States of America | North America | Americas | Developed Countries | Research Methodology | Data Analysis | Youth | Population Characteristics | Demographic Factors | Population | Crime | Social Problems | Reproductive Tract Infections | Infections | Diseases | Behavior | Sex Behavior Document Number: 286745 |
| 13. Title: Integrating efforts to prevent HIV, other STIs, and pregnancy among teens in Minnesota. Author: Rogers J; Augustine J; Alford S Source: Washington, D.C. Advocates for Youth, 2005. [4] p. (Issues at a Glance) Abstract: In the United States, many youth-serving professionals and activists focus on preventing some particular negative health outcome among teens, such as unintended pregnancy or sexually transmitted infections (STIs). In other words, youth-serving professionals often focus on one facet or another of the lives of youth, instead of serving youth more holistically. Integrating their efforts may provide a number of benefits, both for the young client and for youth-serving organizations. This document discusses the what, why, and how, the benefits, and the challenges of approaching youth holistically and of integrating the sexual health information and services they receive. (excerpt) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | SUMMARY REPORT | YOUTH | ADOLESCENTS | ADOLESCENT PREGNANCY | SEXUALLY TRANSMITTED DISEASE PREVENTION | HIV PREVENTION | PREGNANCY, UNWANTED | ADOLESCENT HEALTH | PREVENTION AND CONTROL | TREATMENT | North America | Americas | Developed Countries | Age Factors | Population Characteristics | Demographic Factors | Population | Reproductive Behavior | Fertility | Population Dynamics | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Diseases | HIV Infections | Viral Diseases | Health Document Number: 290094 |
| 14. Title: Reliability of self-reported contraceptive use and sexual behaviors among adolescent girls. Author: Sieving R Source: Journal of Sex Research. 2005 May;:[19] p.. Abstract: The current study was undertaken to develop evaluation measures for Prime Time, a multi-component intervention study to increase the consistency of contraceptive use and reduce sexual risk behaviors among sexually active adolescent girls. The overall goal of the current study was to examine the reliability of responses to questions about sexual behavior and contraceptive use using two frames: a temporal referent and a partner-specific referent. The current study addressed two core research questions: 1. How reliable are adolescent girls' self-reports of contraceptive use using partner-referent questions and time-referent questions within the same survey? To address this question, we compared measures of contraceptive use based on adolescents' partner-specific reports with their reports of contraceptive use over the past 3 months and their reports of contraceptive use over the past 6 months. We also compared reliability of 3- and 6-month time referent questions. Given that adolescent sexual behavior can be episodic, we assumed that self-reports using longer recall period, and thus a more comprehensive picture of adolescent sexual experience, may be justified if such reports were highly reliable. 2. What is the test-retest reliability of self-reported contraceptive use and sexual behaviors as measured twice over a 1- to 2-week period? To address this question, we analyzed the consistency of responses over time for both partner-referent and time-referent measures. (excerpt) Language: English Keywords: MINNESOTA | METHODOLOGICAL STUDIES | RESEARCH REPORT | KAP SURVEYS | ADOLESCENTS, FEMALE | SEXUAL PARTNERS | RELIABILITY | CONTRACEPTIVE USAGE | SEX BEHAVIOR | SELF-PERCEPTION | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Behavior | Measurement | Contraception | Family Planning | Perception | Psychological Factors Document Number: 292858 |
| 15. Peer Reviewed Title: Break down teen barriers with direction provision. Switch from voucher system works in school clinics. Source: Contraceptive Technology Update. 