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Pesquisa : I01.655.500.608.200 [Categoria DeCS]
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[PMID]:29351328
[Au] Autor:Fang D; Sun R; Wilson JR
[Ad] Endereço:Department of Agricultural Economics and Agribusiness, University of Arkansas, Fayetteville, AR, United States of America.
[Ti] Título:Joint modeling of correlated binary outcomes: The case of contraceptive use and HIV knowledge in Bangladesh.
[So] Source:PLoS One;13(1):e0190917, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recent advances in statistical methods enable the study of correlation among outcomes through joint modeling, thereby addressing spillover effects. By joint modeling, we refer to simultaneously analyzing two or more different response variables emanating from the same individual. Using the 2011 Bangladesh Demographic and Health Survey, we jointly address spillover effects between contraceptive use (CUC) and knowledge of HIV and other sexually transmitted diseases. Jointly modeling these two outcomes is appropriate because certain types of contraceptive use contribute to the prevention of HIV and STDs and the knowledge and awareness of HIV and STDs typically lead to protection during sexual intercourse. In particular, we compared the differences as they pertained to the interpretive advantage of modeling the spillover effects of joint modeling HIV and CUC as opposed to addressing them separately. We also identified risk factors that determine contraceptive use and knowledge of HIV and STDs among women in Bangladesh. We found that by jointly modeling the correlation between HIV knowledge and contraceptive use, the importance of education decreased. The HIV prevention program had a spillover effect on CUC: what seemed to be impacted by education can be partially contributed to one's exposure to HIV knowledge. The joint model revealed a less significant impact of covariates as opposed to both separate models and standard models. Additionally, we found a spillover effect that would have otherwise been undiscovered if we did not jointly model. These findings further suggested that the simultaneous impact of correlated outcomes can be adequately addressed for the commonality between different responses and deflate, which is otherwise overestimated when examined separately.
[Mh] Termos MeSH primário: Comportamento Contraceptivo
Infecções por HIV/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Bangladesh/epidemiologia
Criança
Preservativos/utilização
Comportamento Contraceptivo/estatística & dados numéricos
Política de Planejamento Familiar
Feminino
Infecções por HIV/epidemiologia
Inquéritos Epidemiológicos/estatística & dados numéricos
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Modelos Estatísticos
Fatores de Risco
População Rural
Doenças Sexualmente Transmissíveis/prevenção & controle
População Urbana
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190917


  2 / 1614 MEDLINE  
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[PMID]:29045434
[Au] Autor:Jiang H; Xu J; Richards E; Qian X; Zhang W; Hu L; Wu S; Tolhurst R; INPAC Consortium
[Ad] Endereço:School of Public Health, Key Laboratory of Public Health Safety (Ministry of Education), Fudan University, Shanghai, China.
[Ti] Título:Opportunities, challenges and systems requirements for developing post-abortion family planning services: Perceptions of service stakeholders in China.
[So] Source:PLoS One;12(10):e0186555, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Post-abortion family planning (PAFP) has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. However, the accessibility and quality of PAFP services remain a challenge in many countries including China where more than 10 million unintended pregnancies occur each year. Most of these unwanted pregnancies end in repeated induced abortions. This paper aims to explore service providers' perceptions of the current situation regarding family planning and abortion service needs, provision, utilization, and the feasibility and acceptability of high quality PAFP in the future. Qualitative methods, including in-depth interviews and focus group discussions, were used with family planning policy makers, health managers, and service providers. Three provinces-Zhejiang, Hubei and Yunnan-were purposively selected, representing high, medium and relatively undeveloped areas of China. A total of fifty-three in-depth interviews and ten focus-group discussions were conducted and analysed thematically. Increased numbers of abortions among young, unmarried women were perceived as a major reason for high numbers of abortions. Participants attributed this to increasing socio-cultural acceptability of premarital sex, and simultaneously, lack of understanding or awareness of contraception among young people. The majority of service stakeholders acknowledged that free family planning services were neither targeted at, nor accessible to unmarried people. The extent of PAFP provision is variable and limited. However, service providers expressed willingness and enthusiasm towards providing PAFP services in the future. Three main considerations were expressed regarding the feasibility of developing and implementing PAFP services: policy support, human resources, and financial resources. The study indicated that key service stakeholders show demand for and perceive considerable opportunities to develop PAFP in China. However, changes are needed to enable the systematic development of high quality PAFP, including actively targeting young and unmarried people in service provision, obtaining policy support and increasing the investment of human and financial resources.
[Mh] Termos MeSH primário: Aborto Induzido
Atitude do Pessoal de Saúde
Serviços de Planejamento Familiar
Conhecimentos, Atitudes e Prática em Saúde
[Mh] Termos MeSH secundário: China
Política de Planejamento Familiar
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171019
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186555


