Adverse Birth Outcomes in Colorado: Assessing the Impact of a Statewide Initiative to Prevent Unintended Pregnancy

Goldthwaite, Lisa M.; Duca, Lindsey M.; Johnson, Randi K.; Ostendorf, Danielle M.; Sheeder, Jeanelle

doi:10.2105/ajph.2015.302711

Cited by 43 publications

(28 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pregnancies and births among teenagers are particularly important because of the high level of obstetric risks (e.g., increased risk of preterm delivery, anemia, hypertensive disorders of pregnancy such as pre-eclampsia, higher rate of infant mortality) and increased risk for cephalopelvic disproportion, leading to possible need for cesarean section (17). Additionally, there is a significant negative impact of teenage births on education, income, and wealth over the mother's lifetime (10,18).…”

Section: Discussionmentioning

confidence: 99%

Untangling the Roots of the West Virginia Opioid Crisis: Relationships in Adolescent Pregnancy, Drug Abuse, and Future Outcomes

Durr

Critch

Fitzgerald

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: The purpose of this study was to determine if there is a relationship between teenage pregnancy and negative health outcomes, including drug abuse, among West Virginia female youth. Methods: Data was acquired for females between 10 and 19 years of age, by county, from the West Virginia Department of Health and Human Resources. Pearson correlation analysis was utilized to examine the relationship between the teenage pregnancy rate and drug related statistics, pregnancy related statistics, heart health related statistics, and environmental variables. This study was conducted from July 2018 to March 2019 at West Virginia University. Results: Teenage pregnancy is correlated to harmful behavioral adaptations that may increase a women’s health risks. We find that teenage pregnancy, regardless of pregnancy outcome, is correlated with increased drug overdose death rates for women, as well as health concerns that increase one’s risk for heart disease. Conclusions: Teenage pregnancy is correlated to a number of outcomes including drug overdose rates and impaired heart health outcomes. Reduction of unintended teenage pregnancy may be useful as a non-traditional method of ameliorating the opioid abuse crisis in the state of West Virginia.

show abstract

Section: Discussionmentioning

confidence: 99%

Untangling the Roots of the West Virginia Opioid Crisis: Relationships in Adolescent Pregnancy, Drug Abuse, and Future Outcomes

Durr

Critch

Fitzgerald

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…(38) These barriers prevent young women from accessing effective methods of contraception, and likely contribute to West Virginia's consistently high teenage pregnancy rates. (15,35) Teenage pregnancy is only the beginning of problems young women face. Other challenges common place in the state include poverty, drug abuse, limited access to physician care, and reliable internet access.…”

Section: Discussionmentioning

confidence: 99%

Parallels between Poor Internet Accessibility of LARC Information and West Virginia Teen Pregnancy

Durr

Devlin

Critch

et al. 2019

Preprint

View full text Add to dashboard Cite

Background The purpose of this study was to investigate the availability of Long Acting Reversible Contraception (LARC) education on the websites of each of the West Virginia county health departments, and to determine if lack of readily accessible LARC information coincides with higher teenage pregnancy rates. Methods The West Virginia University National Center for Excellence in Women’s Health investigated how many county health department websites had easily accessible references on their websites about birth control and specific information about LARC. Pearson correlation analysis was used to determine relationships between fixed broadband internet access and the teenage pregnancy and birth rates for females. Results These data demonstrate a significant correlation between increased percentages of the population without fixed broadband internet access, and the birth and pregnancy rates of females age 10 to 19, and show that only 12 of 55 counties provided accessible information on LARC, the most effective method of contraception. Conclusions In summary, we believe West Virginia should facilitate sustained internet access to its citizens. In order to help overcome communication and access barriers the state should provide consistent education on all health department websites regarding birth control options and how to use them.

show abstract

“…This is relevant because implants have been shown to uniquely address individual needs for a wide range of women and have a substantial positive effect on population health and the reduction of unintended pregnancy, abortion and adverse neonatal outcomes, particularly among vulnerable populations, such as teenagers, single mothers and low-income families. [9][10][11][15][16][17][18]22,[39][40][41][42] Although current contraceptive implants have not been approved, Health Canada has approved the active ingredients now used in implants, either etonogestrel or levonorgestrel, for use in other contraceptive products.…”

Section: Discussionmentioning

confidence: 99%

Regulatory approval time for hormonal contraception in Canada, the United States and the United Kingdom, 2000-2015: a retrospective data analysis

et al. 2016

View full text Add to dashboard Cite

Background: Access to a wide range of contraceptive methods improves prevention of unintended pregnancy by ensuring the best method fit for each individual. We compared approval times of new hormonal contraceptives by Health Canada, the US Food and Drug Administration (FDA), and the UK Medicines and Healthcare Products Regulatory Agency (MHRA). Methods:We obtained dates of applications to Health Canada, the FDA and the MHRA for contraceptive methods approved from January 2000 to January 2015. We used public data sources and direct correspondence, and excluded generic versions of previously approved drugs. The primary outcome of interest was median time to approval for novel hormonal contraceptives. Secondary outcomes included the median time to approval for all hormonal contraceptives and the number of approved hormonal contraceptives comparing countries studied, as well as the median time for approval of novel compared with nonnovel hormonal contraceptives within each country.Results: During this period 16 contraceptives were approved in Canada, 26 in the US and 14 in the UK. Applications for novel contraceptives were initiated later in Canada, and time to approval was longer in Canada than in the US (p = 0.03).

show abstract

Adverse Birth Outcomes in Colorado: Assessing the Impact of a Statewide Initiative to Prevent Unintended Pregnancy

Abstract: Improved access to family planning services and increased use of LARC are associated with lower risk of PTB.

Cited by 43 publications

References 25 publications

Untangling the Roots of the West Virginia Opioid Crisis: Relationships in Adolescent Pregnancy, Drug Abuse, and Future Outcomes

Untangling the Roots of the West Virginia Opioid Crisis: Relationships in Adolescent Pregnancy, Drug Abuse, and Future Outcomes

Parallels between Poor Internet Accessibility of LARC Information and West Virginia Teen Pregnancy

Regulatory approval time for hormonal contraception in Canada, the United States and the United Kingdom, 2000-2015: a retrospective data analysis

Contact Info

Product

Resources

About