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Title: Compliance with mandated emergency contraception in New Mexico emergency departments.
Author: Espey E; Ogburn T; Leeman L; Buchen E; Angeli E; Qualls C
Source: Journal of Women's Health. 2009 May;18(5):619-23.
Abstract: OBJECTIVE: New Mexico enacted a law in 2003 requiring that emergency departments (EDs) offer emergency contraception (EC) to survivors of sexual assault and that both doses be administered in the ED. This investigation sought to examine practices and knowledge of ED providers about EC in the setting of sexual assault. METHODS: We visited hospitals in New Mexico from July 2005 to December 2005 and administered an 18-item questionnaire to three providers-a physician, a nurse, and a clerk-in the ED. The questionnaire included items related to characteristics of the hospital, knowledge of providers about EC and the law, and ED practices relevant to EC for sexual assault survivors as well as for women who had consensual unprotected intercourse. RESULTS: Surveys were completed at 33 of 38 hospitals (87%). Overall, 52% of respondents reported that EC was routinely offered to sexual assault survivors, and 33% reported that both doses were administered in the ED. Forty-one percent of RNs, MDs, and clerks reported that EC was offered to sexual assault survivors who were minors regardless of age. Overall, 64% of respondents knew that EC may prevent pregnancy up to 72 hours after unprotected intercourse, and only 12% of respondents reported awareness of any requirements to offer EC to sexual assault survivors. Respondents reported that physicians in the ED more often routinely offered EC to sexual assault survivors (52%) than to women who requested it after consensual sex (20%). Thirty-three percent of respondents indicated parental consent was necessary for minors in the setting of sexual assault, although there is no requirement for parental notification in New Mexico. CONCLUSIONS: EDs in New Mexico are not universally complying with the law. Better dissemination of the law and education about EC could improve care of sexual assault survivors in New Mexico.
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | SURVEYS | WOMEN | EMERGENCY SERVICES | SEXUAL ABUSE | RAPE | HEALTH SERVICES | EMERGENCY CONTRACEPTION | HEALTH EDUCATION | NEEDS | Developed Countries | North America | Americas | Sampling Studies | Studies | Research Methodology | Demographic Factors | Population | Delivery of Health Care | Health | Crime | Social Problems | Sociocultural Factors | Contraception | Family Planning | Education | Economic Factors
Document Number: 342561

Title: Emergency contraception availability in New Mexico: impact of direct pharmacy access.
Author: Ogburn JA; Espey E; Benjamin A
Source: Journal of the American Pharmacists Association. 2008 May-Jun;48(3):388-92.
Abstract: OBJECTIVES: To assess the impact of direct pharmacy access to emergency contraception (EC) and availability of EC in Albuquerque and rural New Mexico and to compare availability of EC in Albuquerque with that estimated in a 2002 study. DESIGN: Investigational study. SETTING: Albuquerque and rural New Mexico, between March and September 2005. PARTICIPANTS: 121 community pharmacies (94 in Albuquerque and 27 in rural New Mexico). INTERVENTIONS: Research assistants visited pharmacies and followed a predetermined script during interviews with pharmacy staff. MAIN OUTCOME MEASURES: Availability of EC with and without an advance prescription; other factors related to EC access. RESULTS: EC was available in 50% of both Albuquerque and rural pharmacies. EC was available without an advance prescription in 13% of pharmacies. The medication was more likely to be in stock at pharmacies with an EC-certified pharmacist on staff (92%) than in those without an EC-certified pharmacist (39%) (P < 0.001). A study performed in 2002 reported that EC was in stock during 11% of visits to Albuquerque pharmacies, whereas the current study reported EC being available during 50% of visits. CONCLUSION: At the time of this study, EC availability was similar in both Albuquerque and rural New Mexico pharmacies, and pharmacies with trained pharmacists on staff were more likely to stock EC medications.
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | INFORMATION | EMERGENCY CONTRACEPTION | PHARMACY DISTRIBUTION | CONTRACEPTIVE AVAILABILITY | PROGRAM ACCESSIBILITY | North America | Americas | Developed Countries | Contraception | Family Planning | Nonclinical Distribution | Distributional Activities | Program Activities | Programs | Organization and Administration | Program Evaluation
Document Number: 328673

Peer Reviewed

Title: Urinary diversion in the vesico-vaginal fistula patient: General considerations regarding feasibility, safety, and follow-up.
Author: Arrowsmith SD
Source: International Journal of Gynecology and Obstetrics. 2007 Nov;99 Suppl 1:S65-S68.
Abstract: Some women with vesico-vaginal fistulas (VVF) have injuries so severe that they cannot be repaired in a way that would restore continence. The management of these women has been a source of controversy among the providers of VVF care. It would seem logical that urinary diversion surgery could relieve the suffering endured by women with unrelenting urinary incontinence. However, there is little objective evidence on which to base determinations on the safety and practicality of performing urinary diversion in the desperately poor areas where fistulas occur. As in all other areas of VVF care, more data are required before good treatment choices can be made for patients with inoperable VVFs. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | NEW MEXICO | RESEARCH REPORT | CLIENTS | WOMEN | UROGENITAL SURGERY | OBSTETRICAL SURGERY | VESICOVAGINAL FISTULA | SAFETY | UROGENITAL EFFECTS | Developed Countries | North America | Americas | Program Activities | Programs | Organization and Administration | Demographic Factors | Population | Surgery | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Urogenital System | Physiology | Biology | Public Health
Document Number: 320837