2004 Apr;25(4):[3] p.. Abstract: Direct distribution of birth control may be an effective strategy for school-based clinics wishing to remove barriers to contraceptive access, according to research findings from Minnesota public health officials. The Minneapolis Department of Health and Family Support operates comprehensive schoolbased clinics in five traditional high schools. Prior to 1998, its clinics issued vouchers redeemable for free birth control at community clinics. The voucher system proved less than effective, however; just 41% of students received all of the contraceptives they requested during the last year of voucher issuance. By switching to direct distribution, that number increased to 99% by 2000. School-based health centers are on the rise; their numbers have increased by 9% over the past two years, according to statistics from the Washington, DC-based Center for Health and Health Care in Schools. According to a 2002 survey conducted by the organization, there are 1,498 such centers across the country; 36% are located in high schools. Forty-three states plus the District of Columbia operate school-based health centers; seven states (Arkansas, Hawaii, Idaho, Montana, North Dakota, South Dakota, and Wyoming) do not have such facilities. (excerpt) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | CRITIQUE | RESEARCH ACTIVITIES | STUDENTS | CONTRACEPTIVE AVAILABILITY | CONTRACEPTIVE DISTRIBUTION | OBSTACLES | SCHOOL-BASED SERVICES | ADOLESCENT PREGNANCY | PROGRAM EFFECTIVENESS | North America | Americas | Developed Countries | Research Methodology | Education | Contraception | Family Planning | Distributional Activities | Program Activities | Programs | Organization and Administration | Reproductive Behavior | Fertility | Population Dynamics | Demographic Factors | Population | Program Evaluation Document Number: 281912 |
| 16. Title: Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Author: Hanson NI; Neumark-Sztainer D; Eisenberg ME; Story M; Wall M Source: Public Health Nutrition. 2004;8(1):77-85. Abstract: Objective: This study examines parental report of household food availability, parent dietary intake and associations with adolescent intakes of fruits, vegetables and dairy foods. Design: Cross-sectional study. Adolescents completed the Project EAT survey and the Youth Adolescent Food Frequency Questionnaire at school. Parents of adolescents were interviewed by telephone about the home food environment, eating habits and weight-related behaviours. General linear modelling was used to compare dietary intakes of adolescents across different levels of household food availability and parental intakes. Subjects/setting: The study sample included 902 adolescents and their parent or guardian. Results: Many parents were not consuming the minimum number of daily recommended fruit (44.5%), vegetable (69.9%) or dairy (46.9%) servings. While most parents reported that fruits and vegetables were available at home (90.3%) and vegetables were usually served at dinner (87.0%), fewer parents reported milk was served at meals (66.6%). Soft drinks were usually available at home (56.8%). Among girls, household availability was positively associated with fruit and vegetable intake (t(-trend)=2.70, P < 0.01) and soft drink availability was inversely associated with dairy intake (t(-trend)=2.08, P=0.04). Among boys, serving milk at meals was positively associated with dairy intake (t(-trend)=3.65, P<0.01). Parental intakes were positively associated with dairy intake for boys (t(-trend)=2.04, P=0.04), and with dairy (t(- trend)=2.43, P=0.01), vegetable (t(-trend)=3.72, P<0.01) and fruit (t(- trend)=3.17, P<0.01) intakes for girls. Conclusions/applications: Interventions designed to help adolescents improve consumption of fruits, vegetables and dairy foods may be enhanced by including a parental component aimed at increasing household availability and parents' intake of healthful food choices. (author's) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | PARENTS | ADOLESCENTS | ROLE MODELS | DIET | NUTRITION | Developed Countries | North America | Americas | Research Methodology | Family Relationships | Family Characteristics | Family and Household | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Interpersonal Relations | Behavior | Health Document Number: 281006 |
| 17. Title: Somali refugee women speak out about their needs for care during pregnancy and delivery. Author: Herrel N; Olevitch L; DuBois DK; Terry P; Thorp D Source: Journal of Midwifery and Women's Health. 2004 Jul-Aug;49(4):345-349. Abstract: More than half of all Somali refugees in the United States live in Minnesota. To obtain information to develop culturally sensitive health education materials, we conducted two focus groups with 14 Somali women who had each given birth to one child in Minnesota. Overall, women thought that their childbirth experience was positive. They also reported racial stereotyping, apprehension of cesarean births, and concern about the competence of medical interpreters. Women wanted more information about events in the delivery room, pain medications, prenatal visits, interpreters, and roles of hospital staff. The most desirable educational formats were a videotape, audiotapes, printed materials, and birth center tours. To increase their attendance