  3 / 1614 MEDLINE  
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[PMID]:28502115
[Au] Autor:Zhang Y; Gu N; Wang Z; Zheng M; Hu Y; Dai Y
[Ad] Endereço:Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, China.
[Ti] Título:Use of the 10-Group Classification System to analyze how the population control policy change in China has affected cesarean delivery.
[So] Source:Int J Gynaecol Obstet;138(2):158-163, 2017 Aug.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To analyze the initial effect following the relaxation of China's population control policy on the cesarean delivery (CD) rate using the 10-Group Classification System (TGCS). METHODS: A retrospective study included all deliveries at a center in Nanjing, China, during 2014-2015. The deliveries were classified using the TGCS. The obstetric populations and the CD rates in each group were compared between 2014 and 2015. RESULTS: Overall, 11 006 deliveries were analyzed. The overall CD rate increased from 28.3% (1623/5737) in 2014 to 33.8% (1782/5269) in 2015 (P<0.001). The largest contributor to the overall CD rate-accounting for approximately one-third of all CDs-were nulliparous women with a single cephalic term pregnancy and induced labor or prelabor CD (group 2); the CD rate in this group increased from 27.2% to 31.4%. Moreover, the proportion of women with a single cephalic term pregnancy with previous CD (group 5) steeply increased from 6.4% to 10.4% of all deliveries; the CD rate in this group during 2014-2015 was 76.6%. CONCLUSION: With China ending its one-child policy, the characteristics of the obstetric population changed. Women with a single cephalic term pregnancy with previous CD were the largest contributor to the CD rate increase.
[Mh] Termos MeSH primário: Parto Obstétrico/classificação
Parto Obstétrico/estatística & dados numéricos
Política de Planejamento Familiar/legislação & jurisprudência
Controle da População/legislação & jurisprudência
Gravidez/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Cesárea/classificação
Cesárea/estatística & dados numéricos
China/epidemiologia
Feminino
Seres Humanos
Paridade
Controle da População/estatística & dados numéricos
Gravidez Múltipla/estatística & dados numéricos
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170515
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12210


  4 / 1614 MEDLINE  
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[PMID]:28024680
[Au] Autor:MacFarlane KA; O'Neil ML; Tekdemir D; Çetin E; Bilgen B; Foster AM
[Ad] Endereço:Former graduate student, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
[Ti] Título:Politics, policies, pronatalism, and practice: availability and accessibility of abortion and reproductive health services in Turkey.
[So] Source:Reprod Health Matters;24(48):62-70, 2016 Nov.
[Is] ISSN:1460-9576
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We aimed to better understand the current availability of abortion and reproductive health services in Istanbul and explore whether access to services has changed since 2012. In 2015, we completed 14 in-depth interviews with women and 11 semi-structured interviews with key informants. We transcribed all interviews and completed content and thematic analyses of the data. Key informants had good knowledge about the political discourse and the current abortion law. In contrast, women were familiar with the political discourse but had mixed information about the current status of abortion and were unsure about the legality of their own abortions. There was consensus that access to services has become more limited in the last five years due to the political climate, thus advocacy to prioritize reproductive health services, and abortion care in particular, in the public health system are needed.
[Mh] Termos MeSH primário: Aborto Induzido
Conhecimentos, Atitudes e Prática em Saúde
Acesso aos Serviços de Saúde
[Mh] Termos MeSH secundário: Aborto Induzido/legislação & jurisprudência
Aborto Induzido/psicologia
Adulto
Política de Planejamento Familiar
Feminino
Política de Saúde
Seres Humanos
Entrevistas como Assunto
Masculino
Política
Gravidez
Serviços de Saúde Reprodutiva
Turquia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161228
[St] Status:MEDLINE


