Sample records for family planning history

  1. Family History (United States)

    Your family history includes health information about you and your close relatives. Families have many factors in common, including their genes, ... as heart disease, stroke, and cancer. Having a family member with a disease raises your risk, but ...

  2. Planning Ahead or Living a Day at a Time? A Family History of AD and Retirement Planning. (United States)

    Zick, Cathleen D; Smith, Ken R; Mayer, Robert N


    We assess whether a family history of Alzheimer's disease (AD) is associated with the odds that healthy family members' engage in retirement planning activities. This is a cross-sectional study utilizing individual-level data from the Utah Population Database that have been linked to Medicare records and to responses from a retirement planning survey. Engagement in 3 retirement planning activities was estimated as a function of the number of parents and grandparents diagnosed with AD along with a set of fundamental socioeconomic and demographic covariates. Adults who had a parent with AD were 86% more likely to have seen a professional financial advisor and 40% less likely to plan to retire before age 65. Caregiving costs and/or knowledge of the familial risk of developing AD may provide adult children with a forewarning of their own future financial needs that, in turn, motivates them to engage in retirement planning. © The Author(s) 2016.

  3. Family Health History and Diabetes (United States)

    ... Diabetes Diabetes Risk Test Family Health History Quiz Family Health History Quiz Family health history is an ... health problems. Four Questions You Should Ask Your Family About Diabetes & Family Health History Knowing your family ...

  4. Planning for Family Development. (United States)

    Montgomery, Mary Jean; Quinn, Jim

    This manual is designed to help child care providers develop, implement, and evaluate a family development plan for at-risk families. The plan's five components are designed to: (1) identify family strengths; (2) identify family needs; (3) identify community resources; (4) develop and implement a family action plan; and (5) monitor family…

  5. Creating a family health history (United States)

    ... Which country/region your family originally came from (Ireland, Germany, Eastern Europe, Africa, and so on) Ask these same questions about any relatives who have died. How Will a Family History Help You and Your Family? Share your family ...


    Qin, Min; Falkingham, Jane; Padmadas, Sabu S


    Although China's family planning programme is often referred to in the singular, most notably the One-Child policy, in reality there have been a number of different policies in place simultaneously, targeted at different sub-populations characterized by region and socioeconomic conditions. This study attempted to systematically assess the differential impact of China's family planning programmes over the past 40 years. The contribution of Parity Progression Ratios to fertility change among different sub-populations exposed to various family planning policies over time was assessed. Cross-sectional birth history data from six consecutive rounds of nationally representative population and family planning surveys from the early 1970s until the mid-2000s were used, covering all geographical regions of China. Four sub-populations exposed to differential family planning regimes were identified. The analyses provide compelling evidence of the influential role of family planning policies in reducing higher Parity Progression Ratios across different sub-populations, particularly in urban China where fertility dropped to replacement level even before the implementation of the One-Child policy. The prevailing socioeconomic conditions in turn have been instrumental in adapting and accelerating family planning policy responses to reducing fertility levels across China.

  7. Family planning for refugees. (United States)


    In response to a recent influx of Vietnamese refugees and their settlement in Kai Tak camp the Family Planning Association of Hong Kong (FPAHK) promoted family planning and supplied contraceptives. FPAHK field workers organized film shows and talks on family planning on 3 consecutive days for 4000 refugees. Most of the refugees were transferred to the Shamshuipo camp to await resettlement in foreign countries. The FPAHK have begun recruiting acceptors in that camp.

  8. Reproductive and family planning history, knowledge, and needs: A community survey of low-income women in Beijing, China

    Directory of Open Access Journals (Sweden)

    Østbye Truls


    Full Text Available Abstract Background The reproductive health status of China's low-income urban women is believed to be poor. Therefore, understanding their reproductive history and needs and improving services provision is very important. However, few studies have been done to assess reproductive health status, knowledge and needs in this low-income population. The purpose of this study is to broadly assess reproductive and family planning history, knowledge and health needs among low income urban women with an aim to informing health services interventions. Methods 1642 low-income women age 18–49 from Haidian district, Beijing were selected. All were interviewed via a standardized questionnaire in 2006. Results Most women reported at least one pregnancy and delivery (97.7%, 98.3%. Deliveries in hospitals (97.3% by medical personnel (98.5% were commonplace, as was receipt of antenatal care (86.0%. Nearly half had at least one abortion, with most (56.0% performed in district hospitals, by physicians (95.6%, and paid for out-of-pocket (64.4%. Almost all (97.4% used contraception, typically IUDs or condoms. Reproductive knowledge was limited. Health needs emphasized by the participants included popularizing reproductive health information, being able to discuss their reproductive health concerns, free reproductive health insurance, examination and treatment. Conclusion Among poor urban women in Beijing, antenatal care and contraceptive use were common. However, abortions were also common. Knowledge about reproductive health was limited. There is a need for better reproductive health education, free medical care and social support.

  9. Family planning in Africa. (United States)


    More than 100 delegates from many African countries attended a seminar on the role of family planning in African development, which was held at the University College in Nairobi, Kenya from December 12-16, 1967. This article outlines some courses of action suggested at the session dealing with the training of family planning personnel. Medical schools should ideally include family planning in their curricula and should be encouraged to set up family planning clinics as part of the teaching facilities. African students studying overseas should adapt their learning to their own countries. General practitioners need at least a 3-day intensive course in family planning. The training of paramedical personnel is also discussed.

  10. Partners in family planning. (United States)


    Studies of the Africa OR/TA Project and other Cooperating Agencies suggest that support of family planning by traditional health practitioners (THPs), traditional birth attendants (TBAs), Islamic religious leaders, and male opinion leaders (MOLs) can result in an increase in the availability of family planning services in the community. A study in Kenya shows that 100 trained THPs who were actively involved in family planning (i.e., distributors of condoms, oral contraceptives, and primary health care drugs) increased contraceptive use in Siaya and Kakamega districts from 7% to 15% and from 14% to 34%, respectively. Contraceptive use did not change in the 2 control areas. Two years after TBAs underwent training in family planning promotion, the proportion of women who named TBAs as their source of family planning information increased from 2% to 18%. In The Gambia, integration of Islamic religious leaders into family planning promotion activities resulted in an increase of current modern contraceptive method use from 9% to 20% for males and from 9% to 26% for females. Involvement of 69 MOLs has increased knowledge of family planning methods in Nkambe, Cameroon. For example, among males, knowledge about the condom increased from 52% to 81% and knowledge about spermicides increased from 12% to 44%. The corresponding figures for women were 47% to 72% and 17% to 42%, respectively.

  11. Barriers in family planning. (United States)

    Pendharkar, L P


    Because of cultural factors, many people in India are opposed to family planning. They are not able to understand that the real problem facing India is overpopulation. In the past, people were exhorted to have many children, and to look upon numerous offspring as a blessing, and this concept has not changed, although the times and environment have. The majority of marriages in rural areas take place when the girl is hardly 16 or 17, which contributes to high fertility. Also illiteracy breeds ignorance about improved methods of cultivation and about methods of planned parenthood. Starved, poor couples have larger numbers of children than do well-to-do families, and thus poverty becomes a vicious circle. Doctors should come forward and offer their help to family planning programs, and social workers should be less concerned with official routines than results. Educating illiterate, adamant people is no easy task, and requires the zeal of a missionary.

  12. AIDS and family planning. (United States)


    In 1991, an HIV prevention program advisor and a research/evaluation specialist for family planning programs discussed problems that affected HIV prevention and family planning services in Haiti before and after the coup of the Aristide government. Population activities began aimlessly in 1974 and HIV prevention efforts only began in 1988. After the coup, Haitians lost their newly found hope for meaningful development. All foreign assistance ended and they did not trust the army. In fact, other than essential child survival activities, no health and family planning services operated for several weeks. The situation grew worse after the economic embargo. 3 months after the coup, the US considered adding family planning assistance. Still little movement of condom, family planning, and health supplies left Port-au-Prince for the provinces which adversely affected all health related efforts. Condoms could no longer be distributed easily either in the socially marketed or US supplied condom distribution programs. Before the coup, HIV prevention and family planning programs depended on peer educators to educate the public (this approach made these programs quite successful), but the 2 experts feared that they would not return to those roles and that these programs would need to completely rebuild. Another concern was the large scale urban-rural migration making it difficult for them to continue care. Early in the AIDS epidemic, the Haitian government was on the defensive because the US considered Haitians as a high risk group so it did little to prevent HIV transmission. After 1988, HIV prevention activities in Haiti centered on raising awareness and personalizing the epidemic. The AIDS specialist noted, however, that a major obstacle to increasing knowledge is that AIDS is just 1 of many fatal diseases in Haiti. Moreover few health professionals in Haiti have ever had public health training.

  13. Corporate family planning. (United States)

    Kakizaki, J


    A forward-looking long-term policy of employment-based family planning and employee health has paid off in lower birth rates, better health indicators as well as significant savings in insurance and medical benefits expenses for Nippon Express Co., Ltd., Japan. Nippon Express is now an international corporation with 48,00 employees. "Nittsu" as it is known, began a family planning program in 1956 by hiring qualified professional family planning nurses and midwives, producing its own educational materials and selling contraceptives at reduced rates. The family planning program was expanded to the extent that it has its own Managing Council with Local Councils run democratically, users employees and their spouses as volunteers with group guidance, and provides services at community health centers in rural areas. Now there are 63,000 households covered, activities encompass recreation and home economics, and the health focus has broadened to family health and to include risk factors for disease of middle age. The program has reduced the birth rate of employees from 19.5% to 8.2%, and the abortion rate to 1/10 the initial level, cut the dependency rate of the work force 50%, lowered absenteeism by 2/3, accidents to 1/10, and improved employee loyalty and morale.

  14. 5. Natural Family Planning

    African Journals Online (AJOL)


    need to intensify Health Education in this area. KEY WORDS: Abstinence, Couple, Determinants,. Family Planning (FP) ... the potential benefits of FP, it is important to any community when the births of children are spread. .... education 16.3% (67) and College level 4.9% (20) .8.3% (34) had no education at all (table 4). The.

  15. Family planning: where now? (United States)

    Saunders, L


    The focus is in terms of family planning as an exercise in induced social change; the objective is to alter the reproductive patterns of societies sufficiently to bring about a significant reduction in fertility. The year 1974 emerges as the year in which family planning as a social movement achieved maturity and was confirmed as a legitimate area for national policy and programming, a year of determined and varied efforts to reduce population growth. In affirming the rights and responsibilities of people and the obligations of governments in population concerns, the Bucharest Conference conferred its seal of approval on a movement that had made considerable progress since it began early in the 19th century. The evolution of birth control as a social movement which began with Francis Place's printing and distributing contraceptive bills in 1820 was encouraged by other writings in England and the U.S. over the next 50 years. Several overlapping phases can be distinguished in the global response to a new sense of urgence regarding population concerns following World War 2. Moving from a global perspective to consideration of family planning as it exists in the programs of individual countries, the achievement is not so great and the prospects are less hopeful. Although it has had success as a social movement and is now accepted as a government responsibility, family planning programs still have a long way to go before they develop the scope, vigor, and versatility that is required for there to be widespread demographic change. 1 change that is needed is for a stronger and more visible political commitment and commitment on the basis of demographic rather than health or welfare reasons.

  16. [Family planning in Bangladesh]. (United States)

    Saito, S


    The author participated in the family planning project in Bangladesh from August 1, 1977 to December 31, 1979. The population of Bangladesh was 81 million in 1977 with annual increase of 3%, and the government was aiming at zero population growth. The government guidelines emphasized family planning as an effort integrated with other community programs. The use of adult education classes, mass media, and agricultural field workers and the training of paramedical personnel were proposed. The project members' activities involved motivating the public to delay marriages, to space births and to limit the family size to two children (average family size 6.5 children) as well as distributing contraceptives, promoting IUD and sterilization. Sterilization campaign for women in DNN district, 30 km south of Dacca, was carried out as follows. The women who had signed up in advance arrived at the elementary school classroom, where 2 medical teams performed operations using the teachers' desks and the equipment rented from a hospital in Dacca. The general procedure involved a physical examination by a female doctor, checking blood pressure, changing into a brand new native gown, premedication by injection, total anesthesia and operation itself. The equipment was sterilized by boiling. The patients were carried on the stretchers to the other classroom where they recuperated, staying overnight on the straw mats on the mud floor. They went home on foot the next day. The shortage of food and resources, high unemployment rate and low standard of living are some of the social problems Bangladesh faces along with overpopulation.

  17. Paying for family planning. (United States)


    Both houses of the US Congress have passed bills to require that all health plans for federal employees which pay for prescription medications also cover prescription contraceptives approved by the US Food and Drug Administration (USFDA). Of these, the five most commonly prescribed are contraceptive pills, implantable levonorgestrel (Norplant), long-acting injectable medroxyprogesterone acetate (Depo-provera), IUDs, and the diaphragm. Differences between the two bills are now being worked out by a joint House-Senate committee and passage seems almost certain. If a compromise joint bill is passed by both houses, it would cover plans which insure more than 1 million reproductive age women. However, the Equity in Prescription and Contraceptive Coverage (EPICC) Act requiring all US private health plans to cover contraceptive prescriptions is less certain to eventually become legislation. Currently, only 49% of traditional indemnity plans and 39% of health maintenance organizations cover the five most commonly prescribed reversible methods of contraception, while many health plans cover no form of contraception, other than sterilization. The passage of EPICC would expand contraceptive choice for another 45 million US women of childbearing age. Opposition to both bills has come mainly from health insurance and business groups, as well as conservative groups which oppose funding for family planning. Supporters of legislation to expand contraceptive choice for US women should understand that the right to reproductive health and contraceptive services extends beyond US borders, and pressure Congress to bolster US financial support for international population control programs.

  18. Family planning in Tibet. (United States)

    She, W


    This article gives an overview of the family planning (FP) situation in Tibet, an autonomous region in China. Since 1951, Tibetan population has increased steadily. Population doubled in four decades. Growth is due primarily to natural increase. Only 16% of growth is due to migration. The urban population has a low birth, death, and growth rate, while rural areas have a high birth and growth rate, and a low death rate. Tibet's population in 1996, was 2.40 million persons. The annual rate of growth during 1900-96 was 1.61%. FP programs were introduced in the late 1970s, and were first introduced to the Han population. FP planning practices spread to urban Tibetan population, and then to rural Tibetan population. A Family Planning Committee was set up in 1996, and programs shifted from the Bureau of Public Health. The Tibet FP policy stipulates one child for an urban Han couple, two children for an urban Tibetan couple, and three children and birth spacing of several years for Tibetan herdsmen and farmers. There are no restrictions for families living in sparsely populated border areas. Rural populations receive no coercion or penalties for violations of the strictly voluntary policy. FP is closely integrated in maternal and child health services and poverty alleviation programs. There is unmet need for FP among rural women. Technical services in rural areas are inadequate, and the population is scattered widely. Herdsmen constantly change locations. Access to transportation is limited. Funding is meager, and Tibetan women prefer implants to IUDs. Strenuous labor in the fields contributes to a high dropout rate of IUD use. Buddhist leaders now realize the association between poverty and large family size, but strongly oppose abortion as being against the principle of not taking a life.

  19. Singing about family planning. (United States)

    Emah, E


    The Nigerian Family Health services project teamed up with the Johns Hopkins University's Population Communication Services to produce songs called "Choices" and "Wait for Me." The songs, which were about sexual responsibility, were performed by popular music stars King Sunny Ade and Onyeka Onwenu and appeared under King Sonny Ade's long playing albums in 1989. Teaching sexual responsibility through song was suggested in focus group discussions. Findings indicated that young people were responsive to messages about sexual responsibility, postponing sex or saying "no," male sexual responsibility, and children by informed choice and not chance among married couples. An impact assessment of the songs was conducted in February, 1991. Survey findings revealed that 64% of urban and 22% of rural respondents recalled having heard the songs and seen the videos. 48% of urban youth discussed the songs with friends, and 27% discussed the songs with sexual partners. 90% of respondents reported agreement with the message that couples should have only the number of children that they can care for, and that couples should practice family planning. The target population that was affected most by the songs was aged less than 35 years. The strategy of using songs to teach youth responsible parenting appears to be a reliable strategy for mass education and mobilization. There is mass support from among members of the National Council for Women's Societies, the Planned Parenthood Federation of Nigeria, and Coca Cola Corporation, as well as the public at large.

  20. Religion and family planning. (United States)

    Pinter, Bojana; Hakim, Marwan; Seidman, Daniel S; Kubba, Ali; Kishen, Meera; Di Carlo, Costantino


    Religion is embedded in the culture of all societies. It influences matters of morality, ideology and decision making, which concern every human being at some point in their life. Although the different religions often lack a united view on matters such contraception and abortion, there is sometimes some dogmatic overlap when general religious principles are subject to the influence of local customs. Immigration and population flow add further complexities to societal views on reproductive issues. For example, present day Europe has recently faced a dramatic increase in refugee influx, which raises questions about the health care of immigrants and the effects of cultural and religious differences on reproductive health. Religious beliefs on family planning in, for example, Christianity, Judaism, Islam and Hinduism have grown from different backgrounds and perspectives. Understanding these differences may result in more culturally competent delivery of care by health care providers. This paper presents the teachings of the most widespread religions in Europe with regard to contraception and reproduction.

  1. Effectiveness of Family Planning Methods (United States)

    ... per 100 women in a year Effectiveness of Family Planning Methods Implant Reversible Intrauterine Device (IUD) Permanent Male Sterilization Female Sterilization (Vasectomy) (Abdominal, Laparoscopic, Hysteroscopic) 0.05 %* ...

  2. Family planning programme news. (United States)


    In this quarterly newsletter from the Population Centre of Uttar Pradesh state, India, data on contraception and sterilization acceptors for the 1st quarter of 1987 and center activities are summarized. IUD/Copper-T insertions, Nirodh and pill acceptor quotas rose 3, 13.5 and 47.9% above the percent of quota for the same period in 1986, while sterilizations fell 10% below the percent of target for last year's 1st quarter. A lecture on organizing for results was given at the Centre. Faculty promotions and participation in career development were announced. The Population Center presented 2 training courses on population education for college students of Ayurvedic and Unani medicine. The topics included population education, dynamics, policy, socioeconomic impact, and communication in India. Students were given a history of Ayurveda as applied to population and health, and lectures on coordinating Ayurvedic Dispensaries and primary health care services, as well as the role of Ayurvedic doctors as change agents. Students prepared actions plans for introducing population education in the Ayurvedic and Unani curricula. A 2-week Management Development Programme for primary health care and district level medical officers posted at Universal Immunisation Programme districts of Uttar Pradesh was held at the Population Centre.

  3. Natural family planning. (United States)

    Brown, J B; Blackwell, L F; Billings, J J; Conway, B; Cox, R I; Garrett, G; Holmes, J; Smith, M A


    It is now well accepted that a woman can conceive from an act of intercourse for a maximum of only about 7 days of her menstrual cycle. The reliability of natural family planning depends on identifying this window of fertility without ambiguity. Several symptomatic markers, cervical mucus and basal body temperature, have been used extensively and with considerable success in most women but failures occur. Ovarian and pituitary hormone production show characteristic patterns during the cycle. Urinary estrogen and pregnanediol measurements yield reliable information concerning the beginning, peak, and end of the fertile period, provided that the assays are accurate and performed on timed specimens of urine. We have developed such enzyme immunoassays for urinary estrogen and pregnanediol glucuronides that can be performed at home. In the early versions of the assays, enzyme reaction rates were measured by eye, but more recently, a simple photoelectronic rate meter has been used. The final problem to be solved is not technologic but whether women are sufficiently motivated to expend the same time and effort each day for 10 days a month, with less cost, on fertility awareness as they spend on making a cup of tea.

  4. Family planning and human rights. (United States)

    Goldberg, M S


    Inherent in the right to control one's reproductive destiny is the means of exercising it through access to family planning methods. Many donor groups, governments, and private agencies have lost sight of that right in their efforts to solve some small part of the population problem. A hodgepodge of programs are created with high concentrations of programs in some countries and limited access to family planning in other countries not considered statistically signigicant or sufficiently overpopulated. Those who would substitute their authority for the right of individuals to follow their religious, moral, or ethical convictions are equally at fault. Among women lacking access to family planning, 175,000 die each year from clandestine abortions, over 100,000 die in childbirth, and countless numbers see their children die of malnutrition or disease. Concerned groups must address the issue of people who are prevented from exercising their rights because they have no access to family planning methods. The entire range of birth control methods are not being made available to as many persons as possible. contraceptive methods are introduced according to whin or fad in donor countries, and only a small amount of family planning funds are spent on determining consumers' choices and helping to effect their decision. The international family planning community must offer the ability to exercise the basic human right to those denied access to family planning.

  5. Family planning costs and benefits. (United States)


    Government sponsored family planning programs have had major success in declining birth rates in Barbados, China, Cuba, Hong Kong, Indonesia, Korea, Mexico, Singapore, Sri Lanka, Taiwan, and Thailand. Non- government programs have had similar success in Brazil and Colombia. These programs have been estimated as preventing over 100 million births in China and 80 million in India. Research indicates that family planning programs can produce a 30-50% drop in fertility. Family planning information and some contraceptives can be best distributed through community organizations. Research also indicates male opposition has been a major factor in wider acceptance of family planning. Surveys indicate that 50% of the woman who want no additional children are not using any birth control. Many governments do not have the resource and money to implement programs. In the developing countries if those who were able to prevent the unwanted births had birth control, the population increases in those countries would have been 1.3% versus 2.2%. In earlier family planning programs foreign assistance paid over 80% of the cost, and national governments 20%; today this is reversed. The World Bank estimates that for major improvements in population growth and women's health, $7 billion will be needed yearly by the year 2000. The countries that have had the similar goals in development of human resources, social services, health, and education. They have attended to the status of women, female employment, and maternal and child health. Estimates are that 1.3 billion couples and individuals will need family planning services by the year 2000, and this will be a formidable task. This key elements of successful family planning programs are community participation, decentralization, and training.

  6. Family History as Media and Methodological Inspiration for History Teaching

    Directory of Open Access Journals (Sweden)



    Full Text Available The text of the contribution is inspired by relationships and issues arising from communication among parents, children, grandparents and grandchildren. It ensues from such terms as generation crisis, cohesion, cultivation of common values or family topics. It deals with family history captured in a family amateur movie, which is an appropriate media of alternative school and out-of-school pupils' activities.Within its framework the pupils can become aware of their own roots and evolution of their family histories, or how their histories were influenced by „the great history”. The presentation methodology of the summary of these pupils' explorations of private family materials used in history lessons forms an inseparable part.

  7. USA aborts international family planning. (United States)

    Potts, M


    The US Agency for International Development (USAID) has been a leader in international family planning for almost 30 years, accounting for 46% of all funds in international family planning provided by OECD countries during 1991. Moreover, relative to other donor countries, the US supplies worldwide a disproportionate amount of contraceptives. While international family planning activities received $546 million in 1995, the budget was slashed in 1996 to $72 million. This unprecedented cut will have a profound effect upon the reproductive health and family planning choices of tens of millions of people in developing countries. Millions of additional unintended pregnancies and maternal and child deaths may result. 1996 began with the White House and Congress in political gridlock, with negotiations on foreign aid stalled on the issue of abortion. The Republican-led House of Representatives wanted to bar support of any nongovernmental organization (NGO) which also provided information on abortion, while Democratic President Bill Clinton affirmed that he would veto such legislation. At the end of January, the House passed the Balanced Budget and Down Payment Act (HR 2880) containing clauses which cut the aid budget by 35% and barring new money in the area of family planning until July 1. Spending was limited to the allocation of 6.5% of the total budget each month. Some social marketing programmers who distribute condoms and oral contraceptives are already feeling the pinch, and some programs will simply run out of contraceptives. This cut in funding also bodes ill for achieving the goals of the 1994 International Conference on Population and Development. There is, however, hope that the cuts will be reversed for the next fiscal year. The author notes survey findings which indicate that US citizens support higher budgets for family planning.

  8. Studies in Family Planning, Number 38. Beyond Family Planning. (United States)

    Berelson, Bernard

    This paper, published by The Population Council, reviews 29 proposals dealing with population controls beyond the current efforts of national programs of voluntary family planning. The proposals are subsumed under eight descriptive categories which are: (1) Extensions of voluntary fertility control; (2) Establishment of involuntary fertility…

  9. Incentives to promote family planning. (United States)

    Heil, Sarah H; Gaalema, Diann E; Herrmann, Evan S


    Over the past 60 years, population control has become an increasingly urgent issue worldwide as a growing population strains already limited resources. The use of financial incentives to promote family planning is an innovative approach that has potential to make a contribution to efforts to better manage population growth. This report reviews eight studies that examined the effect of incentives on family planning. Published studies that tested the impact of incentives to promote some aspect of family planning and included an appropriate control or comparison condition were reviewed. Incentives have been used to promote attendance at contraceptive education sessions, adoption and continuation of contraceptive methods, sterilization, and to limit family size. All but one of the eight studies reviewed reported positive outcomes, but weaknesses in study design and execution limit the strength of the conclusions that can be drawn. Review of this literature suggests that family planning behaviors, like other behaviors, are sensitive to incentives. Given the tremendous need for efficacious interventions in global efforts to manage population growth, further research on this topic using more rigorous experimental methods is warranted. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. Family History in Young Patients With Stroke. (United States)

    Thijs, Vincent; Grittner, Ulrike; Dichgans, Martin; Enzinger, Christian; Fazekas, Franz; Giese, Anne-Katrin; Kessler, Christof; Kolodny, Edwin; Kropp, Peter; Martus, Peter; Norrving, Bo; Ringelstein, Erich Bernd; Rothwell, Peter M; Schmidt, Reinhold; Tanislav, Christian; Tatlisumak, Turgut; von Sarnowski, Bettina; Rolfs, Arndt


    Family history of stroke is an established risk factor for stroke. We evaluated whether family history of stroke predisposed to certain stroke subtypes and whether it differed by sex in young patients with stroke. We used data from the Stroke in Fabry Patients study, a large prospective, hospital-based, screening study for Fabry disease in young patients (aged stroke in whom cardiovascular risk factors and family history of stroke were obtained and detailed stroke subtyping was performed. A family history of stroke was present in 1578 of 4232 transient ischemic attack and ischemic stroke patients (37.3%). Female patients more often had a history of stroke in the maternal lineage (P=0.027) than in the paternal lineage. There was no association with stroke subtype according to Trial of Org 10172 in Acute Stroke Treatment nor with the presence of white matter disease on brain imaging. Patients with dissection less frequently reported a family history of stroke (30.4% versus 36.3%; P=0.018). Patients with a parental history of stroke more commonly had siblings with stroke (3.6% versus 2.6%; P=0.047). Although present in about a third of patients, a family history of stroke is not specifically related to stroke pathogenic subtypes in patients with young stroke. Young women with stroke more often report stroke in the maternal lineage. URL: Unique identifier: NCT00414583. © 2015 American Heart Association, Inc.

  11. A Research Project for Family Sociology Students on Family History. (United States)

    Haynes, Alan E.


    Outlines a research project for family sociology students that uses student family histories to bridge the gap between course material and personal family experiences. Claims the project teaches students how information is transmitted across generations, as well as strengthening research, interviewing, and analytical skills. (Author/AEM)

  12. Zimbabwe: A Family Planning Profile

    African Journals Online (AJOL)

    CBD domiciliary visits take place by bicycle and the group leader has access to a motorcycle. The median number of clients seen by each distributor is 135 per month. These are mostly revisits with a few new clients. Source and Use of Family Planning Services. Details from the Zimbabwe Demographic and I lealth Survey.

  13. Developing Family Healthware, a Family History Screening Tool to Prevent Common Chronic Diseases


    Yoon, Paula W.; Scheuner, Maren T.; Jorgensen, Cynthia; Khoury, Muin J.


    Family health history reflects the effects of genetic, environmental, and behavioral factors and is an important risk factor for a variety of disorders including coronary heart disease, cancer, and diabetes. In 2004, the Centers for Disease Control and Prevention developed Family Healthware, a new interactive, Web-based tool that assesses familial risk for 6 diseases (coronary heart disease, stroke, diabetes, and colorectal, breast, and ovarian cancer) and provides a "prevention plan" with pe...

  14. Family planning and married fulfillment. (United States)

    Burke, C


    Large numbers of children typified the Catholic family until the 60s when there was a general societal change towards smaller families. This change, which even affected Catholics, is thought to derive from 3 sources. The population explosion and its complimentary disadvantages, a change towards more egocentric values, and an increase in the importance of material values. The Western world is aging fast and fertility rates are falling to the point that an overall effect of population reduction is occurring. Children have become only an optional, instead of necessary as in previous generations, part of most couples' lifestyles in West. Careers, social status, gadgets, vacations, ease, and comfort are now commonly seen as more self- fulfilling than children. The Catholic church believes that the only reasons for family planning are natural methods used out of necessity. Vatican II clearly states that the purpose of marriage is the raising of children. It has become the opinion of many that marriage and children are only accidentally connected and that the 2 are not bound inseparably. It is the authors contention that this dualistic view of marriage and children is false. The author feels that through a marriage people can draw each other out of themselves and towards their children. Sacrificing oneself for one's children is the natural end to marriage. The author admits that family planning has been a great good to the world for the couples that need it to survive, but that couples that can have children should do so.

  15. [Wang Renzhong, Chen Muhua stress family planning]. (United States)


    Wang Renzhong, secretary of the Secretariat of the CCP Central Committee, and Chen Muhua, vice premier of the State Council, addressed the national discussion meeting on propaganda for family planning. Wang Renzhong stated that if population control and family planning continue to be overlooked, population growth will become a calamity in the future. He identified family planning as a permanent strategic task and said that more publicity should be given to family planning, particularly in the rural areas. Chen Muhua discussed her recent briefing to Vice Chairman Deng on the progress made in family planning during 1980 and the current problems. She reported that Vice Chairman Deng expressed satisfaction over the 1980 achievements in family planning. Deng advised creating public opinion in favor of family planning. The national discussion meeting on propaganda for family planning was held in Beijing during January. Measures for implementing "major points of propaganda on controlling China's population growth" were studied.

  16. Service Locator - Family Planning Title X (United States)

    U.S. Department of Health & Human Services — This locator tool will help you find Title X family planning centers that provide high quality and cost-effective family planning and related preventive health...

  17. Digital family histories for data mining. (United States)

    Hoyt, Robert; Linnville, Steven; Chung, Hui-Min; Hutfless, Brent; Rice, Courtney


    As we move closer to ubiquitous electronic health records (EHRs), genetic, familial, and clinical information will need to be incorporated into EHRs as structured data that can be used for data mining and clinical decision support. While the Human Genome Project has produced new and exciting genomic data, the cost to sequence the human personal genome is high, and significant controversies regarding how to interpret genomic data exist. Many experts feel that the family history is a surrogate marker for genetic information and should be part of any paper-based or electronic health record. A digital family history is now part of the Meaningful Use Stage 2 menu objectives for EHR reimbursement, projected for 2014. In this study, a secure online family history questionnaire was designed to collect data on a unique cohort of Vietnam-era repatriated male veterans and a comparison group in order to compare participant and family disease rates on common medical disorders with a genetic component. This article describes our approach to create the digital questionnaire and the results of analyzing family history data on 319 male participants.

  18. Communication, knowledge, social network and family planning ...

    African Journals Online (AJOL)

    Communication, knowledge, social network and family planning utilization among couples in Mwanza, Tanzania. IH Mosha, R Ruben. Abstract. Family planning utilization in Tanzania is low. This study was cross sectional. It examined family planning use and socio demographic variables, social networks, knowledge and ...

  19. Attitudes of physicians providing family planning services in Egypt about recommending intrauterine device for family planning clients. (United States)

    Aziz, Mirette; Ahmed, Sabra; Ahmed, Boshra


    To assess the attitudes of physicians providing family planning services at the public sector in Egypt about recommending intrauterine device (IUD) for family planning clients, and to identify the factors that could affect their attitudes. A descriptive cross sectional study, in which all the physicians providing family planning services in Assiut Governorate were invited to complete self-administered questionnaires. The study participants were recruited at the family planning sector monthly meetings of the 13 health directorates of Assiut Governorate, Upper Egypt. 250 physicians accepted to participate in the study. Bivariate and Multivariate regression analyses were performed to identify the most important predictors of recommending IUD to family planning clients when appropriate. Less than 50% of physicians would recommend IUD for clients with proper eligibility criteria; women younger than 20 years old (49.2%), women with history of ectopic pregnancy (34%), history of pelvic inflammatory diseases (40%) or sexually transmitted diseases (18.4%) and nulliparous women (22.8%). Receiving family planning formal training within the year preceding data collection and working in urban areas were the significant predictors of recommending IUD insertion for appropriate clients. Physicians providing family planning services in Upper Egypt have negative attitudes about recommending IUD for family planning clients. Continuous education and in-service training about the updated medical eligibility criteria, especially for physicians working in rural areas may reduce the unfounded medical restrictions for IUD use. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Utilizing Genomics through Family Health History with the Theory of Planned Behavior: Prediction of Type 2 Diabetes Risk Factors and Preventive Behavior in an African American Population in Florida. (United States)

    Seaborn, Cynthia; Suther, Sandra; Lee, Torhonda; Kiros, Gebre-Egziabher; Becker, Alan; Campbell, Ellen; Collins-Robinson, Jackie


    African Americans are disproportionately affected by type 2 diabetes. The purpose of this study was to assess to what extent African Americans' knowledge and awareness of family health history and related risk factors for developing type 2 diabetes influence their likelihood of adopting a preventive behavior. This study employed an anonymous pencil-and-paper, self-administered survey consisting of two sections. Section 1 was a modified version of the US Surgeon General's Family Health History Initiative and the American Diabetes Association Diabetes Risk Factor Survey. Section 2 of the survey was based on the constructs of the theory of planned behavior. Over 394 African American participants completed the survey. 'Perceived behavioral control' was the strongest predictor of 'likelihood of adopting preventive behavior'. Participants were aware of their family history as a risk factor for type 2 diabetes, but it was not a significant predictor of behavior modifications based on that knowledge. The lack of perceived risk in this population shows the importance of not only knowing one's risk factors but translating those risk factors to a more personalized form that fits into the current lifestyle of the individual in a meaningful way. © 2016 S. Karger AG, Basel.

  1. Developing Family Healthware, a family history screening tool to prevent common chronic diseases. (United States)

    Yoon, Paula W; Scheuner, Maren T; Jorgensen, Cynthia; Khoury, Muin J


    Family health history reflects the effects of genetic, environmental, and behavioral factors and is an important risk factor for a variety of disorders including coronary heart disease, cancer, and diabetes. In 2004, the Centers for Disease Control and Prevention developed Family Healthware, a new interactive, Web-based tool that assesses familial risk for 6 diseases (coronary heart disease, stroke, diabetes, and colorectal, breast, and ovarian cancer) and provides a "prevention plan" with personalized recommendations for lifestyle changes and screening. The tool collects data on health behaviors, screening tests, and disease history of a person's first- and second-degree relatives. Algorithms in the software analyze the family history data and assess familial risk based on the number of relatives affected, their age at disease onset, their sex, how closely related the relatives are to each other and to the user, and the combinations of diseases in the family. A second set of algorithms uses the data on familial risk level, health behaviors, and screening to generate personalized prevention messages. Qualitative and quantitative formative research on lay understanding of family history and genetics helped shape the tool's content, labels, and messages. Lab-based usability testing helped refine messages and tool navigation. The tool is being evaluated by 3 academic centers by using a network of primary care practices to determine whether personalized prevention messages tailored to familial risk will motivate people at risk to change their lifestyles or screening behaviors.

  2. Family planning as public policy. (United States)


    The inclusion of constitutional provisions and laws regarding family planning and the creation of the Population Commission in the Philippines are examples of the growing recognition in many developing countries that proper and humane control of population growth is a key factor in economic progress. Similar provisions have recently appeared in Thailand, Mexico, and the Brazilian state of Rio de Janeiro. Awareness of the need for adequate public education to ensure the success of family planning programs has resulted in the formation of commissions for that purpose in Australia, Belgium, Chile, Ecuador, Egypt, El Salvador, Guatemala, Italy, Mexico, New Zealand, Portugal, and Sri Lanka. Voluntary sterilization is gradually gaining support. 3 South Asian nations (Pakistan, Singapore, and New Zealand) were among 12 to liberalize laws in 1974 and 1975. However, the prevailing opinion is that a massive public education program will have to be waged before acceptance becomes widespread in the region. Singapore's sterilization law can be used as a guideline for other nations in the area contemplating policy changes.

