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Session: Factors Affecting Sexual Behavior, Contraception, and Fertility-- U.S. and International Perspectives
4232.0: Tuesday, November 9, 2004: 2:30 PM-4:00 PM
Factors Affecting Sexual Behavior, Contraception, and Fertility-- U.S. and International Perspectives
A sound knowledge of factors affecting sexual behavior, contraceptive use, and fertility is essential to understanding client needs and developing effective reproductive health (RH) policies and programs to address them. Research continues to shed light on such factors, their effects on health outcomes, and how different factors and outcomes change over time. The cultural context of sexual behavior and reproductive health programs, and research designs to study them, have varied in the US and in international settings, but it is worth exploring to what extent findings are applicable in multiple contexts. This panel session describes various topics in international settings and the US that may have implications beyond the country of study. Topics include determinants of fertility choices in the US, postpartum contraceptive use among low income/ low-literacy women in the US, factors affecting effective pill use among low-literacy users in developing countries, and the influence of provider attitudes on IUD use in Kenya. These topics cover only a fraction of the many influences on sexual behavior and contraception in today's world, but the sample of research findings presented should help programmers better meet reproductive health clients' needs in practical settings.
Learning Objectives: At the conclusion of this session, participants in this session will be able to: 1. Identify at least five reproductive health outcome differences or similarities between poor and non-poor women 2. Articulate different types of fertility uncertainty in the US and assess the magnitude of their effect by race and education status 3. Challenge assumptions concerning contraceptive use and child-bearing among poor women 4. Understand the implications of poverty and welfare policy for womenˇ¦s reproductive health, including potential impact of low literacy on postpartum contraceptive knowledge and compliance 5. Describe how oral contraceptives pills can be safely integrated in the package of services offered by community based agents, with minimal medical training and minimal literacy skills 6. Evaluate the comprehensibility of instructions for oral contraceptive users (international settings), and identify types of instructions that are more comprehensible to different users 7. Assess an academic detailing intervention's effectiveness in changing provider attitudes toward a discredited method (IUDs)
Moderator(s):Ronald Magarick, PhD
2:30 PMIs she having a baby? Uncertainty and delayed childbirth in the United States, 1970-2000  [ Recorded presentation ]
Alison Buttenheim, MBA, Lisa E. Lee, CD
2:42 PMParadox of fertility intentions and behaviors of poor and non-poor women before welfare reform  [ Recorded presentation ]
Diana Romero, PhD, MA, Christine Rinki, MPH
2:54 PMMaternal literacy and postpartum contraception  [ Recorded presentation ]
Abike James, MD, Ian Bennett, MD, PhD, Vivian Gadsden, PhD, Julia F. Switzer, BA, Abigail Calkins Aguirre, MPA
3:06 PMPrescription of Oral Contraceptive Pills by Community Health Volunteers in Guinea  [ Recorded presentation ]
Namoudou Keita, MD, DEA
3:18 PMComprehensibility of instructions for missed pills: A randomized controlled trial comparing graphic and text formats  [ Recorded presentation ]
Dawn S. Chin-Quee, PhD, MPH
3:30 PMA factorial quasi-experiment to test an “IUD detailing” intervention in Kenya  [ Recorded presentation ]
Jennifer Wesson, MPA, Violet Bukusi, MBA, Alice Olawo, MA, Marsden Solomon, MB CHB, M MED, Job Obwaka, MB CHB, M MED
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Population, Family Planning, and Reproductive Health
Endorsed by:APHA-Committee on Women's Rights; International Health; Public Health Education and Health Promotion; Public Health Nursing; Socialist Caucus; Women's Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA