Sexual and reproductive health during international travel: Expectations and experiences among female university students.

To evaluate female students' expectations and experiences related to their sexual and reproductive health (SRH) during international travel. Female students from a US university with a history of sex with men completed a cross-sectional survey about their upcoming (Pre-travelers;  = 170) or recent (Travelers;  = 340) international travel. Descriptive statistics were used to characterize pre-travel SRH expectations (for Pre-travelers) and to determine the prevalence of 15 SRH experiences during both recent and lifetime travel (for Travelers).

Pregnancy Prevention on the Fly: An Exploratory Study of Contraceptive Lapse Among Young Women Traveling Internationally.

International travel is increasingly popular, and women comprise half of all outbound travel from the United States (almost 46 million trips in 2017). The implications of international travel for women's reproductive health are not fully clear due to lack of data on travelers' contraceptive use. Women attending a U.

Risk of Contraceptive Lapse and New Sexual Partnership Among Female University Students Traveling Internationally.

Context: International travel is common and may influence women's sexual and reproductive health through myriad pathways. Existing studies focus on travelers' risk of acquiring STDs, but not their pregnancy prevention behaviors. Further, it is unclear whether sexual and reproductive health outcomes observed for female travelers are associated with travel itself, because few studies compare travelers with nontravelers.

Differences in Family Planning Services by Rural-urban Geography: Survey of Title X-Supported Clinics In Great Plains and Midwestern States.

Context: Understanding the nature of rural-urban variation in U.S. family planning services would help address disparities in unmet contraceptive need.

Protective Factors, Risk Indicators, and Contraceptive Consistency Among College Women.

Objective: To explore risk and protective factors associated with consistent contraceptive use among emerging adult female college students and whether effects of risk indicators were moderated by protective factors.

Design: Secondary analysis of National Longitudinal Study of Adolescent to Adult Health Wave III data.

Setting: Data collected through in-home interviews in 2001 and 2002.

Doulas' Perspectives about Providing Support to Incarcerated Women: A Feasibility Study.

Objective: To document the logistical feasibility of a doula program for pregnant incarcerated women and to assess doulas' perceptions of their achievements.

Design And Sample: Six doulas provided written case notes ("birth stories") about their experiences with 18 pregnant women in one Midwestern state prison.

Measures: The birth stories were analyzed by two coders to identify major themes related to doulas' perceptions about providing support to incarcerated women.

Associations of adolescent hopelessness and self-worth with pregnancy attempts and pregnancy desire.

Objectives: We examined the associations of pregnancy desire (ambivalence or happiness about a pregnancy in the next year) and recent pregnancy attempts with hopelessness and self-worth among low-income adolescents.

Methods: To evaluate independent associations among the study variables, we conducted gender-stratified multivariable logistic regression analyses with data derived from 2285 sexually experienced 9- to 18-year-old participants in the Mobile Youth Survey between 2006 and 2009.

Results: Fifty-seven percent of youths reported a desire for pregnancy and 9% reported pregnancy attempts.

An examination of prenatal and postpartum depressive symptoms among women served by urban community health centers.

We characterized depressive symptoms in the prenatal and/or postpartum periods and examined associated risk factors among 594 women who received care at community health care centers. Women were screened with comprehensive risk assessments, which included the Patient Health Questionnaire-9 depression screen, during pregnancy and at least 4 weeks after delivery. Fifteen percent had depressive symptoms in the prenatal period only; 6 % in the postpartum period only, and 8 % had depressive symptoms in both periods.

Evaluating body mass index-specific trimester weight gain recommendations: differences between black and white women.

Introduction: We compared the gestational weight gains of black and white women with the 2009 Institute of Medicine (IOM) recommendations to better understand the potential for successful implementation of these guidelines in clinical settings.

Methods: Prenatal and birth data for 2760 women aged 18 to 40 years with term singleton births from 2004 through 2007 were abstracted. We examined race differences in mean trimester weight gains with adjusted linear regression and compared race differences in the distribution of women who met the IOM recommendations with chi-square analyses.

Perceived stigma, strain, and mental health among caregivers of veterans with traumatic brain injury.

Background: Family caregivers of individuals with stigmatized conditions can experience stigma-by-association and discrimination. Moderate-to-severe traumatic brain injury (TBI) may elicit a stigma response if there are visible physical or neurobehavioral effects of the injury. Stigma is a considerable source of stress and may contribute to caregiver strain and stress-related mental health outcomes.

The association of maternal mental health with prenatal smoking cessation and postpartum relapse in a population-based sample.

