Home About us Contact
|
Home About us Contact | ||
|
|
||
Adolescent Women (adolescent + woman)
Selected AbstractsRisky Sexual Behavior Among Adolescent WomenJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2000Margaret Taylor-Seehafer ISSUES AND PURPOSE. To review the epidemiology and etiology of risky sexual behavior in adolescent women, and to discuss implications for primary prevention. CONCLUSION. Adolescent women who participate in risky sexual behavior are at risk for sexually transmitted infections, including HIV. Black, Hispanic, and out-of-home adolescent women, however, are at greatest risk. Factors contributing to risky sexual behavior include early initiation of sexual intercourse, inconsistent use of condoms and other barrier contraception, and unprotected sexual intercourse. Identified protective factors for early initiation of sexual activity include the development of healthy sexuality, family and school connectedness, and the presence of caring adults. PRACTICE IMPLICATIONS. Effective clinical interventions target high-risk adolescent women; incorporate environmental and cognitive-behavioral components; use social learning theories; address differences in regards to culture, developmental stage, and sexual experience; and support family and school involvement. [source] Bone Mineral Density in Adolescent Women Using Depot Medroxyprogesterone AcetateJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 2 2004Nancy H. Busen PhD Purpose To present current data on bone mineral density (BMD) in adolescent women using the long-acting contraceptive depot medroxyprogesterone acetate (DMPA) and also to discuss the importance of developing maximal bone mass during adolescence to offset bone demineralization later in life. Data Sources Research-based articles in the medical literature, review articles, and recommendations from the American Academy of Pediatrics and the National Osteoporosis Foundation. Conclusions Osteoporosis is a preventable disease that affects millions of Americans, particularly older women. Factors influencing the attainment and maintenance of peak bone mass during childhood and adolescence affect the future risk of fractures. Although longitudinal studies conducted on adolescent women using DMPA are very limited, findings suggest that adolescents are losing bone density during a time of expected bone accretion. Implications for Practice Clinicians must consider all the risks and benefits when prescribing contraceptives to adolescents. By themselves, the findings related to BMD and DMPA use by adolescents are not sufficient to limit the use of DMPA as a contraceptive method. However, clinicians must take into account the addition of other modifying factors associated with BMD that may contribute to overall bone loss in adolescent females. More prospective data on the long-term use of DMPA by adolescents are needed to determine DMPA's effect on bone loss and to determine if bone loss is transient in adolescents. [source] Risky Sexual Behavior Among Adolescent WomenJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2000Margaret Taylor-Seehafer ISSUES AND PURPOSE. To review the epidemiology and etiology of risky sexual behavior in adolescent women, and to discuss implications for primary prevention. CONCLUSION. Adolescent women who participate in risky sexual behavior are at risk for sexually transmitted infections, including HIV. Black, Hispanic, and out-of-home adolescent women, however, are at greatest risk. Factors contributing to risky sexual behavior include early initiation of sexual intercourse, inconsistent use of condoms and other barrier contraception, and unprotected sexual intercourse. Identified protective factors for early initiation of sexual activity include the development of healthy sexuality, family and school connectedness, and the presence of caring adults. PRACTICE IMPLICATIONS. Effective clinical interventions target high-risk adolescent women; incorporate environmental and cognitive-behavioral components; use social learning theories; address differences in regards to culture, developmental stage, and sexual experience; and support family and school involvement. [source] Political Partisanship, Voting Abstention and Higher Education: Changing Preferences in a British Youth Cohort in the 1990sHIGHER EDUCATION QUARTERLY, Issue 2 2002Muriel EgertonArticle first published online: 16 DEC 200 This paper focuses on the relationship between education and political partisanship, using the British Household Panel Study (1991,1999). It is known that partisanship has been falling in Britain since the mid,1950s. However, voting abstention rose only gradually until the June 2001 election where the turnout (at 59 per cent) was the lowest since 1918. Partisanship also fell sharply during the 1990s. Although social class and education are associated with turnout in the USA, no relationship has been reported in the UK, and voting seems to have been perceived as a citizen duty. However, in the light of recent changes in voting patterns and educational participation, this paper investigates the role of education, contextualising education effects in social class and gender effects. The preferences of young people are observed in their late teens, before entering the labour market or higher education, and are compared with those of the same young people in their early 20s, after completing higher education courses or gaining labour market experience. The BHPS yielded a sample of about 500 young people with the required data over the time period. It was hypothesised that dissatisfaction with government performance would take different forms for the more and the less educated, with the more educated shifting preferences to minority parties while the less educated shift preferences to voting abstention. The hypothesis was confirmed for young men. Endorsement of abstention was very high for adolescent women who also seemed to be more influenced by their family's social class. However, by early adulthood a lower proportion of young women endorsed abstention than young men. Strong effects of education were still found with more highly educated young women (as with more highly educated young men) being more likely to have party preferences. [source] Risky Sexual Behavior Among Adolescent WomenJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2000Margaret Taylor-Seehafer ISSUES AND PURPOSE. To review the epidemiology and etiology of risky sexual behavior in adolescent women, and to discuss implications for primary prevention. CONCLUSION. Adolescent women who participate in risky sexual behavior are at risk for sexually transmitted infections, including HIV. Black, Hispanic, and out-of-home adolescent women, however, are at greatest risk. Factors contributing to risky sexual behavior include early initiation of sexual intercourse, inconsistent use of condoms and other barrier contraception, and unprotected sexual intercourse. Identified