Publications by authors named "Claudia Nunez-Eddy"
Introduction: Adolescent sexual health interventions are increasingly incorporating content that is inclusive of LGBTQIA+ youth (lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other marginalized sexualities and genders). Evaluations of such programs must also be inclusive to enhance the validity of evaluation results and avoid further marginalization. We present strategies for increasing LGBTQIA+-inclusivity based on our evaluation of a sexual health curriculum.
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- The study aimed to compare the effectiveness of hysteroscopic versus laparoscopic sterilization by analyzing Medicaid claims data from California between 2008 and 2014.
- After analyzing data from nearly 30,000 women, the results showed poststerilization pregnancy rates were slightly higher for laparoscopic sterilization in the long term, despite initial higher claims for hysteroscopic procedures within the first year.
- Overall, the cumulative pregnancy rate after five years was lower for those who underwent hysteroscopic sterilization compared to laparoscopic sterilization, indicating potential differences in long-term effectiveness between the two methods.
Background: Tubal ligation remains common in the USA, especially among low-income patients.
Objective: To compare the effectiveness and safety of intrauterine contraceptives (IUC) to laparoscopic tubal ligation for Medicaid clients.
Design: We partnered with patient and clinician stakeholders to conduct a retrospective cohort study using California Medicaid claims for patients who had an IUC placed or laparoscopic tubal ligation performed in 2008-2014, excluding procedures performed within 42 days of a birth.
Objective: To evaluate the real-world safety of hysteroscopic compared with laparoscopic surgical sterilization.
Methods: We conducted a retrospective cohort study of Medicaid claims for hysteroscopic or laparoscopic sterilization procedures performed in California, 2008-2014, among women aged 18-50 years. After excluding postpartum procedures, we applied log-linear (Poisson) event-history regression models for clustered person-period data, weighted for propensity to receive either sterilization procedures, and adjusted for sociodemographic and clinical characteristics that may affect outcomes of interest to patients and physicians.