  3. Multicultural Curriculum and Critical Family History (United States)

    Sleeter, Christine


    Family history research connects very well with multicultural curriculum because it opens up the multiple experiences of members and communities of a society, as well as helping to make visible the historic construction and ongoing legacy of unequal relationships. The author of this article began to play with what she later called "critical…

  4. History of Planning Structure Development in Irkutsk (United States)

    Kulakov, A. I.; Ree, A. U.


    The development of Irkutsk was spontaneous; the first streets represented a rather complex system of streets, dead ends, lanes. Throughout the history of the city, several general plans and development projects have been implemented (but not completely). Unlike other large Siberian cities (Novosibirsk, Krasnoyarsk), Irkutsk managed to preserve its historical appearance, architecture and initial planning. During its history the city has passed five stages of the planning structure development. The first stage of the city’s history coincides with the formation of the Russian settlements network in Eastern Siberia from the middle of the 17th to the end of the 18th centuries. Like many other Siberian cities, Irkutsk began its evolution from a fortified stockaded town. By the end of the 17th century a trading quarter appeared outside its walls. Currently, the city is developing and growing, so, a relevant issue of the further development direction of the Irkutsk planning structure naturally arises.

  5. Socioeconomic factors in family planning. (United States)

    Eger, G


    In a developing country with an average life expectancy of 50 years or higher (an age already reached by several less developed nations) unl imited procreation is no longer necessary to insure the survival of 1 or 2 sons. Data from Pakistan computed from the Population Growth Estimation Experiment of 1962-1965 shows that the male mortality ratio for infants under 1 year was 232/1000 but for 1-4 years it was 25/1000 and for 5-14 years, 3/1000. Further study showed that women had an average of about 5 living children and some of these children already had children of their own as a result of early marriage. If a 27-year-old father has a 2-year-old son there is a 77.2% chance the child will survive him. If replacement is permitted in case of death, a campaign of "at least 2 sons" would result in Pakistan of an average family size of 3.6 children, far fewer than is now the case. This strategy should be more acceptable to parents than the present recommendation to restrict the number of children to 2 or 3. There also needs to be economic incentives for small families. Under present conditions the cost per child is small to the average rural family and the reward in prestige is great. The People's Republic of China has used negative incentives effectively. Positive incentives should be just as effective but they must be high enough to offset the current rewards of childbearing. There is also need to find out why so many couples do not practice family planning even though they approve of it and how administrative structure influences the success of a program. It has already been shown in Pakistan that repeat visits bring in far more acceptors than just 1 visit and repeated personal contacts should be maintained with the target population.

  6. Lineage identity and generational continuity: family history and family reunions. (United States)

    Lindahl, M W; Back, K W


    A long tradition of sociological thought asserts that contemporary American culture is providing fewer opportunities to develop a sense of family identity and intergenerational continuity. It is possible, however, to view the modern family as stressed, but successfully adapting to the demands of modernization. One such adaptation is the widespread and growing involvement in lineage identity, manifested by an interest in preserving genealogy and family history and the holding of periodic family reunions. A 73-item questionnaire given to 130 respondents revealed strong lineage conscious attitudes and behavior, particularly on the part of women, blacks, and older people. There may be distinct benefits to be derived by individuals and families strong in lineage identity.

  7. Iran rebuilds family planning services. (United States)

    Butta, P


    After the revolution, the Islamic Republic of Iran instituted pronatalist policies which included lowering the minimum marriage age for girls to 9 years, abolishing some laws securing women's rights, and limiting availability of family planning (FP) services. By 1983, Iran's population growth rate was 3.9% which was among the highest worldwide. Before the revolution, Iran had 37 million people. About 2 million more people were added each year, resulting in a population size of 60 million by 1992. By the mid-1980s, economic development stood idle, there were not enough houses, children attended schools on 3 shifts, and malnutrition was spreading. In 1989, the government formed a population council and reestablished FP services. It also increased the minimum age of marriage for girls to 13 years, slightly improved women status, and eliminated fertility incentives for couples with at least 4 children. It also significantly increased funding for FP (from 560 million to 13 billion rials between 1990 and 1992). Government spending for FP will likely increase 2% annually until 2011. The government initiated a promotion of FP mass media campaign, emphasizing a 2-child family. Some posters showed a family with 2 girls. The mass media campaign promoted specific contraceptive methods (even tubal occlusion and vasectomy), a practice other Middle Eastern countries not do. 80% of sterilization acceptors claimed to learn about sterilization from the radio or newspapers. The Ministry of Health has invited the Association for Voluntary Surgical Contraception (AVSC) to help with its campaign to update sterilization techniques, including the non scalpel vasectomy technique. AVSC hopes to become even more involved in helping Iran update its national FP program.

  8. Family History in Patients with Bipolar Disorder. (United States)

    Özdemir, Osman; Coşkun, Salih; Aktan Mutlu, Elif; Özdemir, Pınar Güzel; Atli, Abdullah; Yilmaz, Ekrem; Keskin, Sıddık


    In this study, we aimed to better understand the genetic transmission of bipolar disorder by examining the family history of patients. Sixty-three patients with bipolar disorder and their families were included. The final sample comprised 156 bipolar patients and their family members. An inclusion criterion was the presence of bipolar disorder history in the family. The diagnosis of other family members was confirmed by analyzing their files, hospital records, and by calling them to the hospital. Sixty-five patients were women (41.6%) and 91 were men (58.3%) (ratio of men/women: 1.40). When analyzing the results in terms of the transition of disease from the mother's or father's side, similar results were obtained: 25 patients were from the mother's side and 25 patients were from the father's side in 63 cases. The results of our study support the fact that a significant relationship exists between the degree of kinship and the heritability of bipolar disorder and, furthermore, that the effect of the maternal and paternal sides is similar on the transmission of genetic susceptibility.

  9. Family Planning in Five Continents: Africa, America, Asia, Europe, Oceania. November 1975 Update. (United States)

    International Planned Parenthood Federation, London (England).

    This document gives highlights of the family planning situation in countries of the world, together with basic demographic statistics. Its purpose is to provide a quick reference source for those who work in family planning, population, and other related fields. Following a brief history of the pioneering work in family planning, population…

  10. Family History of Alcoholism: Are You at Risk? (United States)

    ... with alcoholism, you may have wondered what your family's history of alcoholism means for you. Are problems ... than for people who do not have a family history of alcoholism? If so, what can you ...

  11. Field Experiments of Family Planning Incentives. (United States)

    Rogers, Everett M.

    A review of four quasi-experiments on family planning incentives in three Asian nations is presented, and a multi-national comparative field experiment on family planning incentives is proposed. Experiments include: (1) The Ernakulam vasectomy campaigns, (2) Indian Tea Estates retirement bond incentive program, (3) Taiwan educational bond…

  12. Family Planning: Bosnian, Russian, Spanish, Nuer. (United States)

    Anoka County Community Health and Environmental Services, Coon Rapids, MN.

    This guide provides information in English, Bosnian, Russian, Spanish, and Nuer on family planning. Topics covered include a variety of birth control methods: abstinence, condoms, contraceptive foam, birth control pills, the Depo-Provera shot, the Norplant implant, diaphragms, intrauterine devices, natural family planning, sterilization, and the…

  13. Family-Directed Transition Planning Guide. (United States)

    Colorado State Dept. of Education, Denver. Div. of Special Education Services.

    This guide to family-directed transition planning is intended to help parents and students with disabilities take leading roles in the process of transition from school to post-school activities. First, a letter to families examines the challenge of change and the transition process. Section 2 examines regulations that affect transition planning,…

  14. Advancing Family Planning Research in Africa

    African Journals Online (AJOL)


    This issue of the journal seeks to accelerate interest in research on family planning services and uptake, and behavioral and population outcomes, by sharing findings from studies recently conducted on the continent and presented at the International Family. Planning Conference held in Kampala, Uganda, between ...

  15. Decision on family planning, 7 January 1987. (United States)


    On 1 January 1987 the Gansu provincial party committee and government issued a Decision on family planning: "The Decision demands that the party committees and government at all levels assign family planning work an important place on their agenda and get a good and tight grasp of it. They must step up family planning propaganda. Beginning this year, the planning commissions and finance departments at all levels must list the task of capital construction for the family planning departments, and assign it a certain amount of investment. It is necessary to establish family planning committee organs, put them on a sound basis, and assign them good leadership groups, to ensure that all family planning work is carried out well. The decision demands that the public health, civil affair, pharmaceutical, and industry and commerce departments regard making a success of family planning work as their own important task and grasp it for a long time to come to ensure that Gansu's population will register proportional and planned growth." full text

  16. Family Ties: The Role of Family Context in Family Health History Communication About Cancer. (United States)

    Rodríguez, Vivian M; Corona, Rosalie; Bodurtha, Joann N; Quillin, John M


    Family health history about cancer is an important prevention and health promotion tool. Yet few studies have identified family context factors that promote such discussions. We explored relations among family context (cohesion, flexibility, and openness), self-efficacy, and cancer communication (gathering family history, sharing cancer risk information, and frequency) in a diverse group of women enrolled in a randomized control trial. Baseline survey data for 472 women were analyzed. The women's average age was 34 years, 59% identified as Black, 31% had graduated high school, and 75% reported a family history of any cancer. Results showed that greater family cohesion and flexibility were related to higher communication frequency and sharing cancer information. Women who reported greater self-efficacy were more likely to have gathered family history, shared cancer risk information, and communicated more frequently with relatives. Openness was not associated with communication but was related to greater family cohesion and flexibility. Adjusting for demographic variables, self-efficacy, and family cohesion significantly predicted communication frequency. Women with higher self-efficacy were also more likely to have gathered family health history about cancer and shared cancer risk information. Future research may benefit from considering family organization and self-efficacy when developing psychosocial theories that in turn inform cancer prevention interventions.

  17. Family planning and birth control counseling. (United States)

    Dawrant, A G


    The following item appeared recently in our local newspaper: "The Federal Government plans to press the provinces to establish special abortion clinics that would also provide family planning services, Health Minister Marc Lalonde announced. The proposed clinics would combine abortion services with family planning and birth control counseling, cancer screening and other services related to the health of mothers, he said." It seems that the federal government is attempting to cover the bitter pill of a therapeutic abortion clinic with the sugar coating of family planning and contraceptive counseling. Family planning and contraceptive counseling is an important part of the day-to-day work of the great majority of family physicians and gynecologists, and I urge all physicians who are opposed to Mr. Lalonde's proposal to contact their Members of Parliament and their representatives in the provincial legislatures. Let us urge the Canadian Medical Association to make it clear that the appropriate setting for contraceptive counseling and related services should be the office of the family physician or gynecologist. The time has come for the association to take a more aggressive approach in the field of family planning and birth control counseling and, at the same time, actively discourage government involvement in this important area of preventive medicine. Further, let us make it clear that the whole question of therapeutic abortions and abortion clinics is to be regarded as distinct from family planning and contraceptive counseling.

  18. Accuracy of family history of cancer : clinical genetic implications

    NARCIS (Netherlands)

    Sijmons, RH; Boonstra, AE; Reefhuis, J; Hordijk-Hos, JM; de Walle, HEK; Oosterwijk, JC; Cornel, MC

    Family medical history is the cornerstone of clinical genetic diagnosis and management in cases of familial cancer. The soundness of medical decisions can be compromised if reports by the family on affected relatives are inaccurate. Although very time consuming, family medical histories are

  19. Practical education in family planning: integrative review

    Directory of Open Access Journals (Sweden)

    Creusa Ferreira da Silva


    Full Text Available Objectives: To identify educational practices in family planning, facilitating factors, difficulties and resulting impacts. Method: This is an integrative literature review, using the three descriptors: "family planning", "health education" and "contraception"; In the databases of the Scientific Electronic Library Online (SciELO, Latin American and Caribbean Literature in Health Sciences (LILACS and Nursing Database (BDENF, were searched in January and February 2016. Results: Regarding the accomplishment of educational practices, most of the studies pointed out its accomplishment. The difficulties and facilitators aspects were related to the management of the health service, professional competence and users. Guarantee of family rights and autonomy were the impacts pointed out. Conclusion: The study showed that educational practices in family planning are tools to be encouraged as a guarantee and respect for sexual and reproductive rights. Descriptors: family planning; education in health; contraception.

  20. Impact of family history and depression on amygdala volume.

    LENUS (Irish Health Repository)

    Saleh, Karim


    Family history of depression significantly impacts life-long depression risk. Family history could impact the stress and emotion regulation system that involves the amygdala. This study\\'s purpose was to investigate family history\\'s effect on amygdala volumes, and differences in first degree relatives with and without major depressive disorder (MDD). Participants, aged 18-65, were healthy volunteers (N=52) with (n=26) and without (n=26) first degree family history, and patients with MDD (N=48) with (n=27) and without (n=21)first-degree family history recruited for structural magnetic resonance imaging (MRI). Participants underwent clinical assessment followed by manual amygdala tracing. Patients with MDD without family history showed significantly larger right amygdala without a family history of MDD. These effects had larger right amygdala than healthy controls without MDD family history. These effects were pronounced in females. Family history and gender impacted amygdala volumes in all participants, providing a rationale for the inconsistent results in MDD amygdala studies. Higher familial risk in depression seems to be associated with smaller amygdala volumes, whereas depression alone is associated with larger amygdala volumes. Ultimately, these findings highlight consideration of family history and gender in research and treatment strategies.

  1. Recent Periodicals: Local History, Family and Community History, Cultural Heritage, Folk Studies, Anthropology - A Review (2016

    Directory of Open Access Journals (Sweden)

    R. Vladova


    Full Text Available An annual bibliography of papers in the field of local history, family and community history, cultural heritage, folk studies and anthropology, published in 2016, is collected. The inspected journals are: Bulgarian Journal of Science and Education Policy, Chemistry: Bulgarian Journal of Science Education, Current Anthropology, Family and Community History, Folklore, History and Memory, Journal of Family History, Journal of Folklore Research, Past & Present, Winterthur Portfolio. Many of those journals are available at us under subscription.

  2. Wujiang's service-oriented family planning programme. (United States)

    Zhu, H


    Wujiang City in south Jiangsu Province is a county-level city, well known for its economic development and effective family planning program. Family planning is practiced voluntarily by the people. The growth rate of the city's population has decreased to 5.47/1000; the proportion of planned births has increased to 98%; and the total fertility rate has declined to 1.5. There are 34 towns (and townships) and 883 administrative villages under the jurisdiction of the city. The living standard has improved significantly. The successful implementation of family planning is largely due to the quality services delivered to farmers, especially women of reproductive age. In an interview, Mme. Ji and Mme. Shen, chiefs of the Wujiang Family Planning Committee, describe the services they deliver. The information, education, and communication (IEC) program is focused on population schools (city, town, township, and village), which deliver information to middle school students, premarital youth, and women who are pregnant, lying-in, or menopausal. Pamphlets on marriage and reproductive health are published by the county population school. Family planning service centers, which deliver contraceptive and technical services, were established in every town and township in 1993. Ultrasound scans are available and have been used to diagnose diseases, including cancer. Over 3000 women have been helped. Misuse of fetal sex identification is banned. The Family Planning Committee and the technical service centers in the city provide counselling services on fewer, healthier births; maternal and child health care; reproductive health; and treatment of infertility. There are several kinds of insurance related to family planning; these include old age support for the parents of only-children, safety insurance for only-children, and old age insurance for newlyweds. The insurance premium is shared by the couple (100 yuan) and the township (400 yuan). Only-child couples, two-daughter families

  3. Cambodian refugees' family planning knowledge and use. (United States)

    Kulig, J C


    An ethnographic study was conducted within a Cambodian refugee community to discover information about Cambodian women's and men's knowledge and use of family planning methods. This 18-month study included participant observation at community and calendrical events, and within families' homes. Open-ended interviews were conducted with 53 informants from a variety of educational and socio-economic backgrounds. Both women and men were interviewed through a female bilingual interpreter when the informant lacked proficiency in speaking English. Major findings include a lack of knowledge among the sample about how the family planning methods work in the woman's body, and concerns about side-effects. Implications include the need to include Cambodian women and men in the planning and implementation of family planning programmes.

  4. Product Family Modelling for Manufacturing Planning

    DEFF Research Database (Denmark)

    Jørgensen, Kaj Asbjørn; Petersen, Thomas Ditlev; Nielsen, Kjeld


    dependent on the specific assembly structure of the configured product, i.e. the combination of modules. In this paper, issues of how to create manufacturing structures and related planning data in product family models are presented. Primarily, the more complicated multi-level manufacturing structures......To enable product configuration of a product family, it is important to develop a model of the selected product family. From such a model, an often performed practice is to make a product configurator from which customers can specify individual products from the family. To get further utilisation...... of the product family model, however, the model should be enriched with data for planning and execution of the manufacturing processes. The idea is that, when any individual product is specified using the product configurator, a product model can be extracted with all data necessary for planning...

  5. A dynamic family planning and health campaign. (United States)


    Any successful development program that combines family planning, nutrition, and parasite control such as the integrated project, must include effective information, education, and communication (IEC) components. The Population an Community Development Association (PDA), the largest nonprofit organization in Thailand provides a network of family planning service delivery composed of volunteer distributors including midwives, school techers and shopkeepers. Reliability and accessibility are the 2 important elements. A concerted media campaign which exposes people to condoms and other contraceptives helps desensitize an otherwise "too personal" issue. The problem which confronts family planning communication is how to counteract the sensuous messages form advetisers while focusing on mundane topics such as maternal and child health, responsible parenthood, and family budgets. The PDA has tried to use the same attractions to promote family planning. It distributes promotional items such as T-shirts, pens towels and cigarette lighters bearing family planning messages. In addition to the use of television and radio, PDA also utilizes every possible channel of communication. Approaches include: the Youth-to-Youth Program; informational exhibits; video-mobile vans which visit schools and factories; and the holding of PDA's vasectomy festivals. Informational exhibits on family planning and health care use a variety of audio-visual methods. Video is an effective communication medium. The PDA video material ordinarily consists of family dramas illustrating good and bad family planning practices. By holding vasectomy festivals, PDA provides a media-attracting forum to educate the public and promote vasectomey as the most effective birth control method. Mass media campaigns must be linked with fieldwork outreach.

  6. On the effects of family planning communication. (United States)

    Dubey, D C; Devgan, A K


    The results of family planning communication efforts are examined in order to ascertain whether they have succeeded in creating an awareness, motivation, and practice of family planning among the people. Awareness comparisons from the early 1950s when programs first started to the late 1960s shows a vast increase in awareness. The awareness picture was further improved by the use of a national symbol and motto for family planning. However, although many know about family planning few utilize it. For creating interest and making evaluation studies personal contact has been the most effective. Good motivation effects also come from group meetings. It is thus necessary to provide social acceptance to take people from awareness to motivation. Taking action in family planning involves another step and can be improved through communication with contraceptive users and through the use of mass media to create an impression of mass interest. It is concluded that the presence of a favorable climate facilitates definite steps. Leaders can play a useful role by legitimatizing family planning. This effect from leaders has been found to be more often associated with leaders of small groups and communities than national leaders.

  7. Family History - An Early Warning for Your Child

    Centers for Disease Control (CDC) Podcasts


    Collecting family history information could save your child's life. Listen to learn more about how knowing your family history information could benefit your entire family.  Created: 11/14/2007 by National Center on Birth Defects and Developmental Disabilities.   Date Released: 11/28/2007.

  8. Advancing Family Planning Research in Africa

    African Journals Online (AJOL)


    Similarly, analysis of data from a local survey in Nigeria by Ijadunola et al. finds spousal communication about family planning and other family reproductive goals to ... and more educated respondents were more likely to be users, but overall use was low and inadequate among those who engaged in risky sexual behaviors.

  9. The Family in Us: Family History, Family Identity and Self-Reproductive Adaptive Behavior. (United States)

    Ferring, Dieter


    This contribution is an essay about the notion of family identity reflecting shared significant experiences within a family system originating a set of signs used in social communication within and between families. Significant experiences are considered as experiences of events that have an immediate impact on the adaptation of the family in a given socio-ecological and cultural context at a given historical time. It is assumed that family history is stored in a shared "family memory" holding both implicit and explicit knowledge and exerting an influence on the behavior of each family member. This is described as transgenerational family memory being constituted of a system of meaningful signs. The crucial dimension underlying the logic of this essay are the ideas of adaptation as well as self-reproduction of systems.

  10. Nutrient-based dietary patterns, family history, and colorectal cancer. (United States)

    Turati, Federica; Edefonti, Valeria; Bravi, Francesca; Ferraroni, Monica; Franceschi, Silvia; La Vecchia, Carlo; Montella, Maurizio; Talamini, Renato; Decarli, Adriano


    The effect of dietary habits on colorectal cancer (CRC) risk may be modified by a family history of CRC. We analyzed data from an Italian case-control study, including 1953 CRC cases and 4154 controls. Odds ratios (OR) and 95% confidence intervals (CI) for combined categories of family history and tertiles of two a posteriori dietary patterns were derived using multiple logistic regression models. Compared with individuals without family history and in the lowest tertile category of the 'starch-rich' pattern, the ORs of CRC were 1.38 (95% CI: 1.19-1.61) for the group without family history and in the highest tertile, 2.89 (95% CI: 2.30-3.64) for the one with family history and in the lowest tertile, and 4.00 (95% CI: 3.03-5.27) for the one with family history and in the highest tertile. Compared with individuals without family history and in the highest tertile of the 'vitamins and fiber' pattern, the ORs were 1.29 (95% CI: 1.12-1.48) for the group without family history and in the lowest tertile, 2.89 (95% CI: 2.30-3.64) for the one with family history and in the highest tertile, and 3.74 (95% CI: 2.85-4.91) for the one with family history and in the lowest tertile. Family history of CRC and 'starch-rich' or 'vitamins and fiber' patterns has an independent effect on CRC risk in our population. However, as having a family history plausibly implies shared environmental and/or genetic risk factors, our results could not exclude that dietary habits can modify genetic susceptibility to CRC.

  11. Why Is It Important to Know My Family Medical History? (United States)

    ... mtDNA Resources Help Me Understand Genetics Share: Email Facebook Twitter Home Help Me Understand Genetics Inheriting Genetic Conditions Why is it important to know my family medical history? Why is it important to know my family ...

  12. Family history is a risk factor for COPD. (United States)

    Hersh, Craig P; Hokanson, John E; Lynch, David A; Washko, George R; Make, Barry J; Crapo, James D; Silverman, Edwin K


    Studies have shown that family history is a risk factor for COPD, but have not accounted for family history of smoking. Therefore, we sought to identify the effects of family history of smoking and family history of COPD on COPD susceptibility. We compared 821 patients with COPD to 776 control smokers from the Genetic Epidemiology of COPD (COPDGene) Study. Questionnaires captured parental histories of smoking and COPD, as well as childhood environmental tobacco smoke (ETS) exposure. Socioeconomic status was defined by educational achievement. Parental history of smoking (85.5% case patients, 82.9% control subjects) was more common than parental history of COPD (43.0% case patients, 30.8% control subjects). In a logistic regression model, parental history of COPD (OR, 1.73; P disease, with lower lung function, worse quality of life, and more frequent exacerbations. There were nonsignificant trends for more severe emphysema and airway disease on quantitative chest CT scans. Family history of COPD is a strong risk factor for COPD, independent of family history of smoking, personal lifetime smoking, or childhood ETS exposure. Although further studies are required to identify genetic variants that influence COPD susceptibility, clinicians should question all smokers, especially those with known or suspected COPD, regarding COPD family history.

  13. Funding for international family planning attacked. (United States)

    Kaeser, L


    US funding for foreign assistance has been jeopardized in recent years in the context of dwindling public support for foreign aid. To stymie the provision of international family planning program assistance and services overseas, Congressional opponents of family planning and abortion are offering amendments to foreign aid legislation at every possible opportunity. State Department reauthorization legislation is the current target of family planning opponents' efforts. Reauthorization is the process by which Congress indicates its ongoing support for a program, makes any necessary changes, and sets new funding ceilings. The global gag rule joined UNFPA funding cuts on the 1997 State Department reauthorization bill, H.R. 1757, which passed the House of Representatives in early June. If successfully appended to the State Department bill, the gag rule would prevent the US from funding any organization in a developing country which provides legal abortion services or communicates with its government on abortion-related policy, regardless of whether that organization used its own non-US funds. These restrictions and cuts to international family planning program assistance could adversely affect family planning programs, leading to less contraceptive use and higher rates of abortion, maternal morbidity, and maternal mortality. President Bill Clinton has promised to veto the bill if both houses of Congress accept the restrictions. These issues will probably arise on the annual appropriations legislation which funds US operations overseas.

  14. Family planning funding cuts and teen childbearing. (United States)

    Packham, Analisa


    Publicly funded family planning clinics provide low-cost and free contraception to nearly 1.5 million teens each year. In recent years, several states have considered legislation to defund family planning services, although little is known about how these cuts affect teen pregnancy. This paper fills this knowledge gap by exploiting a policy change in Texas that reduced funding for family planning services by 67% and resulted in over 80 clinic closures. I estimate the effects of the funding cuts on teen health outcomes using a difference-in-differences approach that compares the changes in teen birth rates in Texas counties that lost family planning funding to changes in counties outside of Texas with publicly funded clinics. I find that reducing funding for family planning services in Texas increased teen birth rates by approximately 3.4% over four years with effects concentrated 2-3 years after the initial cuts. Copyright © 2017 Elsevier B.V. All rights reserved.

  15. Positive family history of idiopathic sudden sensorineural hearing loss. (United States)

    Gäckler, A; Eickelmann, A K; Brors, D; Dazert, S; Epplen, J T; Kunstmann, E


    Idiopathic sudden sensorineural hearing loss (ISSNHL) is a heterogenic disease. Multiple factors influencing aetiology and prognosis are discussed. A retrospective clinical characterisation and analysis of family history of ISSNHL patients was performed to investigate influences on the disease. 186 inpatients diagnosed with ISSNHL were characterised by health records and a standardised questionnaire. Audiograms were observed. 75 controls that had never experienced an event of ISSNHL were questioned about family members being affected by ISSNHL. 63.4% of all patients could be assigned to at least one group with similar causes of ISSNHL (noise exposure, positive family history, infectious diseases, hypothyroidism and fibromuscular dysplasia). A positive family history for ISSNHL has not been reported so far. Therefore, we accentuated the characterisation of patients with positive family history. 21.4% affirmed a positive family history. In ten families, at least two family members were reported as ISSNHL patients. In comparison with patients with negative family history, they tend to be younger, experience more events of ISSNHL and show less improvement of hearing abilities under therapeutic treatment (non-significant). Differences intensified between smokers with positive family history and non-smokers with negative family history. Differences concerning average age were statistically significant (p = 0.001). Within 75 controls 11 families were reported with one member being affected by ISSNHL. In the control group we did not detect any family with more than one ISSNHL patient. The results indicated that patients with positive family history tend to have an aggravated course of ISSNHL. Further studies should help to confirm these results and to identify environmental or genetic factors leading to ISSNHL. This might support a better understanding of the aetiology of ISSNHL and offer new possibilities for prevention and therapy.

  16. Family planning management for the migrant population in sending areas. Urban family planning programme. (United States)


    This brief article was adapted from a report by the Longchang County Government, Sichuan Province, China, at the National Conference on Urban Family Planning Programs. The Longchang County family planning program has shifted emphasis since 1990 toward management of out-migrant workers. Overpopulation in the family planning region resulted in each person having about one-sixth of an acre (0.6 mu) of land. There were about 200,000 surplus rural workers. 75,000 migrants left the region in 1995, of which 70,300 had signed birth control contracts and had received family planning certificates. Family planning township agencies in Longchang County increased their IEC and counseling services for migrants and their families. The Longchang County family planning program maintained family planning contacts in receiving areas in order to obtain pregnancy and birth information on the migrant population. During 1991-95 the number of unplanned births declined from 1394 to 71, and 97% of the births were planned.

  17. Family history and biochemical diagnosis in 1948 kidney stone formers

    Directory of Open Access Journals (Sweden)

    Francisco R. Spivacow


    Full Text Available Introduction: The presence of family history of nephrolithiasis is associated with an increased risk of renal lithiasis. Different epidemiological studies have shown a family component in the incidence of it, which is independent of dietary and environmental factors. The role of heredity is evident in monogenic diseases such as cystinuria, Dent’s disease or primary hyperoxaluria, while a polygenic inheritance has been proposed to explain the tendency to form calcium oxalate stones. Objective: Our objective was to evaluate the family history of patients with renal lithiasis and the correlation of family history with its corresponding biochemical alteration, considering only those with a single metabolic alteration. Methods: a prospective and retrospective observational and analytical study that included 1948 adults over 17 years of age and a normal control group of 165 individuals, all evaluated according to an ambulatory protocol to obtain a biochemical diagnosis. They were asked about their family history of nephrolithiasis and classified into five groups according to the degree of kinship and the number of people affected in the family. Results: a positive family history of nephrolithiasis was found in 27.4% of renal stone formers, predominantly in women, compared to 15.2% of normal controls. The family history of nephrolithiasis was observed especially in 31.4% of patients with hypomagnesuria and in 29.6% of hypercalciuric patients. The rest of the biochemical alterations had a positive family history between 28.6% in hyperoxaluria and 21.9% in hypocitraturia. The highest percentage of family history of nephrolithiasis was found in cystinuria (75% although there were few patients with this diagnosis. Conclusions: the inheritance has a clear impact on urolithiasis independently of the present biochemical alteration. Family history of nephrolithiasis of the first and second degree was observed between 21 and 32% of patients with renal

  18. Social marketing: the family planning experience. (United States)

    El-ansary, A I; Kramer Oe, J


    The authors explore social marketing applications in the Louisiana model of statewide program for family planning. The marketing concept has 4 major elements: 1) consumer orientation; 2) social process; 3) integrated effort; 4) profitable operation. Success of program and continued growth are the results of defining services needed by consumer; determining market target; taking services to customer; and emphasizing concept of selling family planning rather than giving free birth control method. Another important facet is the recognition of many participants--community agencies, the church, the American Medical Association, funding sources, and hospitals. This project used anyaltical marketing tools and defined services as human services rather than the narrow family planning services. It also extended activities to multinational environment and adapted the product offering to meet these needs.

  19. Family planning--male responsibility campaign. (United States)


    At a press conference on March 29, 1982, the Family Planning Association of Hong Kong launched a 1-year campaign to encourage men to assume more responsibility in family planning. The campaign will publicize the message that "real men" share family planning responsibilities with their wives. The campaign was developed in response to the Association's recognition that its male clinics were underutilized. Although the Association established its 1st male clinic in 1960, only 1.3% of the Association's clients in 1981 were men. Futhermore, the number of vasectomies performed in recent years had not increased. The campaign will seek to overcome the prevailing attitude that family planning is a women's issue, the reluctance of men to discuss fertility with their physicians, and various misconceptions about male methods. Activities initiated during the 1st few months of the campaign included 1) broadcasting a 30-second television spot to promote the male responsibility message; 2) setting up a mobile exhibit in railway stations and commercial complexes to inform the public about male birth control methods and about the services offered at the Association's male clinics; 3) giving away items which publicize the male clinics such as stickers, match boxes, condom samples, and literature; and 4) selling T-shirts which promote 2 as the ideal family size. In addition, a contest aimed at publicizing male birth control was undertaken jointly by a television magazine, Durex Products, and the Association. The contest engendered considerable interest and 2600 entries were received from men.

  20. 42 CFR 441.20 - Family planning services. (United States)


    ... 42 Public Health 4 2010-10-01 2010-10-01 false Family planning services. 441.20 Section 441.20... General Provisions § 441.20 Family planning services. For recipients eligible under the plan for family... free to choose the method of family planning to be used. ...

  1. Family planning practices of rural community dwellers in cross River ...

    African Journals Online (AJOL)

    Results: Fifty (17.2%) respondents were using at least one family planning method. One hundred and ninety-eight (68.3%) respondents had used at least one family planning method at some point in time. Reasons given for not using any family planning method included “Family planning is against my religious beliefs” ...

  2. Family planning in contermporary reproductive health and rights ...

    African Journals Online (AJOL)

    Key strategies to promote family planning include domestication of provisions of international conventions on family planning into state laws, and ensuring their implementation; development of community friendly family planning services; establishment of effective family planning commodities logistics management system; ...

  3. Planning the World History Course: A Reasoned Approach to Omission (United States)

    Weinland, Thomas P.


    Planning a world history course presents a nearly impossible task. One cannot complete a world history course, or even a European history course, without casting a huge amount of historical information onto the curriculum planning scrapheap. An emphasis on the twentieth century means leaving out significant information from earlier times. "But how…

  4. Medical History: Compiling Your Medical Family Tree (United States)

    ... you collect information about your relatives, respect their right to confidentiality. You might want to consult family documents, such as existing family trees, baby books, old letters, obituaries or records from places of ...

  5. and Family Planning in Kaduna State, Nigeria

    African Journals Online (AJOL)

    for instance, Robey and colleaguesº asserted that strong commitment to the family planning pro- gramme by the government and donor organisa- tions, through efforts in changing attitudes towards contraception and provision of contraceptives, led to an increase in contraceptive use and fertility de- cline. Nigeria, as a result ...

  6. "Guji, Guji, Angela]" Family planning programme. (United States)

    She, W


    Demand for contraception and sterilization among women in Tibet is high. In 1966, when a family planning service team was sent to Namling County by the Maternal and Child Health Hospital (MCHH) of the Region, more than 500 women from six local townships arrived at the county MCHH seeking surgical sterilization. Since only one doctor was available to do ligation, most of the women were turned away; however, they would not leave until they were given a written appointment for a future date. In 1996, a 27-year-old Tibetan mother from Baxoi County, who had 5 children, traveled for 2 days, with 2 of her children, to a county town to be sterilized. A woman from Tingri County, who had 4 children, reached a county hospital only to be asked to return home; again, there were only one or two doctors available. She gave birth to a 5th child and returned to the hospital; again, the doctor was unavailable. Since then, she has delivered a 6th child. According to Bai Lang (secretary of the County Party committee), who spoke before the Regional Family Planning Committee, Namling County's nationally recognized poverty could have been alleviated if family planning had been implemented earlier. Family planning policy has been accepted well there.

  7. The context of collecting family health history: examining definitions of family and family communication about health among African American women. (United States)

    Thompson, Tess; Seo, Joann; Griffith, Julia; Baxter, Melanie; James, Aimee; Kaphingst, Kimberly A


    Public health initiatives encourage the public to discuss and record family health history information, which can inform prevention and screening for a variety of conditions. Most research on family health history discussion and collection, however, has predominantly involved White participants and has not considered lay definitions of family or family communication patterns about health. This qualitative study of 32 African American women-16 with a history of cancer-analyzed participants' definitions of family, family communication about health, and collection of family health history information. Family was defined by biological relatedness, social ties, interactions, and proximity. Several participants noted using different definitions of family for different purposes (e.g., biomedical vs. social). Health discussions took place between and within generations and were influenced by structural relationships (e.g., sister) and characteristics of family members (e.g., trustworthiness). Participants described managing tensions between sharing health information and protecting privacy, especially related to generational differences in sharing information, fear of familial conflict or gossip, and denial (sometimes described as refusal to "own" or "claim" a disease). Few participants reported that anyone in their family kept formal family health history records. Results suggest family health history initiatives should address family tensions and communication patterns that affect discussion and collection of family health history information.

