Archive for the ‘reproductive health’ Category

Trends in Long-acting Reversible Contraception Use Among U.S. Women Aged 15–44

April 17, 2015 Comments off

Trends in Long-acting Reversible Contraception Use Among U.S. Women Aged 15–44
Source: National Center for Health Statistics

Key findings

Data from the National Survey of Family Growth

  • Use of long-acting reversible contraceptives (LARCs) declined between 1982 and 1988, remained stable through 2002, and then increased nearly five-fold in the last decade among women aged 15–44, from 1.5% in 2002 to 7.2% in 2011–2013.
  • The percentage of women using LARCs has remained highest among women aged 25–34, with more than twice as many women aged 25–34 (11.1%) using LARCs in 2011–2013 compared with women aged 15–24 (5.0%) and aged 35–44 (5.3%).
  • After decreasing between 1982 and 1988 and remaining stable from 1988 through 1995, LARC-use patterns diverged among Hispanic, non-Hispanic white, and non-Hispanic black women.
  • Women who have had at least one birth use LARCs at a higher rate compared with women who have had no previous births, and this difference has increased over time.

Racial and Ethnic Disparities in Breastfeeding

April 17, 2015 Comments off

Racial and Ethnic Disparities in Breastfeeding
Source: Breastfeeding Medicine

This article’s aim is to review the literature on racial and ethnic disparities in breastfeeding rates and practices, address barriers to breastfeeding among minority women, conduct a systematic review of breastfeeding interventions, and provide obstetrician-gynecologists with recommendations on how they can help increase rates among minority women. In order to do so, the literature of racial and ethnic disparities in breastfeeding rates and barriers among minority women was reviewed, and a systematic review of breastfeeding interventions among minority women on PubMed and MEDLINE was conducted. Racial and ethnic minority women continue to have lower breastfeeding rates than white women and are not close to meeting the Healthy People 2020 goals. Minority women report many barriers to breastfeeding. Major efforts are still needed to improve breastfeeding initiation and duration rates among minority women in the United States. Obstetrician-gynecologists have a unique opportunity to promote and support breastfeeding through their clinical practices and public policy, and their efforts can have a meaningful impact on the future health of the mother and child.

CRS — Free Exercise of Religion by Closely Held Corporations: Implications of Burwell v. Hobby Lobby Stores, Inc. (April 6, 2015)

April 15, 2015 Comments off

Free Exercise of Religion by Closely Held Corporations: Implications of Burwell v. Hobby Lobby Stores, Inc. (PDF)
Source: Congressional Research Service (via Federation of American Scientists)

A 5-4 decision, issued over a highly critical dissent, Burwell v. Hobby Lobby Stores, Inc. resolved one of the many challenges raised in response to the contraceptive coverage requirement of the Affordable Care Act (ACA). Imputing the beliefs of owners of closely held corporations to such corporations, the U.S. Supreme Court found that closely held corporations that hold religious objections to certain contraceptive services cannot be required to provide coverage of those services in employee health plans. The Court’s decision was based on the protections offered under the federal Religious Freedom Restoration Act (RFRA), a statute prohibiting the government from imposing a substantial burden on a person’s religious exercise unless it can show a compelling interest achieved by the least restrictive means. The Court declined to address the constitutional challenge, holding that the companies were protected under RFRA.

In the absence of a definition under RFRA, the majority interpreted the term “person” to include closely held corporations, even if they operated for-profit, and determined that the penalties that such companies would face if they failed to comply with the contraceptive coverage requirement would impose a substantial burden. Though the Court assumed that the government had a compelling interest to require contraceptive coverage under ACA, it found that less restrictive means (e.g., expanding the regulatory accommodation available to nonprofit employers with similar objections) could achieve that interest without requiring companies with religious objections to be subject to the requirement.

