Missed Opportunities to Address Pregnancy Prevention With Young Men in Primary Care

Abstract

Young men (aged 15-24 years) have pregnancy prevention needs, yet little is known about whether they perceive they learn about pregnancy prevention in primary care. A sample of 190 young men seen in primary care in one city from April 2014 to September 2016 were assessed on perceived learning about pregnancy prevention, background and visit characteristics, pregnancy prevention care receipt, and contraception needs at last sex. The majority of participants were non-Hispanic black (92%), aged 15 to 19 years (54%), seen for a physical examination (52%), and established patients (87%). Few participants perceived they learned about pregnancy prevention (32%), regardless of sexual activity (33% among sexually active participants, 26% among never sexually active). Poisson regression models determined that perceived learning about pregnancy prevention was independently associated with young men's pregnancy prevention care receipt and contraception needs at last sex. Findings highlight the need to improve providers' delivery of pregnancy prevention services to young men.

Hispanic Male Cancer Survivors’ Coping Strategies

“…Hispanic men are less studied than other minority groups such as African Americans (Gilmore, Whitfield, & Thorpe, 2019;Sathianathen, Jarosek, Fan, Krishna, & Konety, 2018;Wheeler et al, 2018). Studies that focus on Hispanic men's health are also typically not related to cancer (Hawkins, Watkins, Allen, & Mitchell, 2018;Kipke et al, 2019;Valdez, Garcia, Ruiz, Oren, & Carvajal, 2019), thus revealing the need for more research that explores Hispanic men's cancer survivorship experiences.…”

Associations between sexual and reproductive health knowledge, attitude and practice of partners and the occurrence of unintended pregnancy

“…First, in China and many other developing countries, research on the causes of unintended pregnancy and reproductive health services and education has focused primarily on women, exploring and documenting women's KAP of SRH is associated with the occurrence of unintended pregnancy ( 21 , 26 – 29 ). In recent years, there has been renewed focus on the role of men in preventing unintended pregnancies ( 30 , 31 ), and male attitudes and practices have been found to play a key role in contraceptive practice ( 30 – 33 ). And the World Health Organization and the United Nations and other organizations ( 34 ) mentioned in the global policy initiative on reducing unintended pregnancy that in clinical practice, health promotion and sexual health education, men's participation in decisions related to the prevention and management of unintended pregnancy should be considered.…”