  8. Talking (or Not) about Family Health History in Families of Latino Young Adults (United States)

    Corona, Rosalie; Rodríguez, Vivian; Quillin, John; Gyure, Maria; Bodurtha, Joann


    Although individuals recognize the importance of knowing their family's health history for their own health, relatively few people (e.g., less than a third in one national survey) collect this type of information. This study examines the rates of family communication about family health history of cancer, and predictors of communication in a…

  9. Private sector joins family planning effort. (United States)


    Projects supported by the Directorate for Population (S&T/POP) of the U.S. Agency for International Development and aimed at increasing for-profit private sector involvement in providing family planning services and products are described. Making products commercially available through social-marketing partnerships with the commercial sector, USAID has saved $1.1 million in commodity costs from Brazil, Dominican Republic, Ecuador, Indonesia, and Peru. Active private sector involvement benefits companies, consumers, and donors through increased corporate profits, healthier employees, improved consumer access at lower cost, and the possibility of sustained family planning programs. Moreover, private, for-profit companies will be able to meet service demands over the next 20 years where traditional government and donor agency sources would fail. Using employee surveys and cost-benefit analyses to demonstrate expected financial and health benefits for businesses and work forces, S&T/POP's Technical Information on Population for the Private Sector (TIPPS) project encourages private companies in developing countries to invest in family planning and maternal/child health care for their employees. 36 companies in 9 countries have responded thus far, which examples provided from Peru and Zimbabwe. The Enterprise program's objectives are also to increase the involvement of for-profit companies in delivering family planning services, and to improve the efficiency and effectiveness of private volunteer organizations in providing services. Projects have been started with mines, factories, banks, insurance companies, and parastatals in 27 countries, with examples cited from Ghana and Indonesia. Finally, the Social Marketing for Change project (SOMARC) builds demand and distributes low-cost contraceptives through commercial channels especially to low-income audiences. Partnerships have been initiated with the private sector in 17 developing countries, with examples provided from

  10. Integration of family planning with poverty alleviation. (United States)

    Peng, P


    The Chinese Communist Central Committee and the State Council aim to solve food and clothing problems among impoverished rural people by the year 2000. This goal was a priority on the agenda of the recent October 1996 National Conference on Poverty Alleviation and Development and the 1996 National Conference of the State Family Planning Commission. Poverty is attributed to rapid population growth and underdevelopment. Poverty is concentrated in parts of 18 large provinces. These provinces are characterized by Family Planning Minister Peng as having high birth rates, early marriage and childbearing, unplanned births, and multiple births. Overpopulation is tied to overconsumption, depletion of resources, deforestation, soil erosion, pollution, shortages of water, decreases in shares of cultivated land, degraded grasslands, and general destruction of the environment. Illiteracy in poor areas is over 20%, compared to the national average of 15%. Mortality and morbidity are higher. Family planning is harder to enforce in poor areas. Pilot programs in Sichuan and Guizhou provinces are promoting integration of family planning with poverty alleviation. Several conferences have addressed the integrated program strategies. Experience has shown that poverty alleviation occurs by controlled population growth and improved quality of life. Departments should "consolidate" their development efforts under Communist Party leadership at all levels. Approaches should emphasize self-reliance and public mobilization. The emphasis should be on women's participation in development. Women's income should be increased. Family planning networks at the grassroots level need to be strengthened simultaneously with increased poverty alleviation and development. The government strategy is to strengthen leadership, mobilize the public, and implement integrated programs.

  11. Compulsion in family planning: the fundamental considerations. (United States)

    Pethe, V P


    Focus is on some of the basic issues and considerations involved in the question of compulsion in family planning, which in terms of current contraceptive technology, only means compulsory sterilization. Pressures have been increasing to implement more stringent measures to control population growth in most of the developing countries throughout the world. During the Emergency in India (1975-1977) the government at that time, along with some individuals and groups, deemed it necessary to adopt the drastic measure of compulsory sterilization. The six sections of the discussion deal with the following: 1) compulsory family planning as rational or ethical choice basic issues; 2) neo-Malthusian thesis on compulsion - fallacies, dangers and inadequacies; 3) ethical and philosophical problems - premise of irresponsible procreation; 4) individual rights versus societal interests; 5) elitism in social policy and cost benefit considerations; and 6) international consensus against compulsion. All forums, under the auspices of the United Nations, of which India is a member, have rejected coercion and reiterated repeatedly that every individual has a basic human right to decide how many children to have and at what intervals. The most recent forum to endorse the human right to family size was the World Population Conference held at Bucharest in 1974. The 14 conditions spelled out by the United Nations Fund for Population Activity for effecting a free and responsible choice in family size may form a sound basis for a comprehensive policy concerning family planning in India. The coercive measures adopted during the Emergency are responsible for a backlash in India and retarding the progress of the family planning movement.

  12. relationship between family history of breast cancer

    African Journals Online (AJOL)



    Jul 2, 2013 ... Moreover, familial breast cancer patients present especially progesterone receptor-negative tumors (P=0.0380). CONCLUSIONS: Our initial significant findings show that familial breast cancer seems to affect young women and tends to present high Scarff-Bloom-Richardson grade tumors with lymph node.

  13. Spousal veto over family planning services. (United States)

    Cook, R J; Maine, D


    In many countries a spouse, usually the husband, can veto a partner's use of family planning services. Where spousal veto acts as a barrier to family planning services it represents a serious threat to the lives and health of women and children. Removal of spousal authorization requirements has been shown to increase the use of family planning services. The Family Guidance Association of Ethiopia, for example, removed their requirement in 1982 and clinic utilization increased by 26 per cent within a few months. Courts of several countries have held that spousal veto practices violate principles of personal privacy and autonomy and the right to health care. The effect of such judgements has been to reinforce rights to sexual nondiscrimination found, for example, in national constitutions and the Convention on the Elimination of All Forms of Discrimination against Women. This article discusses the nature and application of spousal veto practices, explains how such requirements can violate certain human rights, and explores possible remedies to this problem, including ministerial, legislative, and judicial initiatives. PMID:3812842

  14. Automated Extraction of Family History Information from Clinical Notes (United States)

    Bill, Robert; Pakhomov, Serguei; Chen, Elizabeth S.; Winden, Tamara J.; Carter, Elizabeth W.; Melton, Genevieve B.


    Despite increased functionality for obtaining family history in a structured format within electronic health record systems, clinical notes often still contain this information. We developed and evaluated an Unstructured Information Management Application (UIMA)-based natural language processing (NLP) module for automated extraction of family history information with functionality for identifying statements, observations (e.g., disease or procedure), relative or side of family with attributes (i.e., vital status, age of diagnosis, certainty, and negation), and predication (“indicator phrases”), the latter of which was used to establish relationships between observations and family member. The family history NLP system demonstrated F-scores of 66.9, 92.4, 82.9, 57.3, 97.7, and 61.9 for detection of family history statements, family member identification, observation identification, negation identification, vital status, and overall extraction of the predications between family members and observations, respectively. While the system performed well for detection of family history statements and predication constituents, further work is needed to improve extraction of certainty and temporal modifications. PMID:25954443

  15. Family emergency preparedness plans in severe tornadoes. (United States)

    Cong, Zhen; Liang, Daan; Luo, Jianjun


    Tornadoes, with warnings usually issued just minutes before their touchdowns, pose great threats to properties and people's physical and mental health. Few studies have empirically investigated the association of family emergency preparedness planning and observed protective behaviors in the context of tornadoes. The purpose of this study was to examine predictors for the action of taking shelter at the time of tornadoes. Specifically, this study investigated whether having a family emergency preparedness plan was associated with higher likelihood of taking shelter upon receiving tornado warnings. This study also examined the effects of socioeconomic status and functional limitations on taking such actions. A telephone survey based on random sampling was conducted in 2012 with residents in Tuscaloosa AL and Joplin MO. Each city experienced considerable damages, injuries, and casualties after severe tornadoes (EF-4 and EF-5) in 2011. The working sample included 892 respondents. Analysis was conducted in early 2013. Logistic regression identified emergency preparedness planning as the only shared factor that increased the likelihood of taking shelter in both cities and the only significant factor in Joplin. In Tuscaloosa, being female and white also increased the likelihood of taking shelter. Disability was not found to have an effect. This study provided empirical evidence on the importance of having a family emergency preparedness plan in mitigating the risk of tornadoes. The findings could be applied to other rapid-onset disasters. © 2013 American Journal of Preventive Medicine Published by American Journal of Preventive Medicine All rights reserved.

  16. The Burden of History in the Family Business Organization

    DEFF Research Database (Denmark)

    Hjorth, Daniel; Dawson, Alexandra


    In this article we focus on the study of history through the use of narratives, within the context of the prevalent form of organization worldwide: the family business. Specifically we consider the dilemma of the impossible gift of succession using Nietzsche’s discussion of the burden of history...... and paralleling the story of a family business succession with that of Shakespeare’s King Lear. This way, we seek to make a contribution to organizational studies by answering recent calls to engage more with history in studies of business organizations. By implication, the study also initiates an integration...... of family business studies into organization studies....

  17. Family planning / sex education / teenage pregnancy. (United States)


    The Alan Guttmacher Institute's State Reproductive Health Monitor provides legislative information on family planning, sex education, and teenage pregnancy. The listing contains information on pending bills; the state, the identifying legislation number, the sponsor, the committee, the date the bill was introduced, a description of the bill, and when available, the bill's status. From January through February, 1993, the bills cover a wide range of regulation and social policy including: appropriations for family planning services; Norplant implants for women receiving AFDC benefits; the requirement that health insurance policies provide coverage for contraception services; the repeal of the sterilization procedure review committee; since a need for such a committee has vanished; requiring hotels, motels, and innkeepers to offer condoms for sale to registered guests; allowing male and female public assistance recipients between ages 18-35 who submit to sterilization operations to be eligible to receive a $2,000 grant; a provision that no more children may be included in the size of the family, for the purpose of determining the amount of AFDC benefits that a family may receive, than at the time that eligibility was determined, and that before a family with 2 or more children can receive AFDC benefits, the woman must consent to and have surgically implanted Norplant or a similar reversible birth control device with a 5-year or longer effectiveness.

  18. China's first family planning publicity month. (United States)

    Shen, G


    China conducted its 1st nationwide Family Planning Publicity Month in 1983, from New Year's Day to Spring Festival (February 13). The campaign emphasized the rural areas and focused on explaining why family planning is a state policy. The most noticeable achievements of this campaign were that every household became familiar with the fact that family planning is a basic state policy. The majority of the population take this policy seriously, realizing that strict control of population growth is both a good and imperative policy. More than 1,830,000 propaganda columns and photo exhibitions were displayed, 5,900,000 radio and television programs broadcast, 2,010,000 theatrical performances, movie and slide showings presented, and 97,000,000 copies of materials published for public dissemination. The activities were varied and interesting, vivid and lively, and purposeful and persuasive. 1 of the most effective methods of publicizing population control has been the presentation of comparative statistics. This aspect of the campaign was a specific and lively form of education in population theory and practice. The presentation of statistics that show the relationship among population, land use, grain produce, and income enabled the population to reason out why population growth needs to match economic and social development. Another important accomplishment of the publicity month was that a large number of couples of reproductive age became convinced of the need to use contraception. According to the incomplete statistics, 8,860,000 people had surgical operations for birth control. The universal promotion of ligations by either partner of a reproductive couple who already had given birth to a 2nd child was an important development of family planning technique promoted simultaneously with the promotion of IUDs. The increase in the number of people doing family planning work was another achievement of the publicity month. More than 15,240,000 publicity personnel and 760

  19. Family history based approach in risk prediction for Parkinson's disease: Additional contribution of familial associated disorders

    Directory of Open Access Journals (Sweden)

    Vrecar Irena


    Full Text Available The aim of our study was to examine the contribution of family history of Parkinson's disease and its associated disorders in the assessment of predictive capacity of risk models for Parkinson’s disease. In a population of 192 patients with Parkinson’s disease and 1659 healthy individuals we investigated the impact of environmental factors and the effects of family history on Parkinson's disease risk. Pesticides exposure, positive family history of Parkinson’s disease and a positive family history of dementia and melanoma were associated to an increased risk for Parkinson’s disease, with results regarding family history of depression near to statistical significance. Smoking and caffeine intake were associated to a decreased risk for Parkinson’s disease. Three risk prediction models were assessed using the area under the curve approach: first model was based on known environmental risk factors, in the second model we added family history of Parkinson’s disease and in the third model we additionally included family history of dementia, melanoma and depression. We showed that inclusion of data on family history of associated disorders (AUC 0.76 improves predictive capacity of risk model for Parkinson’s disease in comparison with the first (AUC 0.62 and the second model (AUC 0.71. We concluded that family history of associated disorders: dementia, depression and melanoma improves predictive capacity of risk models for Parkinson’s disease.

  20. Role of religion in family planning acceptance. (United States)

    Balasubramanian, V


    A study was undertaken to determine the extent to which the Hindus, Muslims, and Christians have adopted family planning methods in India. Particular attention was given to male sterilization. 12,936 male sterilizations were done during 1967-1971 according to reports from CMAI member mission hospitals. 82.56% of the cases were Hindus, 10.6% were Muslims, 6.07% were Christians, and .77% belonged to other religions. With respect to religion, participation did not differ much from census figures, except for Chritians and "other religions." In the case of Christians, the response was very high. The mean age at acceptance of sterilization was 38.27 for Hindus, 38.86 for Muslims, 37.32 for Christians, and 37 for the other religions. The mean number of living children at acceptance was 3.96 for both the Hindus and Muslims, 4.35 for Christians, and 4.18 for the other religions. Nearly 60% of the Hindus and Muslims who were sterilized had no formal education and 40% of the Christians had none. Only 5.06% of the couples had practiced family planning before the operation. Of the 363 couples who did practice family planning, 74.93% were Hindus, 11.3% were Muslims, 10.74% were Christians, and 3.03% belonged to other religions. Of the methods used, the condom was the most popular.

  1. [Family and career planning in young physicians]. (United States)

    Buddeberg-Fischer, Barbara; Stamm, Martina; Klaghofer, Richard


    The study investigates in what way physicians integrate their desire to have children into their career planning. Within the framework of a prospective cohort study of Swiss medical school graduates on career development of young physicians, beginning in 2001, 534 participants (285 women, 249 men) were assessed in January 2007, in terms of having children, planning to have children, the career aspired to and the work-family balance used or planned. Among the study participants, 19% (54) of the women and 24% (59) of the men have children. Of the others 88% plan to start a family in the future. Female physicians with children are less advanced in their careers than women without children; for male physicians no such difference can be observed. Of the female physicians with children or the desire for children 42% aspire to work in a practice, 28% to a clinical and only 4% to an academic career. Of the male physicians with children or the desire for children one third aspire to work in a practice, one third to a clinical and 14% to an academic career. The preferred model of work repartition of female physicians with children is father full time/mother part time or both parents part time; the preferred model of male physicians is father full time/mother part time or not working. Children are an important factor in the career and life planning of physicians, female physicians paying more attention to an even work-family balance than male physicians. Copyright 2008 S. Karger AG, Basel.

  2. Indonesia's family planning story: success and challenge. (United States)

    Hull, T H; Hull, V J; Singarimbun, M


    A historical overview and descriptions of family planning programs in Indonesia are presented. 85 million of the 135 million inhabitants of the Indonesian archipelago are concentrated on the island of Java, which comprises about 7% of the Indonesian land mass. The Dutch colonial government preferred a policy ("transmigration") which advocated the redistribution of population from Java to the other islands to relieve overpopulation. This policy was also advocated by President Sukarno after the Indonesian Revolution of 1940. The need for family planning was recognized by small groups, and official policy supported national family planning programs to replace transmigration programs only after Sukarno became president in 1966. The focus of the program was on Java and Bali, the 2 most populous islands. Local clinics became the locus for birth control efforts. Fieldworkers affiliated with the clinics were given the job of advocating birth control use door-to-door. Fieldworkers "incentive programs," area "target" (quota) programs, and "special drives" were organized to create new contraceptive "acceptors." A data reporting system and a research program increase the effectiveness of the family planning drive by ascertaining trends in contraceptive use which can determine where and how money and effort can best be applied. "Village Contraception Distribution Centers" bring the contraceptive means closer to the people than do the clinics. Figures from the years 1969-1977 show the great increase in acceptance of contraceptives by the inhabitants of the Java-Bali area. Steps are now being taken to alleviate the large monthly variations in the number of (often temporary) acceptors caused by the "target programs" and "special drives." The average acceptor is 27-years-old, has 2.6 children, has not finished primary school, and has a husband of low social status. Bali has shown the greatest success in family planning. It is a small island with a highly developed system of local

  3. Family planning program: world review 1974. Introduction. (United States)

    Watson, W B; Lapham, R J


    The 1974 Population Conference at Bucharest was marked with controversy between developed and developing countries, with the latter strongly critical of aid for population control but less for social and economic development. The Plan of Action which was finally approved emphasized the importance of social and economic factors in relation to population growth while recommending that couples in all nations should have access to family planning information. Different regions of the world, however, have widely divergent population policies and goals. The Asia-Pacific region of the developing world, which has 3/4 of the population of the developing world, has articulated a strong stance in favor of reducing birth rates at Post-Bucharest Consultation. Government-supported family planning programs are seen as a high priority item to reduce rapid population growth. Rapid population growth is not seen as a high-priority problem in most African, Arab, and Latin American countries. Population problems will be solved with economic and social advancement. There is more concern in Latin America for family planning as a "human right" issue than to promote demographic goals. Latin America was also concerned with migration/urbanization issues. All of the Regional Consultations after Bucharest favored a greater emphasis on population in development planning, concern for the problems caused by migration and urbanization, improvement in the status of women, and support for the reduction of mortality levels. Some 74 countries containing 93% of the population of the developing world, supported family planning, with only 4 populous countries -- Burma, Ethiopia, Peru, and North Korea not in support. More than 98% of the population of Asia lives in countries which support family planning; the figures are 94% for Latin America, 90% for the Middle East and North Africa and 64% for Sub-Saharan Africa. The governments of 39 countries with a combined population of 2.3 billion have stated that

  4. Strong family history and early onset of schizophrenia: about 2 ...

    African Journals Online (AJOL)

    Schizophrenia is a highly heritable psychotic disorder and high genetic loading is associated with early onset of the disease. The outcome of schizophrenia has also been linked with the age of onset as well as the presence of family history of the disease. Therefore families with patients with early onset Schizophrenia are ...

  5. Family planning linked to an obstetric service. (United States)

    Fathalla, M F


    The objective of an obstetric service is to ensure a healthy outcome for the mother and her baby. To achieve this objective, maternity care has to extend before the period of pregnancy and after the childbirth, and family planning becomes an integral complement to an obstetric service. The proper planning of pregnancy goes a long way to reducing hazards of childbearing. During postpartum care, ensuring an adequate birth-spacing interval before any subsequent pregnancy can be critical for child survival, apart from its necessity for the mother to build up her nutritional stores. Although obstetric services and contraceptive services may be provided separately, there are several advantages in linking or integrating the 2 services. Breastfeeding is central to any discussion on family planning linked to obstetric services. In addition, a wide array of contraceptive methods is not available. Each method has its merits and suitability to a certain sector of users. Combined oral contraceptives can adversely affect lactation because of their estrogen content. The IUD offers a convenient method of contraception in the postpartum period. Barrier methods do not affect breastfeeding. They can be used safely in the immediate postpartum period. Postpartum abstinence has been an observed tradition in many societies. The objective is to protect the mother from any pregnancy that would interfere with breastfeeding. Where approved for use in the country, the injectable depot can be safely used in breastfeeding women, as they do not affect lactation. Female surgical contraception by tubal occlusion has an important place in postpartum contraception. There is no contraceptive method that can be considered 100% safe. The inherent risks of contraceptive use have to be put in proper perspective. The medical team must be completely aware of the importance of informed choice in contraceptive use. Therefore, counselling is an important component of any family planning service.

  6. Hong Kong: legal aspects of family planning. (United States)


    The Family Planning Association of Hong Kong and the International Federation of Women Lawyers of Hong Kong have decided that legislative and other measures should be taken to ensure the right of couples and individuals to decide freely the number and spacing of their children. Family planning workers must not work under threat of potential prosecution. Equal rights for women and men should be established. The legal status of menstrual regulation and other new technologies for termination of pregnancy should be clarified. A Family Court should be instituted to deal with matrimonial disputes. A married woman should have the right to use her maiden name and file separate tax returns. Legislation restricting women's right to work in factories should be rescinded. Working conditions of men and women should be measured by the standards of the ILO. Children and young persons should be given the same protection whether they work in shops, factories or other places of employment. Female workers qualified for maternity leave under the Employment Ordinance should be given paid leave.

  7. Family planning at the grass roots. (United States)

    Ingram, S


    Despite help from national and international organizations, progress in implementing policy directives from Health Ministry offices in Cairo is slow at the receiving end. El Minya, 1 of 7 governorates to benefit from World Bank-financed population projects, still has a population growth rate of 2.5%-3% annually. An expanding network of family planning outlets in Minya, training programs for health professionals, and provision of equipment and supplies by the British government's O.D.A. fund are intended to improve maternal and child health services to the extent that perceptions of the need for large families to guard against loss of some in infancy will be obviated. The staffing and layout of the rural and urban health facilities reflect the integration of family planning into the health care system as a whole. The pill is still the most widely used method in most parts of the governorate. Home visits by nurses in rural areas are more important than the advice and supplies available at government clinics, which are visited only by those unable to afford private care, but it is doubtful that the low salaries of nurses provide sufficient incentive to encourage them to make their 150 call monthly quotas. Nursing is such an underpaid and unattractive career choice that in areas with severe shortages, the authorities have resorted to engaging the local "dayas", traditional mainstays of village health services. This represents an important shift in policy from the days when attempts were made to limit their activities. The propaganda campaign to promote small families of the State Information Service has been another important aspect of government concern. Bureaucratic delays have hampered progress of the family planning program, and less than half of the O.D.A. funds available have actually been claimed. The seriousness of the government's interest in curbing population growth has been questioned, and the prevailing view among the urban and rural population is that

  8. A Review of Family Planning Methods Used in Kano, Nigeria ...

    African Journals Online (AJOL)

    Objective To review the acceptance pattern and the influence of age and parity on the choice of Family Planning Methods at the Family Planning Clinic, Aminu Kano Teaching Hospital (AKTH), Kano, Nigeria. Method All records of the clients that attended the Family Planning Clinic from January 2003 to December 2007 ...

  9. Family Planning Practices of Rural Community Dwellers in Cross ...

    African Journals Online (AJOL)


    Jun 28, 2017 ... Binary logistic regression conducted to predict the use of at least one family planning method at some point in time using some independent variables showed that who makes the decision regarding family planning use was the strongest predictor of family planning use (OR = 0.567; 95%. CI = 0.391–0.821).

  10. Comparative Study of the Characteristics of Family Planning Service ...

    African Journals Online (AJOL)

    In logistics regression analysis family planning was significantly lower in the illiterate. Positive husband\\'s attitude had the strongest association (0R 9.3, 95% CI 4.6,18.7) with family planning, in addition to programs that create demand for smaller well-spread children, IEC and family planning services should target men and ...

  11. Women's attitudes towards receiving family planning services from ...

    African Journals Online (AJOL)

    These are age, level of education, knowledge about family planning benefits and districts. Conclusion: Women's perception towards family planning services delivered by CHWs in Western region in Kenya is quite low. To improve the demand and supply for family planning services in this region, there is need to invest a ...

  12. Potential for Revitalisation of the Diaphragm for Family Planning in ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    Like many countries, Uganda's family planning programme is financially stretched, and clear support for the SILCS Diaphragm by ... Keywords: Diaphragm, family planning, Uganda, SILCS, introduction. Résumé. Cette étude des systèmes ...... and the Demand for Family Planning in Uganda: Further Analysis of the Uganda ...

  13. Knowledge, Attitude and Practice of Family Planning Among Air Men ...

    African Journals Online (AJOL)

    This study examined the knowledge level, attitude to and the practice of Family Planning among Airmen in Nigeria. It was hypothesized that knowledge of Family Planning, number of children and religion affect the use of Family planning. The study also identified socio-demographic variables and other factors associated ...

  14. Determinants of family planning uptake among men in Ibadan, Nigeria

    African Journals Online (AJOL)

    Background: Adoption of family planning by men or their spouses many times is influenced by men particularly in developing countries. This is despite evidence that reduction of maternal mortality and morbidity is tied to family planning use. In order to design programmes that enhance adoption of family planning methods ...

  15. Adolescents' knowledge of medical terminology and family health history. (United States)

    Hastrup, J L; Phillips, S M; Vullo, K; Kang, G; Slomka, L


    Compared 309 youths ages 11 to 15 years and their parents with respect to their comprehension of terms for seven common medical disorders: heart attack, stroke, atherosclerosis, ulcer, hypertension, diabetes, and cancer. For two thirds of the adolescent sample, accuracy of reporting of these disorders among the parents and grandparents was assessed. Results indicated considerable variation among disorders with respect to both comprehension of terms and accuracy of family health history. Adolescents' age was a major predictor of knowledge of medical terms (r = .41). Age was not related to accuracy of family health information. Consonant with this finding, adolescents' level of accuracy regarding family health history was generally similar to that of previous adult samples, suggesting that family health information is acquired and retained at an early age. Adolescents were more accurate concerning parents' compared with grandparents' history of hypertension.

  16. The clinical history of the Corleone family

    Directory of Open Access Journals (Sweden)

    Miguel ABAD VILA


    Full Text Available 2012 marks the 40th anniversary of the premiere of “The Godfather” by Francis Ford Coppola, considered one of the best films of all times by film critics and viewers alike. It was the first film of the praised saga made by this great filmmaker from Detroit, inspired by the literary work of Mario Puzo. Conceived as a classical tragedy, it is the true portrait of an Italian-American Mafia family, of its rise and fall, of its triumphs and sorrows.


    Directory of Open Access Journals (Sweden)

    Surekha Kishore


    Full Text Available Objectives: 1. To evaluate the role of Lactational Amenorrhea Method (LAM as a spacing method. 2. To assess knowledge attitude and practices regarding breastfeeding. 3. To bring awareness regarding importance of breastfeeding on child health and as a method of family planning so that exclusive breast feeding is promoted. Study Design: Cross sectional study. Setting: In rural village of district Wardha. Study Universe : All the lactating mothers who had2 children (one of which was less than 3 years. Study Variables: Duration of Breast Feeding, LAM, Importance of Breast Feeding. Knowledge of Colostrum, Awareness of Breast Feeding, etc. Statistical analysis used: Percentages and proportions. Result: A total 42 families were included in the survey of which 26 (61.9% belongs to nuclear families with majority of the women 19(45.2% in the age group of 20-25 yrs, 20 (47.6% were illiterate and 18(42.8% families were of lower Socio Economic Status. A directly proportional relationship was found between duration of Breastfeeding & LAM and period of LAM & age of youngest child when the mother delivered again. Only 31% knew about the importance of breastfeeding. 16.6% of woman initiated Breast Feeding within 1/2 hr.

  18. [Decision on improving family planning work, 1992]. (United States)


    This document contains a translation of a Decision on Family Planning (FP) reached by China's Zhejiany province. The Decision calls for party committees and government leaders at all levels to assume responsibility for implementation of the FP program. The Decision also calls for creation of responsibility contracts that will ensure implementation of the FP program through the grassroots level. Additional changes will involve 1) a gradual increase in the investment in FP projects, 2) education and development of FP cadres, and 3) strengthening of interdepartmental coordination. While seeking strengthened propaganda and education, the Decision also calls for progress in advancing prenatal care.

  19. Brazil announces family planning programme in 1981. (United States)


    The Brazilian Minister of Health, Waldyr Arcoverde, announced in December that the government will implement a national family planning program in 1981. O Globo and Jornal do Brasil, the 2 main national newspapers, report that according to the information given by the Minister, the program will offer all contraceptive methods including male and female sterilizations. Sterilizations will be provided free-of-charge by INAMPS, the national hospital system. Contraceptive services are being provided in order to reduce illegal abortions, the practice of which is widespread throughout the country. full text

  20. Family Functioning as a Mediator of Relations between Family History of Substance Use Disorder and Impulsivity. (United States)

    Ryan, Stacy R; Friedman, Carly K; Liang, Yuanyuan; Lake, Sarah L; Mathias, Charles W; Charles, Nora E; Acheson, Ashley; Dougherty, Donald M


    Impulsivity is strongly related to the development of adolescent substance use. Therefore, understanding factors that influence impulsive characteristics is important for the development of prevention and intervention programs. Intervention and prevention programs focused on factors that influence impulsive characteristics are especially important for those at particularly high risk for the expression of impulsivity - those with a family history of substance use disorder. A factor of particular interest is family functioning. To examine family functioning as a mediator of relations between having a family history of substance use disorder and impulsivity. Participants included a majority Hispanic sample of pre-adolescent boys and girls (mean age 10.99, SD = .84) recruited from the community who did (FH+) and did not (FH-) have a family history of substance use disorder. FH status and the quality of family functioning were compared at the initial visit with impulsiveness assessed a year later. Results showed FH+ children had worse family functioning; worse family functioning was related to higher levels of impulsivity, and higher levels of impulsivity among FH+ children were due to the influence of family functioning on levels of impulsivity. In other words, family functioning mediated relations between having a family history of substance use disorder and impulsivity. These results indicate that higher levels of impulsivity in FH+ children are due in part to worse family functioning.

  1. Effect of misreported family history on Mendelian mutation prediction models. (United States)

    Katki, Hormuzd A


    People with familial history of disease often consult with genetic counselors about their chance of carrying mutations that increase disease risk. To aid them, genetic counselors use Mendelian models that predict whether the person carries deleterious mutations based on their reported family history. Such models rely on accurate reporting of each member's diagnosis and age of diagnosis, but this information may be inaccurate. Commonly encountered errors in family history can significantly distort predictions, and thus can alter the clinical management of people undergoing counseling, screening, or genetic testing. We derive general results about the distortion in the carrier probability estimate caused by misreported diagnoses in relatives. We show that the Bayes factor that channels all family history information has a convenient and intuitive interpretation. We focus on the ratio of the carrier odds given correct diagnosis versus given misreported diagnosis to measure the impact of errors. We derive the general form of this ratio and approximate it in realistic cases. Misreported age of diagnosis usually causes less distortion than misreported diagnosis. This is the first systematic quantitative assessment of the effect of misreported family history on mutation prediction. We apply the results to the BRCAPRO model, which predicts the risk of carrying a mutation in the breast and ovarian cancer genes BRCA1 and BRCA2.

  2. Priority strategies for India's family planning programme. (United States)

    Pachauri, Saroj


    Strategies to accelerate progress of India's family planning programme are discussed and the importance of improving the quality and reach of services to address unmet contraceptive need by providing method choice is emphasized. Although there is a growing demand for both limiting and spacing births, female sterilisation, is the dominant method in the national programme and use of spacing methods remains very limited. Fertility decline has been slower in the empowered action group (EAG) states which contribute about 40 per cent of population growth to the country and also depict gloomy statistics for other socio-development indicators. It is, therefore, important to intensify efforts to reduce both fertility and mortality in these states. arationale has been provided for implementing integrated programmes using a gender lens because the lack of women's autonomy in reproductive decision-making, compounded by poor male involvement in sexual and reproductive health matters, is a fundamental issue yet to be addressed. The need for collaboration between scientists developing contraceptive technologies and those implementing family planning services is underscored. If contraceptive technologies are developed with an understanding of the contexts in which they will be delivered and an appreciation of end-users' needs and perspectives, they are more likely to be accepted by service providers and used by clients.

  3. Prevalence of family history in patients with reflex syncope

    DEFF Research Database (Denmark)

    Holmegard, Haya N; Benn, Marianne; Kaijer, Michelle Nymann


    among subtypes of reflex syncope, as these have different autonomic responses and pathogeneses may be diverse. The present study aimed to assess the prevalence of a positive family history of syncope and cardiovascular characteristics in patients with cardioinhibitory and vasodepressor reflex syncope......Reflex syncope is defined by a rapid transient loss of consciousness caused by global cerebral hypoperfusion resulting from vasodilatation and/or bradycardia attributable to inappropriate cardiovascular reflexes. A hereditary component has been suggested, but prevalence of family history may differ....... Patients (n=74) were classified into subtypes of reflex syncope - cardioinhibition/asystole (Vasovagal Syncope International Study subtypes II-B [VASIS II-B], n=38) or vasodepressor (VASIS III, n=36) - using the head-up tilt test. Family history was obtained by questionnaires supplemented by interview...

  4. Marketing family planning services in New Orleans. (United States)

    Bertrand, J T; Proffitt, B J; Bartlett, T L


    The health care profession is witnessing a shift in focus from the interests and needs of the service provider to those of the potential consumer in an effort to attract and maintain clients. This study illustrates the role that marketing research can play in the development of program strategies, even for relatively small organizations. The study was conducted for Planned Parenthood of Louisiana, a recently organized affiliate that began offering clinical services in May 1984, to provide information on the four Ps of marketing: product, price, place, and promotion. Data from telephone interviews among a random sample of 1,000 women 15-35 years old in New Orleans before the clinic opened confirmed that the need for family planning services was not entirely satisfied by existing service providers. Moreover, it indicated that clinic hours and the cost of services were in line with client interests. The most useful findings for developing the promotional strategy were the relatively low name recognition of Planned Parenthood and a higher-than-expected level of interest that young, low income blacks expressed in using the service.

  5. A Congressional view: access to family planning important. (United States)

    Pelosi, N


    The US Congress has become reluctant to appropriate funds for family planning assistance in developing countries. In the Congress, international family planning has misguidedly and mistakenly become the battleground over abortion. It is unfortunate that the majority in the 104th and 105th Congress have undertaken a concerted attack on US support for international family planning by reducing needed funding and saddling the program with onerous restrictions. While the Congress debates international family planning funding, women, children, and families around the world are suffering the consequences of reduced and/or restricted access to family planning services. Cutting and/or restricting international family planning funds produces a devastating effect on the health and well-being of women and children in developing countries, and in the long term, the consequences will be overpopulation leading to poverty, malnutrition, urban crowding, environmental degradation, and the depletion of the world's resources.

  6. Family planning in Viet Nam: a vigorous approach. (United States)

    Feuerstein, M T


    Viet Nam, a country in transition, is vigorously implementing its population and family planning policies and plans, despite the fact that increased government expenditure for family planning only amounts to some US $0.15 per capita, far short of the minimum $0.60 required. An increased range of family planning methods will be offered to the population through a "cafeteria" approach. Genital tract infections will be reduced, as well as the incidence of abortion. Research continues on injectable and implanted contraceptives, and the use of quinacrine nonsurgical female sterilization. In the long term, a mix of imported and locally-produced contraceptives is envisaged to achieve greater sustainability. Family planning will be closely linked to economic development and poverty alleviation, with mass organizations developing family planning-linked credit, savings and income generating schemes. Pilot experience has indicated value if integrated approach linking family planning, nutrition, and parasite control. The health manpower and health services systems are being overhauled, with plans to appoint family planning focal points at commune level, linked to mobile district teams and grassroots motivators. Medical equipment, contraceptives and essential drugs for family planning and reproductive health services are in short supply at an estimated 60% of commune health stations. Both the public sector and the growing private sector will need to face the challenge of providing the population with high-quality reproductive health services and family planning options suited to individual needs and preferences.

  7. Health, family planning and population growth. (United States)

    Kessler, A; Standley, C C


    Maternal age over 35, close spacing of births, parity over 4, and unwanted pregnancy are discussed as factors that are associated with increased maternal and infant mortality. The likelihood of death due to childbearing is twice as high in the 30-40 age group as in the 20-30 age group and increases 4-to five-fold in the 40+ group. Brith Birth of less than 24-30 months are associated with a two-fold increase in neonatal and infant deaths. Health objectives of large scale family planning programs are geared toward avoiding such births. This paper proposes that these objectives would result in a decrease in maternal and child deaths and thereby lead to growth. A simultaneous lowering of birth rates, however, should offset this growth.

  8. The future of family planning programs. (United States)

    Caldwell, John C; Phillips, James F; Barkat-e-Khuda


    National family planning programs have been an important instrument in accelerating global fertility decline and in restricting ultimate world population to a level probably below ten billion. They began to come into being after 1950 and will probably go out of existence in most of the world's regions by 2050. The archetypal programs were instituted in Asia and North Africa. The end of the twentieth century is an appropriate half-way mark at which to evaluate the twentieth-century programs and to assess what changes in them will be needed for the twenty-first century. Some changes are necessary because dramatic events have occurred: (1) long-term replacement-level fertility has been attained in most of East Asia and some of Southeast Asia, and accordingly, some programs there are being phased out; (2) mainland South Asian fertility has been slower to decline; (3) international donor funding is diminishing and may not be significant during much of the twenty-first century; (4) the 1994 International Conference on Population and Development held in Cairo called for a radical change in programs away from demographic aims and toward reproductive health and the improvement of the situation of women; and (5) the future family planning frontier will be sub-Saharan Africa, for which radically new types of programs may have to be developed. These issues were discussed in January 2000 at a conference held in Dhaka, Bangladesh. A selection of contributions to the conference is published here. This article provides an overview of the issues based partly on this selection and partly on the discussions that took place at the conference.

