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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

Correlates of Adolescent and Young Adult Sexual Initiation Patterns
Context Identifying adolescent characteristics associated with different patterns of sexual initiation is critical to promoting healthy sexual development. Methods Patterns of sexual initiation were examined among 12,378 respondents to Waves 1 (1994–1995) and 4 (2008) of the National Longitudinal Study of Adolescent Health. Multinomial logistic regression explored associations between adolescent characteristics and membership in five latent classes capturing the timing, sequence, pace and variety of sexual initiation patterns. Results Age and indicators of greater psychosocial conventionality were associated with membership in the atypical “postponers” class (characterized by postponement of oral, vaginal and anal sexual activity until early adulthood), although patterns of associations varied by gender. For example, compared with males who attended religious services at least once a week, males who never attended religious services were more likely to appear in the vaginal initiators/multiple behaviors class (characterized by initiation of vaginal sex first and then initiation of another behavior after at least one year), rather than in the postponers class (relative risk ratio, 2.5). Compared with women who prayed at least once a day, those who never prayed were more likely to be in the vaginal initiators/single behavior class (whose members typically engaged in only one type of behavior), rather than in the postponers class (2.0). Conclusions Individuals who are more adherent, and presumably more committed, to the attitudes, values and expectations of conventional society are more likely than others to delay multiple types of sexual activity until well beyond the norm for their peers.

Who Is Using Long‐Acting Reversible Contraceptive Methods? Findings from Nine Low‐Fertility Countries
CONTEXT Long‐acting reversible contraceptive (LARC) methods—IUDs and implants—are more effective than other reversible methods, yet are little used in the United States. Examining which U.S. women use LARC methods and how they differ from users in other low‐fertility countries may help point the way toward increasing use. METHODS Data from married or cohabiting women participating in the National Survey of Family Growth (2008–2010) and in eight countries’ Generations and Gender Programme surveys (2004–2010) were used in bivariate and multinomial logistic regression analyses examining LARC use within each setting. RESULTS The proportion of contraceptive use accounted for by LARC methods was generally greater in Europe (10–32%) than in the United States (10%) and Australia (7%). Compared with LARC use among comparable groups in other countries, use was particularly low among U.S. women who were married, were aged 40–44 or had had three or more children, yet was comparatively high among 18–24‐year‐olds. Among U.S. women, those aged 35–39 or 40–44 were more likely than 18–29‐year‐olds to rely on sterilization rather than on LARC methods (odds ratios, 3.0 and 10.7, respectively), those who had had three or more children were more likely to do so than were those who had had none or one (4.9), and women who had completed college were less likely than those who had not finished high school to do so (0.4). CONCLUSIONS Certain subgroups of U.S. women may benefit from the reversibility and effectiveness of LARC methods.

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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