The goals of this study are to assess client preferences and provider perceptions of reproductive intention screening and contraceptive decision-making during primary care visits in New York State (NYS). These goals were developed collaboratively during Phase I using the Delphi Method with over 30 stakeholders, including primary care and reproductive health providers, NYS and City ...Read more >

Texas House Bill 2 (HB2), enacted in 2013, placed targeted restrictions on abortion providers which resulted in closure of more than half of the state’s abortion clinics. Using patient-level data from approximately 60,000 patients seeking care at eight abortion clinics in the state before and after passage of HB2, we will evaluate differences in travel ...Read more >

The obesity epidemic has been accompanied by an exponential increase in weight-reduction surgery. Nearly half of bariatric surgery patients are reproductive age women. While weight reduction surgery is associated with increased fertility, pregnancy in the post-operative period can result in maternal and fetal complications. The American College of Obstetricians and Gynecologists and the American Society ...Read more >

Background: More than two decades of research has shown associations among partner violence, reproductive control, and detrimental sexual and reproductive health outcomes including lower use of condoms and other contraceptives, higher rates of sexually transmitted infections, HIV, urinary tract infections, unintended and teen pregnancies, and poor birth outcomes as well as miscarriage due to physical ...Read more >

Objectives: Despite data suggesting a relationship between HIV transmission and hormonal contraception, prior studies have only investigated the mechanism of hormonal influence at the level of the vaginal epithelium, neglecting genital mucus. The Levonorgestrel-Intrauterine System (Mirena, LNG-IUS) exerts contraceptive action by thickening cervical mucus. Changes in cervical mucus induced by the LNG-IUS might impact HIV ...Read more >

Introduction: In 2006, Mexico’s annual abortion rate was 33 per 1000 women of reproductive age. Complications from unsafe abortions account for 8-11% of maternal deaths, and unsafe abortion is the fourth cause of maternal mortality. Access to safe abortion services continues to be restricted throughout the majority of Mexico and laws vary among the 32 ...Read more >

In recent years, the public health community has recommended the inclusion of reproductive intention screening into primary care settings, such as through the use of the “One Key Question” (OKQ). Including pregnancy intention questions into primary care could improve pre-conception care for women who desire pregnancy as well as contraceptive choices for women who do ...Read more >

Objectives: The objectives of this study were to investigate how young women perceive and experience anal intercourse, and how it fits into their sexual and reproductive health behaviors. Methods: In-depth interviews were conducted with 29 young women ages 18-24 years who reported any lifetime experience of anal intercourse. Interviews lasted no more than 90 minutes ...Read more >

This mid-career mentorship project will support the development of an online research mentorship toolkit. At the University of Colorado, we have developed a successful research program in family planning. A significant contributor to the success we have achieved is the inclusion of mentees on virtually every project and at every level. This process has been ...Read more >

Objectives: To refine a counseling aide to help predict the acceptability of a given pain control regimen during first