  9. Family history in breast cancer is not a prognostic factor?

    NARCIS (Netherlands)

    Jobsen, J.J.; Meerwaldt, J.H.; van der Palen, Jacobus Adrianus Maria


    The aim of this study is to determine if breast conservative treatment is justified for patients with a positive family history of breast cancer and to investigate whether they have a worse prognosis. We performed a prospective cohort study of breast cancer patients, treated with breast conservative

  10. Poverty in Independent India : a History and Family Memoirs | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    This grant will support a second edition of and sequel to the book, In the Land of Poverty : the Memoir of a Destitute Indian Family, 1947-97 by Siddharth Dube, a senior fellow at the World Policy Institute and one of India's foremost poverty and health policy researchers. The sequel will update the oral history of the Dalit ...

  11. Association between Family History and Idiopathic Sudden Sensorineural Hearing Loss. (United States)

    Binnetoğlu, Adem; Yumuşakhuylu, Ali Cemal; Demir, Berat; Bağlam, Tekin; Derinsu, Ufuk; Sarı, Murat


    Sudden sensorineural hearing loss (SSNHL) is defined as hearing loss of at least 30 dB occurring within three days over at least three contiguous frequencies. The etiology of SSNHL cannot always be precisely determined; in such cases, this condition is termed idiopathic SSNHL (ISSNHL). This unique study investigates the relationship between ISSNHL and positive family history for ISSNHL. In total, 125 patients diagnosed with ISSNHL were retrospectively reviewed. The presence of ISSNHL in the family medical history and degree of kinship of family members diagnosed with ISSNHL were determined. For univariate analysis, a chi-squared test and/or Fisher's exact test was used for between-group comparisons of qualitative variables; a t-test was used for quantitative variables. Significant variables in the univariate analysis were introduced into stepwise logistic regression for multivariate analysis. Pfamily medical history of ISSNHL, whereas 83 (66.4%) did not. A statistically significant association between the development of ISSNHL and a family history of ISSNHL was observed (p<0.05). Our study supports an association between ISSNHL and genetic predisposition. Proving genetic susceptibility to ISSNHL will lead to improvements in the prediction, early diagnosis, and treatment of this disease.

  12. Poverty in Independent India : a History and Family Memoirs | CRDI ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Poverty in Independent India : a History and Family Memoirs. India's Dalits have historically been subjected to devastating social and economic discrimination. The economic growth experienced by the country since 1990 has seen Dalit incomes more than double. Nevertheless, 300 million Indians still live below the poverty ...

  13. A Brief History of Family Life Education in Romania (United States)

    Momanu, Mariana; Popa, Nicoleta Laura; Samoila, Magda-Elena


    Starting from the state of conceptual diversity, semantic ambiguity, and poor connection of family life education practices to current policies and theoretical models in Romania, our study aims at understanding the underlying meanings of these issues by recourse to the history of approaches in the field. To this purpose, we carried out a…

  14. Lifestyle, family history, and risk of idiopathic Parkinson disease

    DEFF Research Database (Denmark)

    Kenborg, Line; Lassen, Christina F.; Ritz, Beate


    The relationship between Parkinson disease (PD) and smoking has been examined in several studies, but little is known about smoking in conjunction with other behaviors and a family history of PD. Using unconditional logistic regression analysis, we studied individual and joint associations...

  15. Cannabis use and family history in adolescent first episode ...

    African Journals Online (AJOL)

    Objectives: To investigate the clinical correlates of cannabis use in adolescents with first episode psychosis (FEP). Methods: Inpatient psychiatric records provided demographic, lifetime cannabis use, family history of mental illness, and clinical data on 45 FEP adolescents, aged 12–18 years, admitted to a psychiatric unit in ...

  16. Costs can influence family planning decisions. (United States)

    Barnett, B


    This article discusses research in Cebu, Philippines, that examines the relationship between costs and income and family planning (FP) decisions. Clients weigh the costs and benefits of obtaining FP services. Costs may include the time to purchase supplies, travel to clinics, child care, and lost work time. Women should consider the costs of having more children. Family Health International's Women's Studies Project explored couple's FP decision-making. In Cebu, women play a decisive role in household expenditure decisions. 64% of women made sole decisions about children's shoes and clothing. 43% made decisions about taking children to the doctor. Women consulted husbands for larger expenditures, such as land purchases, hiring household help, and travel outside Cebu. If conflicts arose, 82% reported a mutual final decision, while 12% accepted the husband's judgment. Only 12% of women made sole decisions about FP. About 20% of the sample of women discussed FP with adult females. 25% of the women who consulted their husbands about FP made the final decision when there was conflict. Only 7% reported that the husband's decision was final. A recent follow-up study to a 1983 study finds that price is only one among many factors that affect contraceptive decision-making. Rural women in Cebu reported that the time needed to obtain contraceptives was an important factor in determining their use. A study of 64 women in rural southern India finds that contraceptive prevalence was influenced by women's autonomy rather than income. Women's and children's ages, family size, and birth order affected women's autonomy and access to money. In another related study, Pakistani women had lower fertility rates when wives' unearned income was high. An increase by 25% in unearned income among rural women decreased fertility by one child.

  17. The family planning conundrum in Afghanistan. (United States)

    Shafiqullah, Hemat; Morita, Ayako; Nakamura, Keiko; Seino, Kaoruko


    In Afghanistan, despite the high awareness levels of contraceptive methods, the contraceptive prevalence is low and short birth spacing is common. The aim of this study was to understand the perception about family planning and contraceptive utilization among reproductive-aged married women, their husbands, their mothers-in-law, religious leaders and healthcare providers. Focus group discussions and semi-structured interviews were conducted among married women of reproductive age ( n =  482), their husbands ( n =  133), their mothers-in-law ( n =  194), their religious leaders ( n =  16), and healthcare providers ( n =  36) in rural and urban areas in five provinces. Bigger family size was generally considered as desirable for emotional, economic and social well-being. The majority endorsed contraception. However, some religious scholars and their followers argued that contraception is a sinful act in Islam by interpreting contraception as equivalent to infanticide and suppression of the increase of the Muslim population. Healthcare providers attempted to disseminate health benefits of modern contraception on a family basis. However, fear of various side effects and doubts about their effectiveness due to irregular supply were prevalent in communities. It is important to increase awareness on the health benefits of appropriate birth spacing at community level. Public health campaigns supported by Islamic religious scholars and a system that ensures appropriate counselling and a steady supply of contraceptives are likely to increase contraceptive utilization. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email:

  18. Aligning Funding and Need for Family Planning: A Diagnostic Methodology (United States)

    Fan, Victoria Y.; Kim, Sunja; Choi, Seemoon; Grépin, Karen A.


    Abstract With limited international resources for family planning, donors must decide how to allocate their funds to different countries. How can a donor for family planning decide whether countries are adequately prioritized for funding? This article proposes an ordinal ranking framework to identify under‐prioritized countries by rank‐ordering countries by their need for family planning and separately rank‐ordering them by their development assistance for family planning. Countries for which the rank of the need for family planning is lower than the rank of its funding are deemed under‐prioritized. We implement this diagnostic methodology to identify under‐prioritized countries that have a higher need but lower development assistance for family planning. This approach indicates whether a country is receiving less compared to other countries with similar levels of need. PMID:29044592

  19. Work-Family Planning Attitudes among Emerging Adults (United States)

    Basuil, Dynah A.; Casper, Wendy J.


    Using social learning theory as a framework, we explore two sets of antecedents to work and family role planning attitudes among emerging adults: their work-family balance self-efficacy and their perceptions of their parents' work-to-family conflict. A total of 187 college students completed a questionnaire concerning their work-family balance…

  20. Awareness and Utilization of Family Planning Methods among ...

    African Journals Online (AJOL)

    deficiency Virus (HIV) infection influence the design and background Family planning is an important preventive measure against maternal and child morbidity and mortality. This study was aimed at determining the awareness and utilization of family ...

  1. Family history of psychosis and outcome of people with schizophrenia in rural China: 14-year follow-up study. (United States)

    Ran, Mao-Sheng; Xiao, Yunyu; Zhao, Xinyi; Zhang, Tian-Ming; Yu, Yue-Hui; Mao, Wen-Jun; Lin, Fu-Rong; Liu, Bo; Chan, Cecilia Lai-Wan


    This study examined the differences in 14-year outcomes of persons with schizophrenia with and without family history of psychosis in a rural community in China. All participants with schizophrenia (n=510) aged 15 years and older were identified in a 1994 epidemiological investigation of 123,572 people and followed up in 2004 and 2008 in Xinjin County, Chengdu, China. Individuals with positive family history of schizophrenia had significantly younger age of first onset than those with negative family history of schizophrenia in 1994 and 2004. Compared with individuals with negative family history of schizophrenia, those with positive family history of schizophrenia had significantly higher rate of homelessness and lower rate of death due to other reasons in 10-year (2004) and 14-year follow-up (2008). There were no significantly differences of mean scores on PANSS, SDSS and GAF in 2008 between positive and negative family history groups. The positive family history of schizophrenia is strongly related to younger age of onset, and may predict a poorer long-term outcome (e.g., higher rate of homelessness) in persons with schizophrenia in the rural community. The findings have implications for further studies on specific family-related mechanisms on clinical treatment and rehabilitation, as well as for planning and delivering of community-based mental health services. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Neurobiological phenotypes associated with a family history of alcoholism. (United States)

    Cservenka, Anita


    Individuals with a family history of alcoholism are at much greater risk for developing an alcohol use disorder (AUD) than youth or adults without such history. A large body of research suggests that there are premorbid differences in brain structure and function in family history positive (FHP) individuals relative to their family history negative (FHN) peers. This review summarizes the existing literature on neurobiological phenotypes present in FHP youth and adults by describing findings across neurophysiological and neuroimaging studies. Neuroimaging studies have shown FHP individuals differ from their FHN peers in amygdalar, hippocampal, basal ganglia, and cerebellar volume. Both increased and decreased white matter integrity has been reported in FHP individuals compared with FHN controls. Functional magnetic resonance imaging studies have found altered inhibitory control and working memory-related brain response in FHP youth and adults, suggesting neural markers of executive functioning may be related to increased vulnerability for developing AUDs in this population. Additionally, brain activity differences in regions involved in bottom-up reward and emotional processing, such as the nucleus accumbens and amygdala, have been shown in FHP individuals relative to their FHN peers. It is critical to understand premorbid neural characteristics that could be associated with cognitive, reward-related, or emotional risk factors that increase risk for AUDs in FHP individuals. This information may lead to the development of neurobiologically informed prevention and intervention studies focused on reducing the incidence of AUDs in high-risk youth and adults. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  3. Family planning providers' perspectives on family planning service delivery in Ibadan and Kaduna, Nigeria: a qualitative study. (United States)

    Hebert, Luciana Estelle; Schwandt, Hilary Megan; Boulay, Marc; Skinner, Joanna


    In Nigeria, fertility continues to be high and contraceptive prevalence remains low. This study was conducted in order to understand the perceptions of, experiences with and challenges of delivering family planning services in two urban areas of Nigeria from the perspectives of family planning service providers. A qualitative study using 59 in-depth interviews was conducted among family planning providers working in hospitals, primary health centres, clinics, pharmacies and patent medicine vendors in Ibadan and Kaduna, Nigeria. Providers support a mix of individuals and organisations involved in family planning provision, including the government of Nigeria. The Nigerian government's role can take a variety of forms, including providing promotional materials for family planning facilities as well as facilitating training and educational opportunities for providers, since many providers lack basic training in family planning provision. Providers often describe their motivation to provide in terms of the health benefits offered by family planning methods. Few providers engage in any marketing of their services and many providers exclude youth and unmarried individuals from their services. The family planning provider community supports a diverse network of providers, but needs further training and support in order to improve the quality of care and market their services. Adolescents, unmarried individuals and women seeking post-abortion care are vulnerable populations that providers need to be better educated about and trained in how to serve. The perspectives of providers should be considered when designing family planning interventions in urban areas of Nigeria.

  4. Video: useful tool for delivering family planning messages. (United States)

    Sumarsono, S K


    In 1969, the Government of Indonesia declared that the population explosion was a national problem. The National Family Planning Program was consequently launched to encourage adoption of the ideal of a small, happy and prosperous family norm. Micro-approach messages are composed of the following: physiology of menstruation; reproductive process; healthy pregnancy; rational family planning; rational application of contraceptives; infant and child care; nutrition improvement; increase in breastfeeding; increase in family income; education in family life; family health; and deferred marriage age. Macro-approach messages include: the population problem and its impact on socioeconomic aspects; efforts to cope with the population problem; and improvement of women's lot. In utilizing the media and communication channels, the program encourages the implementation of units and working units of IEC to produce IEC materials; utilizes all possible existing media and IEC channels; maintains the consistent linkage between the activity of mass media and the IEC activities in the field; and encourages the private sector to participate in the production of IEC media and materials. A media production center was set up and carries out the following activities: producing video cassettes for tv broadcasts of family planning drama, family planning news, and tv spots; producing duplicates of the video cassettes for distribution to provinces in support of the video network; producing teaching materials for family planning workers; and transfering family planning films into video cassettes. A video network was developed and includes video monitors in family planning service points such as hospitals, family planning clinics and public places like bus stations. In 1985, the program will be expanded by 50 mobile information units equipped with video monitors. Video has potentials to increase the productivity and effectiveness of the family planning program. The video production process is

  5. Family planning at heart of political debate. (United States)

    Kaeser, L


    In the US, the efforts of Chris Smith, a Republican member of the House of Representatives from New Jersey, have led to Congressional approval of two restrictions on US aid to foreign family planning (FP) programs. The first restriction prohibits the US from funding any organization that performs abortion with its own funds, even in countries where abortion is legal (except in cases of life endangerment, rape, or incest). The bill specifies that President Clinton can waive this prohibition only at a cost of $44 million to the already reduced FP funding. The second restriction prohibits US funding of any group that engages in abortion-related lobbying and is, in effect, a "gag rule" that would punish organizations for engaging in activities that would be protected in the US by the First Amendment of the Constitution. Clinton has threatened to veto the legislation even though this means that he will risk losing his ability to pay dues owed to the UN or to provide backing to the International Monetary Fund. Smith's actions reflect efforts to eliminate federal funding of domestic and international FP programs despite the fact that polls continually demonstrate the widespread approval of the US public for such programs.

  6. House battles over UN family planning funds. (United States)


    The House International Relations Subcommittee on Operations and Human Rights approved HR 1253 by voice vote on April 10, 1997. HR 1253 is a reauthorization of State Department programs for fiscal years 1998 and 1999. Republican anti-choice subcommittee chair Chris Smith inserted language which prohibits the State Department from funding the UNFPA, the UN family planning program. The restriction would only be lifted if President Clinton certifies that the UNFPA has ended all activities in China or that no government-coerced abortions have taken place in China during the previous 12 months. Since neither change is likely, the Smith provision would effectively bar the US from funding the UNFPA, even though the agency does not support abortion services. The State Department authorization was then taken up by the full House International Relations Committee as part of HR 1486, a bill which would reorganize foreign policy operations. By a 23-16 vote on May 6, the committee approved an amendment which deleted the Smith provision and instead stipulated that US funds cannot be used for UNFPA programs in China. Pro-choice representative Tom Campbell sponsored the amendment which deleted the Smith provision. President Clinton's proposed budget for fiscal year 1998 also includes the Campbell provision.

  7. Family Planning and Family Vision in Mothers after Diagnosis of a Child with Autism Spectrum Disorder (United States)

    Navot, Noa; Jorgenson, Alicia Grattan; Vander Stoep, Ann; Toth, Karen; Webb, Sara Jane


    The diagnosis of a child with autism has short- and long-term impacts on family functioning. With early diagnosis, the diagnostic process is likely to co-occur with family planning decisions, yet little is known about how parents navigate this process. This study explores family planning decision making process among mothers of young children with…

  8. Allele-sharing statistics using information on family history. (United States)

    Callegaro, A; Meulenbelt, I; Kloppenburg, M; Slagboom, P E; Houwing-Duistermaat, J J


    When conducting genetic studies for complex traits, large samples are commonly required to detect new genetic factors. A possible strategy to decrease the sample size is to reduce heterogeneity using available information. In this paper we propose a new class of model-free linkage analysis statistics which takes into account the information given by the ungenotyped affected relatives (positive family history). This information is included into the scoring function of classical allele-sharing statistics. We studied pedigrees of affected sibling pairs with one ungenotyped affected relative. We show that, for rare allele common complex diseases, the proposed method increases the expected power to detect linkage. Allele-sharing methods were applied to the symptomatic osteoarthritis GARP study where taking into account the family-history increased considerably the evidence of linkage in the region of the DIO2 susceptibility locus. © 2010 The Authors Annals of Human Genetics © 2010 Blackwell Publishing Ltd/University College London.

  9. Source of information on family planning among married men in ...

    African Journals Online (AJOL)

    Population in Nigeria is turning into an issue that needs public alertness. Informing men on family planning services and contraceptives is extremely necessary. For this will promote more favorable attitudes and increase their involvement. This study aimed at investigating the source of family planning information for married ...

  10. Family planning use: prevalence, pattern and predictors among ...

    African Journals Online (AJOL)

    Introduction: High fertility,high birth rates and low family planning prevalence rate is a common feature in developing countries with consequent rapid population growth. Family planning has saved the lives and protected the health of millions of women and children. This study aims to ascertain prevalence, pattern and ...

  11. Barriers to family planning acceptance in Abakaliki, Nigeria

    African Journals Online (AJOL)

    Certainly, women trust the information they get from these sources and the information and perceptions from these sources had been found to influence women's decision on family planning most often negatively. For example, these sources often propagated myths that family planning causes infertility, birth defects, will not ...

  12. Awareness, Use, and Unmet Need for Family Planning in Rural ...

    African Journals Online (AJOL)

    Only 1.3% of women in union (currently married or cohabiting) used modern contraception methods at the time of the survey; 1.3% of women in union used traditional methods. Unmet need for family planning was 10.3%. Low family planning use in the presence of low awareness and low felt need suggests, among other ...

  13. HIV/AIDS and family planning services integration: review of ...

    African Journals Online (AJOL)

    In most parts of the world, family planning and HIV-related services are usually offered separately. Family planning services, especially those that are government-supported, primarily serve married women and couples of reproductive age, while HIV-related services target individuals at higher-risk of exposure to HIV.

  14. Effectively strengthen party leadership over the work of family planning. (United States)


    This article tells of the steps taken by the party committee of T'ai-hu Fishery Commune in Wu-hsi municipality, Kiangsu, to strengthen the Party's leadership over family planning. The key lies in realizing how important family planning is to the state, the collective, and the individual. It is important to the state and the collective because, with fewer children, women's hands are freed to help men increase productivity. It is important to the individual becuase, with fewer people to look after, each family will have more to spend to raise their standard of living. Next the committee tried to change thought patterns. They encouraged late marriage and family planning. They tried to convince people to give up outmoded ideas such as it being preferable to have sons rather than daughters; that the more children one has, the greater the support; and that giving birth is a private matter of minor importance. The committee then enlisted the aid of the medical personnel in the commune. At first reluctant to regard family planning as part of their job, they later worked constantly to publicize to the masses the significance of family planning and hygiene. Some members of the commune were sterilized. After a few years the effects of the family planning programs began to show. Of 383 couples with reproductive potential, 345 practice family planning. Over 95% of the unmarried young people plan to marry late. It is estimated that this year's birthrate may drop to 10 or less per 1000.

  15. source of information on family planning among married men in ...

    African Journals Online (AJOL)


    Organized family planning activities began in Nigeria in 1958, when the Lagos medical officer of health offered contraceptives to postpartum women at his maternal welfare clinic. (Wright, 1968). Caldwell concluded that Nigeria's. 1988 population policy played a key role in raising demand and supply for family planning, by.

  16. Unmet need for postpartum family planning in Alexandria, Egypt

    African Journals Online (AJOL)

    Heba Mahmoud Taha Elweshahi


    May 8, 2017 ... those with a real demand for family planning (n = 1370), 1106 (80.72%) were using a modern contracep- tive method and only 41 (3%) were using a traditional method for birth control while the remaining 223. (16.28%) were having unmet need for postpartum family planning. Amenorrhea, breast feeding ...


    African Journals Online (AJOL)


    Unmet need measures the gap between demand for family planning and use of contraception. Expressed as the percentage of sexually active women who do not want additional children but are not using any family planning method, low levels of this measure are often considered a precursor of fertility decrease. More than ...

  18. Knowledge, attitude and practice of family planning among pregnant ...

    African Journals Online (AJOL)

    Knowledge, attitude and practice of family planning among pregnant women at Grace Specialist Hospital. ... Background: Unwanted pregnancy is a common event in our environment and many of them will end in an unsafe abortion. ... Education and religion did not significantly affect the use of a family planning method.

  19. INTRODUCTION Family planning implies the ability of individuals ...

    African Journals Online (AJOL)

    individual health and rights, and improves the quality of life of couples and their children. Family planning is an important strategy in promoting maternal and .... pregnancy (37%) and planning of family size (27%). OCCUPATION FREQUENCY PERCENTAGE(%). Trading. 34. 34. Schooling. 22. 22. Civil service. 14. 14.

  20. Planning a Family: Priorities and Concerns in Rural Tanzania ...

    African Journals Online (AJOL)

    Planning a Family: Priorities and Concerns in Rural Tanzania. T Marchant, AK Mushi, R Nathan, O Mukasa, S Abdulla, C Lengeler, JRM Armstrong Schellenberg. Abstract. A fertility survey using qualitative and quantitative techniques described a high fertility setting (TFR 5.8) in southern Tanzania where family planning use ...

  1. Awareness and use of and barriers to family planning services ...

    African Journals Online (AJOL)

    Africa.1-4 Family planning can reduce the number of deaths among women by preventing unintended pregnancies, which account for about 30% of all births in sub-Saharan. Africa.5,6 In Lesotho almost one-third of currently married women have an unmet need for family planning, 11% for spacing their children and 20% for ...

  2. Determinants of Family Planning Behaviour among Married Women ...

    African Journals Online (AJOL)

    Analyses involving, mainly multiple regression and partial correlation analyses revealed that the socio-economic variables do not independently contribute to variation in family planning practice. However, the variables appear to have an effect on family planning practice indirectly via their significant relations with the ...

  3. Partner Support for Family Planning and Modern Contraceptive Use ...

    African Journals Online (AJOL)


    trumped all other factors in determining her family planning intentions10. As study of the effect of spousal agreement on fertility and spousal communication on contraceptive use in Jimma zone, Ethiopia found both factors played important roles in uptake11. Evidence suggests husband's/partner's support for family planning ...

  4. Predictors of family planning awareness and practice among ...

    African Journals Online (AJOL)

    Background: Men are powerful decision makers especially in developing countries. Their permission and support are required for women to access family planning services. This study was conducted to assess the predictors of family planning awareness and practice among married men in a semi-urban community in ...

  5. Provision of Family Planning Services in Tanzania: A Comparative ...

    African Journals Online (AJOL)

    Adherence to the policy guidelines and standards is necessary for family planning services. We compared public and private facilities in terms of provision of family planning services. We analyzed data from health facility questionnaire of the 2006 Tanzania Service Provision Assessment survey, based on 529 health ...

  6. Knowledge, Attitude and Practice of Family Planning Methods ...

    African Journals Online (AJOL)

    Family planning is regarded as an important preventive measure against maternal and child morbidity and mortality. This study was aimed at determining the knowledge, attitude and use of family planning methods among women attending antenatal clinic in Jos; factors that militates against use of contraceptive methods ...

  7. Knowledge and Perception about Family Planning Among Women ...

    African Journals Online (AJOL)

    Family planning has become a major strategy of population control both at the national and global level. Yet, population growth in Nigeria remains high especially in rural areas due partly to lack of adequate knowledge and poor perception about the need to utilize family planning methods. The study seeks to examine the ...

  8. Assessment Of Knowledge And Attitude Towards Family Planning ...

    African Journals Online (AJOL)

    The use of modern family planning methods in developing countries is low. Among reasons for low uptake is religious belief on procreation. This study was designed to assess the knowledge and attitude of family planning among religious leaders in Ogbomoso metropolis of Oyo State, Nigeria. The study is a descriptive ...

  9. Utilisation of family planning techniques among women: an ...

    African Journals Online (AJOL)

    Utilisation of family planning by women will promote sustainable development and general wellbeing of women at the rural community. The study assessed utilization of family planning techniques among women in the rural area of Lagos state. Sixty respondents were randomly selected for the study. Structured interview ...

  10. Knowledge, Attitude and Practice of Family Planning amongst ...

    African Journals Online (AJOL)

    A total of 334 Nigerian, non-pregnant women, living in a high density, low-income urban area of Enugu, Nigeria, were interviewed on knowledge, attitude and practice of family planning. About 97.6% were found literate. Knowledge and approval of family planning was high, 81.7% and 86.2% respectively, but the practice of ...

  11. [Tianjin issues decision on family planning]. (United States)


    The Tianjin Municipal People's Government (China) recently issued a decision on family planning issues regarding encouragement of late childbirth and controlling the birth of a 2nd child. The decision indicated that newlyweds who decide to have their 1st child when they are at least 25 years old will be regarded as practicing late childbirth. A total of 34 days will be added to the present 56-day maternity leave for those newlyweds practicing late childbirth. Some prerequisites for having a 2nd child include the following: the 1st child has a nonhereditary deformity; of a newly married couple, for 1 party this is a 1st marriage while the other party has only 1 child from his or her previous marriage; and a married woman who has a medical certificate on sterility issued by medical and health units at or above the district level and has adopted a child with the approval of departments concerned is now allowed to have a 2nd child. To have a 2nd child without official approval is considered as giving birth to an unplanned child. Each parent of an unplanned child has to pay a special levy for 5 years from the day the child is born. If the interval between the 1st child and the 2nd child of a woman is less than 4 years, this woman and her husband will have to pay the special levies for 5 years and will have to pay levies to make up for the deficiencies caused by the insufficient interval between their 1st and 2nd child. Due to the great differences in economic conditions existing in the rural counties, every rural county People's Government may formulate its own stipulations concerning the length and amount of levies in accordance with local conditions.

  12. PROFAM expands Mexican family planning clinics. (United States)


    Mexico's private, nonprofit social marketing company, known as PROFAM, intends to expand its family planning clinics to marginal urban areas. The clinics are part of PROFAM's push to diversify social marketing outlets for contraceptive products and other birth control methods. PROFAM expects to establish 3 new clinics, possibly including a pregnancy test laboratory, a small 1-doctor clinic, and a large clinic housing an operating room. 1 clinic will be located outside the Mexico City area, the program's traditional boundaries. The company currently runs 2 small clinics and a pregnancy testing laboratory in Ciudad Netzahualcoyti, a community of 3.5 million on Mexico City's outskirts. PROFAM recently obtaine d government approval to sell condoms in food stores, which should increase distribtuion and sales. Currently, the company sells over 1 million high quality, lubricated condoms each month, accounting for over half of the Mexican market. Distribution covers 85% of the country's drugstore. Program setbacks occurred in 1981, when the Mexican government cancelled PROFAM's sales permits for all contraceptive products except condoms. Cancelled products included an oral contraceptive and 3 vaginal spermicides. These 4 products had provided nearly 100,000 couple years of protection in 1979 and an estimated 120,000 CYP 1980. During 1979 and 1980, condoms provided about 27,000 and 60,000 CYP, respectively. PROFAM had relied heavily on the pill and spermicides because its early studies showed condoms had a negative image in Mexico, due largely to the product's association with extramarital affairs. To counter this, PROFAM launched a widespread, free product sampling program in 1979, along with a continuing educational and advertising drive. Subsequent consumer surveys revealed a marked increase in product acceptance, with PROFAM's condom becoming the most widely known brand available in Mexico.

  13. [Conscientious and responsible demographic family planning]. (United States)

    Bernardo, F


    The present age is characterized by real contradictions: a dangerous population explosion in poor countries and the drastic reduction of fertility in developed countries. In Portugal, average fertility equals 1.5 children for married couples. The Catholic Church has developed criteria of conscientious and responsible fertility policies for couples. Some of these aspects are: 1) the service of human life is a conjugal and social responsibility; 2) conscientious and responsible family planning should always occur within the context of an attitude that promotes and restricts the capacity of married couples; 3) the proper regulation of fertility for married couples should avoid the two extremes: egoism and childlessness or lack of concern about the number of children; 4) fertility should be considered in the context of human completeness, which includes health, relative autonomy, access to culture, and a productive life that fits individual aspirations as well as the needs of the community; 5) each couple should resort to certain criteria in terms of maturity and intellectual, affective, social, economic, and educational capacity; 6) ethical criteria apply to contraceptive methods used for married couples; 7) married couples need to respect each other to overcome the risk of infidelity and the breakdown of the marriage; 8) on a regular basis, contraceptive methods should be evaluated and changed for the best compatibility; 9) although natural methods are considered a utopia, tracking the fertile period leads to the use of such methods; 10) married couples need pertinent information for making the right choice; and 11) assistance to single mothers should stress the avoidance of abortion.

  14. Family planning and contraceptive practices among parturients in a ...

    African Journals Online (AJOL)

    Background: Family size predetermination and birthing according to schedule is a strong determinant of family stability as it allows proper resource allocation and management. Aims: To determine the family planning practices among parturients and determine the factors that can influence the uptake of contraceptives in the ...

  15. The Context of Collecting Family Health History: Examining Definitions of Family and Family Communication About Health Among African American Women (United States)



    Public health initiatives encourage the public to discuss and record family health history (FHH) information, which can inform prevention and screening for a variety of conditions. Most research on FHH discussion and collection, however, has involved predominantly White participants and has not considered lay definitions of family or family communication patterns about health. This qualitative study of 32 African American women, 16 with a history of cancer, analyzed participants’ definitions of family, family communication about health, and collection of FHH information. “Family” was defined by biological relatedness, social ties, interactions, and proximity. Several participants noted using different definitions of family for different purposes (e.g. biomedical vs. social). Health discussions took place between and within generations and were influenced by structural relationships (e.g. sister) and characteristics of family members (e.g. trustworthiness). Participants described managing tensions between sharing health information and protecting privacy, especially related to generational differences in sharing information, fear of familial conflict or gossip, and denial (sometimes described as refusal to “own” or “claim” a disease). Few participants reported that anyone in their family kept formal FHH records. Results suggest FHH initiatives should address family tensions and communication patterns that affect discussion and collection of FHH information. PMID:25730634

  16. The antisocial family tree: family histories of behavior problems in antisocial personality in the United States. (United States)

    Vaughn, Michael G; Salas-Wright, Christopher P; DeLisi, Matt; Qian, Zhengmin


    Multiple avenues of research (e.g., criminal careers, intergenerational family transmission, and epidemiological studies) have indicated a concentration of antisocial traits and behaviors that cluster among families and within individuals in a population. The current study draws on each of these perspectives in exploring the intergenerational contours of antisocial personality disorder across multiple generations of a large-scale epidemiological sample. The analytic sample of persons meeting criteria for antisocial personality disorder (N = 1,226) was derived from waves I and II of the National Epidemiologic Survey on Alcohol and Related Conditions. Path analytic, latent class, and multinomial models were executed to describe and elucidate family histories among persons diagnosed with antisocial personality disorder. Three classes of an antisocial family tree were found: minimal family history of problem behaviors (70.3 % of sample) who were characterized by higher socioeconomic functioning, parental and progeny behavior problems (9.4 % of sample) who were characterized by criminal behaviors, psychopathology, and substance use disorders, and multigenerational history of problem behaviors (20.3 % of sample) who were characterized by alcoholism, psychopathology, and versatile criminal offending. These findings add a typology to intergenerational studies of antisocial behavior that can assist in identifying etiological and treatment factors among those for whom crime runs in the family.

  17. Chitinase family GH18: evolutionary insights from the genomic history of a diverse protein family

    Directory of Open Access Journals (Sweden)

    Aronson Nathan N


    Full Text Available Abstract Background Chitinases (EC. hydrolyze the β-1,4-linkages in chitin, an abundant N-acetyl-β-D-glucosamine polysaccharide that is a structural component of protective biological matrices such as insect exoskeletons and fungal cell walls. The glycoside hydrolase 18 (GH18 family of chitinases is an ancient gene family widely expressed in archea, prokaryotes and eukaryotes. Mammals are not known to synthesize chitin or metabolize it as a nutrient, yet the human genome encodes eight GH18 family members. Some GH18 proteins lack an essential catalytic glutamic acid and are likely to act as lectins rather than as enzymes. This study used comparative genomic analysis to address the evolutionary history of the GH18 multiprotein family, from early eukaryotes to mammals, in an effort to understand the forces that shaped the human genome content of chitinase related proteins. Results Gene duplication and loss according to a birth-and-death model of evolution is a feature of the evolutionary history of the GH18 family. The current human family likely originated from ancient genes present at the time of the bilaterian expansion (approx. 550 mya. The family expanded in the chitinous protostomes C. elegans and D. melanogaster, declined in early deuterostomes as chitin synthesis disappeared, and expanded again in late deuterostomes with a significant increase in gene number after the avian/mammalian split. Conclusion This comprehensive genomic study of animal GH18 proteins reveals three major phylogenetic groups in the family: chitobiases, chitinases/chitolectins, and stabilin-1 interacting chitolectins. Only the chitinase/chitolectin group is associated with expansion in late deuterostomes. Finding that the human GH18 gene family is closely linked to the human major histocompatibility complex paralogon on chromosome 1, together with the recent association of GH18 chitinase activity with Th2 cell inflammation, suggests that its late expansion

  18. Family history in public health practice: a genomic tool for disease prevention and health promotion. (United States)

    Valdez, Rodolfo; Yoon, Paula W; Qureshi, Nadeem; Green, Ridgely Fisk; Khoury, Muin J


    Family history is a risk factor for many chronic diseases, including cancer, cardiovascular disease, and diabetes. Professional guidelines usually include family history to assess health risk, initiate interventions, and motivate behavioral changes. The advantages of family history over other genomic tools include a lower cost, greater acceptability, and a reflection of shared genetic and environmental factors. However, the utility of family history in public health has been poorly explored. To establish family history as a public health tool, it needs to be evaluated within the ACCE framework (analytical validity; clinical validity; clinical utility; and ethical, legal, and social issues). Currently, private and public organizations are developing tools to collect standardized family histories of many diseases. Their goal is to create family history tools that have decision support capabilities and are compatible with electronic health records. These advances will help realize the potential of family history as a public health tool.

  19. [Analysis of the demand for family planning]. (United States)

    Mostajo, P; Foreit, K


    Fertility intentions and reproductive risk were used to segment Peru's potential market for contraceptives using data from the 1991-92 Demographic and Health Survey. The four programmatic groups of fertile-aged women in union included 41.4% not wanting more children and at high risk, 30.5% not wanting more children and at moderate or low risk, 12.8% wanting to space, and 15.4% wanting a child in the near future. 84.6% of fertile-aged married women thus needed a contraceptive method to avoid unwanted pregnancy or high risk pregnancy. A range of appropriate methods was identified for each of the four programmatic groups based on method efficacy, clinical contraindications, and legal restrictions. Projections of the prevalence, method mix, and sources of service took into account the range of appropriate methods, local preferences for particular methods, local availability of health posts and infrastructure, and the rational use of limited resources. The four programmatic groups were disaggregated by age to take into account recommendations for use of oral contraceptives, surgical sterilization, and IUDs. The segmentation by source of supply was done separately for type of method and rural or urban residence. Marital status, proportion of fertile-aged women, socioeconomic status and other factors were heterogeneously distributed within and between the 13 planning regions. An estimated 7% of women were infertile, 23.9% were at low reproductive risk, 25.6% at medium risk, and 50.5% at high risk because of age, parity, or a history of abortion, neonatal death, prematurity, or cesarean delivery. Among women not wanting more children at high and medium or at low risk, respectively, 66.6% and 65.1% were using a method, but only 30.0% and 32.0% were using an appropriate method. The projected method mix and sources of supply are presented for Lima as an illustration of application of the methodology. The projected method mix for Lima eliminates use of natural methods

  20. Planning Cultures and Histories: Influences on the Evolution of Planning Systems and Spatial Development Patterns

    NARCIS (Netherlands)

    Stead, D.; de Vries, J.; Tasan-Kok, T.