Reproductive Health — Trends in the States: First Quarter 2015

April 7, 2015 Comments off

Trends in the States: First Quarter 2015
Source: Guttmacher Institute

By the end of the first quarter of the year, legislators had introduced 791 provisions related to sexual and reproductive health and rights. Nearly 42% of these provisions (332 provisions) seek to restrict access to abortion services; abortion restrictions have been introduced in 43 states. By April 1, 53 abortion restrictions had been approved by a legislative chamber, and nine had been enacted. Many of the new abortion restrictions enacted this year would either limit the use of medication abortion (Arkansas and Idaho) or ban abortion at 20 weeks postfertilization (West Virginia), a disturbing combination of attempts to curtail access in both the early and later months of pregnancy, potentially leaving women with fewer options and a greatly reduced time frame to get the care they need.

2015 County Health Rankings Key Findings Report

March 30, 2015 Comments off

2015 County Health Rankings Key Findings Report
Source: Robert Wood Johnson Foundation

The County Health Rankings are an easy-to-use snapshot of the health of nearly every county in the nation. The Rankings make it clear that good health includes many factors beyond medical care, including education, jobs, smoking, access to healthy foods and parks, and more. Now in its sixth year, the Rankings use factors that communities have the ability to do something about.

Key Findings

  • For 60 percent of the nation’s counties, rates of premature death (death before age 75) have declined, some dramatically; for 40 percent no progress has been made.
  • One out of four children in the United States lives in poverty; rates of poverty are more than twice as high in the unhealthiest counties in each state compared to the healthiest ones.
  • Unemployment rates are 1.5 times higher in the least healthy counties in each state compared to the healthiest ones.
  • The healthiest counties have higher college attendance rates, fewer preventable hospital stays, and better access to exercise opportunities. The least healthy counties have more smokers, more teen births, and more alcohol-related car accidents.

Survey | How Race and Religion Shape Millennial Attitudes on Sexuality and Reproductive Health

March 27, 2015 Comments off

Survey | How Race and Religion Shape Millennial Attitudes on Sexuality and Reproductive Health
Source: Public Religion Research Institute

A majority (53%) of millennials say the country has gotten pretty seriously off on the wrong track, compared to 45% who say it is going in the right direction. White and black millennials are near mirror opposites: close to two-thirds (64%) of white millennials say the country has gotten off on the wrong track, while more than seven in ten (71%) black millennials say it is moving in the right direction. A majority (53%) of Hispanic millennials also say the country is moving in the right direction. Asian-Pacific Islander (API) millennials are more divided—49% say right direction, 46% say wrong track.

Three-quarters (75%) of millennials favor teaching comprehensive sex education in public schools, while 21% are opposed. Support for this policy cuts across all racial, ethnic, and religious groups.

Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil

March 22, 2015 Comments off

Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil (PDF)
Source: The Lancet

Breastfeeding has clear short-term benefi ts, but its long-term consequences on human capital are yet to be established. We aimed to assess whether breastfeeding duration was associated with intelligence quotient (IQ), years of schooling, and income at the age of 30 years, in a setting where no strong social patterning of breastfeeding exists.

A prospective, population-based birth cohort study of neonates was launched in 1982 in Pelotas, Brazil. Information about breastfeeding was recorded in early childhood. At 30 years of age, we studied the IQ (Wechsler Adult Intelligence Scale, 3rd version), educational attainment, and income of the participants. For the analyses, we used multiple linear regression with adjustment for ten confounding variables and the G-formula.

From June 4, 2012, to Feb 28, 2013, of the 5914 neonates enrolled, information about IQ and breastfeeding duration was available for 3493 participants. In the crude and adjusted analyses, the durations of total breastfeeding and predominant breastfeeding (breastfeeding as the main form of nutrition with some other foods) were positively associated with IQ, educational attainment, and income. We identified dose-response associations with breastfeeding duration for IQ and educational attainment. In the confounder-adjusted analysis, participants who were breastfed for 12 months or more had higher IQ scores (diff erence of 3·76 points, 95% CI 2·20–5·33), more years of education (0·91 years, 0·42–1·40), and higher monthly incomes (341·0 Brazilian reals, 93·8–588·3) than did those who were breastfed for less than 1 month. The results of our mediation analysis suggested that IQ was responsible for 72% of the effect on income.

Breastfeeding is associated with improved performance in intelligence tests 30 years later, and might have an important eff ect in real life, by increasing educational attainment and income in adulthood.

Wellcome Trust, International Development Research Center (Canada), CNPq, FAPERGS, and the Brazilian Ministry of Health


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