Title: What if: How declines in teen births have improved poverty and child well-being in New Mexico.
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 | NEW MEXICO | 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: 307024

6.
Peer Reviewed

Title: Postpartum contraception: the New Mexico Pregnancy Risk Assessment Monitoring System.
Author: DePi�eres T; Blumenthal PD; Diener-West M
Source: Contraception. 2005;72:422-425.
Abstract: The objective was to examine factors associated with postpartum contraception, including the relationship between ethnicity and postpartum contraceptive use. We used data from the New Mexico Pregnancy Risk Assessment Monitoring System, which monitors selected maternal events occurring before, during and after pregnancy. Our findings in 4096 women revealed that women who are aged = 35 years, unmarried and lacking a postpartum visit have increased risk of no postpartum contraception. The odds of postpartum contraception were over three times greater in women with a postpartum visit [adjusted odds ratio (OR) = 3.06, 95% confidence interval (CI): 2.17- 4.31) and over 50% greater in married women (adjusted OR = 1.57, 95% CI: 1.16-2.11). Hispanic women were more likely than were Native Americans to use postpartum contraception (OR = 1.25, 95% CI: 0.95-1.64). Focused contraception counseling, especially in the postpartum setting, is important to help ensure the well-being of women and children. (author's)
Language: English
Keywords:
NEW MEXICO | RESEARCH REPORT | CLINICAL RESEARCH | POSTPARTUM WOMEN | ETHNIC GROUPS | MIDDLE AGED ADULTS | RISK ASSESSMENT | MONITORING | CONTRACEPTIVE USAGE | AGE FACTORS | COUNSELING | POSTPARTUM PROGRAMS | CDC | Developed Countries | United States of America | North America | Americas | Research Methodology | Puerperium | Reproduction | Cultural Background | Population Characteristics | Demographic Factors | Population | Adults | Evaluation | Contraception | Family Planning | Clinic Activities | Program Activities | Programs | Organization and Administration | Family Planning Programs | USPHS | Government Agencies | Organizations
Document Number: 293345

7.
Peer Reviewed

Title: Barriers to intrauterine device insertion in postpartum women.
Author: Ogburn JA; Espey E; Stonehocker J
Source: Contraception. 2005;72:426-429.
Abstract: The objective of this study was to determine the proportion of postpartum women at the University of New Mexico who choose an IUD for contraception, the number who actually obtain one and the barriers to postpartum IUD insertion. We conducted a retrospective chart review of 1627 postpartum women who delivered at the University of New Mexico. Those women who indicated at hospital discharge that they desired an IUD comprised the study group of 193 women. Medical records were reviewed to identify the timing of IUD placement. If an IUD was not inserted, we attempted to determine the reason by reviewing clinic records. Twelve percent of postpartum women requested an IUD. Records were available for 114 women. Of these, only 69 (60%) actually obtained an IUD. Barriers to postpartum IUD insertion included provider advice against the IUD, patient failure to return for a postpartum visit and early repeat pregnancy. We conclude that postpartum women desiring an IUD may have difficulty obtaining one. (author's)
Language: English
Keywords:
NEW MEXICO | RESEARCH REPORT | CLINICAL RESEARCH | RETROSPECTIVE STUDIES | POSTPARTUM WOMEN | IUD | CONTRACEPTIVE METHODS CHOSEN | RECORDS | CONTRACEPTIVE AVAILABILITY | Developed Countries | United States of America | North America | Americas | Research Methodology | Studies | Puerperium | Reproduction | Contraceptive Methods | Contraception | Family Planning | Contraceptive Usage | Information Processing | Information
Document Number: 293346

8.
Peer Reviewed

Title: Effect of topical bupivacaine on postoperative pain after laparoscopic tubal sterilization with Filshie clips.
Author: Brennan MC; Ogburn T; Hernandez CJ; Qualls C
Source: American Journal of Obstetrics and Gynecology. 2004 May;190(5):1411-1413.
Abstract: The purpose of this study was to evaluate postoperative pain after the administration of topical bupivacaine during laparoscopic sterilization with Filshie clips. Sixty-three women who underwent laparoscopic tubal sterilization with Filshie clips were assigned randomly to receive topical bupivacaine or placebo. Presence of pain, pain intensity, nausea, vomiting, timing of request for pain medication, and pain medication requirements were assessed postoperatively. Patient demographics were similar between the 2 groups. Topical bupivacaine decreased the incidence (P=.005) and intensity (P=.028) of postoperative pain at 30 minutes. No differences in incidence or severity of pain were seen at hospital discharge or on postoperative day 1. Topical bupivacaine that is applied to the fallopian tubes at the time of laparoscopic tubal sterilization with the Filshie clip decreases immediate postoperative pain. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | NEW MEXICO | RESEARCH REPORT | DOUBLE-BLIND STUDIES | STERILIZATION SEEKERS | FEMALE STERILIZATION | LAPAROSCOPY | CLIPS | PAIN | ANALGESIA | DRUGS | Developed Countries | North America | Americas | Studies | Research Methodology | Sterilization, Sexual | Family Planning | Endoscopy | Physical Examinations and Diagnoses | Examinations and Diagnoses | Equipment and Supplies | Signs and Symptoms | Diseases | Treatment
Document Number: 192801

10.