To examine the association between mental health factors with smoking cessation during pregnancy and postpartum relapse. We used data from 1,416 women who participated in the Minnesota Pregnancy Risk Assessment Monitoring System survey in 2004-2006 and reported smoking immediately prior to pregnancy. Maternal mood during pregnancy, stressful life events and postpartum depression were the mental health variables.

Independent and interactive associations of prenatal mood and substance use with infant birth outcomes.

The main objective of this work is to examine low prenatal mood, alcohol and tobacco use and rates of preterm (PTB) and low birth weight (LBW) births among women in Minnesota between 2002 and 2006. We examined the Minnesota version of the national, cross-sectional survey of postpartum women, the Pregnancy Risk Assessment Monitoring System (MN PRAMS). Of the 11,891 women sampled in 2002-2006, 7,457 had complete data for analysis; the weighted response rates averaged 76%.

Type-specific prevalence and persistence of human papillomavirus in women in the United States who are referred for typing as a component of cervical cancer screening.

Objective: The purpose of this study was to report type-specific prevalence and persistence of human papillomavirus (HPV) in women who underwent cytologic screening.

Study Design: We examined HPV prevalence in 73,371 women who had type-specific HPV testing in 1 of 23 clinical laboratories in the United States. Persistence was evaluated in 963 women who were tested within 8-16 months of their index test.

Prenatal environmental exposures and child health: Minnesota's role in the National Children's Study.

Five medical conditions are responsible for approximately $250 billion in annual health care costs in the United States: obesity, asthma, diabetes, schizophrenia, and autism. For some individuals, these conditions may begin with in utero exposures. However, firm evidence about the links between these conditions and such exposures has yet to be established.

American Indian breastfeeding attitudes and practices in Minnesota.

Objectives: We examined the breastfeeding attitudes and practices in an American Indian population in Minnesota.

Methods: We interviewed women prenatally (n = 380), at 2-weeks (n = 342) and at 6-months postpartum (n = 256). We conducted multivariable analyses to examine the demographic, behavioral, and attitudinal correlates of breastfeeding initiation and duration.

Native Teen Voices: adolescent pregnancy prevention recommendations.

Purpose: American Indian adolescent pregnancy rates are high, yet little is known about how Native youth view primary pregnancy prevention. The aim was to identify pregnancy prevention strategies from the perspectives of both male and female urban Native youth to inform program development.

Methods: Native Teen Voices (NTV) was a community-based participatory action research study in Minneapolis and St.

The International Adoption Project: population-based surveillance of Minnesota parents who adopted children internationally.

Objectives: To conduct the first population-based surveillance in the United States of parents who adopted children from countries outside of the United States.

Methods: A 556-item survey was mailed to 2,977 parents who finalized an international adoption in Minnesota between January 1990 and December 1998; 1,834 (62%) parents returned a survey.

Results: Eighty-eight percent of the parents reported transracial adoptions (97% of the parents were white); 57% of the adopted children were Asian; 60% were female; and on average, the children were 18 months-old at the time of placement.

History of childhood sexual abuse and HIV risk behaviors in homosexual and bisexual men.

Objectives: We examined the prevalence and frequency of childhood sexual abuse and their association with sexual risk among a sample of gay and bisexual men. Methods. Cross-sectional data were collected by survey from randomly selected gay and bisexual men who attended the 1997 and 1998 Minneapolis/St.

Cultural socialization in families with internationally adopted children.

Cultural socialization attitudes, beliefs, and parenting behaviors were examined in families with internationally adopted children. The authors hypothesized that parents with lower color-blind racial attitudes would be more likely to engage in enculturation and racialization parenting behaviors because they hold stronger beliefs in the value and importance of cultural socialization. Using data from the Minnesota International Adoption Project, the results support this mediation model of cultural socialization.

Environmental, social, and personal correlates of having ever had sexual intercourse among American Indian youths.

Objectives: We examined the correlates of having ever had sexual intercourse among American Indians aged 13 to 18 years in Minnesota.

Methods: 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.

Results: 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.

Residential racial concentration and birth outcomes by nativity: do neighbors matter?

Objectives: We examined the associations of residential segregation with poor birth outcomes (low birthweight, preterm) and with perinatal risk markers (maternal age, education and marital status, prenatal care and substance use, presence of paternal information on birth certificate) for foreign- and native-born black women in the Minnesota seven-county metropolitan area.

Methods: Data were from 1990-1999 Minnesota birth certificates linked to the 1990 U.S.