Self-reported contraceptive method use at conception among patients presenting for abortion in England: a cross-sectional analysis comparing 2018 and 2023

BMJ Sexual & Reproductive Health, Journal Year: 2025, Volume and Issue: unknown, P. bmjsrh - 202573

Published: Jan. 13, 2025

Background Recent media attention has been given to an apparent shift away from hormonal methods of contraception. While increase in fertility awareness-based or ‘natural’ family planning is reported the grey literature, there are no robust data determine any such trend UK. Methods We compared self-reported contraceptive use at conception among patients presenting for abortion British Pregnancy Advisory Service January June 2018 (N=33 495) and 2023 (N=55 055) using chi-square (χ 2 ) tests association. Results Reported contraception around time increased 0.4% 2.5% (p<0.001). In contrast, decreased 18.8% 11.3% (p<0.001) long-acting reversible fell 3% 0.6% Those reporting significantly by 14% when comparing (55.8%) with (69.6%). Conclusions Significantly fewer report effective while also methods. Further research needed understand reasons this change.

Language: Английский

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Effect of the Covid Pandemic on Women’s Health

Primary Care Clinics in Office Practice, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

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Factors related to human papillomavirus vaccine uptake and intentions among adults aged 18–26 and 27–45 years in the United States: A cross‐sectional study

Cancer, Journal Year: 2023, Volume and Issue: 129(8), P. 1237 - 1252

Published: Feb. 9, 2023

Abstract Background The current study examined self‐reported human papillomavirus (HPV) vaccination uptake and intentions, associations with psychosocial constructs among United States adults aged 18 to 26 27 45 years. Methods Data were collected via an online survey from participants recruited a research panel. Outcomes HPV intentions. Multivariable binary ordered logistic regression models used examine between outcomes constructs, sociodemographics, previous health behaviors. Results in both age cohorts ( N = 2722) was associated multiple variables, including but not limited to: provider recommendation (adjusted odds ratio [aOR], 11.63 [95% CI, 7.70–17.56] aOR, 14.26 9.52–21.38], for those years, respectively) positive vaccine attitudes (aOR, 2.40 1.70–3.40] 1.46 CI,1.06–2.02]). Among who did report or unsure of prior =1894), only 4.6% 8.1% (aged 18–26 27–45 reported being very likely receive the next year. Increased intentions more 2.45 1.91–3.15] 2.19 1.72–2.78]) (yes vs no; 1.97 1.38–2.83] 1.82 1.31–2.52]; don't know/can't remember 1.38 1.03–1.84] 1.60 1.17–2.18]). Sociodemographics behaviors increased differed each cohort. Conclusions Individual interpersonal factors Findings reveal need targeted interventions improve rates these groups.

Language: Английский

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Examining the association of clinician characteristics with perceived changes in cervical cancer screening and colposcopy practice during the COVID-19 pandemic: a mixed methods assessment

eLife, Journal Year: 2023, Volume and Issue: 12

Published: Sept. 1, 2023

Background: The COVID-19 pandemic led to reductions in cervical cancer screening and colposcopy. Therefore, this mixed method study we explored perceived pandemic-related practice changes screenings colposcopies. Methods: In 2021, a national sample of 1251 clinicians completed surveys, including 675 who performed colposcopy; subset (n=55) qualitative interviews. Results: Nearly half all reported they were currently performing fewer (47%) colposcopies (44% those perform the procedure) than before pandemic. About one-fifth (18.6%) colposcopists LEEPs prior Binomial regression analyses indicated that older, as well internal medicine family (compared OB-GYNs), practicing community health centers private practice) had higher odds reporting reduced screening. Among colposcopists, physicians Qualitative interviews highlighted care disruptions lack tracking systems identify overdue screenings. Conclusions: Reductions colposcopy among nearly more 1 year into raise concerns inadequate follow-up will lead future increases preventable cancers. Funding: This was funded by American Cancer Society, no role study’s design, conduct, or reporting.

