609 results match your criteria: "Guttmacher Institute.[Affiliation]"

Abortion Access for Incarcerated People: Incidence of Abortion and Policies at U.S. Prisons and Jails.

Obstet Gynecol

September 2021

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, and the Department of Health, Behavior and Society and the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and the Guttmacher Institute, New York, New York.

Objective: To understand abortion incidence among incarcerated people and the relation to prison and jail pregnancy policies.

Methods: We collected abortion numbers and policy data from convenience sample of 22 state prison systems, all Federal Bureau of Prisons sites, and six county jails that voluntarily reported monthly, aggregate pregnancy outcomes for 12 months in 2016-2017. Sites also completed a baseline survey of institution characteristics and pregnancy policies, including abortion.

View Article and Find Full Text PDF

Objective: To compare adolescents' reports of sexual and contraceptive behaviors between the National Survey of Family Growth (NSFG) and the Youth Risk Behavior Survey (YRBS).

Methods: For each survey, we estimated the year- and sex-specific prevalence of sexual and contraceptive behaviors among a comparably defined sample of US respondents ages 15-19 currently attending high school. We used logistic regression to test for changes in prevalence from 2007-2019 and conducted sensitivity analyses to investigate between-survey differences.

View Article and Find Full Text PDF

Background: Unsafe abortion is common in Tanzania. Currently, postabortion care (PAC) is legally provided, but there is little information on the national cost. We estimated the health system costs of offering PAC in Tanzania in 2018, at existing levels of care and when hypothetically expanded to meet all need.

View Article and Find Full Text PDF

Background: Young Ghanaian women experience high rates of unmet need for contraception and unintended pregnancy, and face unique barriers to accessing sexual and reproductive health services. This study provides a comprehensive national analysis of young women's contraceptive and abortion practices and needs.

Methods: In 2018, we conducted a nationally representative survey of women aged 15-49, including 1039 women aged 15-24.

View Article and Find Full Text PDF

Few studies in low- and middle-income countries have examined the use of fertility awareness-based methods (FABMs) for pregnancy prevention. Understanding the prevalence of FABM use among Ghanaian contraceptors and the characteristics and practices of users is essential. Our 2018 nationally representative survey of Ghanaian women included detailed questions on the use of rhythm and Standard Days Method/Cycle Beads (SDM).

View Article and Find Full Text PDF

Objective: To examine current levels, correlates of, and changes in contraceptive use among reproductive-age women in the United States between 2014 and 2016.

Design: We conducted simple and multivariable logistic regression analyses to identify associations between user characteristics and contraceptive use, with specific attention to methods requiring a visit to a health care provider.

Setting: Not applicable.

View Article and Find Full Text PDF

Despite the size of the Asian population in New York City (NYC) and the city's robust abortion surveillance system, abortion-related estimates for this population have not been calculated previously. This study examined the use of abortion services among specific Asian groups in NYC from 2011-2015. Using NYC surveillance data, we estimated abortion rates for Asians, disaggregated by five country of origin groups and nativity status, and for other major racial/ethnic groups.

View Article and Find Full Text PDF

Objectives: To describe changes in use and receipt of emergency contraceptive (EC) pills among women in the United States during a period of key EC policy changes, from 2008 to 2015.

Study Design: Using data from the 2006 to 2010 and 2013 to 2017 National Surveys of Family Growth, we present changes in the percent of women who ever used EC between 2008 and 2015 by select sociodemographic and sexual and reproductive health characteristics, and we examine multivariable relationships of these characteristics with EC ever use in 2015. We also examine changes in repeat EC use, receipt of EC counseling, reasons for EC use and source of EC between the time periods.

View Article and Find Full Text PDF

Objectives: To explore young men's perceived experience of coercive pregnancy behaviors by female partners, and engagement in and behavioral overlap of these occurrences in this sample.

Study Design: Heterosexually active young men aged 15 to 24 (n = 39), recruited from 3 primary care and 2 sexually transmitted disease clinics in Baltimore, MD city over a 2-week period, were surveyed on their perceived experience of and engagement in coercive pregnancy behaviors, attitudes about women, and background characteristics.

Results: Of 130 invited, 66 (51%) agreed to participate, 39 of whom were heterosexual young men; 87% were non-Hispanic Black and 59% were aged 20 to 24.

View Article and Find Full Text PDF

Little is known about the link between health literacy and women's ability to safely and successfully use misoprostol to self-induce an abortion. While abortion is only allowed to save a woman's life in Nigeria, misoprostol is widely available from drug sellers. We interviewed 394 women in 2018 in Lagos State, Nigeria, who induced abortion using misoprostol obtained from a drug seller to determine their sexual and reproductive health literacy (SRHL) and misoprostol knowledge levels; and how these were associated with ending the pregnancy successfully or seeking care for (perceived) complications.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates trends in sexual behaviors and contraceptive use among U.S. adolescents aged 15-19 over three periods: 2006-2010, 2011-2015, and 2015-2019, using data from the National Surveys of Family Growth.
  • Results indicate that while over half of adolescents engaged in sexual behaviors, there were declines in sexual activities reported by males and a delay in the timing of first intercourse.
  • Female adolescents increased their contraceptive use significantly, including use of IUDs, while male condom use showed a decline, highlighting evolving sexual health behaviors among young people.
View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted in 2018 with 4,143 Ghanaian women to investigate barriers and facilitators related to hormonal contraceptive use, aiming to improve contraceptive counseling and decrease unintended pregnancies.
  • The results indicated that hormonal contraceptive use was more common among younger, more educated women; however, concerns about health risks and side effects influenced discontinuation rates.
  • The findings highlight the need for better counseling on the side effects of hormonal methods, particularly regarding menstrual changes and future fertility impacts, to help women make informed choices.
View Article and Find Full Text PDF

Women's ability to control their fertility through contraception and abortion has been shown to contribute to improvements in education and employment. At the same time, their employment and wages decline substantially when they transition to motherhood. About one-third of births are unintended, and it is unknown whether the impact of motherhood on employment, hours, and wages is smaller for women who planned their transition into motherhood compared with those who did not.