11.
Peer Reviewed

Title: Emergency contraception: pharmacy access in Albuquerque, New Mexico.
Author: Espey E; Ogburn T; Howard D; Qualls C; Ogburn J
Source: Obstetrics and Gynecology. 2003 Nov;102(5):918-921.
Abstract: OBJECTIVE: Emergency contraception could reduce the approximately 3 million unintended pregnancies that occur annually in the United States. Dedicated emergency contraception products may be particularly useful because instructions are easy to understand and simple to follow. However, they must be available within a few days to women who have had unprotected intercourse. The goal of this study was to investigate whether women presenting to pharmacies in a moderately sized metropolitan area with a prescription for Plan B or Preven could get it filled. METHODS: Two research assistants posed as women needing emergency contraception. They visited 89 pharmacies in Albuquerque, New Mexico, presenting a prescription for either Plan B or Preven. The assistants recorded the availability of the products in the pharmacies. When the product was not in stock, the research assistants asked pharmacy providers why the products were not carried. Fisher exact test was performed to compare categoric data. RESULTS: Plan B and Preven were in stock at only 19 visits (11%). Of the pharmacies that did not stock the products, 53% reported they could obtain Plan B or Preven within 24 hours. The most common reason cited by pharmacy providers for not stocking Plan B or Preven was the lack of prescriptions received for them (65%). (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | NEW MEXICO | URBAN AREAS | RESEARCH REPORT | SURVEYS | WOMEN | CONTRACEPTIVE AVAILABILITY | EMERGENCY CONTRACEPTION | PHARMACY DISTRIBUTION | Developed Countries | North America | Americas | Geographic Factors | Population | Sampling Studies | Studies | Research Methodology | Demographic Factors | Contraception | Family Planning | Nonclinical Distribution | Distributional Activities | Program Activities | Programs | Organization and Administration
Document Number: 188846

12.
Peer Reviewed

Title: Screening adolescent females for Chlamydia trachomatis at a six-month interval. D�pistage de la Chlamydia trachomatis � six mois d'intervalle chez les adolescentes.
Author: Kong AS; Malcoe LH; Strasburger VC
Source: Journal of Adolescent Health. 2003 Feb;32(2):142.
Abstract: Conclusions: Urine-based chlamydia screening and treatment at a six-month interval in school-based/student health centers were acceptable to young women. A moderate chlamydia incidence was found at this six-month interval re-screen, most of which were newly acquired infections rather than recurrent infections. Sexually active young women should be offered chlamydia testing at six-month intervals. (excerpt)
French Abstract: Conclusions: Le d�pistage du Chlamydia dans les urine et le traitement � un intervalle de six mois, dans les centres de sant� scolaires, sont valables pour les jeunes femmes. Une incidence mod�r�e d'infections au chlamydia a �t� trouv�e � cet intervalle de re-d�pistage de six mois, dont la plupart sont r�cemment acquises plut�t que des infections de rechute. Des tests de chlamydia � intervalles de six mois devraient �tre offerts aux jeunes femmes sexuellement actives. (extrait)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | PROSPECTIVE STUDIES | COHORT ANALYSIS | INCIDENCE | ADOLESCENTS, FEMALE | CHLAMYDIA | RISK FACTORS | SEX BEHAVIOR | SCREENING | SCHOOL-BASED SERVICES | North America | Americas | Developed Countries | Studies | Research Methodology | Measurement | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Diseases | Biology | Behavior | Examinations and Diagnoses | Programs | Organization and Administration
Document Number: 175015

13.
Title: Outcomes of teen parenting programs in New Mexico.
Author: Philliber S; Brooks L; Lehrer LP; Oakley M; Waggoner S
Source: Adolescence. 2003 Fall;38(151):535-553.
Abstract: Although teen pregnancy rates in the U.S. have recently declined, the need for programs for pregnant and parenting teens remains. This report presents information from 53 programs that served pregnant and parenting teens in New Mexico between 1997 and 2000. Data on 3,194 teens, including their characteristics, the services they received, and several key outcomes, are examined. These data indicate that the programs were successful in promoting educational attainment as well as gains in employment. Prevalence of late prenatal care and low birth weight babies was lower than statewide averages, and the rate of repeat pregnancy was lower than that reported by many other programs. How these programs achieved these results is discussed. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | NEW MEXICO | RESEARCH REPORT | ADOLESCENT PREGNANCY | MOTHERS | PARENTS | PARENTING EDUCATION | Developed Countries | North America | Americas | Reproductive Behavior | Fertility | Population Dynamics | Demographic Factors | Population | Family Relationships | Family Characteristics | Family and Household | Education
Document Number: 284220

14.