    This special issue addresses the influences of planning cultures and histories on the evolution of planning systems and spatial development. As well as providing an international comparative perspective on these issues, the collection of articles also engages in a search for new conceptual

  1. [Towards a history of the family care of psychiatric patients]. (United States)

    Guarnieri, Patrizia


    Inserting adults with psychic problems into families has recently been practiced in various European countries and also in Italy, where some mental health departments support such families. Beyond the well known story of Gheel, the etero and omofamily care of psychiatric patients has a forgotten history. On the basis of unexplored and exceptionally rich sources from the archives of the asylums in Florence, as well as of the Province di Florence, which funded assistance to the mentally ill--this research focuses on the subsidized "domestic custody" of hundreds of psychiatric patients, who had already been institutionalized. Beginning in 1866, outboarding was supported by the provincial administration in Florence with the collaboration of the asylum medical direction. In the late 19th C. and in the early 20th C. prestigious psychiatrists sought alternatives to the institutionalisation. These alternatives involved varied participants in a community (the patients and their families, the administrators and the medical specialists, the neighborhood and the police). The families played a special role that historians of the psychiatry exclusively dedicated to the insane asylums have not really seen. The role of the families in the interaction with the psychiatric staff is not, even on a historiographical level, simply an additional and marginal chapter of the practices and of the culture of the mental health. These archival evidence contradicts some common places on the past of the Italian psychiatry before 1978, and provokes new reflections of possible relevance to the present.

  2. Family history of suicide and exposure to interpersonal violence in childhood predict suicide in male suicide attempters. (United States)

    Rajalin, Mia; Hirvikoski, Tatja; Jokinen, Jussi


    Family studies, including twin and adoption designs, have shown familial transmission of suicidal behaviors. Early environmental risk factors have an important role in the etiology of suicidal behavior. The aim of the present study was to assess the impact of family history of suicide and childhood trauma on suicide risk and on severity of suicide attempt in suicide attempters. A total of 181 suicide attempters were included. Family history of suicide was assessed with the Karolinska Suicide History Interview or through patient records. Childhood trauma was assessed with the Karolinska Interpersonal Violence Scale (KIVS) measuring exposure to violence and expressed violent behavior in childhood (between 6 and 14 years of age) and during adult life (15 years or older). Suicide intent was measured with the Freeman scale. Male suicide attempters with a positive family history of suicide made more serious and well planned suicide attempts and had a significantly higher suicide risk. In logistic regression, family history of suicide and exposure to interpersonal violence as a child were independent predictors of suicide in male suicide attempters. The information about family history of suicide and exposure to interpersonal violence as a child derives from the patients only. In the first part of the inclusion period the information was collected from patient records. The results of this study imply that suicides among those at biological risk might be prevented with the early recognition of environmental risks. Copyright © 2012 Elsevier B.V. All rights reserved.

  3. Renewing focus on family planning service quality globally. (United States)

    Hancock, Nancy L; Stuart, Gretchen S; Tang, Jennifer H; Chibwesha, Carla J; Stringer, Jeffrey S A; Chi, Benjamin H


    Reducing the global unmet need for contraception is currently a priority for many governments, multi-lateral initiatives, non-governmental organizations, and donors. Evidence strongly suggests that the provision of quality family planning services can increase uptake, prevalence, and continuation of contraception. While an accepted framework to define the components of family planning service quality exists, translating this framework into assessment tools that are accessible, easily utilized, and valid for service providers has remained a challenge. We propose new approaches to improve the standardization and accessibility of family planning service quality assessment tools to simplify family planning service quality evaluation. With easier approaches to program evaluation, quality improvements can be performed more swiftly to help increase uptake and continuation of contraception to improve the health of women and their families.

  4. Introducing the World Health Organization Postpartum Family Planning Compendium. (United States)

    Sonalkar, Sarita; Gaffield, Mary E


    The postpartum period offers multiple opportunities for healthcare providers to assist with family planning decision making. However, there are also many changing factors during the first year after delivery that can affect family planning choices. Given that several different documents have addressed WHO guidance on postpartum family planning, the electronic WHO Postpartum Family Planning Compendium ( has been introduced. This resource integrates essential guidance on postpartum family planning for clinicians, program managers, and policy makers. The development of the Compendium included consultations with family planning experts, key international stakeholders, and web developers. Once the website had been created, user testing by family planning experts allowed for improvements to be made before the official launch. Future directions are adaptation of the website into a mobile application that can be more easily integrated to low-resource settings, and translation of the content into French and Spanish. © 2016 World Health Organization. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.

  5. The Filipino male as a target audience in family planning. (United States)

    Vitug, W


    Since the official launching of the Philippine Population Program in 1970, family planning campaigns have substantially addressed themselves to women. The suggestion to devote equal, if not more, attention to men as family planning targets had been raised by Dr. Mercado as early as 1971. It was not until 1978, that the deliberate inclusion of males as a target audience in family planning became a matter of policy. The Population Center Foundation (PCF), from 1979 to 1982, carried out research projects to determine the most suitable approaches and strategies to reach Filipino men. The objectives of the PCF's Male Specific Program are: 1) to test alternative schemes in promoting male family planning methods through pilot-testing of family planning clinics for men, 2) to develop teaching materials geared toward specific segments of the male population, 3) to undertake skills training in male-specific motivational approaches for program professionals, and 4) to assess the extent of the husband's role in family planning. An important finding of 1 study was that most outreach workers were female stood in the way of the motivation process, thus hampering the campaign. While the consultative motivational skills training improved knowledge, attitudes, and skills of outreach workers with regard to vasectomy and the motivation process, there were certain predispositions that were hindering the fieldworkers' effectiveness in motivating target clients. Overall, in-depth, 1-to-1 motivation in dealing with men is needed to strengthen internalization of family planning values.

  6. Planned gay father families in kinship arrangements

    NARCIS (Netherlands)

    Bos, H.H.M.W.


    The current study examined whether there are differences between gay father families (n = 36) and heterosexual families (n = 36) on father-child relationship, fathers' experiences of parental stress and children's wellbeing. The gay fathers in this study all became parents while in same-sex

  7. Attitudes of 110 married men towards family planning. (United States)

    Arokiasamy, J T


    A study was conducted at the Army Garrison Hospital at Port Dickson in Peninsular Malaysia to determine the attitudes of 110 married men towards family planning. The sample included 80 Malays and 30 Indians who are army personnel attending the hospital either for medical treatment or a check-up. The study instrument was a pre-tested questionnarie administered by 2 male nurses during the November-December 1975 period. 76 of the respondents were between the ages of 20-34 years. 81 of the respondents had been married for a duration of up to 11 years. A breakdown by religion showed that 80 were Muslims, 25 were Hindus, and 5 were Christians, the latter being all Roman Catholics. All of the respondents were able to read and write in at least 1 language, 36 had had schooling varying from standard 1-6, 40 had had schooling varying between Form 1-Form 3, and 34 had had schooling varying from Form 4-to either Malaysian Certificate of Education Level or Higher School Certificate Level. 103 of the respondents approved of family planning, and of these 63 had always felt this way in the past. 6 respondents indicated that they had not thought about family planning in the past. 87 respondents did not approve of the practice of family planning before having the 1st child. Only 7 of 80 Malays in contrast to 16 of 30 Indian respondents -- a significant difference -- approved of family planning before the 1st child. 89 of the 110 respondents had discussed family planning with their wives; 21 respondents had not. 93 respondents disapproved of induced abortion; 17 approved of it. Only 3 of 80 Malay respondents approved induced abortion, but 14 of 30 Indian respondents indicated approval. 98 of the respondents indicated that they were interested in learning more about family planning, and 96 approved of their wife practicing family planning. 56 respondents were practicing family planning, and 20 indicated that they would do so in the future. 6 said they would not practice family

  8. Family planning: as important for the child as for the mother and for the family. (United States)



    The following were among the questions directed to India's Prime Minister Indira Ghandi: what priorities does the government accord to the family planning program; is there any alternative for economic viability for the country in the face of failure to curb the population growth rate to a manageable proportion; should family planning be part of the minimum national consensus, i.e., above party politics; what steps is the government taking to revitalize the family planning program; and is there a need to review the law in order to determine how it can be made more supportive of the family planning effort. Ghandi noted that India's government was the 1st in the entire world to adopt family planning as a official program, and this action shows how important family planning is to the country. She maintained that the real answer is development--development to provide what the people really need and development because it helps to curb families. Ghandi made the point that a subject like family planning should be above any controversy, but in actuality there has been considerable propaganda against family planning in India. To revitalize the program, Ghandi identified the need for involving the entire population rather than just the department in charge of family planning. She indicated that schools, the youth movement, women's organizations and other institutions which are concerned with any type of social welfare should be involved in family planning. Finally, Ghandi reported that the government is doing a great deal to raise the status of women in India, beginning by helping girls to continue their education.

  9. Income-generating activities for family planning acceptors. (United States)


    The Income Generating Activities program for Family Planning Acceptors was introduced in Indonesia in 1979. Capital input by the Indonesian National Family Planning Coordination Board and the UN Fund for Population Activities was used to set up small businesses by family planning acceptors. In 2 years, when the businesses become self-sufficient, the loans are repaid, and the money is used to set up new family planning acceptors in business. The program strengthens family planning acceptance, improves the status of women, and enhances community self-reliance. The increase in household income generated by the program raises the standards of child nutrition, encourages reliance on the survival of children, and decreases the value of large families. Approximately 18,000 Family Planning-Income Generating Activities groups are now functioning all over Indonesia, with financial assistance from the central and local governments, the World Bank, the US Agency for International Development, the UN Population Fund, the Government of the Netherlands, and the Government of Australia through the Association of South East Asian Nations.

  10. Factors affecting frequency of communication about family health history with family members and doctors in a medically underserved population. (United States)

    Kaphingst, Kimberly A; Goodman, Melody; Pandya, Chintan; Garg, Priyanka; Stafford, Jewel; Lachance, Christina


    Family history contributes to risk for many common chronic diseases. Little research has investigated patient factors affecting communication of this information. 1061 adult community health center patients were surveyed. We examined factors related to frequency of discussions about family health history (FHH) with family members and doctors. Patients who talked frequently with family members about FHH were more likely to report a family history of cancer (p =.012) and heart disease (p history of heart disease (p = .011), meet physical activity recommendations (p = .022), seek health information frequently in newspapers (p history of some diseases, those not meeting physical activity recommendations, and those who do not frequently seek health information may not have ongoing FHH discussions. Interventions are needed to encourage providers to update patients' family histories systematically and assist patients in initiating FHH conversations in order to use this information for disease prevention and control. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  11. Programmatic aspects of postpartum family planning in developing ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    . Abstract. To achieve the improved maternal and child outcomes of birth spacing, family planning in the postpartum period is essential. The objective of this study is to determine the perceptions regarding programmatic aspects of postpartum ...

  12. Family Planning and Deforestation: Evidence from the Ecuadorian Amazon. (United States)

    Sellers, Samuel


    Despite an abundant body of literature exploring the relationship between population growth and forest cover change, comparatively little research has explored the forest cover impacts of family planning use, which is a key determinant of the rate of population growth in many developing country contexts. Using data from a farm-level panel survey in the Northern Ecuadorian Amazon, this paper addresses whether family planning use impacts forest cover change. Longitudinal model results show that after controlling for household life cycle and land use variables, family planning use did not have an independent effect on deforestation, reforestation, or net forest loss between 1990 and 2008. Forest cover change patterns appear indicative of farm life cycle effects. However, family planning use is associated with reduced subsequent fertility among households, suggesting that the relationship between population growth from births and forest cover change may be limited in this setting.

  13. International Population Assistance and Family Planning Programs: Issues for Congress

    National Research Council Canada - National Science Library

    Nowels, Larry; Veillette, Connie


    ...." The Mexico City policy denied U.S. funds to foreign nongovernmental organizations (NGOs) that perform or promote abortion as a method of family planning, regardless of whether the money came from the U.S. government...

  14. International Population Assistance and Family Planning Programs: Issues for Congress

    National Research Council Canada - National Science Library

    Blanchfield, Luisa


    ...." The Mexico City policy denies U.S. funds to foreign nongovernmental organizations (NGOs) that perform or promote abortion as a method of family planning -- even if the activities are undertaken with non-U.S. funds...

  15. International Population Assistance and Family Planning Programs: Issues for Congress

    National Research Council Canada - National Science Library

    Nowels, Larry; Veillette, Connie


    ...." The Mexico City policy denied U.S. funds to foreign nongovernmental organizations (NGOs) that perform or promote abortion as a method of family planning, regardless of whether the money came from the U.S...

  16. Family planning providers' experiences and perceptions of long ...

    African Journals Online (AJOL)

    Family planning providers' experiences and perceptions of long-acting reversible contraception in Lilongwe, Malawi. Tapika Mwafulirwa, Michele S. O'Shea, Gloria Hamela, Emilia Samuel, Christine Chingondole, Virginia Chipangula, Mina C. Hosseinipour, Jennifer H. Tang ...

  17. International Population Assistance and Family Planning Programs: Issues for Congress

    National Research Council Canada - National Science Library

    Nowels, Larry; Veillette, Connie


    .... international family planning programs. In 1984, controversy arose over U.S. population aid policy when the Reagan Administration introduced restrictions, which became known as the "Mexico City policy...

  18. International Population Assistance and Family Planning Programs: Issues for Congress

    National Research Council Canada - National Science Library

    Blanchfield, Luisa


    .... international family planning programs. In 1984, controversy arose over U.S. population aid policy when the Reagan Administration introduced restrictions, which became known as the "Mexico City policy...

  19. "Three primaries" method in pushing family planning ahead. (United States)


    Crash family planning drives cause 3 problems: 1) they tax leaders' energies and hinder work in other areas, 2) many abortions put too much stress on local hospitals, and 3) the drives adversely affect relations with the masses. The "3 Primaries" give precedence to 1) publicity and education over economic measures, 2) contraception over abortion, and 3) routine work over crash drives. The authors recommend persistence in publicity and education as primary methods and the strengthening of ideological polictical work. Many meetings, radio programs, art productions, street exhibitions, story telling programs, and films have informed the masses about family planning and the 1 child family policy. They recommend commending good people and good deeds in promoting contraception as the primary method of family planning and spreading information about it. Advocating the 1 child family has caused the numbers of abortions to increase sharply due to ignorance of contraception. Newlyweds should be visited at home, as they are often shy about discussing this, and advised on contraception. Routine work should be performed as a primary method, and good work can be done at the grassroots level. Regular meetings should be held at each organizational level to exchange experiences and discuss work. Family planning team leaders should visit households and distribute contraceptives. Production brigade cadres should make regular inspections and pregnancy reports. Files should be kept of newlyweds, births, couples who pledge to have only 1 child, contraceptive use, and contraceptive distribution. Communes should x-ray for misplaced IUDs every 3 months. Women's federations, health care centers, nurseries and kindergartens, and old age security systems must cooperate to promote family planning. Family planning work must persevere. By sticking to the 3 primary methods, these have been achieved 1) a planned birth rate, 2) a lower abortion rate, 3) greater acceptance of the 1 child family, and

  20. Characteristics of Consumers of Family Planning Services in Eastern Nepal


    Sushma Dahal; Raj Kumar Subedi


    Family planning services in Nepal are provided by government and non-government health facilities. A descriptive cross sectional study was done by secondary data review of eight months from Institutional clinic, District Health Office (DHO) Ilam district. Use of different family planning methods through government health facility was studied in relation to different variables like age, sex, ethnicity, and, number of children. Around 53% of the female users of spacing method and around 47% of ...

  1. Incorporation of detailed family history from the Swedish Family Cancer Database into the PCPT risk calculator. (United States)

    Grill, Sonja; Fallah, Mahdi; Leach, Robin J; Thompson, Ian M; Freedland, Stephen; Hemminki, Kari; Ankerst, Donna P


    A detailed family history provides an inexpensive alternative to genetic profiling for individual risk assessment. We updated the PCPT Risk Calculator to include detailed family histories. The study included 55,168 prostate cancer cases and 638,218 controls from the Swedish Family Cancer Database who were 55 years old or older in 1999 and had at least 1 male first-degree relative 40 years old or older and 1 female first-degree relative 30 years old or older. Likelihood ratios, calculated as the ratio of risk of observing a specific family history pattern in a prostate cancer case compared to a control, were used to update the PCPT Risk Calculator. Having at least 1 relative with prostate cancer increased the risk of prostate cancer. The likelihood ratio was 1.63 for 1 first-degree relative 60 years old or older at diagnosis (10.1% of cancer cases vs 6.2% of controls), 2.47 if the relative was younger than 60 years (1.5% vs 0.6%), 3.46 for 2 or more relatives 60 years old or older (1.2% vs 0.3%) and 5.68 for 2 or more relatives younger than 60 years (0.05% vs 0.009%). Among men with no diagnosed first-degree relatives the likelihood ratio was 1.09 for 1 or more second-degree relatives diagnosed with prostate cancer (12.7% vs 11.7%). Additional first-degree relatives with breast cancer, or first-degree or second-degree relatives with prostate cancer compounded these risks. A detailed family history is an independent predictor of prostate cancer compared to commonly used risk factors. It should be incorporated into decision making for biopsy. Compared with other costly biomarkers it is inexpensive and universally available. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  2. On the efficiency of multiple media family planning promotion campaigns. (United States)


    This article presents the result of a study conducted by Miriam N. Jato on the impact of multimedia family planning communication campaigns on contraceptive use. The study was conducted in Tanzania, where a government program integrated family planning into maternal and child health care services in 1988, while in 1992 a private-sector condom-marketing program begun and a national population policy for wider distribution of family planning information was adopted by the government. In less than 3 years, contraceptive use was found to have doubled to a level of 11.3% and the total fertility rate declined from an average of 6.3 to 5.8 live births. The result of the study indicates that exposure to media sources of family planning messages was directly associated with increased contraceptive use. Moreover, the use of modern methods increased among women who were exposed to a greater number of media sources, as did discussion of family planning with spouses and attendance of health facilities. The programmatic implications of the results confirm that utilization of multiple media channels in the promotion of family planning and other reproductive issues must be continued, with emphasis on media sources that reach large audiences.

  3. Need for integration of gender equity in family planning services. (United States)

    Garg, Suneela; Singh, Ritesh


    The family planning programme of India has shown many significant changes since its inception five decades back. The programme has made the contraceptives easily accessible and affordable to the people. Devices with very low failure rate are provided free of cost to those who need it. Despite these significant improvements in service delivery related to family planning the programme cannot be said to achieve success at all levels. There are many issues with the family planning services available through the public health facilities in India. Failure to adopt the latest technology is one of these. But the most serious drawback of the programme is that it has never been able to bridge the gap between the two genders related to contraceptives. The programme gave emphasis to women-centric contraceptive and thus women were seen as their clients. The choice to adopt a contraceptive though is 'cafeteria approach' in family planning lexicon; it is the choice of the husband that is ultimately practiced. There is not enough dialogue between husband and wife and husband and health worker to discuss the use of one contraceptive over another. The male gender needs to be taken in confidence while promoting the family planning practice. The integration of gender equity is to be done carefully so as not to make dominant gender more powerful. Only when there is equity between genders while using family planning services the programme will achieve success.

  4. Advocacy for International Family Planning: What Terminology Works? (United States)

    Huber, Douglas; Martin, Raymond; Bormet, Mona

    Advocating for international family planning while avoiding miscommunications with politically and religiously conservative policy makers and the public requires care and clarity with language. We find that terms such as "international family planning" are well received when the meaning is clearly explained, such as "enabling couples to determine the number and timing of pregnancies, including the voluntary use of methods for preventing pregnancy - not including abortion - harmonious with their beliefs and values". Family planning also helps reduce abortions - a powerful message for conservative policy makers and the public. We concur with Dyer et al. (2016) that the messenger is important; we find that many of the most effective advocates are religious leaders and faith-based health providers from the Global South. They know and validate the importance of family planning for improving family health and reducing abortions in their communities. "Healthy timing and spacing of pregnancy" is positive language for policy makers, especially when describing the health impact for women and children. Universal access to contraceptive services is emerging as vital for family health and also to help achieve the Sustainable Development Goals (UN 2015). Language on international family planning will evolve, and clarity of meaning will be foundational for effective advocacy.

  5. Utilization of family planning services in a Nigerian tertiary hospital ...

    African Journals Online (AJOL)

    Context: Family planning is an integral part of maternal health as its uptake is a significant factor in the reduction of maternal mortality and in ensuring positive child health outcomes. Objectives: To describe prevalence and pattern of contraceptive use, and identify reasons for discontinuation among women accessing family ...

  6. report on family planning clinics conducted in the cape town ...

    African Journals Online (AJOL)


    Mar 13, 1971 ... REPORT ON FAMILY PLANNING CLINICS CONDUCTED IN THE CAPE TOWN. MUNICIPAL AREA FROM 1960 TO 1969*. ISOBEL ROBERTSON, M.B., CH.B., D.P.H., Maternal and Child Welfare Officer, City Healch Deparcmenc,. Cape Town. SUMMARY. A statistical survey of the attendances at Family ...

  7. Utilization of Family Planning Services among Women of ...

    African Journals Online (AJOL)

    determine the number of children in the family.3. Prevention of fertility could be temporary. (contraception) or permanent (sterilization). However, contraceptive methods are said to be methods that help women avoid unwanted pregnancies. Evaluation of family planning services is usually done for married women or women ...

  8. Male Knowledge, Attitude, and Family Planning Practices in ...

    African Journals Online (AJOL)

    This paper examines the linkages between socioeconomic characteristics, attitudes, and familial contraceptive use. Past family planning programs in Nigeria have been mainly directed toward women. However, because northern Nigeria (and to a slightly lesser extent all of Nigeria) remains a patrilineal society characterized ...

  9. Barriers to family planning acceptance in Abakaliki, Nigeria | Esike ...

    African Journals Online (AJOL)

    Introduction: Family planning is very important and confers huge benefits to the woman, her family and country. It helps reduce maternal morbidity and mortality among other benefits. In spite of these obvious benefits of and the huge expenditure on it, uptake by women continues to be very low. We conducted this study to ...

  10. Women's attitudes towards receiving family planning services from ...

    African Journals Online (AJOL)

    and income generating activities with positive outcome in increasing contraceptive prevalence in rural areas9. Even though literature on uptake as well as methods used for family planning at community level in develop- ing countries is available, literature on perceptions and attitudes of women towards the use of family ...

  11. An Examination of Family Physicians Plan Implementation in Rural ...

    African Journals Online (AJOL)

    Razieh Mirzaeian

    the strengths and weaknesses of the Family Physician Plan in the Iranian villages based on the perspectives of the family physicians, managers, employees and clients in the health system in. 2014. Subjects and ...... 19.4. Lack of proper link between the physician and the middle and assistant personnel. 41.9. 25.8. 21. 11.3 ...

  12. Barriers to family planning acceptance in Abakaliki, Nigeria

    African Journals Online (AJOL)

    ABSTRACT. Introduction: Family planning is very important and confers huge benefits to the woman, her family and country. It helps reduce maternal morbidity and mortality among other benefits. In spite of these obvious benefits of and the huge expenditure on it, uptake by women continues to be very low. We conducted ...

  13. The Effect of Educational Intervention on Family Planning ...

    African Journals Online (AJOL)

    Army barracks in Nigeria have low contraceptive prevalence rates (CPRs) and many children per family. The aim of this interventional study, involving 963 married women, is to determine the impact of health education on family planning knowledge, attitudes, and practices among married barrack women. The intervention ...

  14. Family history of cancer, personal history of medical conditions and risk of oral cavity cancer in France: the ICARE study.


    Radoï, Loredana; Paget-Bailly, Sophie; Guida, Florence; Cyr, Diane; Menvielle, Gwenn; Schmaus, Annie; Carton, Matthieu; Cénée, Sylvie; Sanchez, Marie; Guizard, Anne-Valérie; Trétarre, Brigitte; Stücker, Isabelle; Luce, Danièle


    International audience; BACKGROUND: The aim of this study was to evaluate the role of family history of cancer and personal history of other medical conditions in the aetiology of the oral cavity cancer in France. METHODS: We used data from 689 cases of oral cavity squamous cell carcinoma and 3481 controls included in a population-based case--control study, the ICARE study. Odds-ratios (ORs) associated with family history of cancer and personal medical conditions and their 95% confidence inte...

  15. [Family planning and diverse declarations of human rights]. (United States)

    Gakwaya, D


    Human beings have always desired to claim their rights, even in times when only a small proportion of the population was considered fully human and the rest were slaves, servants, uncivilized, colonized, underdeveloped, or, in the recent euphemism, "developing". The French Declaration of the Rights of Man of 1789 marked the 1st time in history that rights for all people were publicly affirmed. The rights in question were essentially constitutional and political, but the idea of claiming rights had been born. In 1948, the international community approved the Universal Declaration of Human Rights which encompassed all types of rights. Other international acts on civil and political rights and the rights of women and children have complemented and interpreted the 1948 document. The Universal Declaration of Human Rights affirmed that all human beings are born free and equal in dignity and rights and that all persons have a right to satisfaction of economic, social, and cultural needs. The convention on elimination of all forms of discrimination against women referred in its preamble to the particular disadvantages of women living in poverty and affirmed the right of all women to education in health and family welfare, including family planning, as well as to medical and family planning services. Women were affirmed to have the same rights as men to decide freely and in an informed manner on the number and spacing of their children and to have access to the information, education, and means to exercise these rights. The United Nations has demonstrated its interest in Population Commission in 1946 and of the UN Fund for Population Activities in 1969, and through decennial worldwide population conferences in 1954, 1965, 1974, and 1984. UN demographic goals include reduced fertility on a worldwide basis, a reduced proportion of women not using reliable contraception, a substantial reduction of early marriage and adolescent pregnancy, reduction in infant and maternal

  16. Family Planning in Five Continents: Africa, America, Asia, Europe, Oceania. (United States)

    International Planned Parenthood Federation, London (England).

    Population growth trends and family planning activities in Africa, America, Asia, Europe, and Oceania are summarized in this booklet developed by the International Planned Parenthood Federation. Narrative information for each continent gives a resume of population growth trends, reasons for the trends, population problems, policy formation, family…

  17. An Examination of Family Physicians Plan Implementation in Rural ...

    African Journals Online (AJOL)

    Background: Family physician plan (FPP) and referral system (RS) is one of the major plans in Iran's health system with the aim of increasing the accountability in the health market, enhancing the public's access to the health services, lowering the unnecessary costs and equitable distribution of health across the society.

  18. Status of women and family planning: the Indian case. (United States)

    Vaidyanathan, K E


    This article examines the extent to which the status of women is related to awareness, knowledge, and practice of family planning in India. It uses both macro-level data for the states of India and date from household surveys and field studies to assess the extent of interaction between the women's status indicators and family planning indicators. Results show a definite statistical relationship between women's status and women's ability to control fertility. The strongest relationship to adoption of family planning is the educational attainment of women, followed by age at marriage, and women's work participation, particularly in nonagricultural activities. Evidence from various surveys on the effects of crucial variables on reproductive behavior include 1) a marked reduction in fertility with increases in the educational level; 2) lower fertility for working women, and especially for non-manual workers; 3) a reduction in fertility with increases in age at marriage; and 4) a higher percentage of couples practicing family planning who have 2 or more surviving children, particularly if they have boys. A 1972 survey of 3 Indian states showed that 1) husbands impose a variety of restrictions on wives, with rural husbands placing more restrictions than urban husbands; 2) women's role in decision making in household affairs is positively correlated with the degree of awareness and knowledge of contraceptives as well as adoption of family planning; and 3) interspousal communication was significantly related to the practice of family planning in both rural and urban areas. In conclusion, to help encourage adoption of family planning and reduce fertility, India should 1) emphasize education for women, 2) enforce the legal minimum age at marriage, 3) promote employment opportunities for women, 4) improve women's role in decision making, and 5) encourage interspousal communication in family affairs.

  19. Health Seeking Behavior and Family Planning Services Accessibility in Indonesia

    Directory of Open Access Journals (Sweden)

    Niniek Lely Pratiwi


    Full Text Available Background: The MDG target to increase maternal health will be achieved when 50% of maternal deaths can be prevented through improvment the coverage of K1, K4, to make sure that midwife stay in the village improve the delivery by health workers in health facilities, increase coverage long-term contraceptive methods participant as well as family and community empowerment in health. Methods: This study is a further analysis of Riskesdas in 2010 to assess how big the accessibility of services in family planning in Indonesia. Results: Women of 3–4 children in rural greater and prevalence (27.1% compared to women who live in urban areas (25.0%. The main reason of not using contraception mostly because they want to have children 27.0% in urban, 28.2% rural whereas, the second reason is the fear of side effects 23.1% in urban, 16.5% rural. There is 10% of respondent did not use contraceptives, because they did not need it. Health seeking behavior of pregnant women with family planning work status has a significant relationship (prevalence ratio 1.073. The jobless mothers has better access to family planning services compared to working mother. Conclusions: Accessibility of family planning services is inadequate, because not all rural ‘Poskesdes’ equipped with infrastructure and family planning devices, a lack of knowledge of family planning in rural areas. Health seeking behavior of family planning services is mostly to the midwives, the scond is to community health centers and than polindes, ‘poskesdes’ as the ranks third.

  20. [Is family planning effective and profitable in Rwanda?]. (United States)

    Tallon, F


    Although the demographic explosion in Rwanda will have catastrophic consequences if it is left unchecked, the family planning program has been received with hostility within the country. The National Population Office has conducted 2 studies to provide information on the costs and use of family planning services from 1981-88 and to project the findings into the future in demographic and financial terms. The population of Rwanda increased from 2 million in 1950 to 7 million in 1990 and will exceed 10 million in 2000. The projection is based on various hypotheses about demographic behavior from 1981, when the family planning program began, to 2011. The model measures the impact of family planning on population size and then assesses the repercussions of family planning on health, education, and agriculture expenditures. According to the projection, in the year 2011 with and without family planning respectively, the total population will be 17.7 or 13.2 million, the rate of increase will be 4.5% or 2.7% per year, and the number of children per woman will be 10.6 or 4.7. The rate of contraceptive prevalence is projected to increase from 8.0% in 1990 to 34.8% in 2000 and 46.8% in 2011. Expenditures for health care increase as a function of population size and therefore grow more rapidly without family planning. The government would save 29.2% of health expenditures and about 1/3 in education expenditures in 2010 if fertility declined according to the projection. Lower fertility would facilitate improvements in both health and education services. But it is in the agricultural sector that family planning would have the greatest impact in Rwanda. 93% of the economically active population is employed in agriculture, but available land has disappeared and productivity has declined due to soil exhaustion. The food supply is no longer adequate and famine threatens certain regions. Because population is increasing more rapidly than food production, the per capita food supply

  1. Vital aspects of nursing: the family planning component. (United States)

    Bhandari, U; Bhandari, V


    3 basic conditions are needed to accelerate the adoption of India's family planning program: social approval for the program; knowledge about family planning; and availability of services. The program is likely to succeed if an intensive drive is made to establish effective communication with people in order to create in them a recognition of the value of a small family. Nursing personnel form a vital component of the health team that has to shoulder major responsibilities in creating the above basic conditions in the country. Their knowledge, skills and devotion bring them close to the patients and communities under circumstances where most of their advice is welcomed. This, along with the nature of their tasks, can help nurses to help the families in accepting the family planning program. As educators nurses will need to integrate an educational component in their daily activities and to utilize various interactional situations to inform couples about the advantages of planned parenthood, available methods for spacing and limitation, motivate them to accept a contraceptive method, to remove doubts and fears about family planning methods, and to make people aware of the maternal and child health (MCH) component of the program. It is essential for a nurse to judge the effectiveness of her instruction. She can accomplish this by observing and studying the reactions and actions of her audience. Nurses also have a role in planning special aspects of the family planning program. As program planners, nurses must draw inferences from the collected data and apply these in developing a feasible and effective program for their respective areas. Nurses can play an important role in determining training needs of volunteers and in developing and imparting training. Every nurse functions to some degree in a supervisory capacity. In the family planning program the role of a nurse includes the supervision of auxiliary nurse midwives, traditional birth attendants, family planning

  2. Do people really know what makes a family history of cancer? (United States)

    Lim, Jennifer N W; Hewison, Jenny


    Family history is often referred to as a family tree in casual everyday conservations, but it carries a different connotation in medicine. This study is the first to investigate people's understanding of 'family medical history' and the concept of 'family' in the context of inherited cancer. Three hundred and nine staff at the Faculty of Medicine and Health, University of Leeds completed an online web survey. Not all respondents understood or knew what makes a family history of cancer. Only 54% knew exactly the type of information required to make a family history. Apart from blood relatives, adopted and step-siblings, step parents, in-laws, spouses, friends and colleagues were also named as 'family' for family history taking. Personal experience of living with cancer and academic qualification were not significant in influencing knowledge of family history. There is misunderstanding and poor knowledge of family history of cancer and the type of information required to make a family history even in a sample of people teaching and researching medicine and health issues. Public understanding of the value of family medical history in cancer prevention and management is important if informed clinical decisions and appropriate health care are to be delivered. © 2012 John Wiley & Sons Ltd.

  3. A new contract to improve family planning service delivery. (United States)


    The Population Council is responsible for the new USAID-funded Africa OR/TA (operations research/technical assistance) Project II. Project II activities will likely take place in Ghana, Kenya, Mali, and Zimbabwe, and maybe Nigeria and Uganda. The focus of planned OR activities include testing new approaches in reproductive health; sexually transmitted diseases; improving adolescents' access to family planning; documentation of the availability, functioning, and quality of health and family planning service delivery points (SDPs); development of indigenous approaches to community-based distribution; promotion of new and underutilized regulation methods; reduction of septic abortions through greater access to contraceptive services; incorporation of gender concerns in family planning programs; and testing postpartum family planning strategies. Between 1984 and 1998, the project will use OR extensively to examine the efficiency of integrated family planning and reproductive health programs. TA will include providing information and recommendations to program managers and policy decision makers about strategies to improve programs. Some project goals are to develop client-oriented service delivery strategies that are acceptable to different population groups and to improve the operations of programs so they can become more efficient and financially sustainable. Project II staff will use lessons learned from the Africa OR/TA Project I to improve service delivery and quality of care during 1993-1998.

  4. Family planning and family vision in mothers after diagnosis of a child with autism spectrum disorder (United States)

    Navot, Noa; Jorgenson, Alicia Grattan; Stoep, Ann Vander; Toth, Karen; Webb, Sara Jane


    The diagnosis of a child with autism has short- and long-term impacts on family functioning. With early diagnosis, the diagnostic process is likely to co-occur with family planning decisions, yet little is known about how parents navigate this process. This study explores family planning decision making process among mothers of young children with autism spectrum disorder in the United States, by understanding the transformation in family vision before and after the diagnosis. A total of 22 mothers of first born children, diagnosed with autism between 2 and 4 years of age, were interviewed about family vision prior to and after their child’s diagnosis. Grounded Theory method was used for data analysis. Findings indicated that coherence of early family vision, maternal cognitive flexibility, and maternal responses to diagnosis were highly influential in future family planning decisions. The decision to have additional children reflected a high level of adaptability built upon a solid internalized family model and a flexible approach to life. Decision to stop childrearing reflected a relatively less coherent family model and more rigid cognitive style followed by ongoing hardship managing life after the diagnosis. This report may be useful for health-care providers in enhancing therapeutic alliance and guiding family planning counseling. PMID:26395237

  5. History, Pathogenesis, and Management of Familial Gastric Cancer: Original Study of John XXIII's Family

    Directory of Open Access Journals (Sweden)

    Giovanni Corso


    Full Text Available Background. Hereditary diffuse gastric cancer is associated with the E-cadherin germline mutations, but genetic determinants have not been identified for familial intestinal gastric carcinoma. The guidelines for hereditary diffuse gastric cancer are clearly established; however, there are no defined recommendations for the management of familial intestinal gastric carcinoma. Methods. In this study we describe Pope John XXIII's pedigree that harboured gastric cancer as well as six other family members. Family history was analysed according to the International Gastric Cancer Linkage Consortium criteria, and gastric tumours were classified in accord with the last Japanese guidelines. Results. Seven out of 109 members in this pedigree harboured gastric cancer, affecting two consecutive generations. John XXIII's clinical tumour (cTN was classified as cT4bN3a (IV stage. In two other cases, gastric carcinomas were classified as intestinal histotype and staged as pT1bN0 and pT2N2, respectively. Conclusions. Pope John XXIII's family presents a strong aggregation for gastric cancer affecting almost seven members; it spreads through two consecutive generations. In absence of defined genetic causes and considering the increased risk of gastric cancer’s development in these families, as well as the high mortality rates and advanced stages, we propose an intensive surveillance protocol for asymptomatic members.