View Article and Find Full Text PDF

Introduction: The impact on research findings that use pregnancy data from surveys with underreported abortions is not well-established. We estimate the percent of all pregnancies missing from women's self-reported pregnancy histories because of abortion underreporting.

Methods: We obtained abortion and fetal loss data from the 2006-2015 National Survey of Family Growth (NSFG), annual counts of births from US vital statistics, and external abortion counts from the Guttmacher Institute.

View Article and Find Full Text PDF

In 2006, abortion in Colombia was decriminalised under certain circumstances. Yet some women continue to avail themselves of ways to terminate pregnancies outside of the formal health system. In-depth interviews (IDIs) with women who acquired drugs outside of health facilities to terminate their pregnancies (= 47) were conducted in Bogotá and the Coffee Axis in 2018.

View Article and Find Full Text PDF

Objective: To identify prevalence of, characteristics associated with, and combinations of, use of more than one method of contraception at last intercourse among US women between 2008 and 2015.

Methods: We conducted bivariate and multivariable logistic regression analyses using data on concurrent contraceptive use from 2 nationally representative samples of women ages 15 to 44 who had used some form of contraception at last intercourse in the past 3 months in the 2006-2010 ( = 6601) and 2013-2017 ( = 5562) cycles of the National Survey of Family Growth.

Results: Use of more than one method of contraception at last sex increased from 14% in 2008 to 18% in 2015 (<0.

View Article and Find Full Text PDF

Evolving the Preconception Health Framework: A Call for Reproductive and Sexual Health Equity.

Obstet Gynecol

February 2021

University of California, San Francisco, San Francisco, California; the Guttmacher Institute, New York, New York; the University of Pittsburgh, Pittsburgh, Pennsylvania; the University of Washington, Seattle, Washington; Bold Futures, Albuquerque, New Mexico; the University of California, Berkeley, Berkeley, California; the Coalition to Expand Contraceptive Access, Sacramento, California; California Latinas for Reproductive Justice, Los Angeles, California; the Levy Group LLC, Washington, DC; Alameda County Maternal and Child Health, Oakland, California; SisterSong Women of Color Reproductive Justice Collective, Atlanta, Georgia; the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Formerly the National Asian Pacific American Women's Forum, Chicago, Illinois; and the National Birth Equity Collaborative, New Orleans, Louisiana.

Over the past decade, increasing attention has been paid to intervening in individuals' health in the "preconception" period as an approach to optimizing pregnancy outcomes. Increasing attention to the structural and social determinants of health and to the need to prioritize reproductive autonomy has underscored the need to evolve the preconception health framework to center race equity and to engage with the historical and social context in which reproduction and reproductive health care occur. In this commentary, we describe the results of a meeting with a multidisciplinary group of maternal and child health experts, reproductive health researchers and practitioners, and Reproductive Justice leaders to define a new approach for clinical and public health systems to engage with the health of nonpregnant people.

View Article and Find Full Text PDF

Global Developments in Laws on Induced Abortion: 2008-2019.

Int Perspect Sex Reprod Health

December 2020

Distinguished scholar and Vice President for Global Science and Policy Integration, Guttmacher Institute, New York.

Context: Evidence shows that laws that restrict abortion do not eliminate its practice, but instead result in women having clandestine abortions, which are likely to be unsafe. It is important to periodically assess changes in the legal status of abortion around the world.

Methods: The criteria for legal abortion as of 2019 for 199 countries and territories were used to distribute them along a continuum of six mutually exclusive categories, from prohibited to permitted without restriction as to reason.

View Article and Find Full Text PDF

Background: The quality of obstetric care has been identified as a contributing factor in Indonesia's persistently high level of maternal mortality, and the country's restrictive abortion laws merit special attention to the quality of post-abortion care (PAC). Due to unique health policies and guidelines, in Indonesia, uterine evacuation for PAC is typically administered only by Ob/Gyns practicing in hospitals.

Methods: Using data from a survey of 657 hospitals and emergency obstetric-registered public health centers in Java, Indonesia's most populous island, we applied a signal functions analysis to measure the health system's capacity to offer PAC.

View Article and Find Full Text PDF

Fertility intentions and recent births among US abortion patients.

Contraception

February 2021

Advancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, Oakland, CA, United States.

Objective: To examine fertility intentions among abortion patients and the potential of abortion for avoiding short birth intervals.

Study Design: We used national data from a sample of more than 8000 individuals obtaining abortions in the United States in 2014. We created a measure of fertility intentions based on prior births and responses to an item asking about future childbearing expectations.

View Article and Find Full Text PDF