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Contraceptive Technology Update

Diaphragm: Update on This Barrier Contraceptive
Diaphragm: Update on this barrier contraceptive Executive Summary The female diaphragm offers hormone-free contraception that is female-initiated and female-controlled. Currently available diaphragms require a pelvic examination and fitting to ensure proper size and placement of the device. * Two ... (Publication: Contraceptive Technology Update)

CNE/CME Objectives & Questions
CNE/CME Objectives After reading Contraceptive Technology Update, the participant will be able to: * identify clinical, legal, or scientific issues related to development and provisions of contraceptive technology or other reproductive services; * describe how those issues affect services and ... (Publication: Contraceptive Technology Update)

Perspectives in Sexual and Reproductive Health

State Abortion Context and U.S. Women's Contraceptive Choices, 1995–2010
CONTEXT The number of women in the United States exposed to restrictive abortion policies has increased substantially over the past decade. It is not well understood whether and how women adjust their contraceptive behavior when faced with restrictive abortion contexts. METHODS Data from 14,523 women aged 15–44 were drawn from the 1995 and 2010 cycles of the National Survey of Family Growth. A difference‐in‐differences approach was employed to examine the relationship between state‐level changes in women's access to abortion and their contraceptive choices. Multinomial logistic regression analysis was used to determine the relative risk of using highly effective or less effective methods rather than no method for women exposed to varying levels of restrictive abortion contexts. RESULTS Women who lived in a state where abortion access was low were more likely than women living in a state with greater access to use highly effective contraceptives rather than no method (relative risk ratio, 1.4). Similarly, women in states characterized by high abortion hostility (i.e., states with four or more types of restrictive policies in place) were more likely to use highly effective methods than were women in states with less hostility (1.3). The transition to a more restrictive abortion context was not associated with women's contraceptive behavior, perhaps because states that introduced restrictive abortion legislation between 1995 and 2010 already had significant limitations in place. CONCLUSION To prevent unwanted pregnancies, it is important to ensure access to highly effective contraceptive methods when access to abortions is limited.

The Relationship Between Academic Achievement And Nonmarital Teenage Childbearing: Evidence from the Panel Study of Income Dynamics
CONTEXT Females who do well in school are less likely than those who do poorly to experience a nonmarital teenage birth. However, little is known about which dimensions of academic achievement are the most strongly related to teenage childbearing, or about whether the relationship between achievement and childbearing varies according to the presence of other behavioral problems. METHODS Individual‐level and family‐level data from the Panel Study of Income Dynamics, combined with information on contextual state‐level economic and policy measures, were used to study nonmarital childbearing between the ages of 16 and 19 among 701 females who turned 16 between 2000 and 2007. Multivariate logistic regression analyses examined the relationship between the probability of nonmarital teenage childbearing and age‐standardized scores on academic assessments of letter‐word identification, passage comprehension and applied problem‐solving ability. RESULTS Scores on the passage comprehension and applied problem‐solving subtests were strongly associated with the probability of experiencing a nonmarital teenage birth among respondents who had relatively few behavioral problems. For this group, an increase of one standard deviation in the score on either assessment was associated with a reduction of about 50% in the risk of experiencing a nonmarital teenage birth. However, no evidence was found of an equivalent relationship among respondents with more pronounced behavioral problems or for the letter‐word identification assessment. CONCLUSIONS Future research should continue to explore the possibility that improvements in academic achievement may help to reduce the rate of nonmarital teenage childbearing.

Guttmacher Policy Report

Guttmacher Institute Monthly State Policy Update
This update provides information on legislation, as well as relevant executive branch actions and judicial decisions in states across the country

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