Language: Английский

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A Consolidated Framework for Implementation Research-based process to develop theoretically-informed human papillomavirus vaccination educational materials for young adults

Patient Education and Counseling, Journal Year: 2024, Volume and Issue: 123, P. 108200 - 108200

Published: Feb. 12, 2024

Language: Английский

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A population-based survey of self-reported delays in breast, cervical, colorectal and lung cancer screening

Preventive Medicine, Journal Year: 2023, Volume and Issue: 175, P. 107649 - 107649

Published: July 28, 2023

Language: Английский

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Impact of the COVID-19 Pandemic on Tumor Stage and Pathohistological Parameters of Vulvar Cancer

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(14), P. 4058 - 4058

Published: July 11, 2024

Background/Objectives: Vulvar cancer (VC) comprises a small fraction of female neoplasms with notable high-incidence clusters among German regions. Despite proposed impact nationwide lockdowns in response to the COVID-19 pandemic on oncological diseases, effect VC staging and tumor characteristics remains yet be resolved; therefore, analyzing pathological data from patients squamous cell pre-, during, post-COVID region may offer insights into potential epidemiological clinical trends. Methods: We identified total 90 who were diagnosed at Institute Pathology, University Hospital Saarland, between 2018 2023, defined three distinct cohorts: pre-COVID cohort (2018-2019), COVID (2020-2021), (2022-2023). Histomorphological collected individual patient reports statistically analyzed using Fisher's exact test or Kruskal-Wallis test. Results: Although we found no significant differences age, T-stage, perineural infiltration, blood vessel resection status, grading, margin our cohorts, surprisingly, determined greater extent lymphovascular infiltration (Fisher's test; p = 0.041), as well deeper depth (Kruskal-Wallis < 0.001) before pandemic. Furthermore, did not identify any soft indications abnormalities care within center (unchanged status margins across all cohorts). Conclusions: Our results clearly do support negative affection pathobiological during after However, final assessments regarding pandemic's require additional study approaches various regions, preferably future extended timeframes longer follow-up.

Language: Английский

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Disparities in disaster healthcare: A review through a pandemic lens

American Journal of Disaster Medicine, Journal Year: 2024, Volume and Issue: 19(3), P. 251 - 263

Published: Sept. 1, 2024

Objective: To provide an overview of the literature on impact coronavirus disease 2019 (COVID-19) pandemic healthcare disparities in various groups, relation to social determinants health (SDOH) and longstanding disparities. Design: The Disaster Preparedness Response Committee American College Emergency Physicians (ACEP) addressed disaster planning response. A workgroup composed seven physicians with academic deployment medicine experience was formed. review focusing during COVID-19 conducted. Search strategies included medical sources such as PubMed, Medline, Google Scholar nonmedical publications focused COVID-19. group combined found identified general themes. framework using recognized SDOH applied organize material allow for ease reporting. We also noted unmet burden challenges that underserved communities struggled prior onset. workgroups’ report presented ACEP Board Directors. Results: significantly impacted groups burdened poor a much greater degree than population. Many existed were worsened pandemic. Little information exists about how these inequities are being addressed. Conclusions: magnified more fully exposed These disparities, although common, can be partially mitigated. Efforts needed better understand brought by find solutions address future pandemics across all four phases disaster.

Language: Английский

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A cross-sectional survey examining the association of clinician characteristics with perceived changes in cervical cancer screening and colposcopy practice during the COVID-19 pandemic

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2023, Volume and Issue: unknown

Published: Jan. 11, 2023

Abstract Background The COVID-19 pandemic led to reductions in cervical cancer screening and colposcopy. Therefore, this mixed method study we explored perceived pandemic-related practice changes screenings colposcopies. Methods In 2021, a national sample of 1,251 clinicians completed surveys, including 675 who performed colposcopy; subset (n=55) qualitative interviews. Results Nearly half all reported they were currently performing fewer (47%) colposcopies (44% those perform the procedure) than before pandemic. About one-fifth (18.6%) colposcopists LEEPs prior Binomial regression analyses indicated that older, non-White, internal medicine family (compared OB-GYNs), practicing community health centers private practice) had higher odds reporting reduced screening. Among colposcopists, males, physicians, centers, South Qualitative interviews highlighted care disruptions lack tracking systems identify overdue screenings. Conclusions Reductions colposcopy among nearly more one year into raise concerns inadequate follow-up will lead future increases preventable cancers. Funding This was funded by American Cancer Society, no role study’s design, conduct, or reporting.

Language: Английский

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Health Care Disparities in Outpatient Diabetes Management During the Coronavirus Disease 2019 Pandemic: Where Do We Stand Now?

Endocrine Practice, Journal Year: 2023, Volume and Issue: 29(7), P. 529 - 537

Published: April 28, 2023

Language: Английский

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