protective factors for early initiation of sexual activity include the development of healthy sexuality, family and school connectedness, and the presence of caring adults. PRACTICE IMPLICATIONS. Effective clinical interventions target high-risk adolescent women; incorporate environmental and cognitive-behavioral components; use social learning theories; address differences in regards to culture, developmental stage, and sexual experience; and support family and school involvement. [source] Bone Mineral Density in Adolescent Women Using Depot Medroxyprogesterone AcetateJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 2 2004Nancy H. Busen PhD Purpose To present current data on bone mineral density (BMD) in adolescent women using the long-acting contraceptive depot medroxyprogesterone acetate (DMPA) and also to discuss the importance of developing maximal bone mass during adolescence to offset bone demineralization later in life. Data Sources Research-based articles in the medical literature, review articles, and recommendations from the American Academy of Pediatrics and the National Osteoporosis Foundation. Conclusions Osteoporosis is a preventable disease that affects millions of Americans, particularly older women. Factors influencing the attainment and maintenance of peak bone mass during childhood and adolescence affect the future risk of fractures. Although longitudinal studies conducted on adolescent women using DMPA are very limited, findings suggest that adolescents are losing bone density during a time of expected bone accretion. Implications for Practice Clinicians must consider all the risks and benefits when prescribing contraceptives to adolescents. By themselves, the findings related to BMD and DMPA use by adolescents are not sufficient to limit the use of DMPA as a contraceptive method. However, clinicians must take into account the addition of other modifying factors associated with BMD that may contribute to overall bone loss in adolescent females. More prospective data on the long-term use of DMPA by adolescents are needed to determine DMPA's effect on bone loss and to determine if bone loss is transient in adolescents. [source] Bleeding disorders in teenagers presenting with menorrhagiaAUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 5 2005Yasmin JAYASINGHE Abstract Objective:, To assess the prevalence of bleeding disorders and establish the clinical variables that are predictive of a bleeding disorder in adolescent women. Design:, A retrospective audit of all patients who had coagulation tests following presentation with menorrhagia. Setting:, Inpatient and outpatients of a tertiary adolescent gynaecology service. Patients:, Subjects aged 9,19 years with menorrhagia who had coagulation tests performed, and who did not have a known bleeding disorder prior to presentation were included. Outcome measures:, A bleeding screen was performed to assess prevalence of bleeding disorders in the population. Variables that were investigated as predictive of a bleeding disorder included clinical history, family history, and haematological indices of blood loss. Results:, The prevalence of an inherited bleeding disorder was 10.4%. The only statistically significant predictor was a family history of bruising and bleeding. Menstrual history was not predictive. Conclusion:, Severity of menstrual loss was not predictive of a bleeding disorder, as a significant cause of teenage metrostaxis is due to anovulatory dysfunctional uterine bleeding. The authors recommend that a careful personal and family history of bruising and bleeding be taken in all teenagers who present de novo with menorrhagia. Routine screening in a primary care setting is impractical, but should be mandatory in all patients with a positive family history. [source] Are rural adolescents necessarily at risk of poorer obstetric and birth outcomes?AUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 2 2005Mavis Gaff-Smith Abstract Objective:,The purpose of the present study were to describe the sociodemographic and clinical characteristics of adolescent women giving birth at Wagga Wagga Base Hospital, and compare these with those with all adolescents in New South Wales. Design:,An investigative approach. Main outcome measures:,Obstetric complications, delivery intervention and adverse infant outcomes. Setting:,Wagga Wagga Base Hospital. Participants:,One hundred and sixteen adolescents aged 15,19 years. Results:,In relation to obstetric complications and infants with complications, the study sample was found to be representative of New South Wales adolescents. However, for type of delivery there was a higher rate of forceps delivery (12.3% (15) vs 4.7% (415) P = 0.0001), forceps rotation (4.1% (5) vs 0.9% (80) P = 0.004) and fewer normal vaginal deliveries (67.2% (82) vs 80.8% (7108) P = 0.006) at Wagga Wagga Base Hospital. Conclusion:,These findings suggest that rural adolescents are at risk of delivery complications and are less likely to have a normal vaginal delivery. More research is required into obstetric and birth outcomes for the rural adolescent population. [source] Choice in fertility preservation in girls and adolescent women with cancer,CANCER, Issue S7 2006Jeffrey Nisker MD Abstract With the cure rate for many pediatric malignancies now between 70% and 90%, infertility becomes an increasingly important issue. Strategies for preserving fertility in girls and adolescent women occur in two distinct phases. The first phase includes oophorectomy (usually unilateral) and cryopreservation of ovarian cortex slices or individual oocytes; ultrasound-guided needle aspiration of oocytes, with or without in vitro maturation (IVM), followed by cryopreservation; and ovarian autografting to a distant site. The second phase occurs if the woman chooses to pursue pregnancy, and includes IVM of the oocytes, followed by in vitro fertilization (IVF) and transfer of any created embryos to the woman's uterus (or to a surrogate's uterus if the cancer patient's uterus has been surgically removed or the endometrium destroyed by radiotherapy). For ovarian autografting, the woman would undergo menotropin ovarian stimulation and retrieval of matured oocytes (likely by laparotomy, but possibly by ultrasound-guided needle aspiration if the ovary is positioned in an inaccessible location). The ethical challenges with each of these phases are many of fertility preservation and include issues of informed choice (consent or refusal). The lack of proven benefit with these strategies and the associated potential physical and psychological harms require careful attention to the key elements of informed choice, which include decisional capacity, disclosure, understanding and voluntariness, and to the benefits of in-depth counseling to promote free and informed choice at a time that is emotionally difficult for the decision makers. Cancer 2006. © 2006 American Cancer Society. [source] | ||||||||||