  5 / 1614 MEDLINE  
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[PMID]:28005990
[Au] Autor:Zhang W; Wang AN; Yao SY; Luo YH; Li ZH; Huang FF; Li H; Yin YZ; Zhang JP
[Ad] Endereço:Nursing Psychology Research Center, Xiangya Nursing School, Central South University, Changsha, China.
[Ti] Título:Latent Profiles of Posttraumatic Growth and Their Relation to Differences in Resilience among Only-Child-Lost People in China.
[So] Source:PLoS One;11(12):e0167398, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIMS: Since the early 1980s, the one-child policy has been implemented nationwide in China. A special group called the "only-child-lost family" (OCL family) has emerged and has become a social phenomenon that cannot be ignored. We report latent profiles of posttraumatic growth and their relation to differences in resilience among OCL people in China. METHODS: A total of 222 OCL people were investigated using the Posttraumatic Growth Inventory and the Connor-Davidson Resilience Scale. Latent profile analysis was applied to explore PTG latent profiles. Multinomial logistic regression was used to analyze the socio-demographic variables in each latent profile and the association between profile membership and resilience. RESULTS: Three latent profiles were identified and labeled the "high appreciation-power group" (30.6%), the "general moderate growth group" (47.7%) and the "low growth and extreme possibility group" (21.7%). Compared to those in the high appreciation-power group, individuals with monthly income >2000 ($312) were less likely to be in the general moderate growth group (OR = 0.13, P<0.01), whereas individuals with a spouse were less likely to be in the low growth and extreme possibility group (OR = 0.43, P<0.01). Individuals in the "general moderate growth group"(OR = 0.92, P<0.01, 95%CI:0.89-0.94) and the "low growth and extreme possibility" groups (OR = 0.83, P<0.01, 95%CI:0.79-0.87) demonstrated significantly lower levels of resilience compared to the high appreciation-power group. CONCLUSION: The PTG patterns in only-child-lost parents were varied. Promoting resilience may be a way to foster these parents' PTG. Targeted intervention should be developed based on the characteristics of each latent class, and timely attention must be paid to the mental health of OCL parents who are without a spouse and have low income.
[Mh] Termos MeSH primário: Pais/psicologia
Resiliência Psicológica
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Idoso
China
Demografia
Política de Planejamento Familiar
Feminino
Seres Humanos
Renda
Modelos Logísticos
Masculino
Meia-Idade
Razão de Chances
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170703
[Lr] Data última revisão:
170703
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0167398


  6 / 1614 MEDLINE  
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Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:27598015
[Au] Autor:Alarcão V; Machado FL; Giami A
[Ad] Endereço:Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.
[Ti] Título:[The emergence and institutionalization of sexology in Portugal: processes, actors, and specificities].
[Ti] Título:Emergência e institucionalização da sexologia em Portugal: processos, atores e especificidades..
[So] Source:Cad Saude Publica;32(8):e00036215, 2016 Sep 05.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:Based on Bourdieu's field theory, this article analyzes the emergence and institutionalization of sexology as a science and profession in Portugal, identifying relevant institutions, actors, and professional practices and discussing its relations and specificities. The analysis begins by contextualizing the emergence of modern Western sexology in order to comprehend the Portuguese case in the international sexology context. The second section describes the social, cultural, and institutional factors that have driven the professionalization of sexology. The third section describes the emergence of Portuguese sexology and its principal historical milestones, institutions, and actors. Finally, the article discusses some implications of this process for the role of sexology as a science and profession. The study reveals the dynamics of national and international processes in the field, in the transition from a holistic perspective of sexology to the hegemony of sexual medicine, and sheds light on its mechanisms of legitimation as a transdisciplinary science of sexuality, suggesting future perspectives.
[Mh] Termos MeSH primário: Sexologia/organização & administração
[Mh] Termos MeSH secundário: Brasil
Europa (Continente)
Política de Planejamento Familiar
Ocupações em Saúde/tendências
História do Século XX
História do Século XXI
Seres Humanos
Medicalização
Portugal
Sexologia/classificação
Sexologia/história
Sexologia/tendências
Comportamento Sexual/história
Estados Unidos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160907
[St] Status:MEDLINE


