http://hdl.handle.net/10027/7633 Thu, 23 May 2013 04:03:45 GMT 2013-05-23T04:03:45Z http://hdl.handle.net/10027/8489 Developmental evaluation: Building innovations in complex environments Fagen, Michael C.; Redman, Sarah Davis; Stacks, Jonathan; Barrett, Vivian; Thullen, Ben; Altenor, Sunyata; Neiger, Brad This is a copy of an article published in the journal Health Promotion Practice © 2011 SAGE Publications. doi: 10.1177/1524839911412596 Thu, 01 Sep 2011 05:00:00 GMT http://hdl.handle.net/10027/8489 2011-09-01T05:00:00Z http://hdl.handle.net/10027/8375 Women's Preferences for the Location of Abortion Services: A Pilot Study in Two Chicago Clinics Logsdon, Melissa B.; Godfrey, Emily M.; Handler, Arden Between July and December 2006, 209 women at a university-based primary care center and a freestanding abortion clinic completed a verbally administered questionnaire in which they were asked their preference for the location of early abortion services. Sixty women seeking primary care services at the university-based clinic and 149 women seeking first-trimester abortion services at an abortion clinic completed the questionnaire. Sixty-seven percent (67%) of women surveyed at the university-based primary care facility and 69% at the abortion clinic indicated a preference for abortion services from their regular health care provider. A statistically significant association (P = 0.002) was found between comfort speaking with a regular health care provider about pregnancy prevention and preference for the provision of abortion services from a regular health care provider. Women may feel more comfortable undergoing an early abortion procedure with a provider with whom they have an established relationship. The integration of early abortion services into primary care practice may increase continuity of care among women seeking an abortion. Post print version of article may differ from published version. The original publication is available at springerlink.com; DOI: 10.1007/s10995-010-0722-4 Sun, 01 Jan 2012 06:00:00 GMT http://hdl.handle.net/10027/8375 2012-01-01T06:00:00Z http://hdl.handle.net/10027/8320 The Mediating Role of Parent-Child Bonding to Prevent Adolescent Alcohol Abuse Among Asian American Families Wang, Meme; Kviz, Frederick J.; Miller, Arlene M. The purpose of this paper is to describe unique culturally-based factors that may increase the vulnerability of Asian American adolescents to engage in alcohol use and abuse and the role of parent-child bonding as a protective factor. In particular, this paper addresses the interactions among acculturation, alcohol use, and parent-child bonding and the challenges Asian American families face in strengthening parent-child bonds. We begin by examining likely causes for alienation that occur as a result of immigration to the United States. We then present the cultural context of Asian American families that can also serve to create distance between parent and child, including the contrasting cultural orientations of individualism and collectivism, Asian traditional values, differences in Eastern and Western parenting styles, and intergenerational cultural dissonance. Next, we present a review of the research that has examined acculturation as a risk factor for alcohol use and abuse among Asian American adolescents, with special attention to the mediating role of parent-child bonding. Finally, we conclude with recommendations for future research on the risk and protective factors for adolescent substance abuse, as well as other risky health behaviors among the growing population of Asian Americans in the United States. The original publication is available at www.springerlink.com DOI: 10.1007/s10903-012-9593-7 Wed, 01 Feb 2012 06:00:00 GMT http://hdl.handle.net/10027/8320 2012-02-01T06:00:00Z http://hdl.handle.net/10027/8234 Contraceptive Methods and Use by Women Aged 35 and Over: A Qualitative Study of Perspectives Godfrey, Emily M.; Chin, Nancy P.; Fielding, Stephen L.; Fiscella, Kevin; Dozier, Ann Background: More than 30% of the pregnancies in women aged 35 and over are unintended. This paper compares perceptions about contraceptive methods and use among women with and without an unintended pregnancy after turning age 35. Methods: Semi-structured, in-depth interviews were conducted with 17 women. They were all 35 to 49 years old, regularly menstruating, sexually active, not sterilized, not desiring a pregnancy in the near future, and at least 3 months postpartum. We purposely sampled for women who had had at least one unintended pregnancy after age 35 (n = 9) and women who did not (n = 8). We assessed partnership, views of pregnancy and motherhood, desired lifestyle, perceived advantages and disadvantages of using and obtaining currently available well-known reversible contraceptives in the U.S. "We also assessed contraceptive methods used at any time during their reproductive years, including current method use and, if appropriate, circumstances surrounding an unintended pregnancy after age 35." Each interview was taped and transcribed verbatim. Data were analyzed using Grounded Theory. Analysis focused on partnership, views of pregnancy, motherhood, desired lifestyle and perceived advantages and disadvantages of various reversible contraceptive methods. Results: The women without an unintended pregnancy after age 35 were more likely to (1) use contraceptive methods that helped treat a medical condition, (2) consider pregnancy as dangerous, or (3) express concerns about the responsibilities of motherhood. The women who experienced an unintended pregnancy after age 35 were more likely to (1) report unstable partnerships, (2) perceive themselves at lower risk of pregnancy, or (3) report past experiences with unwanted contraceptive side effects. There was a greater likelihood a woman would choose a contraceptive method if it was perceived as easy to use, accessible, affordable and had minimal side effects. Conclusions: Women’s perspective on contraceptive use after age 35 varies. Public health messages and health providers’ care can help women in this age group by reviewing their fertility risks, as well as all contraceptive methods and their associated side effects. The impact of such interventions on unintended pregnancy rates in this age group should be tested in other areas of evidence-based medicine. © 2011 Godfrey et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/license/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The original version is available through BioMed Central at DOI: 10.1186/1472-6874-11-5. Wed, 16 Feb 2011 06:00:00 GMT http://hdl.handle.net/10027/8234 2011-02-16T06:00:00Z