Title: Morning-after pill may go over the counter.
Author: Zernike K
Source: New York Times. 2003 May 19;:[4] p..
Abstract: On Thursday, New Mexico became the fourth state to allow pharmacists to dispense the drug directly to women, enabling them to avoid trips to a doctor for prescriptions. Legislators or pharmacists in at least 14 states are agitating to do the same. One company that sells the pills, the Women's Capital Corporation, has applied to the Food and Drug Administration for permission to sell them over the counter. The other, Gynetics, says it, too, expects its product to be sold over the counter by the end of next year. (excerpt)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | EMERGENCY CONTRACEPTION | CONTRACEPTIVE AGENTS, POSTCOITAL | CONTRACEPTIVE DISTRIBUTION | LICENSING | PRODUCT APPROVAL | KNOWLEDGE | North America | Americas | Developed Countries | Contraception | Family Planning | Contraceptive Agents, Female | Contraceptive Agents | Distributional Activities | Program Activities | Programs | Organization and Administration | Legislation
Document Number: 179104

15.

16.
Title: Evaluation of the institutionalization of the Coordinated Approach to Child Health (CATCH) in a U.S./Mexico border community.
Author: Heath EM; Coleman KJ
Source: Health Education and Behavior. 2002 Aug;29(4):444-460.
Abstract: El Paso Coordinated Approach to Child Health (El Paso CATCH) was evaluated in 24 schools for outcome measures of moderate to vigorous physical activity (MVPA) during physical education (PE), content of PE lessons, content of school meals, and numerous process measures. Chi-square analyses compared frequency data across time for activity during PE and percentage fat in school meals. Descriptive summaries were used for process questionnaire results. Data were also compared to CATCH program goals. For most intervention schools, El Paso CATCH significantly increased MVPA, decreased fat in school meals, and decreased sodium in school breakfasts. However, some schools were not meeting the fat content goals for school lunches, and no schools met the vigorous physical activity (VPA) goals for PE or the sodium goals for school lunches. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | TEXAS | NEW MEXICO | RESEARCH REPORT | CASE CONTROL STUDIES | STUDENTS | HISPANICS | PRIMARY SCHOOLS | HEALTH EDUCATION | FITNESS | NUTRITION PROGRAMS | PROGRAM EVALUATION | DIET | SCHOOL-BASED SERVICES | Developed Countries | North America | Americas | Studies | Research Methodology | Education | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Schools | Health | Primary Health Care | Health Services | Delivery of Health Care | Programs | Organization and Administration | Nutrition
Document Number: 280350

17.
Peer Reviewed

Title: Physician-patient interaction and hysterectomy decision making: the ENDOW Study.
Author: Richter DL; Kenzig MJ; Greaney ML; McKeown RE; Saunders RP
Source: American Journal of Health Behavior. 2002 Nov-Dec;26(6):431-441.
Abstract: Objective: To investigate physician-patient communication in the context of hysterectomy decision making. Methods: A series of 17 focus groups with African American and White women (n = 82) between the ages of 30 and 65 were run. Personal interviews with physicians (n = 7) also were conducted. Transcripts were analyzed using NUD*IST software and note-based techniques. Results: For both patients and physicians, the optimal physician-patient interaction would be for the physician to provide plain, usable information to the patient allowing the patient to make the hysterectomy decision. Conclusions: The current state of physician-patient interaction represents collaboration but not a shared approach approximating the deliberative model. (author's)
Language: English
Keywords:
SOUTH CAROLINA | ALABAMA | NEW MEXICO | TEXAS | UNITED STATES OF AMERICA | SUMMARY REPORT | FOCUS GROUPS | ADULTS | WOMEN | RURAL POPULATION | WHITES | HYSTERECTOMY | DECISION MAKING | PHYSICIAN-PATIENT RELATIONS | Developed Countries | North America | Americas | Data Collection | Research Methodology | Age Factors | Population Characteristics | Demographic Factors | Population | Ethnic Groups | Cultural Background | Gynecologic Surgery | Urogenital Surgery | Surgery | Treatment | Behavior | Interpersonal Relations
Document Number: 176544