at prenatal appointments, participants said they needed reminder telephone calls, transportation, and childcare. (author's) Language: English Keywords: SOMALIA | UNITED STATES OF AMERICA | MINNESOTA | RESEARCH REPORT | FOCUS GROUPS | REFUGEES | PREGNANT WOMEN | CHILDBIRTH | CULTURAL BACKGROUND | ANTENATAL CARE | HEALTH EDUCATION | CESAREAN SECTION | UTILIZATION OF HEALTH CARE | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Developed Countries | North America | Americas | Data Collection | Research Methodology | Migrants | Migration | Population Dynamics | Demographic Factors | Population | Population Characteristics | Pregnancy Outcomes | Pregnancy | Reproduction | Maternal Health Services | Maternal-Child Health Services | Primary Health Care | Health Services | Delivery of Health Care | Health | Education | Obstetrical Surgery | Surgery | Treatment Document Number: 274070 |
| 18. Peer Reviewed Title: Primary and secondary sexual abstinence in high school students. Author: Loewenson PR; Ireland M; Resnick MD Source: Journal of Adolescent Health. 2004 Mar;34(3):209-215. Abstract: The purpose was to assess reasons for choosing not to have sexual intercourse among two groups: virgins (primary abstainers) and already sexually experienced youth (secondary abstainers). 73,464 Minnesota ninth- and twelfth-grade adolescents completed the 1998 Minnesota Student Survey. Respondents identified reasons for abstinence from a checklist from which they could nominate all relevant items. Reasons for each group were analyzed using Chi-square with a conservative criterion value (p < .001) owing to large sample size. Logistic regression was used to examine the associations of gender, grade, and their interactions, with reasons for abstinence. Sixty-six percent reported never having had intercourse (primary abstainers). Among sexually experienced youth, 7.8% reported choosing not to have intercourse (secondary abstainers). Fear of pregnancy was the reason endorsed most often, more by girls than by boys (OR = 26 for primary abstainers, 6.9 for secondary abstainers). Fear of other adverse consequences, such as sexually transmitted infections, parental disapproval, or fear of getting caught, were generally selected by more girls than boys, and by more primary than secondary abstainers. Similarly, more girls and primary abstainers than boys or secondary abstainers generally selected statements reflecting normative beliefs on youth or their friends having intercourse. Fear of adverse consequences and normative beliefs about the appropriateness of having sexual intercourse were most frequently endorsed as important reasons by both groups of abstainers. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | STATISTICAL REGRESSION | KAP SURVEYS | ADOLESCENTS | ABSTINENCE | SECONDARY SCHOOLS | SEX FACTORS | ATTITUDES | FEAR | BELIEFS | VALUE ORIENTATION | United States of America | North America | Americas | Developed Countries | Data Analysis | Research Methodology | Surveys | Sampling Studies | Studies | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Family Planning, Behavioral Methods | Family Planning | Schools | Education | Psychological Factors | Behavior | Emotions | Culture Document Number: 190760 |
| 19. Title: School-based approaches to affect adolescents' diets: results from the TEENS study. Author: Lytle LA; Murray DM; Perry CL; Story M; Birnbaum AS Source: Health Education and Behavior. 2004 Apr;31(2):270-287. Abstract: This article reports on the outcomes of the Teens Eating for Energy and Nutrition at School (TEENS) study, a 2-year intervention study conducted in 16 middle schools with a goal of increasing students’ intakes of fruits, vegetables, and lower fat foods. Despite positive interim results for students randomized to intervention schools, the positive effects of the intervention were not seen for the primary outcomes at the end of the 2nd year. Positive effects were seen only for a food choice score (suggesting that the students usually choose lower versus higher fat foods) and not for measures of food intake. Future studies may need to take a step back toward more controlled efficacy studies in working with this age-group. In addition, future work may consider the use of peer leaders, more intensive teacher training, ongoing formative assessment, and the testing of more powerful environmental change intervention strategies. (author's) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | RESEARCH REPORT | CASE CONTROL STUDIES | ADOLESCENTS | STUDENTS | PRIMARY SCHOOLS | DIET | NUTRITION | BEHAVIOR | SCHOOL-BASED SERVICES | HEALTH EDUCATION | INTERVENTIONS | PROGRAM EVALUATION | Developed Countries | North America | Americas | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Education | Schools | Health | Programs | Organization and Administration Document Number: 280342 |