  6. Taking a nutrition history: a practical approach for family physicians. (United States)

    Hark, L; Deen, D


    The association between nutrition and health has been clearly documented. Primary care physicians are expected to address nutrition and dietary behavior issues with their patients in the context of a brief clinical encounter. This article proposes the use of a short interview form, with specific suggestions for behavior changes that family physicians can use to help their patients meet currently accepted dietary guidelines. Answers to the questions on the interview form provide the physician with an overall sense of the patient's daily eating habits and help to identify major sources of saturated fat in the patient's diet. The patient is asked about the number of meals and snacks eaten in a 24-hour period, dining-out habits and frequency of consumption of fruits, vegetables, meats, poultry, fish, dairy products and desserts. Documentation of dietary changes can be accomplished using the suggested nutrition history form, and improvements in nutritional status can be measured using weight, blood pressure and laboratory test data.

  7. Phase Transitions in Planning Problems: Design and Analysis of Parameterized Families of Hard Planning Problems (United States)

    Hen, Itay; Rieffel, Eleanor G.; Do, Minh; Venturelli, Davide


    There are two common ways to evaluate algorithms: performance on benchmark problems derived from real applications and analysis of performance on parametrized families of problems. The two approaches complement each other, each having its advantages and disadvantages. The planning community has concentrated on the first approach, with few ways of generating parametrized families of hard problems known prior to this work. Our group's main interest is in comparing approaches to solving planning problems using a novel type of computational device - a quantum annealer - to existing state-of-the-art planning algorithms. Because only small-scale quantum annealers are available, we must compare on small problem sizes. Small problems are primarily useful for comparison only if they are instances of parametrized families of problems for which scaling analysis can be done. In this technical report, we discuss our approach to the generation of hard planning problems from classes of well-studied NP-complete problems that map naturally to planning problems or to aspects of planning problems that many practical planning problems share. These problem classes exhibit a phase transition between easy-to-solve and easy-to-show-unsolvable planning problems. The parametrized families of hard planning problems lie at the phase transition. The exponential scaling of hardness with problem size is apparent in these families even at very small problem sizes, thus enabling us to characterize even very small problems as hard. The families we developed will prove generally useful to the planning community in analyzing the performance of planning algorithms, providing a complementary approach to existing evaluation methods. We illustrate the hardness of these problems and their scaling with results on four state-of-the-art planners, observing significant differences between these planners on these problem families. Finally, we describe two general, and quite different, mappings of planning

  8. Is family planning an economic decision? (United States)

    Wunderink, S R


    This study examines economic models of household choice and the role of economic factors in determining the timing of births. A static economic model is presented and tested with data from the Netherlands. After the availability of contraceptives, the family size variable shifted from being an exogenous to an endogenous one, because births could be regulated. Costs of childbearing were construed to have maintenance costs for parents and society, attendance costs of care, and intangible costs such as anxiety or personal freedom. Benefits were intangible ones, such as joy and happiness; income; public benefits; and attendance benefits. Intangible benefits enlarged the utility of children, but maintenance costs diminished resources available for consumption. Child quality was a product of market goods purchased by parents and others and household labor. Household time allocation varied with child's age. Private responsibility for children varied by country. Quality of child care varied between countries and over time. Quality was dependent upon economies of scale, variable costs by the age of the child, variable time commitments by age of the child, and market substitutes for private child care. Higher income families spent more money but less time on children. It is pointed out that Becker's model explained number of children, but not timing of births. Postponement of birth was unlikely for those with a limited education, an unpleasant job, and low wages. When the advantages and disadvantages of having a baby were positive, spouses or single women with a high subjective preference were expected to bear a child as soon as possible. Government policy can affect the average family size by increasing or decreasing the financial and/or time burden of children. Postponement may be chosen based on long term analysis of a couple's future, the formation and use of capital, and/or high subjective time preference. Before and after first birth are different frames of reference

  9. Family history of vascular disease and the risk of cardiovascular events

    NARCIS (Netherlands)

    Weijmans, M.


    A positive family history of cardiovascular disease is an established risk factor for the development of cardiovascular disease. In clinical practice, this evident relation between the presence of cardiovascular disease in families and first cardiovascular events has resulted in family history being

  10. Evaluation of Family Planning Counselling in North Jordan. (United States)

    Okour, Abdulhakeem M; Saadeh, Rami A; Zaqoul, Mona


    Counselling plays a key role in enhancing reproductive services, providing contraception-related information and supporting long-term family planning for women of childbearing age. This study aimed to evaluate family planning counselling sessions in selected governmental and private clinics in northern Jordan. This cross-sectional study was conducted between January and June 2016 in Irbid, Jordan. A total of 200 women attending two private clinics affiliated with the Jordanian Association for Family Planning and Protection (JAFPP) and six governmental clinics were invited to participate in the study. Counselling sessions were attended by an independent observer and evaluated with regards to their compliance with the standard Greet, Ask, Tell, Help, Explain, Return (GATHER) framework. A total of 198 women participated in the study (response rate: 99.0%), including 80 women (40.4%) from JAFPP clinics and 118 (59.6%) from governmental clinics. In total, 42.9% of the counselling sessions were deemed adequate, with providers applying 80% or more of the GATHER framework, while 26.8% of the sessions were deemed semi-adequate and 30.3% were considered inadequate. Counselling services provided in the governmental clinics were significantly less adequate than those provided in JAFPP clinics ( P family planning centres in Jordan needs to be improved to ensure that women receive the highest possible level of care. Healthcare policymakers should therefore focus on developing and supporting effective family planning counselling services in northern Jordan.

  11. Contraceptive security, information flow, and local adaptations: family planning Morocco. (United States)

    Chandani, Y; Breton, G


    Many developing countries increasingly recognize and acknowledge family planning as a critical part of socio-economic development. However, with few health dollars to go around, countries tend to provide essential drugs for curative care, rather than for family planning products. Donors have historically provided free contraceptives for family planning services. Whether products are donated or purchased by the country, a successful family planning program depends on an uninterrupted supply of products, beginning with the manufacturer and ending with the customer. Any break in the supply chain may cause a family planning program to fail. A well-functioning logistics system can manage the supply chain and ensure that the customers have the products they need, when they need them. Morocco was selected for the case study. The researchers had ready access to key informants and information about the Logistics Management Information System. Because the study had time and resource constraints, research included desktop reviews and interview, rather than data collection in the field. The case study showed that even in a challenging environment an LMIS can be successfully deployed and fully supported by the users. It is critical to customize the system to a country-specific situation to ensure buy-in for the implementation. Significant external support funding and technical expertise are critical components to ensure the initial success of the system. Nonetheless, evidence from the case study shows that, after a system has been implemented, the benefits may not ensure its institutionalization. Other support, including local funding and technical expertise, is required.

  12. Family Planning Supply Environment in Kinshasa, DRC: Survey Findings and Their Value in Advancing Family Planning Programming (United States)

    Kayembe, Patrick; Babazadeh, Saleh; Dikamba, Nelly; Akilimali, Pierre; Hernandez, Julie; Binanga, Arsene; Bertrand, Jane T


    Background: Modern contraceptive prevalence was 14.1% in 2007 in Kinshasa, the capital city of the Democratic Republic of the Congo (DRC). Yet virtually nothing was known about the family planning supply environment. Methods: Three surveys of health facilities were conducted in 2012, 2013, and 2014 to determine the number, spatial distribution, and attributes of sites providing family planning services. The 2012 and 2013 surveys aimed to identify the universe of family planning facilities while obtaining a limited set of data on “readiness” to provide family planning services (defined as having at least 3 modern methods, at least 1 person training in family planning in the last 3 years, and an information system to track distribution of products to clients) and output (measured by couple-years of protection, or CYP). In contrast, the 2014 survey, conducted under the umbrella of the Performance Monitoring and Accountability 2020 (PMA2020) project, was based on 2-stage cluster sampling. This article provides detailed analysis of the 2012 and 2013 surveys, including bivariate and multivariate analysis of correlates of readiness to provide services and of output. Results: We identified 184 health facilities that reported providing at least 1 contraceptive method in 2012 and 395 facilities in 2013. The percentage of sites defined as “ready” to provide services increased from 44.1% in 2012 to 63.3% in 2013. For the 3-month period between January and March 2013, facilities distributed between 0 and 879.2 CYP (mean, 39.7). Nearly half (49%) of the CYP was attributable to implants, followed by IUDs (24%), CycleBeads (11%), and injectables (8%). In 2013, facilities supported by PEPFAR (n = 121) were more likely than other facilities to be rated as ready to provide services (Pfamily planning implementing agencies (Pfamily planning in the DRC in many ways, including mobilizing partners to increase contraceptive access and increasing donor investment in family

  13. Management of family planning motivation programmes in Ghana. (United States)

    Kwakye, S S


    Progress in Ghana's national family planning program has been impeded by a lack of motivation to practice fertility regulation. If a significant decline in Ghana's birth rate is to be achieved, couples must be convinced of the benefits of small family size. Moreover, these benefits must be viewed as fulfilling personal aspirations. The importance of large family size has been diminished in recent years in Ghana by factors such as the economic burden of providing for the needs of children, the disintegration of the extended family, declines in infant mortality, and a compulsory education policy that eliminates the use of children as agricultural workers. Thus, there is great potential for a motivational campaign that stresses the intrinsic value to couples of family planning practice. Laws, rules, and regulations can been listed as vehicles to facilitate such motivation. The recent Government Inheritance Law provides an incentive for small family size. Laws banning polygamy or fixing the minimum age at marriage could be expected to have a similar fertility-reducing effect. Motivation to plan one's family will differ from community to community, however,underscoring the importance to policy makers to have access to demographic survey data. On the basis of such information, existing laws and policies can be reviewed and revised to meet the aspirations of various communities.

  14. Unconventional conceptions : family planning in lesbian-headed families created by donor insemination


    Green, Lisa Katherine


    This study aimed to systematically describe the decision-making phase of family formation in German lesbians planning to parent via donor insemination, to assess the issues pertinent to each mother role and those involved in donor type choice using a retrospective, structured questionnaire. Data was collected from 105 self-identified lesbian women, 55 of whom were birthmothers and 50 of whom were social mothers. The process of planning a lesbian-headed family created by donor insemination ...

  15. Family planning clinics--a story of growth and conflict. (United States)

    Dryfoos, J G


    During the 1960s, as demand for effective contraceptives increased and women expressed a desire for smaller families, an "odd lot" of groups came together to press for federally supported family planning services for low-income women. The drive culminated in 1970 with the passage of Title X of the Public Health Service Act, which authorized the funds that fed a network of family planning clinics. At the height of the national family planning program, approximately 2,500 agencies were operating clinics at more than 5,000 sites, providing services annually to almost five million patients. As part of the screening for medical methods of birth control, family planning clinics have provided basic physical examinations and related tests to millions of low-income women and teenagers who might not otherwise have had access to those services. Clinics have also been heavily utilized for pregnancy tests, screening for sexually transmitted diseases (STDs), infertility screening and referral for abortion, adoption and sterilization services. Other desired achievements have been more elusive and difficult to document--reductions in the number of high-risk and unintended pregnancies and in poverty rates, for example. The program's role in providing contraceptive services to teenagers and its involvement in the abortion controversy have led to a number of political, legislative and judicial skirmishes with conservatives, Congress and the Reagan administration. Funding for Title X declined during the 1980s and is now surpassed by Medicaid as the largest source of family planning dollars. Diminishing funds at a time when some expenses--for supplies, malpractice insurance and treatment of STDs, for example--are increasing have resulted in fewer clinic sites and other service cutbacks. The suggestion has been made that it is time to eliminate categorical funds for family planning and integrate all services into the general medical care system. Family planning providers say an

  16. Positive family history of aortic dissection dramatically increases dissection risk in family members. (United States)

    Ma, Wei-Guo; Chou, Alan S; Mok, Salvior C M; Ziganshin, Bulat A; Charilaou, Paris; Zafar, Mohammad A; Sieller, Richard S; Tranquilli, Maryann; Rizzo, John A; Elefteriades, John A


    Although family members of patients with aortic dissection (AoD) are believed to be at higher risk of AoD, the prognostic value of family history (FH) of aortic dissection (FHAD) in family members of patients with AoD has not been studied rigorously. We seek examine how much a positive FHAD increases the risk of developing new aortic dissection (AoD) among first-degree relatives. Patients with AoD at our institution were analyzed for information of FHAD. Positive FHAD referred to that AoD occurred in index patient and one or more first-degree relatives. Negative FHAD was defined as the condition in which only one case of AoD (the index patient) occurred in the family. The age at AoD, exposure years in adulthood before AoD, and annual probability of AoD among first-degree relatives were compared between patients with negative and positive FHADs. FHAD was positive in 32 and negative in 68 among the 100 AoD patients with detailed family history information. Mean age at dissection was 59.9±14.7years. Compared to negative FHAD, patients with positive FHAD dissected at significantly younger age (54.7±16.8 vs 62.4±13.0years, p=0.013), had more AoD events in first-degree relatives (2.3±0.6 vs 1.0±0.0, pfamily members, with a higher annual probability of aortic dissection, a shorter duration of "exposure time" before dissection occurs and a lower mean age at time of dissection. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  17. Impact of family history assessment on communication with family members and health care providers: A report from the Family Healthware™ Impact Trial (FHITr). (United States)

    Wang, Catharine; Sen, Ananda; Plegue, Melissa; Ruffin, Mack T; O'Neill, Suzanne M; Rubinstein, Wendy S; Acheson, Louise S


    This study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history. A total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6month follow-up, adjusting for age, site and practice clustering. A significant interaction was observed between study arm and baseline communication status for the family communication outcomes (p'scommunicating at baseline and those who were not. Among participants who were not communicating at baseline, intervention participants had higher odds of communicating with family members about family history risk (OR=1.24, p=0.042) and actively collecting family history information at follow-up (OR=2.67, p=0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases. Family Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Comparison of family planning in Cuba and Ireland. (United States)

    Smyth, Suzie; Stronge, Shirley


    Family planning gives individuals and couples control and choice over the number of children they have and the timing of their births. Developments in reproductive health have resulted in major changes in the options for family planning, providing more choice and control over fertility. This article explores reproductive health in the Republic of Cuba and the Republic of Ireland, with a focus on contraceptive use and termination of pregnancy as methods of family planning. The predominant religion in both countries is Catholicism, which promotes the right to life of the unborn child. The two countries have adopted different approaches to the availability of both contraception and termination of pregnancy. Cuba has offered free access to contraception and termination of pregnancy since the 1960s to reduce maternal mortality. In Ireland, contraception was not widely available until 1995 and termination of pregnancy is available only in extremely limited circumstances.

  19. Cultivating men's interest in family planning in rural El Salvador. (United States)

    Lundgren, Rebecka I; Gribble, James N; Greene, Margaret E; Emrick, Gail E; de Monroy, Margarita


    A pilot project in rural El Salvador tested the integration of family planning into a water and sanitation program as a strategy for increasing male involvement in family planning decison making and use. The organizations involved posited that integrating family planning into a resource management and community development project would facilitate male involvement by diffusing information, by referring men and women to services, and by expanding method choice to include the new Standard Days Method through networks established around issues men cared about and were already involved in. This article examines data from a community-based household survey to assess the impact of the intervention and finds significant changes in contraceptive knowledge, attitudes, and behavior from baseline to endline. Because the differences between baseline and endline are greater than the differences between participants and nonparticipants at endline, the study demonstrates the power of informal networks for spreading information.

  20. Experimentation in family planning delivery systems: an overview. (United States)

    Cuca, R; Pierce, C S


    Experiments in the delivery of family planning services are an important means of testing new approaches on a relatively small scale. Over the past 20 years, extensive experimental efforts have explored such key aspects of service delivery as personnel, the use of mass media, integration of family planning with other services, intensive efforts and camps, incentive payments to acceptors, and inudation or community-based distribution. Approaches that proved successful have often been incorporated into regular programs. An examination of the methodology and findings of family planning experiments, based on a survey of 96 projects testing various approaches, highlights successes, failures, and continuing problems. The discussion of past experience halps point to criteria that might be followed in formulating future experimental projects.

  1. Awareness of the Family History as a Factor in Psychological Well-being in Adolescence

    Directory of Open Access Journals (Sweden)

    Yakimova T.V.,


    Full Text Available We present the results of the study of connection of psychological well-being of adolescents with their awareness of their own family history. We briefly overview the main trends and individual empirical studies on the influence of family history of psychological well-being of the individual. In the present study, we focuses not on pathological influence of family history, but on its resource and supporting effect during the difficulties of adolescence. The study involved 32 teenagers. The empirical study is based on data obtained using a questionnaire designed to examine the links of teenager with extended family members and his awareness of family history. We found that adolescents who know their family history, have an interest in it and keep in touch with the extended family, are characterized by high values of the level of psychological well-being.

  2. Improving the quality of care in Chinese family planning programme. (United States)

    Jiang, Y; Geng, Q; Haffey, J; Douglas, E


    The Chinese State Family Planning Commission (SFPC) is the government department responsible for coordinating and implementing the national population and family planning programs. The commission includes about 300,000 family planning workers and 50 million volunteers. Community workers provide IEC and technical services to couples of reproductive age. In July 1991, SFPC began a five year project to train rural family planning workers in contraceptive technology and interpersonal communication and counseling. These workers were important because of their service to a population of 800 million or 75% of total population. The training program was part of an effort to standardize training and institutionalize it throughout the country. The project involved 20 pilot training stations in 19 provinces. The primary task was to train family planning workers at the grassroots level. 80,000 persons were expected to be trained during the five years. Activities included a training needs assessment, development of training curricula and programs, training of workers, and monitoring and evaluation. Training techniques and topics will include participatory training methods, interpersonal communication and counseling, development of audience based training methods, issues of contraceptive choice and quality of care, and counseling issues such as sexually transmitted disease and HIV infection prevention. About 40,000 family planning workers and volunteers were trained by 1992 in counties, townships, and villages. Trainees learned about "informed choice" and the importance of counseling. Feedback from training activities focused on the appreciation for the participatory training methods such as brainstorming, case study, and role play. Workers appreciated the process involved in training as well as the information received. Evaluation showed that clients improved their knowledge and had positive interactions with workers.

  3. [Family intervention according to Roy. Planning, execution and evaluation]. (United States)

    de Montigny, F


    Last month, the author presented the first two steps necessary in the development of a nursing care plan. This care plan utilized Sister Callista Roy's conceptual model and was designed to evaluate the family system. The readers became familiar with the Joly family, whose family system was evaluated (this included Diane and Jessie). Analysis of the collected data identified two nursing diagnoses and the author explained the way that nursing diagnosis is derived. The first identified nursing diagnosis revealed a threat to the beneficiary, the second diagnosis revealed a threat to the family system. This second article is devoted to the three other steps involved in the development of a nursing care plan that will assist the nurse in developing a systematic strategy in caring for this type of family. The planning step consists of the identification of objectives for care. These objectives must be specific, measurable and realistic as well as able to answer the question: "What changes are intended for this family?" Suggestions are offered for objective development. Once the objectives are finalized, the nurse chooses pertinent and realistic interventions that permit her/him, as well as Diane, to attain the identified objectives. The nurse's interventions are centred around stimuli that are increased, decreased or maintained by the goal of modifying or reinforcing observed behaviors. In the care plan example developed for the Joly family, the identified interventions are not all inclusive and serve as suggestions. During the course of the interventions the nurse must constantly readjust and adapt the interventions to fit with changing needs.(ABSTRACT TRUNCATED AT 250 WORDS)

  4. Is prevalence of colorectal polyps higher in patients with family history of colorectal cancer?


    Murad-Regadas, Sthela Maria; Bezerra, Carla Camila Rocha; Peixoto, Ana Ligia Rocha; Regadas, Francisco Sérgio Pinheiro; Rodrigues, Lusmar Veras; Siebra, José Airton Gonçalves; da Silva Fernandes, Graziela Olivia; Vasconcelos, Rafael Aragão


    ABSTRACTObjectives:To assess the prevalence of polyps in patients with a family history of colorectal cancer, in comparison to asymptomatic individuals with indication for screening.Methods:A prospective study in a group of patients who underwent colonoscopy between 2012 and 2014. Patients were divided into two groups: Group I: no family history of colorectal cancer, and Group II: with a family history in first-degree relatives. Demographic characteristics, findings on colonoscopy...

  5. Exporting abortion politics: the battle over international family planning assistance. (United States)

    Lasher, C


    Congressional legislation seeking to overturn US government restrictions on international family planning assistance face a possible presidential veto. Dating back to the Reagan years, the 1984 Mexico City Policy prohibits foreign nongovernmental organizations (NGO) receiving US money from performing or actively promoting abortion as a family planning method. Even if abortion is legal in that particular country, the agency involved may not even discuss abortion as one of the medical options of a pregnant woman. In line with the Mexico City Policy, the US has withdrawn funding from both the International Planned Parenthood Federation, the largest NGO in the population field, and the Family Planning International Assistance, the international division of the Planned Parenthood federation of America. One of the effects of the Mexico City Policy has been to make family planning more controversial, and to increase opposition to birth control. In addition to the Mexico City Policy, the Reagan years also saw the implementation of a policy that denies funding to the UNFPA, charged by the US of "co-managing" China's population program that engages in coercive abortion and involuntary sterilization. The UNFPA has denied such charges. So far, President George Bush -- previously a supporter of family planning programs -- has sided with opponents of abortion, and has threatened a veto threat may soon be tested, since Congress has drafted a foreign aid appropriations bill that has includes a measure saying that NGOs should be treated in the same manner as their governments, which are exempt from the Mexico City Policy so long as US funds are not used to support abortions.

  6. The Army Family Research Program: the Research Plan (United States)


    NJ: General Learning Press. Sprenkle, D. H., & Olson, D. H. (1978). Circumplex model of marital systems. An empirical study of clinic and nonclinic...Family Action Plans (1984-1990) by developing databases, models , program evaluation technologies, and policy options that assist the Army to retain...wrote descriptions of the Annual Survey of Army Families (ASAF), and the Model Spouse Employment Program. Bob Sadacca and Mary Kralj wrote the Project A

  7. Factors determining family planning in Catalonia. Sources of inequity

    Directory of Open Access Journals (Sweden)

    Saurina Carme


    Full Text Available Abstract Introduction In recent decades, the foreign population in Spain has increased significantly, particularly for Catalonia, an autonomous region of Spain (2.90% in 2000 and 15.95% in 2010 and in particular Girona province (6.18% in 2000 and 21.55% in 2010. Several studies have shown a lower use of family planning methods by immigrants. This same trend is observed in Spain. The objective of this paper is to determine the existence of differences and possible sources of inequity in the use of family planning methods among health service users in Catalonia (Spain by sex, health status, place of birth and socioeconomic conditions. Methods Data were taken from an ad-hoc questionnaire which was compiled following a qualitative stage of individual interviews. Said questionnaire was administered to 1094 Catalan public health service users during 2007. A complete descriptive analysis was carried out for variables related to public health service users’ sociodemographic characteristics and variables indicating knowledge and use of family planning methods, and bivariate relationships were analysed by means of chi-square contrasts. Considering the use (or non-use of family planning methods as a dependent variable and a set of demographic, socioeconomic and health status variables as explanatory factors, the relationship was modelled using mixed models. Results The analysed sample is comprised of 54.3% women and 45.7% men, with 74.3% natives (or from the EU and 25.7% economic immigrants. 54.8% use some method of family planning, the condom (46.7% and the pill (28.0% being the two most frequently used methods. Statistical modelling indicates that those factors which most influence the use of family planning methods are level of education (30.59% and 39.29% more likelihood and having children over 14 (35.35% more likelihood. With regard to the origin of the user, we observe that patients from North Africa,sub. Saharan Africa and Asia are less likely to

  8. Planning Development for a Family Planning Centre in Nursing Unit of the General Hospital of Argolida


    Koukoufilippou J; Koinis A.


    Introduction: The family planning centres must be upgraded to a cornerstone of primary health care, and prevent, advise and protect the citizen's health while reducing hospitalization costs for hospitals. Aim: The purpose of this literature review is the family planning centre development in general hospital of Argolida that has a similar clinic. Material and Methods: Literature review was conducted of published English and Greek Articles from bibliographic databases Medline, Goog...

  9. Impact of Family History Assessment on Communication with Family Members and Health Care Providers: A report from the Family Healthware™ Impact Trial (FHITr) (United States)

    Wang, Catharine; Sen, Ananda; Plegue, Melissa; Ruffin, Mack T.; O'Neill, Suzanne M.; Rubinstein, Wendy S.; Acheson, Louise S.


    Objective This study examines the impact of Family Healthware™ on communication behaviors; specifically, communication with family members and health care providers about family health history. Methods A total of 3786 participants were enrolled in the Family Healthware™ Impact Trial (FHITr) in the United States from 2005-7. The trial employed a two-arm cluster-randomized design, with primary care practices serving as the unit of randomization. Using generalized estimating equations (GEE), analyses focused on communication behaviors at 6 month follow-up, adjusting for age, site and practice clustering. Results A significant interaction was observed between study arm and baseline communication status for the family communication outcomes (psfamily members about family history risk (OR=1.24, p=0.042) and actively collecting family history information at follow-up (OR=2.67, p=0.026). Family Healthware™ did not have a significant effect on family communication among those already communicating at baseline, or on provider communication, regardless of baseline communication status. Greater communication was observed among those at increased familial risk for a greater number of diseases. Conclusion Family Healthware™ prompted more communication about family history with family members, among those who were not previously communicating. Efforts are needed to identify approaches to encourage greater sharing of family history information, particularly with health care providers. PMID:25901453

  10. 42 CFR 59.4 - How does one apply for a family planning services grant? (United States)


    ... 42 Public Health 1 2010-10-01 2010-10-01 false How does one apply for a family planning services... GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does one apply for a family planning services grant? (a) Application for a grant under this subpart shall...

  11. 42 CFR 59.5 - What requirements must be met by a family planning project? (United States)


    ... 42 Public Health 1 2010-10-01 2010-10-01 false What requirements must be met by a family planning... GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.5 What requirements must be met by a family planning project? (a) Each project supported under this part must: (1...

  12. 42 CFR 59.3 - Who is eligible to apply for a family planning services grant? (United States)


    ... 42 Public Health 1 2010-10-01 2010-10-01 false Who is eligible to apply for a family planning... SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.3 Who is eligible to apply for a family planning services grant? Any public or nonprofit private entity in...



    Shikha Bharadwaj


    Succession planning is an integral part of every business but how many houses actually realize this questionable. In India, even the big business houses are comfortable in discussing these matters in board meetings. Business in India is more like a property where one individual owns and further passed on to family member only. In recent past there has been tremendous change in our patterns of succession planning. Thus this article throws some light on these issues of succession planning in fa...

  14. Family narratives on fostering a child with a history of sexual abuse

    NARCIS (Netherlands)

    Wubs, Susanna; Grietens, Hans; Batstra, Laura


    The impact of a history of sexual abuse on foster families has been studied, although never from a multilevel family perspective. Therefore, in Project Iris narratives are collected on the expertise, needs and experiences of family members in foster families concerning the care for a child with a

  15. National health services and family planning: Thailand, a case study. (United States)

    Hemachidha, C; Rosenfield, A G


    The family planning program of Thailand was organized, planned, and implemented by means of the rural health and hospital services of the Ministry of Public Health. Without this integration, the program would not have been allowed by the government. The Thai health system was reasonably well-established, the use of its personnel lessened cost and duplication of efforts, and the resulting integration was successful. The program operated very quietly between 1968 and 1970. No public information was allowed. There were no full-time family planning workers, and no goals and incentives were offered. Only in 1970 when the government announced a national population policy were the restrictions on public information removed. In the development of the program, more than 7600 employees of the Ministry of Public Health received the 1-week training program. After training, family planning clinics were opened in the provincial hospitals and in those rural health centers staffed with a physician. Initially, the auxiliary midwives were expected only to motivate and provide information to those in their areas, referring interested couples to the centers and hospitals for the IUDs, oral contraceptives, and sterilization programs that were available. However, after the successful completion of a pilot study in 1970, the midwives were permitted to prescribe the oral contraceptive. A postpartum program which attempted to motivate women in the use of family planning 2-4 days following delivery revealed that with proper motivation efforts a majority of women will accept family planning services postpartum. A special evaluation section was developed within the Ministry to assess the progress of the program. Many problems continue to require attention, such as the need for high level government support shown by a budget increase and the development of effective supervision for staff within the health system.

  16. Family life clinics for Gulf state: Bahrain FPA helps bring a family planning breakthrough. (United States)


    Family life clinics which will provide family planning services alongside maternal and child health services and general counseling are opening in health centers throughout Bahrain and in the main hospital at Manama. Bahrain, a small island in the Arabian Gulf, formed its first Family Planning Association (FPA) just 4 years ago; and this new initiative is seen as a direct result of cooperation between FPA and the government. To spread family planning awareness and services particularly to the poorer section of the population, Bahrain's FPA developed in various stages. Stage 1, in 1975, was to attract and educate volunteers and channel their interest into special committees dealing with programs; public relations; child welfare; legal and medical affairs; research; and conferences and education. Stage 2 came with the need to coordinate the work and set up a 2-person staff and an office. Stage 3 developed with the first field campaign. Door-to-door visiting was tried but was not popular with volunteers or residents. Approaching the population through community clubs and institutions was tried with much success. The new family life clinics are the latest stage of a fruitful cooperation between FPA and the Ministry of Labor and Social Affairs. In addition to the new family life clinics, an active effort to improve family planning awareness has continued using national seminars and mass media. Fund-raising is under way for a mobile,clinic which will provide health services and methods of contraception, to which there is still substantial resistance, to many on the island who have no exposure to the mass media. Wide acceptance of the need for family planning for the sake of mothers, the family, and the child is growing in Bahrain.

  17. Awareness and use of and barriers to family planning services ...

    African Journals Online (AJOL)

    To assess the level of awareness of contraceptives and utilisation of family planning services among young women, and barriers that hinder effective use of such services. Methods. In a quantitative descriptive survey, 360 female undergraduate students at the National University of Lesotho responded to a hand-delivered ...

  18. Pattern of Family Planning Methods used by Antenatal Patients in ...

    African Journals Online (AJOL)

    This study aimed at assessing the pattern of family planning methods used by antenatal patients at Federal Medical Centre, Owo, Ondo State, Nigeria. The study was conducted between December,2007 and February,2008 at the antenatal clinic of the hospital. Ethical clearance was obtained from the Ethical committee of ...

  19. Changing Patterns of Unmet Needs for Family Planning Among ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    Unplanned pregnancy poses a major public health challenge to women of reproductive age in Nigeria and this has been hastened by poor use of modern family planning methods. This study employed secondary data analysis of the National HIV/AIDS and. Reproductive Health Survey conducted in 2007 and 2012 to ...

  20. Potential for Revitalisation of the Diaphragm for Family Planning in ...

    African Journals Online (AJOL)

    This health systems assessment evaluated the feasibility of introducing a new contraceptive device, the SILCS single-size diaphragm, into the existing family planning method mix in Uganda. A total of 26 focus group discussions with 201 female and 77 male potential users and 98 key informant interviews with policymakers ...

  1. Integrating family planning and HIV services at the community level ...

    African Journals Online (AJOL)

    Little is known on integrating HIV and family planning (FP) services in community settings. Using a cluster randomized controlled design, we conducted a formative assessment in two districts in Uganda where community health workers, called VHTs, already offered FP. Thirty-six trained VHTs also provided HIV testing and ...

  2. Quality of Family Planning Services in Primary Health Centers of ...

    African Journals Online (AJOL)

    Results: There was a shortage of some medical equipment, trained staffs, and information education and communication materials (IEC) in all of the family planning clinics. The mean waiting time at the service delivery points and consultation duration were 16.4 and 10.5 minutes, respectively. The providers used at least ...

  3. Factors Influencing Utilization of Modern Family Planning Services ...

    African Journals Online (AJOL)

    Abstract: This study investigated factors influencing utilization of modern family planning services among women of childbearing age (15-49 years) in the University of Calabar Teaching Hospital, Calabar. Three research questions and three hypotheses were formulated. Descriptive survey design was adopted for it.

  4. Attitude of Women towards Family Planning in Selected Rural ...

    African Journals Online (AJOL)

    The immediate need to control the high fertility rates among women in the rural part of Nigeria has attracted the interest of scholars in the academic world. Lots have been done by international agencies and other stakeholders to encourage the use of family planning methods among women both in rural and urban areas of ...

  5. Integrating Family Planning and HIV Services at the Community ...

    African Journals Online (AJOL)


    Little is known on integrating HIV and family planning (FP) services in community settings. Using a cluster randomized controlled design, we conducted a formative assessment in two districts in Uganda where community health workers, called. VHTs, already offered FP. Thirty-six trained VHTs also provided HIV testing and ...

  6. Awareness, Practice, and Predictors of Family Planning by Pregnant ...

    African Journals Online (AJOL)

    Jigawa State, Nigeria. E-mail: Original Article. Access this article online. Quick Response Code. Website: DOI: ***. How to cite this ... The study was descriptive and cross-sectional in design. The sample ..... awareness and practice of family planning; the design is subject to bias ...

  7. Changing patterns of unmet needs for family planning among ...

    African Journals Online (AJOL)

    Unplanned pregnancy poses a major public health challenge to women of reproductive age in Nigeria and this has been hastened by poor use of modern family planning methods. This study employed secondary data analysis of the National HIV/AIDS and Reproductive Health Survey conducted in 2007 and 2012 to ...

  8. Utilization of Family Planning Methods and Associated Factors ...

    African Journals Online (AJOL)

    This study was designed to assess the utilization of Family planning methods and associated factors among HIV-infected women in ART clinics of public health institutions Nekemte town, East Wollega zone, Ethiopia. Facility based cross sectional study design using quantitative technique of data collection method ...

  9. Family Planning Behaviour of Male Civil Servants in Ibadan, South ...

    African Journals Online (AJOL)

    Men play critical roles in women's ability to seek health care and Reproductive Health programmes are likely to be more effective when men are involved in some way. The study was designed to assess the family planning (FP) behaviour of male civil servants in Ibadan, and determine their roles in their spouses' FP ...

  10. Filling the Family Planning Gap. Worldwatch Paper 12. (United States)

    Stokes, Bruce

    The author provides a global review of family planning techniques and their impact on national birth rates. Sterilization, the pill, and intrauterine devices are the most popular methods of contraception worldwide. Abortion, where it is legal, is also extremely popular. In countries such as the United States where population control is not an…

  11. Family Planning Providers' Experiences and Perceptions of Long ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    Family planning provision in Malawi ... USA2; Bwaila Hospital, Lilongwe District Health Office, Lilongwe, Malawi3; Department of Medicine, University of North ...... practitioner attitudes and practices in New South. Wales. Med J Aust 1994; 160(1): 19-21. 23. Chimhutu V, Lindkvist I, Lange S. When incentives work too well: ...

  12. Quality Assessment of Family Planning Services in Ife/Ijesa ...

    African Journals Online (AJOL)

    Context: Medical audit in healthcare has a goal to monitor and upgrade the standard of health care in a setting. Whether a client will accept, use effectively and continue to practice contraception depends on the quality of services rendered. Objective: To assess the quality of our family planning services as perceived by our ...