  7 / 1614 MEDLINE  
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[PMID]:27272592
[Au] Autor:Barrows SP
[Ad] Endereço:Department of Economics, Aquinas College, Grand Rapids, Michigan.
[Ti] Título:China's One-Child Policy.
[So] Source:JAMA;315(21):2349-50, 2016 Jun 07.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Características da Família
Política de Planejamento Familiar/legislação & jurisprudência
Controle da População/legislação & jurisprudência
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:COMMENT; LETTER
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161017
[Lr] Data última revisão:
161017
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2016.2192


  8 / 1614 MEDLINE  
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[PMID]:27272594
[Au] Autor:Hesketh T
[Ad] Endereço:Institute for Global Health, University College London, London, United Kingdom.
[Ti] Título:China's One-Child Policy--In Reply.
[So] Source:JAMA;315(21):2350, 2016 Jun 07.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Características da Família
Política de Planejamento Familiar/legislação & jurisprudência
Controle da População/legislação & jurisprudência
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:COMMENT; LETTER
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161017
[Lr] Data última revisão:
161017
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2016.2195


  9 / 1614 MEDLINE  
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[PMID]:27127898
[Au] Autor:Sun W; Gordon J; Pacey A
[Ad] Endereço:a School of Food Science, Guangdong Pharmaceutical University , Zhongshan , China ;
[Ti] Título:From one to two: the effect of women and the economy on China's One Child Policy.
[So] Source:Hum Fertil (Camb);19(1):1-2, 2016 Apr.
[Is] ISSN:1742-8149
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Comunismo
Desenvolvimento Econômico
Política de Planejamento Familiar
Controle da População
Direitos da Mulher
[Mh] Termos MeSH secundário: Coeficiente de Natalidade
China/epidemiologia
Comunismo/economia
Comunismo/tendências
Países Desenvolvidos
Desenvolvimento Econômico/tendências
Família/etnologia
Política de Planejamento Familiar/economia
Política de Planejamento Familiar/tendências
Feminino
Seres Humanos
Masculino
Controle da População/economia
Controle da População/ética
Controle da População/tendências
Crescimento Demográfico
Direitos da Mulher/economia
Direitos da Mulher/tendências
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160430
[St] Status:MEDLINE
[do] DOI:10.3109/14647273.2016.1168980


  10 / 1614 MEDLINE  
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Texto completo SciELO Chile
[PMID]:27092686
[Au] Autor:Castañeda Meneses P; Salamé Coulon AM
[Ti] Título:[Fifty years of the Family Planning Program in Chile].
[Ti] Título:Cincuenta años del Programa de Planificación Familiar en Chile..
[So] Source:Rev Med Chil;144(2):271-2, 2016 Feb.
[Is] ISSN:0717-6163
[Cp] País de publicação:Chile
[La] Idioma:spa
[Mh] Termos MeSH primário: Política de Planejamento Familiar/história
[Mh] Termos MeSH secundário: Chile
Feminino
História do Século XX
História do Século XXI
Seres Humanos
Lactente
Mortalidade Infantil
Masculino
Mortalidade Materna
[Pt] Tipo de publicação:HISTORICAL ARTICLE; LETTER
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160420
[St] Status:MEDLINE



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