| 20. Peer Reviewed Title: Are family meal patterns associated with disordered eating behaviors among adolescents? Author: Neumark-Sztainer D; Wall M; Story M; Fulkerson JA Source: Journal of Adolescent Health. 2004;35:350-359. Abstract: The purpose was to examine associations between family meal patterns (frequency, priority, atmosphere, and structure of family meals) and disordered eating (unhealthy weight control behaviors, binge eating, and chronic dieting) in adolescent girls and boys. Survey and anthropometric data were collected from 4746 ethnically diverse adolescents from public middle and senior high schools who participated in the Project EAT study (Eating Among Teens). Variables of interest included family meal patterns and disordered eating behaviors. Logistic regressions were performed to examine associations between family meal patterns and disordered eating behaviors adjusting for body mass index, sociodemographic characteristics, family connectedness, and weight pressures within the home. In general, adolescents who reported more frequent family meals, high priority for family meals, a positive atmosphere at family meals, and a more structured family meal environment were less likely to engage in disordered eating. For example, 18.1% of girls who reported 1–2 family meals/week engaged in extreme weight control behaviors compared with 8.8% of girls who reported 3–4 family meals/week. Making family meals a priority, in spite of scheduling difficulties, emerged as the most consistent protective factor for disordered eating. Associations between family meal patterns and disordered eating behaviors tended to be stronger among girls than among boys. Family meal patterns were more consistently associated with unhealthy weight control behaviors than with chronic dieting and binge eating. Although associations between family meals and disordered eating were weakened after adjusting for more global familial factors, including family connectedness and weight-specific pressures within the home, a number of the associations remained statistically significant, suggesting an independent relationship between family meals and disordered eating. Family meals have the potential to play an important role in the prevention of unhealthy weight control behaviors among youth. Findings suggest that attention needs to be directed toward increasing family meal frequency and creating a positive environment for family meals. (author's) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | RESEARCH REPORT | ADOLESCENTS | BEHAVIOR | DIET | NUTRITION | MENTAL DISORDERS | FAMILY RELATIONSHIPS | ANTHROPOMETRY | SEX FACTORS | Developed Countries | North America | Americas | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Health | Diseases | Family Characteristics | Family and Household | Measurement | Research Methodology Document Number: 276093 |
| 21. Peer Reviewed Title: Teenage pregnancy and associated risk behaviors among sexually abused adolescents. Author: Saewyc EM; Magee LL; Pettingell SE Source: Perspectives on Sexual and Reproductive Health. 2004 May-Jun;36(3):[22] p.. Abstract: Previous research suggests a link between adolescent pregnancy and sexual abuse history, but most studies have used clinical samples of females only and single measures of abuse. Associations between pregnancy involvement, risk behaviors and sexual abuse were examined in sexually experienced teenagers from the Minnesota Student Surveys of 1992 (N=29,187) and 1998 (N=25,002). Chi-square tests assessed differences in pregnancy involvement and related risk behaviors among four groups of adolescents, categorized by type of abuse experienced: none, incest only, nonfamilial only or both. Odds ratios for pregnancy involvement and risk behaviors, adjusted for grade level and race, were calculated for each gender by using logistic regression analysis. Sexual abuse was reported by 6% of males and 27% of females in 1992, and by 9% and 22% in 1998. Reports of pregnancy involvement were significantly more common among abused adolescents (13-26% of females and 22-61% of males, depending on type of abuse) than among nonabused adolescents (8-10%). Abused adolescents were more likely than others to report risk behaviors, and teenagers reporting both abuse types had the highest odds of pregnancy involvement and risk behaviors. The differential in the odds of pregnancy involvement and most behaviors was larger between nonabused and abused males than between nonabused and abused females. Teenage pregnancy risk is strongly linked to sexual abuse, especially for males and those who have experienced both incest and nonfamilial abuse. To further reduce the U.S. teenage pregnancy rate, the pregnancy prevention needs of these groups must be adequately addressed. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | KAP SURVEYS | PREGNANT WOMEN | ADOLESCENTS | SEXUAL ABUSE | RISK BEHAVIOR | INCEST | SEX BEHAVIOR | RISK ASSESSMENT | RISK FACTORS | PREGNANCY | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Population Characteristics | Demographic Factors | Population | Youth | Age Factors | Crime | Social Problems | Behavior | Evaluation | Biology | Reproduction Document Number: 194647 |
| 22. Peer Reviewed Title: Teenagers who abstain from sex cite similar reasons regardless of whether they have ever had intercourse. Author: Tamkins T Source: Perspectives on Sexual and Reproductive Health. 2004 Jul-Aug;36(4):[3] p.. Abstract: High school students who have never had sex or who decide to abstain after becoming sexually experienced often say their choice is rooted in a fear of negative consequences, such as pregnancy and sexually transmitted diseases (STDs), and personal beliefs about the appropriateness of teenage sex, according to a large, cross-sectional survey of Minnesota adolescents. Females, regardless of grade and whether they had ever had intercourse, were more likely than males to say a fear of pregnancy and STDs played a part in their decision to be abstinent, and to say they just did not want to have sex. Males who had not yet had sex were more likely than females to say that one reason for their decision was they believed that most students did not have sex. Adolescents selected similar reasons for choosing abstinence whether or not they had ever had sex. To determine the factors that play a role in teenagers' decisions to abstain from intercourse, the researchers analyzed data from a 1998 Minnesota survey that included ninth- and 12th-grade students. Students were asked if they had ever had sexual intercourse, or "gone all the way," and whether they were still having intercourse. Those who were abstinent were given a list and asked to indicate all reasons for their decision. The list provided 11 reasons: fear of parental disapproval, pregnancy, STDs and getting caught; the perception that most students do not have sex, most of a youth's friends do not have sex and sex is not right for a person the respondent's age; a lack of desire to have sex; a decision to wait until marriage; and a perceived advantage to waiting, taught by parents or learned at school. (excerpt) Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | ADOLESCENTS | STUDENTS | SECONDARY SCHOOLS | ABSTINENCE | FEAR | SEXUALLY TRANSMITTED DISEASES | PREGNANCY | BELIEFS | Developed Countries | North America | Americas | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Education | Schools | Family Planning, Behavioral Methods | Family Planning | Emotions | Psychological Factors | Behavior | Reproductive Tract Infections | Infections | Diseases | Reproduction | Culture Document Number: 275088 |
| 23. Peer Reviewed Title: A prospective study of intraindividual and peer influences on adolescents' heterosexual romantic and sexual behavior. Author: Zimmer-Gembeck MJ; Siebenbruner J; Collins WA Source: Archives of Sexual Behavior. 2004 Aug;33(4):381-394. Abstract: Theories and empirical studies of adolescent sexual behavior have identified the contributions of personal attributes and social experiences; however, it is rare that models have clarified developmental pathways to adolescent sexual behavior that include (1) factors assessed prior to and early in adolescence and (2) dyadic experiences in adolescence that provide the opportunity for sexual behavior (i.e., dating). Using data from a prospective study, structural equation modeling was used to test a model predicting adolescent sexual behavior at age 19, denoted by the number of lifetime sexual partners. Predictors examined were sociability and impulsivity assessed at 30 months of age, physical characteristics and experiences with peers measured at age 12–13, the age of first romantic relationship, and frequency of alcohol use at age 16. The pathway to greater sexual involvement was marked by some desired personal attributes (e.g., sociability) and peer experiences (e.g., higher quality friendships). These associations were mediated, however, by earlier initiation of romantic relationships and more frequent use of alcohol in middle adolescence. Earlier initiation of romantic relationships and more frequent alcohol use were predicted by greater sociability and less impulsivity in childhood, higher quality friendships and greater peer acceptance in early adolescence, and a more mature appearance and physical attractiveness (among females) at age 13. The findings imply a complex pathway that leads to a greater accumulation of sexual partners by age 19. This pathway begins in childhood and includes individual qualities, peer acceptance, romantic relationships, and alcohol use. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | PROSPECTIVE STUDIES | MATHEMATICAL MODEL | THEORETICAL MODELS | ADOLESCENTS, FEMALE | RISK FACTORS | ALCOHOL USE AND ABUSE | CHILD DEVELOPMENT | PEER EDUCATORS | SOCIAL ADJUSTMENT | SEX BEHAVIOR | PEER PRESSURE | United States of America | North America | Americas | Developed Countries | Studies | Research Methodology | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Biology | Behavior | Education | Social Behavior | Psychosocial Factors Document Number: 292794 |
| 24. Title: State facts about abortion: Minnesota. Author: Alan Guttmacher Institute [AGI] Source: [New York, New York], AGI, 2003. 3 p. (State Facts about Abortion) Abstract: This article presents background information about the frequency of abortion in the United States, followed by statistics on abortion frequency, abortion services, and restrictions on abortion for the United States as a whole and Minnesota specifically. Language: English Keywords: UNITED STATES OF AMERICA | MINNESOTA | PAMPHLETS | ADULTS | WOMEN | ABORTION | PREGNANCY | PREGNANCY, UNWANTED | PREGNANCY OUTCOMES | CONTRACEPTIVE USAGE | HEALTH FACILITIES | ABORTION LAW | North America | Americas | Developed Countries | Printed Media | Mass Media | Communication | Age Factors | Population Characteristics | Demographic Factors | Population | Fertility Control, Postconception | Family Planning | Reproduction | Reproductive Behavior | Fertility | Population Dynamics | Contraception | Delivery of Health Care | Health Document Number: 175601 Notification |
| 25. Title: Naisiadet Mason: a force to be reckoned with. Author: Hyman J Source: Global AIDSLink. 2003 Apr-May;(79):23. Abstract: When life seemed at its worst following her diagnosis 16 years ago, it was Naisiadet Mason's sheer will to survive that enabled her move from rock-bottom to an influential position empowering others living with HIV/AIDS. Currently the director of international programs at the Washington, DC-based National Association for People Living with AIDS (NAPWA), Mason works on capacity building to support the development of PWA organizations in Africa, the Caribbean and other parts of the world, and helps impact U.S. government policies concerning people living with the disease. Like many women, Mason says she was economically dependent on her husband and in denial about the extramarital affairs that were responsible for her infection. And while her two children escaped the disease, her husband, diagnosed six months after she was, passed away in 1990. "I continued to raise my children, who were then three and five, but I was living in denial," said Mason. Formerly a successful accountant and branch manager for a major British bank based in her hometown of Ngong, Kenya, Mason lost her job after her frequent doctor visits, expensive medical bills and visible skin irritations fueled her employer's suspicions that she was infected. (excerpt) Language: English Keywords: KENYA | UNITED STATES OF AMERICA | MINNESOTA | WASHINGTON | CRITIQUE | PERSONS LIVING WITH HIV/AIDS | WOMEN | AIDS PREVENTION | HIV PREVENTION | Developing Countries | Africa, Eastern | Africa, Sub Saharan | Africa | Developed Countries | North America | Americas | HIV Infections | Viral Diseases | Diseases | Demographic Factors | Population | AIDS Document Number: 274792 |
| 26. Peer Reviewed Title: Providing emergency contraceptive pills "behind-the-counter": opinions among Minnesota healthcare providers. Author: Kumar AS; Hall LC; LePage A; Lim PC Source: Contraception. 2003 Oct;68(4):253-259. Abstract: We assessed strategies to increase access to emergency contraceptive pills (ECPs) among healthcare providers in Minnesota. We hypothesized that physicians, mid-level practitioners (nurse practitioners, certified nurse midwives and physician assistants) and pharmacists would support collaborative drug therapy agreements to enable pharmacist provision of ECPs without a prescription (“behind-the-counter”). We assessed these and other strategies to improve access to ECPs among a random sample of 1000 healthcare providers using mailed surveys. Obtaining a 50% response rate (n = 495), we discovered that the majority of total respondents (and a significant proportion of physicians) favored improving ECP availability “behind-the-counter”, over-the-counter or both. Support among mid-level practitioners was more guarded: 39% of respondents supported pharmacist provision of ECPs and more than 20% wanted more information. Among pharmacists, 46% said they would participate in a collaborative protocol for provision of ECPs. Results demonstrate the degree of support and illuminate potential obstacles to pharmacist-provided ECPs. While there is general support among Minnesota providers regarding ECPs, a campaign to educate providers about recent scientific data on ECPs and collaborative drug therapy agreements should be initiated. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | RECOMMENDATIONS | KAP SURVEYS | PHARMACISTS | PHYSICIANS | NURSES AND NURSING | HEALTH PERSONNEL | EMERGENCY CONTRACEPTION | ABORTION | ORAL CONTRACEPTIVES | ATTITUDES | PHARMACY DISTRIBUTION | TRAINING PROGRAMS | CAMPAIGNS | United States of America | North America | Americas | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Delivery of Health Care | Health | Contraception | Family Planning | Fertility Control, Postconception | Contraceptive Methods | Psychological Factors | Behavior | Nonclinical Distribution | Distributional Activities | Program Activities | Programs | Organization and Administration | Education | Communication Programs | Communication Document Number: 188374 Notification |
| 27. Peer Reviewed Title: Parental perspectives on restricting adolescents' reproductive health options: a population-based survey of parents of teens. Perspectives parentales sur les restrictions imposées aux adolescents en matière d'options concernant la santé reproductive : enquête sur les parents d'adolescents. Author: Resnick MD; Bearinger LH; Sieving RE; Eisenberg M Source: Journal of Adolescent Health. 2003 Feb;32(2):133. Abstract: Conclusions: Over three decades ago, states enacted legislation permitting adolescent consent and access to specified services. A generation later, parents’ views are mixed and complex; ignorance and misunderstanding of existing legislation is widespread. Parents who perceive benefits associated with parental notification support enactment of such legislation. In a climate of intense political polarization around teen reproductive health issues, advocates for youth rights to confidential services will need to deepen parents’ understanding of the potential negative consequences of statutes and regulations that limit adolescent access to and utilization of reproductive health services on a confidential basis. (excerpt) French Abstract: Conclusions: Plus de trois décennies avant, les États-Unis ont décrété une législation qui autorise le consentement et l'accès des adolescent aux services spécifiés. Une génération plus tard, les points de vue de parents sont mitigés et complexes; l'ignorance et la mal interprétation de la législation en vigueur sont répandues. Les parents qui perçoivent des avantages au décret, associé à la notification parentale, soutiennent une telle législation. Dans un climat de polarisation politique intense autour des questions de la santé de la reproduction des adolescents, les avocats des droits des jeunes aux services confidentiels auront besoin d'approfondir la compréhension des parents des conséquences négatives potentielles des statuts et règlements qui limitent l'accès des adolescents et l'utilisation des services de la santé de la reproduction sur une base confidentielle. (extrait) Language: English Keywords: MINNESOTA | WISCONSIN | UNITED STATES OF AMERICA | RESEARCH REPORT | SURVEYS | ADOLESCENTS | REPRODUCTIVE HEALTH | PARENTAL INVOLVEMENT | PARENTS | NOTIFICATION | HEALTH SERVICES | North America | Americas | Developed Countries | Sampling Studies | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Health | Child Rearing | Behavior | Family Relationships | Family Characteristics | Family and Household | Delivery of Health Care Document Number: 174981 |
| 28. Title: Parents want more say in teens' reproductive health. Author: Riesenman S Source: New York, New York, Reuters Health, 2003 Mar 21. 2 p. Abstract: Two thirds of parents are unaware that teens can give consent for sexually transmitted disease treatment, and nearly half do not know their children can obtain contraception without parental involvement, according to a survey conducted in Minnesota and Wisconsin. What’s more, 71 percent of parents would not object to a mandatory parental notification policy, which includes a five-day delay for access to contraception. (excerpt) Language: English Keywords: MINNESOTA | WISCONSIN | UNITED STATES OF AMERICA | SURVEYS | ADOLESCENTS | PARENTS | ADOLESCENT PREGNANCY | PARENTAL INVOLVEMENT | REPRODUCTIVE HEALTH | CONTRACEPTIVE USAGE | SEXUALLY TRANSMITTED DISEASE PREVENTION | PREVENTION AND CONTROL | North America | Americas | Developed Countries | Sampling Studies | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Family Relationships | Family Characteristics | Family and Household | Reproductive Behavior | Fertility | Population Dynamics | Child Rearing | Behavior | Health | Contraception | Family Planning | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Diseases Document Number: 177107 |