18.
Title: Oral contraceptives, exercise, and acute mountain sickness in women.
Author: Sandoval DA; Maes DP; D'Acquisto L; Icenogle M; Roach RC
Source: Aviation, Space, and Environmental Medicine. 2001 Aug;72(8):733-738.
Abstract: Previous research has found that exercise exacerbated acute mountain sickness (AMS) in men. The current study tested this relationship in women taking oral contraceptives. The authors studied seven women at 428 mmHg for 10 hours; once while at rest (R) and once while performing intermittent exercise (EX). AMS scores had a slight increase at 9 versus 0 hours at altitude in both trials (p < 0.05). Resting measurements of ventilation (VE), arterial oxygen saturation (SpO2), end tidal oxygen (PETO2), and the end tidal carbon dioxide (PETCO2) were not different over time or between trials (p > 0.05). While fluid intake did not change, urine output increased during the 0-3 hours period, regardless of trial, and returned to baseline values by the 6-9 hours period (218 +or- 37 vs. 121 +or- 22 ml hours raise to the power of -1; p < 0.05). During exercise, SPO2 significantly dropped compared with similar time points in R (73.1 +or- 1.1 vs. 85.7 +or- 1.8%; p < 0.05). Despite exercise-induced desaturation, the AMS scores were not significantly different between R and EX. These results suggest that oral contraceptives may cause a compensation for the physiological responses to exercise critical for the development of AMS. (author's)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | ORAL CONTRACEPTIVES | SPORTS | WOMEN | ALTITUDE | FLUID BALANCE | North America | Americas | Developed Countries | Contraceptive Methods | Contraception | Family Planning | Social Behavior | Behavior | Demographic Factors | Population | Environment | Homeostasis | Physiology | Biology
Document Number: 170355

19.
Peer Reviewed

Title: Depo-Provera associated with weight gain in Navajo women.
Author: Espey E; Steinhart J; Ogburn T; Qualls C
Source: Contraception. 2000 Aug;62(2):55-8.
Abstract: Depo-medroxyprogesterone acetate (DMPA) is an increasingly popular contraceptive choice among Navajo women. Weight gain is cited as a common side effect and major reason for discontinuation of DMPA. No controlled trials have evaluated the association between weight gain and DMPA in Navajo women. The authors aimed to clarify whether DMPA is associated with weight gain in Navajo women and to quantify the magnitude of weight gain. A cohort of 172 Navajo women who had used DMPA continuously for 1 or 2 years comprised the study group. A cohort of 134 Navajo women who used a non-progestin method or no method over 1 or 2 years comprised the comparison group. Initial weight, 1-year weight, and 2-year weight were recorded for all patients. Study subjects gained a mean of 6 pounds over 1 year and 11 pounds over 2 years relative to the comparison group (p < 0.001) after controlling for possible confounding variables including age, parity and initial weight. Use of DMPA is associated with significant weight gain in Navajo women. This weight gain is greater than that reported in previous uncontrolled studies in non-Navajo populations. This information should be utilized in counseling Navajo women about the side effects of DMPA. (author's)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | RETROSPECTIVE STUDIES | COHORT ANALYSIS | NATIVE AMERICANS | WOMEN | DEPO-PROVERA | INJECTABLES | BODY WEIGHT | SIDE EFFECTS | CHANGES | CONTRACEPTIVE AGENTS, SIDE EFFECTS | North America | Americas | Developed Countries | Studies | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Medroxyprogesterone Acetate | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Contraceptive Methods | Physiology | Biology | Treatment | Social Change
Document Number: 154001

20.
Peer Reviewed

Title: Contraceptive and reproductive risk factors for cervical intraepithelial neoplasia in American Indian women.
Author: Schiff M; Miller J; Masuk M; King LV; Altobelli KK; Wheeler CM; Becker TM
Source: International Journal of Epidemiology. 2000 Dec;29(6):983-90.
Abstract: The aim was to evaluate contraceptive and reproductive risk factors for cervical intraepithelial neoplasia (CIN) in southwestern American Indian women. The authors conducted a clinic-based case-control study. Cases were American Indian women with biopsy-proven CIN I, CIN II, or CIN III. Controls were from the same clinics and had normal cervical epithelium. All subjects underwent structured interviews focused on contraceptive and reproductive factors. Laboratory assays included polymerase chain reaction-based tests for cervical human papillomavirus (HPV) infection. The authors enrolled 628 women in the study. The strongest risk factors for CIN II/III included HPV infection (adjusted odds ratio [OR] = 7.9, 95% confidence interval [CI]: 4.7-13.2), and low income (OR = 3.1, 95% CI: 1.7-5.7). The use of an IUD ever (OR = 3.0, 95% CI: 1.4-6.1) and currently (OR = 4.1, 95% CI: 1.1-14.6) and 3 or more vaginal deliveries (OR = 5.2, 95% CI: 2.4-11.1) were associated with CIN II/III. History of infertility was also associated with CIN II/III (OR = 2.1, 95% CI: 1.0-4.2). The data suggest that a history of infertility, IUD use, and vaginal deliveries were associated with CIN among American Indian women. (author's)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | CASE CONTROL STUDIES | CROSS-CULTURAL COMPARISONS | NATIVE AMERICANS | WOMEN | CERVICAL EFFECTS | CERVICAL CANCER | NEOPLASMS | HPV | RISK FACTORS | North America | Americas | Developed Countries | Studies | Research Methodology | Comparative Studies | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Cervix | Uterus | Genitalia, Female | Genitalia | Urogenital System | Physiology | Biology | Cancer | Diseases | Viral Diseases
Document Number: 154348

