The best intentions : unintended pregnancy and the well-being of children and families / Committee on Unintended Pregnancy, Division of Health Promotion and Disease Prevention, Institute of Medicine ; Sarah S. Brown and Leon Eisenberg, editors.

Format
Book
Language
English
Εdition
1st ed.
Published/​Created
Washington, D.C. : National Academy Press, 1995.
Description
ix, 380 p. : ill.

Details

Subject(s)
Related name
Notes
Bibliographic Level Mode of Issuance: Monograph
Bibliographic references
Includes bibliographical references and index.
Language note
English
Contents
  • The Best Intentions
  • Copyright
  • Acknowledgments
  • Contents
  • Summary
  • COMMITTEE RECOMMENDATIONS
  • The Campaign to Reduce Unintended Pregnancy
  • Campaign Leadership
  • 1 Introduction
  • FOCUS OF THIS REPORT
  • STUDY METHODS AND REPORT ORGANIZATION
  • 2 Demography of Unintended Pregnancy
  • TERMINOLOGY
  • PERCENTAGE RATES OF UNINTENDED PREGNANCY
  • WOMEN AT RISK OF UNINTENED PREGNANCY
  • WOMEN WHO HAVE UNINTENDED PREGNANCIES
  • TRENDS IN UNINTENDED PREGNANCY
  • Overall Trends for All Women
  • Trends Among Currently Married Women
  • Trends Among Never-Married Women
  • Trends in Births Unwanted at Conception
  • THE ROLE OF ABORTION
  • Factors That Affect Who Obtains an Abortion
  • INTERNATIONAL COMPARISONS
  • U.S. Abortion Rates Versus Other Western Democracies
  • CONCLUSION
  • REFERENCES
  • 3 Consequences of Unintended Pregnancy
  • ABORTION AS A CONSEQUENCE OF UNINTENDED PREGNANCY
  • Medical Complications
  • Rates of Complications
  • Psychological Issues
  • Political Issues
  • MATERNAL DEMOGRAPHIC STATUS
  • Adolescent Childbearing: Socioeconomic Issues
  • Adolescent Childbearing: Medical Issues
  • Childbearing at Older Ages: Socioeconomic and Medical Issues
  • Childbearing by Single Women
  • THE EFFECTS OF INTENDEDNESS
  • Methodological Concerns
  • Prenatal Care
  • Behavioral Risks in Pregnancy
  • Low Birthweight
  • Infant Mortality
  • Poor Child Health and Development
  • Consequences for the Parents
  • Mothers
  • Fathers
  • PRECONCEPTION CARE
  • THE DEMOGRAPHIC IMPLICATIONS OF REDUCING UNINTENDED PREGNANCY
  • 4 Patterns of Contraceptive Use
  • PATTERNS OF CONTRACEPTIVE USE AND UNINTENDED PREGNANCY
  • Unintended Pregnancy Among Women Using No Contraception (Group C)
  • Unintended Pregnancy Among Women Using Contraception (Groups A and B)
  • Contraceptive Sterilization.
  • Reversible Contraception
  • Current Choices Among Reversible Methods
  • Reversible Contraceptive Methods: Types and Trends
  • CONTRACEPTIVE USE AMONG MEN
  • Use of Male Methods of Contraception at First Intercourse
  • Use of Male Methods by Married Men
  • Age and Condom Use
  • Race, Ethnicity, and Condom Use
  • Socioeconomic Status and Condom Use
  • USE OF DUAL CONTRACEPTIVE METHODS
  • SEXUALLY TRANSMITTED DISEASES
  • 5 Basic Requirements: Contraceptive Knowledge and Access
  • KNOWLEDGE, SKILLS, AND SCHOOL-BASED EDUCATION
  • Contraceptive Knowledge
  • Contraceptive Skills
  • School-Based Education and Information
  • ACCESS TO CONTRACEPTION
  • Data on Overall Access
  • Financial Barriers
  • Private Insurance
  • Health Maintenance Organizations
  • Public Sector Programs
  • Contraceptive Pricing
  • The Provider Base for Contraception
  • Bureaucratic Hurdles
  • MISSED OPPORTUNITIES
  • 6 Personal and Interpersonal Determinants of Contraceptive Use
  • A COMMENT ON AVAILABLE DATA
  • UNDERLYING THEMES
  • SINGLE FACTOR INVESTIGATIONS
  • Personality Characteristics
  • Attitudes and Feelings About Sexuality and Fertility
  • Attitudes and Feelings About Contraceptive Methods
  • Substance Abuse, Peer Influences and Family Relationships
  • Alcohol and Substance Use
  • Parents and Peers
  • Partner and Couple Issues
  • 7 Socioeconomic and Cultural Influences on Contraceptive Use