| 29. Title: Physician knowledge and attitudes of Minnesota laws concerning adolescent health care. Author: Rock EM; Simmons PS Source: Journal of Pediatric and Adolescent Gynecology. 2003 Apr;16(2):101-108. Abstract: The objective was to determine physicians’ knowledge and attitudes of medico-legal issues affecting adolescent health care. A cross-sectional, mailed survey was distributed to 900 randomly selected primary care physicians in Minnesota, and all eligible physicians in Olmsted County. Interventions: Physicians were mailed a survey with questions concerning Minnesota consent and confidentiality laws. Physician knowledge and attitudes of consent and confidentiality laws. A total of 317 (26%) surveys were returned. Olmsted county physicians achieved a median score of 37.5% and non-Olmsted physicians achieved a median score of 50% correct on a test of knowledge. Using a scoring scale where -1 signified “a bad law,” 0 signified “neither a good nor bad law,“ and +1 signified “a good law,” attitude regarding the laws was a median of -0.5 for both groups. In all, 41.1% of Olmsted physicians and 51.7% of non-Olmsted physicians felt that the laws had affected them or their practice. Olmsted physicians were compared to a cohort of Olmsted parents previously reported, with statistically significant differences noted. Results suggest that primary care physicians are not knowledgeable of Minnesota laws affecting adolescent health care. Opinion of these laws was positive, with notable exceptions. Physicians lack a sense of impact of laws affecting adolescent health care. Physicians were more knowledgeable and felt more positively about the laws than did parents of adolescents. Lack of knowledge and the presence of certain attitudes identify areas where physicians could benefit from greater understanding. (author's) Language: English Keywords: MINNESOTA | RESEARCH REPORT | KAP SURVEYS | CROSS SECTIONAL ANALYSIS | ADOLESCENTS | PHYSICIANS | ADOLESCENT HEALTH SERVICES | LEGISLATION | ATTITUDES | INFORMED CONSENT | CONFIDENTIAL INFORMATION | Developed Countries | United States of America | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Health Personnel | Delivery of Health Care | Health | Health Services | Political Factors | Sociocultural Factors | Psychological Factors | Behavior | Ethics Document Number: 300032 |
| 30. Peer Reviewed Title: To know that we know what we know: perceived knowledge and adolescent sexual risk behavior. Savoir que nous savons ce que nous savons : connaissance perçue et comportement à risque sexuel chez les adolescents. Author: Rock EM; Ireland M; Resnick MD Source: Journal of Adolescent Health. 2003 Feb;32(2):146-147. Abstract: Conclusions: Perceived knowledge appears to be a salient correlate of adolescent sexual risk behavior, and may be a more powerful antecedent of sexual risk taking behavior than objective knowledge, which has not been consistently associated with behavior in previous literature. Health care providers and programs should incorporate the construct of perceived knowledge into their assessments of and interventions targeted at adolescents. (excerpt) French Abstract: Conclusions: La connaissance perçue paraît être un corrélat saillant du comportement sexuel à risque de l'adolescent, et peut être un antécédent plus puissant du comportement sexuel effectif à risque que la connaissance objective qui n'a pas été associée régulièrement au comportement dans la littérature antérieure. Les prestataires et les programmes de soins de santé devraient incorporer la construction de la connaissance perçue dans leurs estimations et leurs interventions ciblant les adolescents. (extrait) Language: English Keywords: MINNESOTA | UNITED STATES OF AMERICA | RESEARCH REPORT | SURVEYS | CROSS SECTIONAL ANALYSIS | ADOLESCENTS | KNOWLEDGE | PERCEPTION | SEX BEHAVIOR | RISK BEHAVIOR | North America | Americas | Developed Countries | Sampling Studies | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Psychological Factors | Behavior Document Number: 175034 |
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