  13. Factors influencing uptake of family planning services among men in ...

    African Journals Online (AJOL)

    Background: Utilisation of family planning services in Kenya remains quite low hence, the soaring population which has partly hampered achievement of the fifth Millennium Development Goal (MDG) as well as achievement of overall development goals for the entire country. Current reports indicate that male participation ...

  14. Community-based distribution of family planning as perceived by ...

    African Journals Online (AJOL)

    From September 24 through October 4,1997, a cross-sectional survey was conducted to assess the status of Community-based distribution (CBD) of family planning as perceived by reproductive age groups aged 15-49 years and the CBD workers. The study covered 14 German Agency for Technical Co-operation (GTZ) ...

  15. The Problems And Prospects Of Family Planning Services In The ...

    African Journals Online (AJOL)

    Deliberate efforts should be made by the management of UCTH Calabar to train and retrain health services providers to equip them with knowledge, skills and new ideas required for the handling of clients with all types of FP problems. Keywords: Problems, Prospects, Family planning, Calabar Global Journal of Social ...

  16. Overcoming family planning challenges in Africa: toward meeting ...

    African Journals Online (AJOL)

    Overcoming family planning challenges in Africa: toward meeting unmet need and scaling up service delivery. Andrzej Kulczycki. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL.

  17. Family Planning: Between Rejection And Acceptance In Islam ...

    African Journals Online (AJOL)

    Understanding the beliefs, traditions, norms and core values of individuals and communities is a crucial factor for health workers and policy makers to impact positively on their communities. This paper reviewed the historical development of family planning and the population control movements, the importance and Islamic ...

  18. User Satisfaction with Family Planning Services in Government ...

    African Journals Online (AJOL)



    Sep 15, 2017 ... This study aimed to assess the degree of clients' satisfaction with family planning (FP) ... But, as the quality is multidimensional, other aspects especially significant funding investment and quality-assurance interventions must be taken into .... all, elementary or college education level. Perception of FP ...

  19. Strategies Used by Facilities in Uganda to Integrate Family Planning ...

    African Journals Online (AJOL)


    Strategies Used by Facilities in Uganda to Integrate Family. Planning into HIV Care: What Works and What Doesn't ... analysis at baseline, objectives and related indicators for the FP-HIV care integration were formulated. ... mechanisms and facilitating continuous quality improvement activities. We anticipate challenges of.

  20. Family Planning - A Priority Social and Health Action Programme for ...

    African Journals Online (AJOL)

    Family Planning - A Priority Social and Health Action Programme for. Africa and the Role of the Physician. Dr. A.A. Arkutu ... cern about che risk - benefit factor while ochers cite che spread of HIV infection as justification for not ... promote health and reduce che high levels of illness and mortality, especially among vulnerable.

  1. Awareness of family planning amongst antenatal patients in a ...

    African Journals Online (AJOL)

    Aim: This study aimed at determining the awareness about family planning amongst pregnant women presenting to the antenatal clinic of Federal Medical Centre, Owo, Ondo State, Nigeria. Methodology: The study was conducted between December, 2007 and February, 2008 at the antenatal clinic of the hospital. Ethical ...

  2. The impact of collaboration and family planning counseling in the ...

    African Journals Online (AJOL)

    Background: Since uptake of family planning methods is influenced by poor knowledge of modern contraceptive methods and by cultural beliefs and community opinions, there may be benefit in having the counseling on offer from someone who lives within the community he/she serves, and who is cognizant of the nature of ...

  3. Family planning practice in a tertiary health institution in north ...

    African Journals Online (AJOL)

    Background: Family planning in our environment had remained a delicate issue that is still reluctantly being accepted based on religious belief and the perception that it is synonymouswith population control. Objective: This study was carried out with the objectives of identifying the characteristics of contraceptive acceptors ...

  4. Knowledge, practice, and impact of family planning among pregnant ...

    African Journals Online (AJOL)

    A cross-sectional study to assess the knowledge, practice, and impact of family planning among pregnant women attending ante-natal care services at Woreda 23 Health Center in Addis Ababa was conducted. To collect data from the study subjects, a structured questionnaire was developed and administered to 369 ...

  5. Family Planning Needs of Women Experiencing Severe Maternal ...

    African Journals Online (AJOL)

    Women with severe maternal morbidity represent an important group to target for increasing contraceptive uptake. Our objective was to explore the future fertility intentions, use of family planning including methods and reasons for not wanting to use contraception among a group of women who had traumatic delivery ...

  6. Knowledge attitude to modern family planning methods in Abraka ...

    African Journals Online (AJOL)

    Objective:. To assess the level of regard and misconceptions of modern family planning methods in Abraka communities. Methods: The interviewer\\'s administered questionnaire method was used to gather the required information from 657 respondents randomly chosen from PO, Ajalomi, Erho, Oria, Otorho, Umeghe, ...

  7. Advancing Family Planning Research in Africa | OlaOlorun | African ...

    African Journals Online (AJOL)

    African Journal of Reproductive Health. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 14, No 4 (2010) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Advancing Family Planning Research in Africa.

  8. Knowledge, sources and use of family planning methods among ...

    African Journals Online (AJOL)

    Introduction: Lack of knowledge of where to obtain correct family planning (FP) information and methods can be a critical barrier to eventual uptake of FP services. We assessed knowledge, sources and use of FP methods among women of reproductive age in rural Uganda. Methods: This secondary analysis uses data from ...

  9. Report on family planning clinics conducted in the Cape Town ...

    African Journals Online (AJOL)

    A statistical survey of the attendances at Family Planning Clinics in Cape Town over the past 10 years is presented, together wich the effect in reducing the birth rate. Derails of numbers of and reasons for dropouts, types of contraceptives used and results of [UD are shown.

  10. Factors influencing utilization of Natural Family Planning among ...

    African Journals Online (AJOL)

    Objectives: The study sought to determine factors influencing utilization of Natural Family Planning (NFP) among child bearing women in Chilonga Catchment area. The literature review was mainly obtained from studies conducted globally, regionally and Zambia inclusively. Literature review revealed that information ...

  11. Unmet need for postpartum family planning in Alexandria, Egypt ...

    African Journals Online (AJOL)

    Amenorrhea, breast feeding, fear of side effects, discontinuation due to health concerns and pressure from the surroundings were the most common cited reasons for non-use. Conclusion: Integration of family planning education during antenatal, natal and postnatal care services in Egypt should be actively initiated. Women ...

  12. Knowledge, attitude and practice of family planning following ...

    African Journals Online (AJOL)

    Mortality and morbidity due to unsafe abortion continue to pose a serious global threat to women‟s health and lives especially in developing countries like Lesotho because of complication of backstreet abortion. This study looks into the knowledge, attitudes and practice of Basotho women on family planning following ...

  13. Cost-Effectiveness Analysis of Family Planning Services Offered by ...

    African Journals Online (AJOL)

    Cost effectiveness studies of family planning (FP) services are very valuable in providing evidence-based data for decision makers in Egypt. Cost data came from record reviews for all 15 mobile clinics and a matched set of 15 static clinics and interviews with staff members of the selected clinics at Assiut Governorate.

  14. Family Planning Practice in a Tertiary Health Institution in Southern ...

    African Journals Online (AJOL)

    Objective: To determine the contraceptive acceptance rate, characteristics of acceptors, service utilization, preferred methods and their source of information on family planning in a tertiary health institution in Southern Nigeria. Methods: The ... The data were analyzed using SPSS version 11.0 computer software. Results: A ...

  15. Knowledge, Attitude And Practice Of Family Planning Amongst ...

    African Journals Online (AJOL)

    Women with unplanned pregnancy who came to the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria, for antenatal care were studied. The aim was to establish the knowledge, attitude and practice of family planning amongst these women. The incidence of unplanned pregnancy in our antenatal population ...

  16. Utilization and determinants of modern family planning among ...

    African Journals Online (AJOL)


    The logistics support includes provision of post training long acting family planning methods (LAFP) (Implants and intrauterine contraceptive device (IUCD), supplies and consumables for each facility involved in the training to initiate the service immediately and filling gaps when the need arises. Additionally, IFHP supports.

  17. The prognostic value of family history among patients with urinary bladder cancer. (United States)

    Egbers, Lieke; Grotenhuis, Anne J; Aben, Katja K; Alfred Witjes, J; Kiemeney, Lambertus A; Vermeulen, Sita H


    A history of urinary bladder cancer (UBC) in first-degree relatives increases UBC risk by twofold. The influence of positive family history on UBC prognosis is unknown. Here, we investigated association of first-degree UBC family history with clinicopathological characteristics and prognosis of UBC patients. Detailed clinical data of 1,465 non-muscle-invasive bladder cancer (NMIBC) and 250 muscle-invasive or metastatic bladder cancer (MIBC) patients, diagnosed from 1995 to 2010, were collected through medical file review. Competing risk analyses were used to compare recurrence-free survival (RFS) and progression-free survival (PFS) of NMIBC patients according to self-reported UBC family history. Overall survival in MIBC patients was estimated using Kaplan-Meier analysis. The added value of family history in prediction of NMIBC prognosis was quantified with Harrell's concordance-index. Hundred (6.8%) NMIBC and 14 (5.6%) MIBC patients reported UBC in first-degree relatives. Positive family history was statistically significantly associated with smaller tumor size and non-significantly with more favorable distribution of other tumor characteristics. In univariable analyses, positive family history correlated with longer RFS (p = 0.11) and PFS (p = 0.04). Hazard ratios for positive vs. negative family history after adjustment for clinicopathological characteristics were 0.75 (95% CI = 0.53-1.07) and 0.45 (95% CI = 0.18-1.12) for RFS and PFS, respectively. Five familial and 48 sporadic MIBC patients (Kaplan-Meier 10-year risk: 41% and 25%) died within 10 years. Family history did not improve the c-index of prediction models. This study shows that a first-degree family history of UBC is not clearly associated with NMIBC prognosis. Family history does not aid in prediction of NMIBC recurrence or progression. © 2014 The Authors. Published by Wiley Periodicals, Inc. on behalf of UICC.

  18. Asia's population and family planning programmes: leaders in strategic communication. (United States)

    Piotrow, P T; Rimon, J G


    Countries in Asia played a key a role in identifying problems related to population growth and high fertility and in developing strategies to address these problems. Despite the economic problems experienced by some, they continue to lead the world in designing and implementing programs in the areas of reproductive and family health using a strategic communication approach. This modern strategic communication program has the following characteristics: science and research-based, client-centered, benefit-oriented, service-linked, entertainment-education focused, professionally developed, and programmatically sustainable. This paper describes several outstanding Asian family planning communication programs in 5 countries that clearly illustrate these 7 elements. Overall, these Asian countries have shown that strategic communication can be the steering wheel for modern family planning and health promotion programs. The article concludes by giving future directions for strategic communication programs to address new emerging health and population concerns in the region.

  19. Relations between the course of illness, family history of schizophrenia and family functioning in persons with schizophrenia. (United States)

    Dadić-Hero, Elizabeta; Ruzić, Klementina; Palijan, Tija Zarković; Graovac, Mirjana; Siuc-Valković, Dunja; Knez, Rajna; Grahovac, Tanja


    The aims of this study were to identify the aspects of family functioning which are associated with the course and remission of schizophrenia and to explore relations between aspects of family functioning and family history of schizophrenia. The subjects were 90 patients, treated at the Clinical hospital centre in Rijeka, Croatia, with diagnosed schizophrenia (F20.0 to F20.5) and without psychiatric comorbidity. The patients were organized into three groups depending on the treatment status during the calendar year that preceded the year in which the survey took place: patients with schizophrenia who received an outpatient care and were maintaining favourable remission, patients who were hospitalized once to twice and patients who were hospitalized at least three times in the precedent calendar year. The treatment status was used as an indicator of the course of the illness. A Family Functioning Scale was applied and the data on the absence/presence of schizophrenia in the family history were collected through the examination of previous medical records. The lowest prevalence of familial schizophrenia was found among the patients who were maintaining favourable remission. Among the three groups statistically significant differences were found regarding the following family functioning variables: expressiveness, family sociability, democratic family style. Also there were observed statistically significant differences in the family functioning depending on the presence/absence of the schizophrenia in the family history that included following domains: family cohesion, external locus of control and democratic family style. Our study gives support to the conclusion that family functioning of persons with schizophrenia differs depending on the course of the illness and presence/absence of schizophrenia in the family history.

  20. Male attitudes to family planning education in Santiago, Chile. (United States)

    Hall, M F


    Male attitudes toward family planning education were assessed through a study of 720 men in Santiago and 240 men in a nearby rural area of Chile. Interviews were conducted by male students at the University of Chile School of Public Health. A large majority of the men were using or planned to use contraception in the future. There was a near consensus that adults should be informed regarding family planning. More than a majority of the respondents favored provision of contraceptive information for unmarried women, but most did not approve of premarital sexual activity for females. Most respondents favored the teaching of sex education in schools "according to the age of the children." Younger and higher class males tended to hold the most liberal attitudes.

  1. Men at family planning clinics: the new patients? (United States)

    Schulte, M M; Sonenstein, F L


    Using a survey of family planning clinics in the continental United States that received Title X funding conducted by The Urban Institute in 1993, those clinics were identified that had made substantial efforts to serve male clients. The final sample size was 567 clinics. 10% of their clients were men and 31% reported that their male clientele had increased in the previous 5 years. During January through March 1995 follow-up telephone interviews were conducted with 25 selected clinics that reported a 10% male share of clients. The clinics were classified into 5 types: 1) 7 clinics with a family planning focus beginning to provide primary care to attract more men; 2) 7 clinics with a family planning focus using community outreach and the partners of female clients to recruit men for clinic services; 3) 6 primary health care clinics beginning to place more emphasis on male reproductive health; 4) 3 hospital-based clinics providing comprehensive and reproductive health care for young men; and 5) 2 school-based clinics providing sports physicals, primary health care, and reproductive health services. In Type 1 clinics males made up 10-40% of clients. They also screened for testicular cancer, and provided infertility, mental health, and nutrition counseling services. Type 2 clinics had an average of 10% male clients and offered male infertility services, nutrition counseling, and specific STD and HIV services for males in the Hispanic and immigrant communities. Type 3 clinics promoted the male role in family planning decision making and STD prevention. A substantial proportion of the clientele was low-income males, but men who came for vasectomies tended to have higher incomes. Type 4 clinics catered to 20-40% male clients with outreach programs for gay minority men, and sessions on stopping domestic violence, male role in family planning, and responsible parenthood. Type 5 clinics had 40-45% males and provided mental health counseling, HIV risk assessment, and

  2. Do mobile family planning clinics facilitate vasectomy use in Nepal? (United States)

    Padmadas, Sabu S; Amoako Johnson, Fiifi; Leone, Tiziana; Dahal, Govinda P


    Nepal has a distinct topography that makes reproductive health and family planning services difficult to access, particularly in remote mountain and hill regions where over a quarter of modern contraceptive users rely exclusively on vasectomy. A three-level random intercept logistic regression analysis was applied on data from the 2011 Nepal Demographic and Health Survey to investigate the extent of influence of mobile family planning clinics on the odds of a male or a female sterilization, adjusting for relevant characteristics including ecological differences and random effects. The analyses included a sample of 2014 sterilization users, considering responses from currently married women of reproductive ages. The odds of a male sterilization were significantly higher in a mobile clinic than those in a government hospital (odds ratio, 1.65; 95% confidence interval, 1.21-2.25). The effects remained unaltered and statistically significant after adjusting for sociodemographic and clustering effects. Random effects were highly significant, which suggest the extent of heterogeneity in vasectomy use at the community and district levels. The odds of vasectomy use in mobile clinics were significantly higher among couples residing in hill and mountain regions and among those with three or more sons or those with only daughters. Mobile clinics significantly increase the uptake of vasectomy in hard-to-reach areas of Nepal. Reproductive health interventions should consider mobile clinics as an effective strategy to improve access to male-based modern methods and enhance gender equity in family planning. Family planning interventions in hard-to-reach communities could consider mobile clinic as an effective strategy to promote male-based modern methods. Improving access to vasectomy could substantially reduce unmet need for family planning in countries experiencing rapid fertility transition. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Protocol for implementation of family health history collection and decision support into primary care using a computerized family health history system

    Directory of Open Access Journals (Sweden)

    Agbaje Astrid B


    Full Text Available Abstract Background The CDC's Family History Public Health Initiative encourages adoption and increase awareness of family health history. To meet these goals and develop a personalized medicine implementation science research agenda, the Genomedical Connection is using an implementation research (T3 research framework to develop and integrate a self-administered computerized family history system with built-in decision support into 2 primary care clinics in North Carolina. Methods/Design The family health history system collects a three generation family history on 48 conditions and provides decision support (pedigree and tabular family history, provider recommendation report and patient summary report for 4 pilot conditions: breast cancer, ovarian cancer, colon cancer, and thrombosis. All adult English-speaking, non-adopted, patients scheduled for well-visits are invited to complete the family health system prior to their appointment. Decision support documents are entered into the medical record and available to provider's prior to the appointment. In order to optimize integration, components were piloted by stakeholders prior to and during implementation. Primary outcomes are change in appropriate testing for hereditary thrombophilia and screening for breast cancer, colon cancer, and ovarian cancer one year after study enrollment. Secondary outcomes include implementation measures related to the benefits and burdens of the family health system and its impact on clinic workflow, patients' risk perception, and intention to change health related behaviors. Outcomes are assessed through chart review, patient surveys at baseline and follow-up, and provider surveys. Clinical validity of the decision support is calculated by comparing its recommendations to those made by a genetic counselor reviewing the same pedigree; and clinical utility is demonstrated through reclassification rates and changes in appropriate screening (the primary outcome

  4. The impact of a male or female thrombotic family history on contraceptive counseling: a cohort study

    NARCIS (Netherlands)

    van Vlijmen, E. F. W.; Veeger, N. J. G. M.; Middeldorp, S.; Hamulyák, K.; Prins, M. H.; Kluin-Nelemans, H. C.; Meijer, K.


    Essentials It is unknown if a male or female thrombotic family history influences risk in female relatives. We assessed thrombotic risk in female relatives of male and female patients with thrombosis. A hormonally related female thrombotic family history further increases risk in female relatives.

  5. Family History, Gender, and Eating and Body Image Concerns in University Students Seeking Counseling Services (United States)

    Cavallini, Adriane Q.; Erekson, David M.; Steinberg, Rachel M.; Clayson, Rachelle A.; Albright, Dallin D.


    Family history events have been shown to be reliable predictors of eating and body image concerns; however, little is known regarding how family history events compare in a clinical sample, or if these events differ by gender. The current study addresses this paucity, focusing on 3,129 university students seeking clinical services. Having a family…

  6. Suicide Attempts and Family History of Suicide in Three Psychiatric Populations (United States)

    Tremeau, Fabien; Staner, Luc; Duval, Fabrice; Correa, Humberto; Crocq, Marc-Antoine; Darreye, Angelina; Czobor, Pal; Dessoubrais, Cecile; Macher, Jean-Paul


    The influence of a family history of suicide on suicide attempt rate and characteristics in depression, schizophrenia, and opioid dependence was examined. One hundred sixty inpatients with unipolar depression, 160 inpatients with schizophrenia, and 160 opioid-dependent patients were interviewed. Overall, a family history of suicide was associated…

  7. The clinical impact of a positive family history of psychosis or mental ...

    African Journals Online (AJOL)

    Background: A family history of psychosis is associated with negative clinical characteristics of psychosis. Aim: We aimed to determine the relationship between a family history (in first-degree relatives) of psychosis (FHP) or of any mental illness (FHM), and the clinical features (including cannabis use) of first episode early ...

  8. Family history of premature death and risk of early onset cardiovascular disease

    DEFF Research Database (Denmark)

    Ranthe, Mattis Flyvholm; Carstensen, Lisbeth; Oyen, Nina


    The purpose of this study was to examine the effect of a family history of premature death, cardiovascular death in particular, on the risk of early cardiovascular disease.......The purpose of this study was to examine the effect of a family history of premature death, cardiovascular death in particular, on the risk of early cardiovascular disease....

  9. Cognitive-Behavioral Coping, Illness Perception, and Family Adaptability in Oncological Patients with a Family History of Cancer. (United States)

    Postolica, Roxana; Iorga, Magdalena; Petrariu, Florin Dumitru; Azoicai, Doina


    Aim . The study investigated the differences between patients with and without a family history of cancer regarding coping strategies, illness perception, and family adaptability to the disease. Material and Methods . A total of 124 patients diagnosed with cancer were included in the research (55 of them with a family history of cancer). The Cognitive Emotion Regulation Questionnaire , the Strategic Approach to Coping Scale , the Family Adaptability and Cohesion Scale , and the Illness Perception Questionnaire were applied. The data were processed using the SPSS 21 software. Results . Patients with previous records of cancer in the family get significantly higher scores for the illness coherence factor. Family satisfaction is significantly higher for patients with a genetic risk, compared to the one reported by patients who suffer from the disease but have no genetic risk. Cognitive-behavioral coping strategies and family cohesion are factors that correlate with an adaptive perception of the illness in the case of patients with a family history of cancer. Conclusion . Results are important for the construction of strategies used for patients with a family history of cancer.

  10. Opposite Cannabis-Cognition Associations in Psychotic Patients Depending on Family History.

    Directory of Open Access Journals (Sweden)

    Ana González-Pinto

    Full Text Available The objective of this study is to investigate cognitive performance in a first-episode psychosis sample, when stratifying the interaction by cannabis use and familial or non-familial psychosis. Hierarchical-regression models were used to analyse this association in a sample of 268 first-episode psychosis patients and 237 controls. We found that cannabis use was associated with worse working memory, regardless of family history. However, cannabis use was clearly associated with worse cognitive performance in patients with no family history of psychosis, in cognitive domains including verbal memory, executive function and global cognitive index, whereas cannabis users with a family history of psychosis performed better in these domains. The main finding of the study is that there is an interaction between cannabis use and a family history of psychosis in the areas of verbal memory, executive function and global cognition: that is, cannabis use is associated with a better performance in patients with a family history of psychosis and a worse performance in those with no family history of psychosis. In order to confirm this hypothesis, future research should explore the actual expression of the endocannabinoid system in patients with and without a family history of psychosis.

  11. Opposite Cannabis-Cognition Associations in Psychotic Patients Depending on Family History. (United States)

    González-Pinto, Ana; González-Ortega, Itxaso; Alberich, Susana; Ruiz de Azúa, Sonia; Bernardo, Miguel; Bioque, Miquel; Cabrera, Bibiana; Corripio, Iluminada; Arango, Celso; Lobo, Antonio; Sánchez-Torres, Ana M; Cuesta, Manuel J


    The objective of this study is to investigate cognitive performance in a first-episode psychosis sample, when stratifying the interaction by cannabis use and familial or non-familial psychosis. Hierarchical-regression models were used to analyse this association in a sample of 268 first-episode psychosis patients and 237 controls. We found that cannabis use was associated with worse working memory, regardless of family history. However, cannabis use was clearly associated with worse cognitive performance in patients with no family history of psychosis, in cognitive domains including verbal memory, executive function and global cognitive index, whereas cannabis users with a family history of psychosis performed better in these domains. The main finding of the study is that there is an interaction between cannabis use and a family history of psychosis in the areas of verbal memory, executive function and global cognition: that is, cannabis use is associated with a better performance in patients with a family history of psychosis and a worse performance in those with no family history of psychosis. In order to confirm this hypothesis, future research should explore the actual expression of the endocannabinoid system in patients with and without a family history of psychosis.

  12. PS1-27: Use of Tumor Registry to Obtain Family History Information (United States)

    Lane, Kimberly; Brown, Jeffrey; Platt, Richard


    Background: The Human Genome project has revolutionized the field of medicine to move toward personalized medicine. The family history is a screening tool to identify families at risk for common conditions allowing for personalized care. For breast cancer syndromes, genetic testing, counseling and prophylactic treatment are available. While there are data about the efficacy and clinical utility of the family history, there are areas that still need investigation. Does obtaining the family history lead to patient recommendations? Do patients FDA’s Mini-Sentinel Initiative: The HMORN’s Role. In May 2008, the FDA Commissioner announced FDA’s intention to create the Sentinel Initiative. The Sentinel Initiative is an effort by the FDA to create a coordinated national electronic medical product safety surveillance system. The Food and Drug Administration Amendments Act of 2007 (FDAAA) mandated FDA develop methods to obtain access to disparate data sources and to establish an active post-market risk identification and analysis system linking and analyzing data from multiple sources. The law sets a goal of 25 million patients under surveillance by July 1, 2010, and 100 million patients by July 1, 2012. With the funding and support provided by FDAAA, the FDA laid out the vision for Sentinel Initiative. In September 2009, the FDA awarded a single contract to a consortium of 28 institutions led by the Harvard Medical School Department of Population Medicine at the Harvard Pilgrim Health Care Institute, including 13 HMORN members (all Kaiser Permanente plans, Group Health Cooperative, Lovelace Clinic Foundation, Myers Primary Care Institute, Marshfield Clinic Research Foundation, HealthPartners Research Foundation and Henry Ford Health Services), CIGNA, Humana, WellPoint [HealthCore] and Tennessee’s Medicaid system, comprising ~60 million covered lives. Additional data resources include the HMORN’s ambulatory electronic medical records linked to enrollment and claims

  13. A detailed family history of myocardial infarction and risk of myocardial infarction

    DEFF Research Database (Denmark)

    Ranthe, Mattis Flyvholm; Petersen, Jonathan Aavang; Bundgård, Henning


    of cardiovascular medications. CONCLUSION: A detailed family history, particularly number of affected first- and second-degree relatives, contributes meaningfully to risk assessment, especially in middle-aged persons. Future studies should test for potential improvement of risk algorithm prediction using detailed......BACKGROUND: Family history of myocardial infarction (MI) is an independent risk factor for MI. Several genetic variants are associated with increased risk of MI and family history of MI in a first-degree relative doubles MI risk. However, although family history of MI is not a simple dichotomous...... risk factor, the impact of specific, detailed family histories has not received much attention, despite its high clinical relevance. We examined risk of MI by MIs in first- and second-degree relatives and by number and age of affected relatives. METHODS AND FINDINGS: Using Danish national registers, we...

  14. High accuracy of family history of melanoma in Danish melanoma cases

    DEFF Research Database (Denmark)

    Wadt, Karin A W; Drzewiecki, Krzysztof T; Gerdes, Anne-Marie


    The incidence of melanoma in Denmark has immensely increased over the last 10 years making Denmark a high risk country for melanoma. In the last two decades multiple public campaigns have sought to increase the awareness of melanoma. Family history of melanoma is a known major risk factor...... but previous studies have shown that self-reported family history of melanoma is highly inaccurate. These studies are 15 years old and we wanted to examine if a higher awareness of melanoma has increased the accuracy of self-reported family history of melanoma. We examined the family history of 181 melanoma...... probands who reported 199 cases of melanoma in relatives, of which 135 cases where in first degree relatives. We confirmed the diagnosis of melanoma in 77% of all relatives, and in 83% of first degree relatives. In 181 probands we validated the negative family history of melanoma in 748 first degree...

  15. Effect of parental family history of Alzheimer's disease on serial position profiles. (United States)

    La Rue, Asenath; Hermann, Bruce; Jones, Jana E; Johnson, Sterling; Asthana, Sanjay; Sager, Mark A


    An exaggerated recency effect (ie, disproportionate recall of last-presented items) has been consistently observed in the word list learning of patients with Alzheimer's disease (AD). Our study sought to determine whether there were similar alterations in serial position learning among asymptomatic persons at risk for AD as a result of parental family history. Subjects included 623 asymptomatic middle-aged children of patients with AD (median, 53 years) and 157 control participants whose parents survived to at least age 70 without AD or other memory disorders. All participants were administered the Rey Auditory Verbal Learning Test, which requires learning and recall of 15 unrelated nouns. There was no significant difference in total words recalled between the AD children and control groups. However, compared with controls, AD children exhibited a significantly greater tendency to recall words from the end (recency) versus beginning (primacy) of the list. Serial position effects were unrelated to apolipoprotein allele epsilon 4 or depressive symptoms. Asymptomatic persons at risk for AD by virtue of family history do not show a difference in total words recalled compared with controls, but they exhibit a distinctly different serial position curve, suggesting greater reliance on immediate as opposed to episodic memory. This is the same serial position pattern observed in mild AD, seen here in reduced severity. Longitudinal follow-up is planned to determine whether changes in serial position patterns are a meaningful marker for preclinical detection of AD.

  16. Men should take part in family planning. An interview with the Grand Mufti. (United States)

    Hata, K


    For Muslims the Koran provides the infallible rules of conduct fundamental to their way of life. In the past, conservative religious leaders represented a force opposing changes in the traditional status of women and large family norms in Egypt. However, the Grand Mufti has openly expressed his support for responsible parenthood and family planning. The total fertility rate would not have dropped to 3.9 in Egypt without his strong support for family planning. The Grand Mufti expressed his views on family planning in an interview. Family planning is compatible with the teaching of the Koran. There is no problem in promoting family planning according to the Koran. Family planning is the independent and voluntary decision and right of each couple. The Grand Mufti encourages practice family planning through TV, radio, and newspapers. Among Islamic countries, Egypt is one of the few countries where family planning has been well accepted. Religious leaders, medical doctors, and mass media people recognize that the Koran's teachings harmonize with family planning, therefore the promotion of family planning has been successful. More and more people in other Islamic countries will come to practice family planning as they comprehend the Koran's teachings accurately. However, it will take some time before people in these countries will be able to benefit from family planning, since many countries face economic problems thwarting the development of family planning services. The fact that most of the family planning users are women is immaterial, as family planning is the joint responsibility of the married couple. Men should definitely participate in family planning. Men's participation in family planning fits in with the Koran. At the International Conference on Population and Development to be held in the September, 1994, the Grand Mufti is going to speak on men's responsibility for family planning.

  17. Prognostic significance of cancer family history for patients with gastric cancer: a single center experience from China. (United States)

    Liu, Xiaowen; Cai, Hong; Yu, Lin; Huang, Hua; Long, Ziwen; Wang, Yanong


    Family history of cancer is a risk factor for gastric cancer. In this study, we investigated the prognoses of gastric cancer patients with family history of cancer. A total of 1805 gastric cancer patients who underwent curative gastrectomy from 2000 to 2008 were evaluated. The clinicopathologic parameters and prognoses of gastric cancer patients with a positive family history (PFH) of cancer were compared with those with a negative family history (NFH). Of 1805 patients, 382 (21.2%) patients had a positive family history of cancer. Positive family history of cancer correlated with younger age, more frequent alcohol and tobacco use, worse differentiation, smaller tumor size, and more frequent tumor location in the lower 1/3 of the stomach. The prognoses of patients with a positive family history of cancer were better than that of patients with a negative family history. Family history of cancer independently correlated with better prognosis after curative gastrectomy in gastric cancer patients.

  18. Planning for the succession process among Galician family businesses. Brief comparison with Portuguese family businesses

    Directory of Open Access Journals (Sweden)

    Susana Barbeito Roibal


    Full Text Available A research project on Galician family owned businesses, financed by the University of A Coruña from 2004 to 2005, analyzed results from 57 of these companies that earned a profit of more than 5 million euro in 2003. One of the aspects examined in this project, which is the aim of this article, shows the importance that Galician family business owners pay to the planning for the succession process. Literature on family owned businesses emphasizes the importance of planning in successful occurrences. The obtained results increasingly show changes in the significance that the Galician family business owners give to our focus of study, almost reaching the level of importance that literature has given to the succession process in the last decade.

  19. The politics of Latin American family-planning policy. (United States)

    Weaver, J L


    In population planning in Latin America the programs are as successful as the government's support of family planning. Colombia is one of the few Latin American countries which has actively exhorted its populace to birth control. If the propensity for large families reflects a belief in the economic or social utility of children, instead of machismo, birthrates will fall with expanded social security and economic welfare programs. If birthrates are the result of machismo, new gender models stressing the positive rewards and social esteem to be gained through responsible parenthood would have to be taught to both adults and children. The position profamily planning in most Latin American countries is generally supported by the ministers, technocrats, corporations, businessmen, middle-class women, doctors, mass media, protestant congregations, and working-class women. Family planning is usually opposed by members of the armed forces, Catholic hierarchy, Catholic lay organizations, oligarchy, university students, leftist intellectuals, Marxist insurgents, Indian communities, and peasants. The portion of the total national populations encompassed by the groups composing the core combination, ideological bias, and stability group ranges from 50-60% in Argentina, Uruguay, and Venezuela to 10-20% in Central America, Bolivia, Ecuador, and Paraguay. Most groups are outside the policy-making process.

  20. [Family planning and economic development in Shifang County]. (United States)

    Chen, G


    According to Marx, population either hinders or expedites economic development. During the late 1950s and early 1960s, Shifang County's population grew unchecked. In the 1960s its annual rate of population growth was higher than the national average. Because the growth of material goods was insufficient in supporting the increase in population, the national economy suffered. In 1977, of those Shifang families in debt to the production brigade, over 80% were multiple children families. Some of these families owed over 1300 yuan after 10 years. Obviously such families cannot be counted on to expand the economy or to increase family incomes. Between 1971 and 1981 when Shifang County began family planning, the average annual rate of growth was lower than the national average. At the same time, material production gradually matched population reproduction, expediting economic development. If, with the current age structure (32.19% are aged 0-15 years; 4.95% are over 65 years; average age is 28.41 years), each family has only 1 child, then the rate of natural growth from 1981-2000 will be 3.6% annually. A yearly decrease in population would enable the County to build up pension funds, save on food, maintain the current standard for acreage allotment and expand accumulated capital.

  1. Deriving consumer-facing disease concepts for family health histories using multi-source sampling. (United States)

    Hulse, Nathan C; Wood, Grant M; Haug, Peter J; Williams, Marc S


    The family health history has long been recognized as an effective way of understanding individuals' susceptibility to familial disease; yet electronic tools to support the capture and use of these data have been characterized as inadequate. As part of an ongoing effort to build patient-facing tools for entering detailed family health histories, we have compiled a set of concepts specific to familial disease using multi-source sampling. These concepts were abstracted by analyzing family health history data patterns in our enterprise data warehouse, collection patterns of consumer personal health records, analyses from the local state health department, a healthcare data dictionary, and concepts derived from genetic-oriented consumer education materials. Collectively, these sources yielded a set of more than 500 unique disease concepts, represented by more than 2500 synonyms for supporting patients in entering coded family health histories. We expect that these concepts will be useful in providing meaningful data and education resources for patients and providers alike.

  2. Family medicine training and practice in Malawi: History, progress ...

    African Journals Online (AJOL)

    This article analyses the development and implementation of family medicine training and practice in Malawi, with special attention given to its current status and the projected role the trained family physician will be expected to play in the future. The general aim of the paper is to briefly review the role of family physicians in ...

  3. Family planning and the labor sector: soft-sell approach. (United States)

    Teston, R C


    Dr. Cesar T. San Pedro, the director of the company clinic at Dole Philippines plantation in South Cotabato in Region 11, has been pressing the management to initiate a comprehensive family planning programs for their 10,000 workers. Pedro wants the Ministry of Labor and Employment (MOLE) to enforce its population program. The situation at Dole is one that requires an arbiter. Since 1977, there has not been a Population/Family Planning Officer (PFPO) for the area, and it is not possible to monitor closely if the qualified firms are following the labor code and providing family planning services to their employees. Susan B. Dedel, executive director of the PFPO, has reported that the office has sought to endear its program to the private sector by showing that family planning is also profitable for the firm. This "soft-sell" approach has been the hallmark of the MOLE-PFPO since it began in 1975 as a joint project of the Commission on Population (POPCOM), United Nations Fund for Population Activities (UNFPA), and International Labor Organization (ILO). Some critics have argued that this liberal style of implementation is short-selling the program. They point out that the Labor Code of 1973 enforces all establishments with at least 200 employees to have a free in-plant family planning program which includes clinic care, paid motivators, and volunteer population workers. The critics seem, at 1st glance, to have the statistics on their side. In its 5 years of operation, the PFPO has convinced only 137,000 workers to accept family planning. This is quite low, since of the 1.2 million employed by the covered firms, 800,000 are eligible for the MOLE program. Much of the weakness of the implementation is said to be due to the slow activation of the Labor-Management Coordinating Committees (LMCC). The critics maintain that because of the liberal enforcement of Department Order No. 9, the recalcitrant firms see no reason to comply. Dedel claims that the program is on the

  4. The development of national economy and family planning in China. (United States)

    Xu, D


    China has made great strides in family planning and in developing her national economy during the period of the 6th 5-year plan. In 1980, China's tasks were to develop the national economy and to provide her people with enough to eat and wear. By 1986, these needs had been met. The average annual growth rate for the national gross output value of industry and agriculture may reach 10% during the 6th 5-year plan and should be approximately 7% in the 7th 5-year plan. China's future goal is for all her people to be well off at the turn of the century. Controlling population growth is one of the most important steps in reaching this goal China's population growth rates were 23.33 per 1000 in 1971 and dropped to 10.81 per 1000 in 1984. Although China's family planning program advocates one child per couple, 70% of the total married women of childbearing age have 2 or 3 children. Continued publicity and education and improved medical care should gradually decrease the birth rate even more. The author cites Engels in arguing that it is one of the superiorities of the socialist system to make population growth consciously fit for the development of material production. He refutes an American view that China's population would automatically decrease with the development of a free economy and offers the US's 12 million unemployed in 1982 and 2 million homeless in 1985 as evidence that a free economy also results in overpopulation. He concludes that further demographic research should be conducted and should implement China's family planning program with different measures suited to local conditions at different stages.