21.
Peer Reviewed

Title: A participatory evaluation model for healthier communities: developing indicators for New Mexico.
Author: Wallerstein N
Source: Public Health Reports. 2000 Mar-Jun;115(2-3):199-204.
Abstract: Participatory evaluation models that invite community coalitions to take an active role in developing evaluations of their programs are a natural fit with Healthy Communities initiatives. The author describes the development of a participatory evaluation model for New Mexico's Healthier Communities program. The author describes evaluation principles, research questions, and baseline findings. The evaluation model shows the links between process, community-level system impacts, and population health changes. (author's)
Language: English
Keywords:
NEW MEXICO | PROGRESS REPORT | COMMUNITY PARTICIPATION | COMMUNITY HEALTH SERVICES | HEALTH SERVICES EVALUATION | UNITED STATES OF AMERICA | North America | Americas | Developed Countries | Organization and Administration | Primary Health Care | Health Services | Delivery of Health Care | Health | Program Evaluation | Programs
Document Number: 151401

22.
Title: Consequences of population change for retail/wholesale sector employment in the nonmetropolitan Great Plains: 1950-1996.
Author: Adamchak DJ; Bloomquist LE; Bausman K; Qureshi R
Source: RURAL SOCIOLOGY. 1999 Mar;64(1):92-112.
Abstract: This study examined the relationship between population decline in 438 counties and local retail and wholesale (R/W) sectors during 1950-90 in the nonmetropolitan Great Plains states of North and South Dakota, Montana, Wyoming, Nebraska, Oklahoma, New Mexico, and Colorado. The focus was on the impact of population change in a region where the R/W trade sector has been a major source of employment for nonmetropolitan residents post-1945. Population declined over the long term. Analysis was based on economic restructuring views and central place theory. Data were obtained from the Censuses of Population (1950-90) and from the County and City Data Books (1947-94). The choice of few control variables was based on Lieberson's (1985) methods. Analysis included tests for multicollinearity. Findings are reported for counties adjacent to a metro area (AM), urban nonadjacent (UN) counties, and rural nonadjacent (RN) counties. Findings indicate that the 1980s had the greatest population loss (84% of counties), despite the population increases of the 1970s. AM counties followed the regional pattern. UN counties followed the regional pattern only in recent decades. RN counties lost population throughout the period and had the greatest percentage of counties losing population. Population change had a positive significant effect on R/W employment throughout the period and in all types of counties. Trade became more concentrated in larger, more diverse, and fewer trade centers, especially in UN counties. Gains occurred in the 1990s. Four anomalies were identified. Findings support the work of Drabenstott and Smith (1996).
Language: English
Keywords:
UNITED STATES OF AMERICA | NORTH DAKOTA | SOUTH DAKOTA | MONTANA | WYOMING | NEBRASKA | OKLAHOMA | NEW MEXICO | COLORADO | RESEARCH REPORT | NONMETROPOLITAN POPULATION | POPULATION DECREASE | COMMERCIAL SECTOR | URBANIZATION | LABOR FORCE | EMPLOYMENT | DEMOGRAPHIC IMPACT | Developed Countries | North America | Americas | Population Characteristics | Demographic Factors | Population | Population Dynamics | Commerce | Macroeconomic Factors | Economic Factors | Urban Population Distribution | Population Distribution | Geographic Factors | Human Resources
Document Number: 142219

23.
Title: Packer and colleagues' model of menopause for humans.
Author: Hill K; Hurtado AM
Source: HUMAN NATURE. 1999;10(2):199-204.
Abstract: This article comments on Packer, Tartar, and Collin's "grandmother hypothesis" of menopause which suggests that older females can increase genetic representation more through kin help than through direct reproduction. Several tests of the "grandmother" hypothesis and alternative models of menopause have been developed which includes more statistical controls for other variables that affect fertility and mortality than does the Packer study. The data suggest that postreproductive Ache women produce about 0.05 offspring equivalent per year through kin-directed assistance. Several facts of human life history are inconsistent with Packer and coworkers' model of human menopause. Packer and colleagues' hypothesis for human menopause suggests that women should stop reproducing at a certain age because they are increasingly more likely to die. The authors of this article have shown all the assumptions of this hypothesis to be false using field data on a real population. But the authors failed to support the "grandmother" hypothesis in its "opportunity costs" form. In addition, they failed to find evidences for a "risky childbirth" hypothesis, since rates of maternal death in childbirth are too low to overcome the advantages of reproduction.
Language: English
Keywords:
NEW MEXICO | CRITIQUE | MENOPAUSE | FERTILITY | REPRODUCTIVE HEALTH | MIDDLE AGED ADULTS | WOMEN | UNITED STATES OF AMERICA | North America | Americas | Developed Countries | Reproduction | Population Dynamics | Demographic Factors | Population | Health | Adults | Age Factors | Population Characteristics
Document Number: 146770