  • DIVERSITY IN U.S. CULTURE
  • Cultural and Ethnic Diversity
  • Religious and Political Diversity
  • CONFLICTING VIEWS ABOUT SEXUALITY
  • The Media
  • International Comparisons
  • ECONOMIC INFLUENCES ON FERTILITY
  • AFDC and Other Transfer Programs
  • Potential Influences
  • Empirical Findings
  • RACISM
  • Race, Welfare, and Birth Control
  • Genocide
  • VIOLENCE
  • GENDER BIAS
  • OPPOSITION TO ABORTION.
  • 8 Programs to Reduce Unintended Pregnancy
  • NATIONAL PROGRAMS
  • LOCAL PROGRAMS
  • Historical Perspective
  • Program Search and Selection
  • Evaluated Programs
  • A Comment on Program Evaluation
  • Cost
  • Methodological Issues
  • Social Environment
  • CROSS-CUTTING THEMES
  • THE FISCAL IMPACT OF FAMILY PLANNING FUNDING
  • Program Reactions to Funding Withdrawal
  • Treatment of Mistimed and Unwanted Pregnancies
  • Program Eligibility Versus Participation
  • Incomplete Accounting for Public Revenue Effects
  • REFERENCES10
  • 9 Conclusions and Recommendations
  • A NEW SOCIAL NORM
  • THE CAMPAIGN TO REDUCE UNINTENDED PREGNANCY
  • Campaign Goal 1: Improve knowledge about contraception, unintended pregnancy, and reproductive health.
  • Campaign Goal 2: Increase access to contraception.
  • Campaign Goal 3: Explicitly address the major roles that feelings, attitudes, and motivation play ...
  • Campaign Goal 4: Develop and scrupulously evaluate a variety of local programs to reduce unintende ...
  • Campaign Goal 5: Stimulate research to (a) develop new contraceptive methods for both men and wome ...
  • CAMPAIGN LEADERSHIP
  • Appendixes
  • A Commissioned and Contributed Papers
  • B The Political Storms over Family Planning: Supplement to Chapters 1 and 7
  • Historical Background
  • Conclusion
  • C The National Survey of Family Growth: Principal Source of Statistics on Unintended Pregnancy: Supplement to Chapter 2
  • Definitions and Measurement Issues
  • NSFG Plans for the Future
  • Improving Abortion Reporting
  • Clarifying Questions on Unwanted and Mistimed Pregnancies
  • Measuring Ambivalence about Pregnancy
  • Improving Questions on Unplanned Pregnancies and Use of Contraception
  • D Tables of Odds Ratios: Supplement to Chapter 3.
  • E Technical Notes on the Recalculation Exercise: Supplement to Chapter 3
  • Births Unwanted at Conception
  • Births Mistimed at Conception
  • F Summaries of Evaluated Programs: Supplement to Chapter 8
  • Community of Caring
  • Primary Reference:
  • Condom Mailing Program
  • Elmira Nurse Home Visiting Program
  • Primary References:
  • Facts and Feelings
  • Girls Incorporated Preventing Adolescent Pregnancy
  • Group Cognitive Behavior Curriculum
  • McCabe Center
  • New Chance
  • The Ounce of Prevention Fund's Parents Too Soon Program
  • Postponing Sexual Involvement
  • Project Redirection
  • Project Taking Charge
  • Reducing the Risk
  • Reproductive Health Screening of Male Adolescents
  • School/Community Program for Sexual Risk Reduction Among Teens
  • Self Center
  • Six School-Based Clinics
  • St. Paul School-Based Health Clinics
  • Success Express
  • Summer Training and Education Program
  • Teenage Parent Demonstration
  • Teen Outreach Program
  • Teen Talk
  • G Assessing Program Effectiveness and Cost-Effectiveness: Supplement to Chapter 8
  • Assessing Program Effectiveness
  • Assessing Cost-Effectiveness
  • Cost-Effectiveness in Family Planning
  • Dimensions of Cost-Effectiveness
  • Translating Service Statistics into Measures of Contraceptive Protection
  • Predicting Net Program Effects Without Individual Data
  • Estimating the Cost Functions
  • Conclusions.
  • Index.
ISBN
  • 0-309-17654-9
  • 1-280-19330-1
  • 9786610193301
  • 0-309-55637-6
  • 0-585-09841-7
OCLC
923267653
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