Eliminating racial and ethnic disparities in health care is an important national priority. Despite substantial research documenting such disparities, this topic has received limited attention the reproductive field.Logistic regression was used to test for group differences three service delivery preferences five quality perceptions among a nationally representative sample of 1,741 low-income black, Latina white women aged 18-34; data were collected 1995 represent most recent available...

In April 2007, the Mexico City, Mexico, legislature passed landmark legislation decriminalizing elective abortion in first 12 weeks of pregnancy. safe services are now available to women through City Ministry Health's free public sector legal program and private sector, more than 89 000 abortions have been performed. By contrast, has continued be restricted across Mexican states (each state makes its own laws), there an antichoice backlash against 16 states. City's is important step...

The high prevalence and negative implications of resident physicians' burnout is well documented, yet few effective interventions have been identified.To document faculty perspectives on burnout, including perceived contributing factors their recommended strategies for attention prevention.We conducted 14 focus groups with core residents in 5 specialties at a large integrated health care system Southern California. Training programs sampled included family medicine, internal obstetrics...

<b>Objective:</b> To assess Mexican physicians' knowledge about the human papillomavirus (HPV) and cervical cancer their opinions practices related to screening, managing, counselling women on these topics. <b>Methodology:</b> In August 2002 we surveyed 1206 general practitioners (GPs) obstetricians-gynaecologists (Ob-Gyns) working in a nationally representative sample of public private facilities urban Mexico. Eligible physicians completed self administered questionnaire. We conducted...

Due to the influx of Latino immigration in United States, health care services are faced with challenge meeting needs this growing population. In qualitative study, we explored Latina immigrants’ experiences maternal services. We found that despite enduring language barriers and problems, Spanish-speaking women expressed satisfaction their care. Factors influencing women's perceptions included sociocultural norms (respeto, personalismo, familismo), previous countries origin, having healthy...

This study examines the risk of depression, suicidal ideation, and lower self-esteem following an abortion versus a delivery, with without adjusting for important correlates. Using National Comorbidity Survey, we tested how first pregnancy outcome (abortion vs. delivery) related to subsequent major self-esteem. Models controlling factors, such as background economic prepregnancy violence experience, mental health, well model all were examined. When no factors entered in model, women who had...

In Mexico, recent political events have drawn increased public attention to the subject of abortion. 2000, using a national probability sample, we surveyed 3,000 Mexicans aged 15—65 about their knowledge and opinions on Forty-five per cent knew that abortion was sometimes legal in state, 79% felt should be some circumstances. A majority participants believed when woman's life is at risk (82%), health danger (76%), pregnancy results from rape (64%) or there fetal impairment (53%). Far fewer...

CONTEXT: Despite calls to make family planning services more responsive the values, needs and preferences of clients, few studies have asked clients about their experiences or most used surveys framed by researchers', rather than clients', perspectives. METHODS: Forty in‐depth interviews exploring lifetime with values regarding were conducted 18–36‐year‐old women who visited clinics in San Francisco Bay Area 2007. Women categorized as black, white, English‐ Spanish‐speaking Latina, mixed...

Legal abortion services have been available in public and private health facilities Mexico City since April 2007 for pregnancies of up to 12 weeks gestation. As January 2011, more than 50,000 procedures performed by Ministry Health hospitals clinics. We researched trends service users' characteristics, types performed, post‐procedure complications, repeat abortions, postabortion uptake contraception 15 designated from March 2010. The trend has toward medication manual vacuum aspiration...

CONTEXT:In 2007, first-trimester abortion was legalized in Mexico City.Limited research has been conducted to understand clients' perceptions of the services available public-sector facilities.METHODS: Perceptions quality care were measured among 402 women aged 18 or older who had obtained abortions at any three sites City 2009.Six domains (client-staff interaction, information provision, technical competence, postabortion contraceptive services, accessibility and facility environment)...

Contexte: Au Mexique, la legislation relative a l'avortement varie d'etat en etat. Tous, y compris le District federal, admettent toutefois l'IVG dans certaines circonstances. La connaissance et les opinions du public concernant ces lois affectent l'acces des services d'avortement sans risques. Methodes: Les donnees d'enquete 2000 d'un echantillon nationalement representatif de 907 hommes femmes âges 15 24 ans ont ete analysees quant aux relatives sur l'IVG. facteurs associes qu'avaient...

Little is known about health care providers' knowledge of, attitudes toward and provision of emergency contraceptive pills in the English-speaking Caribbean, where sexual violence unplanned pregnancies are persistent public problems.We conducted interviewer-administered surveys 200 Barbadian 228 Jamaican pharmacists, general practitioners, obstetrician-gynecologists nurses 2005-2006. For each country, Pearson's chi-square tests were used to assess differences responses among four provider...

CONTEXT:Little is known about health care providers' knowledge of, attitudes toward and provision of emergency contraceptive pills in the English-speaking Caribbean, where sexual violence unplanned pregnancies are persistent public problems. METHODS:We conducted interviewer-administered surveys 200 Barbadian 228 Jamaican pharmacists, general practitioners, obstetrician-gynecologists nurses 2005-2006.For each country, Pearson's chi-square tests were used to assess differences responses among...

CONTEXT Cultural variables have been associated with sexual risk behaviors among Latino youth, but findings across studies are inconsistent . METHODS A longitudinal study of acculturation patterns followed youth in Southern California from 2005 to 2012. Data 995 participants were used logistic and ordered regression analyses test whether cultural measured high school emerging adulthood, gender moderated these associations RESULTS The value respect for parents was negatively participants’...

Objectives. Latinos are at an elevated risk for HIV infection. Continued HIV/AIDS stigma presents barriers to testing and affects the quality of life HIV-positive individuals, yet few interventions addressing have been developed Latinos. Methods. An intervention led by community health workers ( promotores de salud, or promotores) targeting underserved in three southwestern U.S. communities was decrease increase knowledge perception risk. The HIV-affected (i.e., those who have, had, a close...

CONTEXT: Abstinence‐only education has had little demonstrable impact on teenagers' sexual behaviors, despite significant policy and funding efforts. Given the struggle over resources to improve reproductive health outcomes, views of clinicians serving teenagers at high risk for unintended pregnancy STDs merit particular attention. METHODS: In 2005, a qualitative study with 31 low‐income, at‐risk patients was conducted. A semistructured interview guide used ask about adolescent pregnancy,...

Graduate medical education (GME) programs must develop curriculum to ensure scholarly activity among trainees and faculty meet accreditation requirements support evidence-based medicine.Test whether research-related needs interests varied across four groups: primary care trainees, specialty faculty, faculty.We surveyed a random sample of in Kaiser Permanente Southern California's GME programs. We investigated group differences outcomes using Fisher exact Kruskal-Wallis tests.Research...