24.
Title: Diffusion of contraceptives among Hispanic female adolescents [abstract]
Author: Mier N
Source: MASTERS ABSTRACTS. 1999;37(6):1554. Master's thesis, University of New Mexico, 1999. Order No: AAD13-95973.
Abstract: One of the greatest challenges for the American public health agenda is the reduction of teenage pregnancy rates, especially for those ethnic groups with higher teenage birth rates such as Hispanics. Through communication strategies, adolescents' family planning behavior may be influenced so as to reduce teenage pregnancies. The goal of the present study is to answer three research questions: 1) How much do Hispanic female adolescents know about contraceptives? 2) What mass media and interpersonal communication channels do Hispanic female adolescents use to obtain information about contraceptives? 3) What attitudes do Hispanic female adolescents have toward receiving contraception information and toward contraceptive use? The present research was based on diffusion of innovations theory. Nine nonparenting Hispanic female adolescents and nine parenting Hispanic female adolescents in Albuquerque, New Mexico, were interviewed individually. Analysis of the interviews reveals about contraceptives, they have a positive attitude toward the use of contraceptives, and they believe that adolescents must receive contraceptive information to avoid pregnancy. (full text)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | HISPANICS | ADOLESCENTS, FEMALE | COMMUNICATION | FAMILY PLANNING | ADOLESCENT PREGNANCY | CONTRACEPTIVE USAGE | INFORMATION | North America | Americas | Developed Countries | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Adolescents | Youth | Age Factors | Reproductive Behavior | Fertility | Population Dynamics | Contraception
Document Number: 146886

25.
Title: Ted Turner, conservation, and our collective future.
Author: Muro M
Source: In: All of us. Births and a better life: population, development and environment in a globalized world. Selections from the pages of the Earth Times, edited by Jack Freeman and Pranay Gupte. New York, New York, Earth Times Books, 1999. :440-1.
Abstract: This paper discusses the contribution of media mogul Ted Turner to the conservation of natural resources through private land ownership. His efforts at restoring ecosystems bears special significance to the reorientation of conservation to private lands after a long time of government control. This emphasizes the need for the government to create conservation laws that would interface with the private lands. Although they are a positive development, government-owned protected areas do not work well enough, because they can not be separated from the rest of a threatened ecosystem. Private landowners could help preserve the remaining 96% of land that remains unprotected by the government. Therefore, Ted Turner's private ownership of a great ranch in New Mexico makes a lot of difference in the conservation of nature. Each individual must become a steward of the land.
Language: English
Keywords:
UNITED STATES OF AMERICA | NEW MEXICO | CRITIQUE | LAND TENURE | PRIVATE SECTOR | ENVIRONMENTAL PROTECTION | Developed Countries | North America | Americas | Socioeconomic Factors | Economic Factors | Macroeconomic Factors | Natural Resources | Environment
Document Number: 155773

26.
Title: In search of sanctuary: addressing issues of domestic violence and homelessness at shelters.
Author: Krishnan SP; Hilbert JC
Source: Women's Health Issues. 1998 Sep-Oct;8(5):310-316.
Abstract: Through semistructured interviews, the present exploratory study identifies similarities and differences between the experiences of women affected by both domestic violence and homelessness and seeking help at either a domestic violence or a homeless shelter. The study also examines the variables involved in the selection of a specific shelter. This understanding can assist shelters to tailor their limited resources and personnel to clients� needs and to address domestic violence and homelessness in an integrated and comprehensive manner. (excerpt)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | INTERVIEWS | RURAL POPULATION | WOMEN | ADULTS | HOMELESS PERSONS | DOMESTIC VIOLENCE | SOCIAL PROBLEMS | SAFETY | North America | Americas | Developed Countries | Data Collection | Research Methodology | Population Characteristics | Demographic Factors | Population | Age Factors | Residence Characteristics | Population Distribution | Geographic Factors | Crime | Public Health | Health
Document Number: 173573

27.
Title: A needed voice. The kids reported that they learned a lot about different topics and they could talk about these topics to their parents.
Author: Becker A
Source: Integration. 1997 Fall;(53):20-1.
Abstract: This article presents a speech given by Antje Becker, of the John Hopkins Center for American Indian and Alaskan Native Health, at the Second Enter-Educate Conference in Ohio in 1997. Becker spoke about an innovative project to reach Native American youth. The project, called "Speak Up," was originally formed as a call-in show for teenagers on Arizona�s White Mountain Apache Reservation. The youth were involved in planning, production, and broadcasting the programs, which compelled kids and their parents to begin communicating on variety of subjects such as friends, casinos, drug abuse and pregnancy. To survey the changes in the attitudes and communication between parents and their kids, a party was organized. The parents revealed that their kids were more assertive, responsive, and more certain of their own opinions. Furthermore, the involved kids reported that they had learned technical skills in radio, gained self- esteem and started talking more with their parents. In conclusion, community radio is something that is useful for health communication campaigns because it is interactive and accessible.
Language: English
Keywords:
UNITED STATES OF AMERICA | ARIZONA | NEW MEXICO | OKLAHOMA | INDIGENOUS POPULATION | YOUTH | PARENTS | RADIO | COMMUNICATION PROGRAMS | HEALTH EDUCATION | ENTER-EDUCATE | Developed Countries | North America | Americas | Population Characteristics | Demographic Factors | Population | Age Factors | Family Relationships | Family Characteristics | Family and Household | Broadcast Media | Mass Media | Communication | Education
Document Number: 165245

28.
Title: Examining the complexity of historic population decline: a case study of Pecos Pueblo, New Mexico.
Author: Levine F; LaBauve A
Source: ETHNOHISTORY. 1997 Winter;44(1):75-112.
Abstract: "Pecos Pueblo was the principal community on the Upper Pecos River in New Mexico from about A.D. 1450 until the 1790s, when Hispanic settlers entered the valley. The pueblo was a dominant force in Plains-Pueblo relationships and Pueblo-Hispanic interactions throughout the Spanish colonial period. In 1838, a much reduced Pueblo community emigrated west of the Rio Grande to join Jemez Pueblo. Primary sacramental and census records from Pecos Pueblo and the surrounding Hispanic communities are analyzed for the period 1694-1840. Baptismal, burial, and marriage records reflect the impact of disease, exogamy, warfare, and resource competition on the pueblo population." (EXCERPT)
Language: English
Keywords:
UNITED STATES OF AMERICA | NEW MEXICO | HISTORICAL DEMOGRAPHY | POPULATION DECREASE | HISPANICS | Developed Countries | North America | Americas | Demography | Social Sciences | Population Dynamics | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics
Document Number: 253914

29.
Peer Reviewed

Title: Postoperative pain relief following laparoscopic tubal sterilization with silastic bands.
Author: Tool AL; Kammerer-Doak DN; Nguyen CM; Cousin MO; Charsley M
Source: OBSTETRICS AND GYNECOLOGY. 1997 Nov;90(5):731-4.
Abstract: The aim of this study was to evaluate postoperative pain relief provided by intramuscular ketorolac, topical bupivacaine, and placebo in patients undergoing laparoscopic tubal sterilization with silastic bands. 105 women undergoing laparoscopic tubal sterilization with silastic bands were randomized to one of three groups: one received intramuscular ketorolac and topical placebo applied to the fallopian tubes, the second received intramuscular placebo and topical bupivacaine, and the third received intramuscular placebo and topical placebo. Surgical procedures, anesthesia, and recovery were conducted with standardized protocols. Postoperative pain perception was graded using the modified McGill pain intensity scale at 30 minutes postoperatively, at discharge from the recovery room, and the next morning by telephone interview. Other measured variables included postoperative vomiting, additional analgesia requirement, and length of time spent in the recovery room. Only topical bupivacaine was found to decrease postoperative pain scores significantly over those with placebo, at 30 minutes postoperatively (median score 2 compared with 4, P = .002) and at discharge from the recovery room (median score 2 compared with 3, P = .03). There was no significant decrease in pain scores with intramuscular ketorolac compared with placebo. No differences in pain scores were found between the three groups at the next morning phone call. There were no significant differences between the three groups with respect to requirements for supplemental pain medications in the recovery room, incidence of postoperative vomiting, or length of time spent in the recovery room. Topical bupivacaine decreases postoperative pain scores significantly compared with placebo in women undergoing laparoscopic tubal sterilization with silastic bands. (author's)
Language: English
Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | CLINICAL RESEARCH | TUBAL OCCLUSION | LAPAROSCOPY | PAIN | ANALGESIA | North America | Americas | Developed Countries | Research Methodology | Female Sterilization | Sterilization, Sexual | Family Planning | Endoscopy | Physical Examinations and Diagnoses | Examinations and Diagnoses | Signs and Symptoms | Diseases | Treatment
Document Number: 129270

30.
Title: Navajo Nation expands family planning services.
Author: Haws J; Crawford G
Source: AVSC NEWS. 1996 Summer;34(2):3, 6.
Abstract: An AVSC training program, conducted in cooperation with the Navajo Nation Family Planning Corporation (NNFPC), has the potential to profoundly affect sterilization provision and acceptability on the Navajo Nation reservation. AVSC trained a family physician from the Northern Navajo Medical Center (New Mexico) in the no-scalpel vasectomy technique. This physician expects to provide 30 such sterilizations in the one-year period following the training and is preparing to teach reservation physicians from other health centers to perform the procedure. In addition, a joint AVSC-NNFPC course on sterilization counseling was presented to 30 nursing staff from the New Mexico Center. Central to this training was consideration of the obstacles to sterilization acceptance posed by Navajo cultural beliefs. Sensitivity to some women's desire to keep the procedure private, due to concerns their husbands will abandon them if they can no longer bear children, and to the potential need to include mothers and grandmothers in counseling sessions, is required. Also salient for female counselors and nurses are cultural taboos against a woman discussing sexual matters with a man with whom she is not intimate. In late 1996, AVSC will provide a sterilization counseling update for all NNFPC counselors working at centers throughout the four-state reservation.
Language: English
Keywords:
UNITED STATES OF AMERICA | ARIZONA | COLORADO | NEW MEXICO | UTAH | NATIVE AMERICANS | FAMILY PLANNING PROGRAMS | VASECTOMY | COUNSELING | CULTURE | Developed Countries | North America | Americas | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Family Planning | Programs | Organization and Administration | Male Sterilization | Sterilization, Sexual | Clinic Activities | Program Activities
Document Number: 120380


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