  5. Patterns of family health history communication among older African American adults. (United States)

    Hovick, Shelly R; Yamasaki, Jill S; Burton-Chase, Allison M; Peterson, Susan K


    This qualitative study examined patterns of communication regarding family health history among older African American adults. The authors conducted 5 focus groups and 6 semi-structured interviews with African Americans aged 60 years and older (N = 28). The authors identified 4 distinct patterns of family health history communication: noncommunication, open communication, selective communication (communication restricted to certain people or topics), and one-way communication (communication not reciprocated by younger family members). In general, participants favored open family health history communication, often resulting from desires to change patterns of noncommunication in previous generations regarding personal and family health history. Some participants indicated that they were selective about what and with whom they shared health information in order to protect their privacy and not worry others. Others described family health history communication as one-way or unreciprocated by younger family members who appeared uninterested or unwilling to share personal and family health information. The communication patterns that the authors identified are consistent with communication privacy management theory and with findings from studies focused on genetic testing results for hereditary conditions, suggesting that individuals are consistent in their communication of health and genetic risk information. Findings may guide the development of health message strategies for African Americans to increase family health history communication.

  6. Career Planning in Harmony with Family Values and Needs (United States)

    Dubey, Archana


    Balancing career and family! Balancing what you love and who you love!! It is such an attention getting topic. And yet, if you really think about it, people have been doing it for ages. What makes it challenging in today's world is the dual income families that throw off-balance of traditional style of balancing family and profession. Balancing family and career is not as difficult. The question is more meaningful when you ask how do you find the right balance, and in fact, what is the right balance? How do you know you are there? Happiness at home and self esteem due to work is genderless issue however, it is essentially talked more in the context of women. Some of the things that could be helpful in achieving the right balance, are time management, proper prioritization, asking for help, a caring family, friends, and most importantly colleagues. In the portfolio of professional passions, it is important to identify the areas that are conducive to possibilities of changing family needs, international families, spouse's career and job relocation, etc. So, the bottom line question is whether it is possible to find a right balance between family and career? I would submit to you that with passion, courage, open- mindedness, and proper career planning, it is definitely possible. We just need to utilize the same techniques in choosing and sustaining the right balance that we use in identifying research topics and executing it. This discussion will look into further details of the challenges of balancing family and career from the perspective of also an immigrant, and possible ways of overcoming them.

  7. Family Support in Nursing Homes Serving Residents with a Mental Health History (United States)

    Frahm, Kathryn; Gammonley, Denise; Zhang, Ning Jackie; Paek, Seung Chun


    Using 2003 nursing home data from the Minimum Data Set (MDS) database, this study investigated the role of family support among nursing homes serving residents with a mental health history. Exploratory factor analysis was used to create and test a conceptual model of family support using indicators located within the MDS database. Families were…

  8. Family Health History Communication Networks of Older Adults: Importance of Social Relationships and Disease Perceptions (United States)

    Ashida, Sato; Kaphingst, Kimberly A.; Goodman, Melody; Schafer, Ellen J.


    Older individuals play a critical role in disseminating family health history (FHH) information that can facilitate disease prevention among younger family members. This study evaluated the characteristics of older adults and their familial networks associated with two types of communication ("have shared" and "intend to share…

  9. Searching for the Kinkeepers: Historian Gender, Age, and Type 2 Diabetes Family History (United States)

    Giordimaina, Alicia M.; Sheldon, Jane P.; Kiedrowski, Lesli A.; Jayaratne, Toby Epstein


    Kinkeepers facilitate family communication and may be key to family medical history collection and dissemination. Middle-aged women are frequently kinkeepers. Using type 2 diabetes (T2DM) as a model, we explored whether the predicted gender and age effects of kinkeeping can be extended to family medical historians. Through a U.S. telephone survey,…

  10. Correlation between obesity with atopy and family history of atopy in children

    Directory of Open Access Journals (Sweden)

    Putria Rayani Apandi


    Full Text Available Background The prevalence of childhood obesity and atopy has increased in recent decades. Research on links between obesity and atopy has shown varied results. Few previous studies have reported on the significance of family history of atopic disease in children. Objective To determine correlation between obesity with atopy and family history of atopic disease in children. Methods This cross-sectional study was conducted from April to September 2010 in the Pediatric Allergy-Immunology subdivision, Hasan Sadikin Hospital. Children aged 6−11 years were divided into four groups of 40 each: obese subjects with and without family history of atopic disease, and normal weight subjects with and without family history of atopic disease. Skin prick test was performed to determine which subjects had atopy. Chi-square test was used to analyze mutual independence, and partial Chi-square test was used to analyze correlation of obesity to atopy and family history of atopic disease in children. Environmental factors, type of childbirth, and pregnancy history were also analyzed as risk factors for atopy. Results Of 80 obese children with and without family history of atopic disease, 40 (100% and 38 (95%, respectively, were atopic. Of 80 normal weight children with and without family history of atopic disease, 39 (98% and 9 (23%, respectively, were atopic. Thus atopy was observed in 126 subjects, while the remaining 34 subjects were non-atopic. Partial test showed a correlation between obesity with atopy and family history of atopic disease (P < 0.001. There were no significant differences in risk factors for atopy by group. Conclusion Obesity correlates with atopy and family history of atopic disease in children.

  11. Mum's the word: the Supreme Court and family planning. (United States)

    Mariner, W K


    On May 23, 1991, the US Supreme Court upheld federal regulations that prohibit federally funded family planning programs from counseling about or referring for abortion. As a result, government benefits may now entail substantial costs. The regulations changed the nature of government-assisted family planning from comprehensive care and counseling to limited services and government-prescribed information. The reasoning in Rust v Sullivan allows government to limit freedom of speech in federally funded programs. The decision may have been influenced by antiabortion sentiment, but it does not affect the legality of abortion. Instead, it sets a precedent for government control of whether and how health care can be discussed wherever government pays some of the bills. PMID:1739169

  12. [Family planning. A survey of United Nations around the world]. (United States)


    Responses to the second worldwide survey of 80 nations on their population policy can be divided into 3 categories. First are countries with large official programs of family planning in existence: Egypt, Kenya, Tunisia, Barbados, Colombia, Panama, Trinidad and Tobago, China, India, Iran, Japan, Nepal, Pakistan, Philippines, Republic of Viet-nam, Singapore, Sri Lanka, Thailand, Turkey, Denmark, Netherlands, United Kingdom, Yugoslavia, Canada, and Fiji. Madagascar and New Zealand are starting programs. The second category is countries that encourage private family planning programs: Tanzania, Mexico, Israel, Cambodia, Bahrain, Jordan, Laos, Syria, Austria, France, West Germany, Finland, and Norway. Third are listed countries that do not officially support, or that forbid contraception: Gabon, Malawi, Zambia, Greece, Italy, and Spain. Thus Asia and North Africa have the most ambitious programs, but Europe and North America practice contraception universally.

  13. Communication and family planning in Sub-Saharan Africa. (United States)

    De Paolis, M R


    An analysis of 46 posters from 27 countries of Sub-Saharan Africa allowed the values conveyed by this medium to be defined, the status of the announcer and the recipient to be clarified, and their relationship and the attendant social consequences to be brought out. One of the primary characteristics of this sample was that the vast majority of the posters contained drawings and only a limited number used photos. The family was the theme most commonly represented by the image and the text: information on family planning necessarily involved the family, the synonym of fertility. The majority of posters represented the traditional, nuclear family of the Western world, comprising the father, mother, and children. It was interesting to observe that this image did not necessarily reflect reality in Africa, where traditionally the extended family, including the grandparents, uncles and aunts, is more widespread. The message most commonly conveyed the image of the nuclear family. The number of children shown varied from 1 to 4, with an average of 2. The most widely used message strategies in this sample of posters involved three types of announcer: authoritarian, nonauthoritarian, and character announcer. The authoritarian type announcer was not visually depicted but consisted of messages that were written orders or threats. The nonauthoritarian announcer, also not depicted, gave messages that contained no orders or threats. The character announcer was one the characters portrayed in the picture.

  14. [Family planning: what role for African female communicators?]. (United States)

    Sow, E B


    In April 1990, 60 members of the Association of African Communication Professionals (APAC) from 17 African countries attended a seminar-workshop in Ouagadougou, Burkina Faso, entitled "Family Planning: What Role for African Female Communicators?" The countries included Algeria, Benin, Burkina Faso, Cameroon, the Central African Republic, Ivory Coast, Congo, Gabon, Guinea, Kenya, Mali, Morocco, Niger, Senegal, Tunisia, Togo, and Zaire. The participants considered population growth to be the major challenge that Africa faces today. Population growth brings problems of urbanization, housing, health, education, and food security. Family planning appears to be a remedy for these ills. Family planning oriented-IEC (information, education, and communication) can help overcome the resistance of the cultural, social, and religious order and foster new behavior. The goal of the seminar-workshop was precisely to give participants conceptual and methodological tools that will allow them to effectively use IEC in the area of family planning. The Minister of Information and Culture for Burkina Faso, who is also APAC's president, emphasized the APAC seminar-workshop goal during the opening ceremonies. Other notables at the opening ceremonies were the Minister of Health and Social Work, APAC's Executive Secretary, the wife of the Chief of State, and various government officials. The participants' recommendations cross-supported APAC's concern and turned toward the need for the training of professional female communicators, for international organizations to put at their disposal relevant documents, and for re-expansion of APAC branches. This requires governments to make flexible judicial and administrative resolutions in order to favor the creation of new APAC branches. The Center of Population for Development Studies and Research addressed the seminar-workshop. In 1988, it created a network of journalists to assure extensive information for decision-makers, researchers, and the

  15. Family planning:what do adolescents know about this matter?


    Ana Paula Alexandre Bié; Maria Albertina Rocha Diógenes; Escolástica Rejane Ferreira Moura


    Pregnancy during adolescence occurs almost always unexpectedly,and it might be related to the lack of information about contraceptive methods.The aim of this study was to identify the knowledge of adolescents about family planning and contraceptive methods,to describe the sources of information about the matter and verify the benefits of sexual education for adolescents.It was a descriptive research,with a qualitative approach,carried out from March through April 2005,with ten adolescents fro...

  16. Ethics of natural family planning (NFP) vs ethics of contraception


    Obelenienė, Birutė; Narbekovas, Andrius


    The article analyses the moral difference between Natural Family Planning (NFP) and contraception. Problem Statement: Today one of the most frequently asked questions is the following: if contraception and NFP both have the same purpose of avoiding pregnancy, how can there be any moral difference between them. Moreover, people state that it does not make any difference which method is used, if the end and purpose are the same. In fact, proponents of contraceptives often argue that...

  17. Family medicine residents' practice intentions: Theory of planned behaviour evaluation. (United States)

    Grierson, Lawrence E M; Fowler, Nancy; Kwan, Matthew Y W


    To assess residents' practice intentions since the introduction of the College of Family Physicians of Canada's Triple C curriculum, which focuses on graduating family physicians who will provide comprehensive care within traditional and newer models of family practice. A survey based on Ajzen's theory of planned behaviour was administered on 2 occasions. McMaster University in Hamilton, Ont. Residents (n = 135) who were enrolled in the Department of Family Medicine Postgraduate Residency Program at McMaster University in July 2012 and July 2013; 54 of the 60 first-year residents who completed the survey in 2012 completed it again in 2013. The survey was modeled so as to measure the respondents' intentions to practise with a comprehensive scope; determine the degree to which their attitudes, subjective norms, and perceptions of control about comprehensive practice influence those intentions; and investigate how these relationships change as residents progress through the curriculum. The survey also queried the respondents about their intentions with respect to particular medical services that underpin comprehensive practice. The responses indicate that the factors modeled by the theory of planned behaviour survey account for 60% of the variance in the residents' intentions to adopt a comprehensive scope of practice upon graduation, that there is room for curricular improvement with respect to encouraging residents to practise comprehensive care, and that targeting subjective norms about comprehensive practice might have the greatest influence on improving resident intentions. The theory of planned behaviour presents an effective approach to assessing curricular effects on resident practice intentions while also providing meaningful information for guiding further program evaluation efforts in the Department of Family Medicine at McMaster University.

  18. Values clarification as a technique for family planning education. (United States)

    Toohey, J V; Valenzuela, G J


    A Spanish language family planning education program utilizing the dynamics of values clarification has been designed and implemented in the state of Oaxaca, Mexico. The design of the program features three basic personality identification activities to help individuals identify other dimensions of adult life expression than child rearing. In addition, a series of simple and precise scenarios specifically related to family planning are presented. Each scenario is accompanied by a set of valuing questions that direct the learner to respond to the scenario. The activity booklet is entitled, "Clarification De Valores En La Planificacion Familar." The booklet requires the learner to make responses to the learning materials. Responses are then used as a basis for inferring that people are comprehending and above all personalizing knowledge about themselves and their culture and family planning. The program is cross cultural and can be used in Spanish speaking communities in the U.S. Its English language form can be used with English speaking target populations. Statistical analysis of seven critical categories of the program indicated that the shifts in attitudes from pre-to post-values, whether positive or negative (desirable or undesirable), were not significant at the .05 level of confidence. It should, however, be noted that small shifts in the rate of natural increase, or rate of natural decrease for population growth can have a dramatic effect on population growth when multiplied by time.

  19. A cost analysis of family planning in Bangladesh. (United States)

    Fiedler, J L; Day, L M


    This article presents a step-down cost analysis using secondary data sources from 26 Bangladesh non-government organizations (NGOs) providing family planning services under a US Agency for International Development-funded umbrella organization. The unit costs of the NGOs' Maternal-Child Health (MCH) clinics and community-based distribution (CBD) systems were calculated and found to be minimally different. Several simulations were conducted to investigate the impact of alternative cost-reduction measures. The more general financial analysis proved more insightful than the unit cost analysis in terms of identifying means by which to improve the efficiency of the family planning operations of these NGOs. The analysis revealed that 56 per cent of total expenditures in the two-tiered umbrella's organizational structure are incurred in management operations and overheads. Of the remaining 44 per cent of project expenditures, 39 per cent is spent on the CBD program and 5 per cent on the MCH clinics. Within the CBD program, most resources are spent providing 4 million contacts (two-thirds of the annual total) which do not involve contraceptive re-supply. The clinics devote more resources to providing MCH services than to providing family planning services. The findings suggest that significant savings could be generated by containing administrative costs, improving operational efficiency, and reducing unnecessary or redundant fieldworker contacts. The magnitude of the potential savings raises a fundamental question about the continued viability and sustainability of this supply-driven CBD strategy.

  20. Characteristics of Consumers of Family Planning Services in Eastern Nepal

    Directory of Open Access Journals (Sweden)

    Sushma Dahal


    Full Text Available Family planning services in Nepal are provided by government and non-government health facilities. A descriptive cross sectional study was done by secondary data review of eight months from Institutional clinic, District Health Office (DHO Ilam district. Use of different family planning methods through government health facility was studied in relation to different variables like age, sex, ethnicity, and, number of children. Around 53% of the female users of spacing method and around 47% of female users of permanent method were in age group 20-29 years and 25-29 years respectively. The major reasons for removal of IUCD were husband’s migration and experienced physical problems. Most of the females doing sterilization were from Disadvantaged Janajati group whereas most of the males doing sterilization were from Upper caste ethnic group. Among females doing sterilization, 70% already had their second live birth baby. Out of the total sterilization performed in 8 months, only 15.15% was done among males. So, there is need of increasing male involvement in Family planning. There is also need of programs to encourage spacing methods among the target population. DOI: Dhaulagiri Journal of Sociology and Anthropology Vol. 6, 2012 125-138

  1. Genetic risk scores and family history as predictors of schizophrenia in Nordic registers. (United States)

    Lu, Y; Pouget, J G; Andreassen, O A; Djurovic, S; Esko, T; Hultman, C M; Metspalu, A; Milani, L; Werge, T; Sullivan, P F


    Family history is a long-standing and readily obtainable risk factor for schizophrenia (SCZ). Low-cost genotyping technologies have enabled large genetic studies of SCZ, and the results suggest the utility of genetic risk scores (GRS, direct assessments of inherited common variant risk). Few studies have evaluated family history and GRS simultaneously to ask whether one can explain away the other. We studied 5959 SCZ cases and 8717 controls from four Nordic countries. All subjects had family history data from national registers and genome-wide genotypes that were processed through the quality control procedures used by the Psychiatric Genomics Consortium. Using external training data, GRS were estimated for SCZ, bipolar disorder (BIP), major depression, autism, educational attainment, and body mass index. Multivariable modeling was used to estimate effect sizes. Using harmonized genomic and national register data from Denmark, Estonia, Norway, and Sweden, we confirmed that family history of SCZ and GRS for SCZ and BIP were risk factors for SCZ. In a joint model, the effects of GRS for SCZ and BIP were essentially unchanged, and the effect of family history was attenuated but remained significant. The predictive capacity of a model including GRS and family history neared the minimum for clinical utility. Combining national register data with measured genetic risk factors represents an important investigative approach for psychotic disorders. Our findings suggest the potential clinical utility of combining GRS and family history for early prediction and diagnostic improvements.

  2. Community-centered family health history: a customized approach to increased health communication and awareness. (United States)

    O'Leary, James; Edelson, Vaughn; Gardner, Nicora; Gepp, Alejandra; Kyler, Panelpha; Moore, Penelope; Petruccio, Claudia; Williams, Marc; Terry, Sharon; Bowen, Deborah


    There has been little study of whether family health history (FHH) tools used by individuals, families, and communities inspire measurable changes in communication and behavior. The Community-Centered Family Health History (CCFHH) project was a collaborative endeavor among national and community-based organizations with an interest in genetics education and health. Using community- based participatory research principles as a foundation, CCFHH examined whether the Does It Run In the Family? toolkit, a set of two customizable booklets on health and genetics, encourages discussion and collection of FHH information across diverse communities. Five communities across the country measured the utility of customized versions of the Does It Run In the Family? toolkit. Each community partner recruited families, consisting of two or more blood relatives, to use the toolkit for 3 months, discuss it among their family members, and consider the implications of the health information. Pre- and postintervention surveys measured family communication about family history and disease risk and the use of FHH information in health care provider interactions. After aggregate, cross-community analysis of individual responses, from pre- to post-toolkit use family members showed increases in communication about family history of disease risk (p < .05) and in awareness about FHH (p < .05). These findings indicate that diverse communities are receptive to FHH intervention, and tailored health educational materials can lead to increased conversations and awareness about health issues across communities.

  3. Tell them you are planning for the future: gender norms and family planning among adolescents in northern Uganda. (United States)

    Adams, Melissa K; Salazar, Elizabeth; Lundgren, Rebecka


    To understand how social norms about gender and reproduction shape fertility desires and use of family planning among adolescents in post-conflict northern Uganda. A study was conducted in 2 post-conflict districts in north-central Uganda. Life histories were collected from 40 adolescents (20 males, 20 females). In-depth interviews were conducted with 40 individuals (20 males, 20 females) who were identified as significantly influencing the lives of adolescents in research areas. Data were analyzed through inductive and deductive approaches, facilitated by the qualitative software program ATLAS.ti (v.5.6). Rigid gender norms and post-conflict economic realities create an environment in which young people struggle to bridge the gap between idealized and experienced gender roles. Social changes brought about by the conflict, combined with cultural values and gender norms, strongly influence fertility desires and contraceptive use. Despite support for smaller, spaced families, gendered barriers to adolescent use of family planning and access to services are significant, even among married couples. The increased recognition of the determining influence of gender on adolescent reproductive health provided by studies such as this can encourage greater investment in gender transformative interventions with the potential to significantly improve sexual and reproductive health across the life course. © 2013.

  4. A brief introduction to China's family planning programme. (United States)

    Shen, G


    China's family planning program is described in reference to its goals, approaches, and achievements. Between 1949-83, China's population increased from 541 million to 1,024,950,000. The population has a young age structure, and the median age is 22.9 years. 80% of the population is rural, and 90% of the population lives in the southeastern region of the country. In view of this demographic situation, the government recognizes the need to control population growth. China's goals for the year 2000 are to increase industrial and agricultural input by 400% and to keep population size below 1.2 billion in order to ensure that per capita income increases. In accordance with these goals, the government, in 1979, began advocating a 1-child policy. To ensure the survival of single children, the government also launched a program to upgrade maternal and child health (MCH). In some rural areas and among certain minority groups, the 1-child restriction is not applied. Family size goals will vary with time. These variations will reflect the need to maintain a balance between economic growth and population growth. A variety of incentives are used to promote the 1-child family. For example, single children receive medical and educational benefits, and in some rural areas, the parents of single children can obtain additional land contracts. Economic disincentives are also used. The government seeks to obtain compliance with the policy primarily through educating the public about the consequences of uncontrolled population growth. All channels of the mass media are used to deliver the messages, and the publicity campaign is especially intensive in rural areas. A comprehensive plan to provided family planning and population education for middle school students is currently being implemented. Each local area develops its own fertility control plan. This plan is then incorporated into the nation's overall plan and the overall plan is implemented from above. Family planning workers

  5. Family history of venous thromboembolism and identifying factor V Leiden carriers during pregnancy. (United States)

    Horton, Amanda L; Momirova, Valerija; Dizon-Townson, Donna; Wenstrom, Katharine; Wendel, George; Samuels, Philip; Sibai, Baha; Spong, Catherine Y; Cotroneo, Margaret; Sorokin, Yoram; Miodovnik, Menachem; O'Sullivan, Mary J; Conway, Deborah; Wapner, Ronald J


    To estimate whether there is a correlation between family history of venous thromboembolism and factor V Leiden mutation carriage in gravid women without a personal history of venous thromboembolism. This is a secondary analysis of a prospective observational study of the frequency of pregnancy-related thromboembolic events among carriers of the factor V Leiden mutation. Family history of venous thromboembolism in either first- or second-degree relatives was self-reported. Sensitivity, specificity, and positive and negative predictive values of family history to predict factor V Leiden mutation carrier status were calculated. Women without a personal venous thromboembolism history and with available DNA were included (n=5,168). One hundred forty women (2.7% [95% confidence interval (CI) 2.3-3.2%]) were factor V Leiden mutation-positive. Four hundred twelve women (8.0% [95% CI 7.3-8.7%]) reported a family history of venous thromboembolism. Women with a positive family history were twofold more likely to be factor V Leiden mutation carriers than those with a negative family history (23 of 412 [5.6%] compared with 117 of 4,756 [2.5%], Pfactor V Leiden carriers were 16.4% (95% CI 10.7-23.6%), 92.3% (95% CI 91.5-93.0%), and 5.6% (95% CI 3.6-8.3%), respectively. Although a family history of venous thromboembolism is associated with factor V Leiden mutation in thrombosis-free gravid women, the sensitivity and positive predictive values are too low to recommend screening women for the factor V Leiden mutation based solely on a family history.

  6. [Association between type 2 diabetes and physical activity in individuals with family history of diabetes]. (United States)

    Petermann, Fanny; Díaz-Martínez, Ximena; Garrido-Méndez, Álex; Leiva, Ana María; Martínez, María Adela; Salas, Carlos; Poblete-Valderrama, Felipe; Celis-Morales, Carlos


    To investigate whether the association between type 2 diabetes (T2D) and family history of diabetes is modified by the levels of physical activity in the Chilean population. In this study were included 5129 participants from the cross-sectional 2009-2010 National Health Survey. Physical activity level was assessed using the Global Physical Activity Questionnaire and family history of T2D, through self-reporting. The association between diabetes, family history of diabetes and physical activity was determined using logistic regression. The odds of developing T2D in people with family history of this pathology is high, independent of their levels of physical activity and adiposity. Both men and women with family history of T2D have a higher probability of developing T2D. The odds ratio for having T2D was 5,49 (95%CI: 3,85-7,84; p <0,0001) in women, and 8,16 (95%CI: 4,96-13,4; p <0,0001) in men with family history of T2D and low levels of physical activity in comparison to those with high levels of physical activity and without a family history. Given the elevated risk of developing T2D presented by individuals with a family history of this pathology, and the effect of physical activity in reducing such risk, people with family history of diabetes may need higher levels of physical activity to attenuate their susceptibility to T2D. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. The relationship of colorectal cancer with familial history of gastrointestinal cancers and personal history of colon polyps in Khorramabad(2012

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    korosh Ghanadi


    Full Text Available Background: The aim of this study was to investigate the relationship of familial history of gastrointestinal cancers and personal history of colon polyps with colorectal cancer incidence in khorramabad in 2012. Materials and Methods: This cross-sectional study included 50 patients with definite diagnosis of colon cancer based on colonoscopy and pathology in 2012. The control group included 56 persons from outpatients without a history of gastrointestinal diseases admitted to the skin and eye clinics of shohada ashayer hospital, who were matched with the patients for age and gender. The two groups were studied in terms of familial history of gastrointestinal diseases in immediate relatives and personal history of colorectal polyps using a self-constructed questionnaire. Fisher exact test and odds ratio estimate was used for data analysis. Results: The mean age of the patients was 52.8±15.5 years old, and 56% were male. A significant relationship was found between familial history of gastric and colon cancers in immediate relatives and colorectal cancer incidence in the patients (p<0.05. The odds ratio estimate of colorectal cancer incidence in the individuals with a positive history of gastric cancer and colon cancers in immediate relatives were respectively 3.96(CI=1.44-6.61 and 6.75 (CI=2.4-11.1 times of the estimate in the control individuals. No significant relationship was found between a history of esophageal cancers in immediate relatives with colon cancer incidence in the patients (p=0.61. Moreover, a significant relationship was found between a history of colon polyps and colorectal cancer incidence (p=0.004. Conclusion: The results of the present study should be confirmed in the further studies with larger sample sizes, so that serious measures to control the cancer can be taken through developing comprehensive prevention programs based on screening.

  8. Screening family planning needs: an operations research project in Guatemala

    Directory of Open Access Journals (Sweden)

    Burkhart Marianne


    Full Text Available Abstract Background Public sector health care providers in rural Guatemala have infrequently offered family planning information and services in routine visits. This operations research project tested a strategy to modify certain practices that prevent health workers from proactively screening clients' needs and meeting them. Methods The research design was quasi-experimental with a pretest-posttest-follow-up comparison group design. Health districts, which comprise health centers and posts, were purposively assigned to intervention or comparison groups to assure comparability of the two groups. The strategy was based on a job-aid designed to guide health workers in screening clients' reproductive intentions and family planning needs, help them to offer contraceptive methods if the woman expressed interest, and facilitate the provision of the method chosen at the time of the visit. The strategy was implemented at intervention sites during a period of six months. Upon completion of post-intervention measurements, the strategy was scaled up to the comparison sites, and a follow-up assessment was conducted nine months later. Results were evaluated by conducting three rounds of exit interviews with women exposed to the risk of unwanted pregnancy. Results Study results showed a two to five-fold increase in providers' screening of clients' reproductive intentions. The proportion of clients who received information about contraceptives increased from 8% at the baseline to 42% immediately post-intervention, and 36% at the follow-up survey. The intervention also proved successful in improving the role service providers play in offering women a chance to ask questions and assisting women in making a selection. The proportion of women who received a method, referral or appointment increased and remained high in the intervention group, although no change was seen in the comparison group after their participation in the strategy. Conclusion The easy

  9. World population growth, family planning, and American foreign policy. (United States)

    Sharpless, J


    The US decision since the 1960s to link foreign policy with family planning and population control is noteworthy for its intention to change the demographic structure of foreign countries and the magnitude of the initiative. The current population ideologies are part of the legacy of 19th century views on science, morality, and political economy. Strong constraints were placed on US foreign policy since World War II, particularly due to presumptions about the role of developing countries in Cold War ideology. Domestic debates revolved around issues of feminism, birth control, abortion, and family political issues. Since the 1960s, environmental degradation and resource depletion were an added global dimension of US population issues. Between 1935 and 1958 birth control movements evolved from the ideologies of utopian socialists, Malthusians, women's rights activists, civil libertarians, and advocates of sexual freedom. There was a shift from acceptance of birth control to questions about the role of national government in supporting distribution of birth control. Immediately postwar the debates over birth control were outside political circles. The concept of family planning as a middle class family issue shifted the focus from freeing women from the burdens of housework to making women more efficient housewives. Family planning could not be taken as a national policy concern without justification as a major issue, a link to national security, belief in the success of intervention, and a justifiable means of inclusion in public policy. US government involvement began with agricultural education, technological assistance, and economic development that would satisfy the world's growing population. Cold War politics forced population growth as an issue to be considered within the realm of foreign policy and diplomacy. US government sponsored family planning was enthusiastic during 1967-74 but restrained during the 1980s. The 1990s has been an era of redefinition of

  10. CSF 5-HIAA and family history of antisocial personality disorder in newborns. (United States)

    Constantino, J N; Morris, J A; Murphy, D L


    The relationship between genetic liability for antisocial behavior and CSF 5-hydroxyindoleacetic acid (5-HIAA) in newborns was explored. The authors assayed 5-HIAA in "leftover" CSF from 193 neurologically normal newborns and obtained family psychiatric histories of the newborns' first- and second-degree relatives. Levels of 5-HIAA were significantly lower in the infants with family histories of antisocial personality disorder than in the newborns without such family histories. These findings support the possibility that serotonin mediates one component of genetic liability to antisocial outcome, but the magnitude of that component may be less than what has been inferred from previously published reports.

  11. Increased blood BDNF in healthy individuals with a family history of depression

    DEFF Research Database (Denmark)

    Knorr, Ulla; Søndergaard, Mia H Greisen; Koefoed, Pernille


    The brain-derive neurotrophic factor (BDNF) may play an important role in the course of depression. We aimed to study the associations between peripheral whole blood BDNF levels in healthy individuals with and without a family history of depression. BDNF levels were significantly increased...... in healthy individuals with (n = 76), compared with healthy individuals without (n = 39) a family history of depression and persisted after adjustment for age and gender differences. Higher BDNF levels were associated with increasing age and seasonality. A family history of depression may contribute...

  12. Family history of cancer in benign brain tumor subtypes versus gliomas

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    Quinn eOstrom


    Full Text Available Purpose: Family history is associated with gliomas, but this association has not ben established for benign brain tumors. Using information from newly diagnosed primary brain tumor patients, we describe patterns of family cancer histories in patients with benign brain tumors and compare those to patients with gliomas. Methods: Newly diagnosed primary brain tumor patients were identified as part of the Ohio Brain Tumor Study (OBTS. Each patient was asked to participate in a telephone interview about personal medical history, family history of cancer, and other exposures. Information was available from 33 acoustic neuroma (65%, 78 meningioma (65%, 49 pituitary adenoma (73.1% and 152 glioma patients (58.2%. The association between family history of cancer and each subtype was compared with gliomas using unconditional logistic regression models generating odds ratios (ORs and 95% confidence intervals (95% CI. Results: There was no significant difference in family history of cancer between patients with glioma and benign subtypes. Conclusions: The results suggest that benign brain tumor may have an association with family history of cancer. More studies are warranted to disentangle the potential genetic and/or environmental causes for these diseases.

  13. Life stress and family history for depression: the moderating role of past depressive episodes. (United States)

    Monroe, Scott M; Slavich, George M; Gotlib, Ian H


    Three of the most consistently reported and powerful predictors of depression are a recent major life event, a positive family history for depression, and a personal history of past depressive episodes. Little research, however, has evaluated the inter-relations among these predictors in depressed samples. Such information is descriptively valuable and potentially etiologically informative. In the present article we summarize the existing literature and test four predictions in a sample of 62 clinically depressed individuals: (1) participants who experienced a major life event prior to onset would be less likely than participants who did not experience a major life event to have a positive family history for depression; (2) participants with a recent major life event would have fewer lifetime episodes of depression than would participants without; (3) participants with a positive family history for depression would have more lifetime episodes of depression than would participants with a negative family history for depression; and (4) we would obtain a 3-way interaction in which participants with a positive family history and without a major life event would have the most lifetime episodes, whereas participants with a negative family history and a major life event would have the fewest lifetime episodes. The first three predictions were confirmed, and the fourth prediction partially confirmed. These novel findings begin to elucidate the complex relations among these three prominent risk factors for depression, and point to avenues of research that may help illuminate the origins of depressive episodes. Copyright © 2013 Elsevier Ltd. All rights reserved.

  14. Family History of Cancer in Benign Brain Tumor Subtypes Versus Gliomas

    International Nuclear Information System (INIS)

    Ostrom, Quinn T.; McCulloh, Christopher; Chen, Yanwen; Devine, Karen; Wolinsky, Yingli


    Purpose: Family history is associated with gliomas, but this association has not been established for benign brain tumors. Using information from newly diagnosed primary brain tumor patients, we describe patterns of family cancer histories in patients with benign brain tumors and compare those to patients with gliomas. Methods: Newly diagnosed primary brain tumor patients were identified as part of the Ohio Brain Tumor Study. Each patient was asked to participate in a telephone interview about personal medical history, family history of cancer, and other exposures. Information was available from 33 acoustic neuroma (65%), 78 meningioma (65%), 49 pituitary adenoma (73.1%), and 152 glioma patients (58.2%). The association between family history of cancer and each subtype was compared with gliomas using unconditional logistic regression models generating odds ratios (ORs) and 95% confidence intervals. Results: There was no significant difference in family history of cancer between patients with glioma and benign subtypes. Conclusion: The results suggest that benign brain tumor may have an association with family history of cancer. More studies are warranted to disentangle the potential genetic and/or environmental causes for these diseases.

  15. Risk of Cardiomyopathy in Younger Persons With a Family History of Death from Cardiomyopathy

    DEFF Research Database (Denmark)

    Ranthe, Mattis F; Carstensen, Lisbeth; Øyen, Nina


    BACKGROUND: Recommendations for presymptomatic screening of relatives of cardiomyopathy patients are based on findings from tertiary centers. Cardiomyopathy inheritance patterns are fairly well understood, but how cardiomyopathy in younger persons (<50 years) aggregates in families at the populat......BACKGROUND: Recommendations for presymptomatic screening of relatives of cardiomyopathy patients are based on findings from tertiary centers. Cardiomyopathy inheritance patterns are fairly well understood, but how cardiomyopathy in younger persons (families...... at the population level is unclear. In a nationwide cohort, we examined the risk of cardiomyopathy by family history of premature death (... ascertained family history of premature (

  16. Donor funding for family planning: levels and trends between 2003 and 2013.


    Grollman, C; Cavallaro, FL; Duclos, D; Bakare, V; Martínez Álvarez, M; Borghi, J


    The International Conference on Population and Development in 1994 set targets for donor funding to support family planning programmes, and recent initiatives such as FP2020 have renewed focus on the need for adequate funding to rights-based family planning. Disbursements supporting family planning disaggregated by donor, recipient country and year are not available for recent years. We estimate international donor funding for family planning in 2003-13, the period covering the introduction o...

  17. Breast and Ovarian Cancer and Family History Risk Categories (United States)

    ... Triple negative cancers are a type of breast cancer that lack estrogen receptors, progesterone receptors, and human epidermal growth factor receptor 2. National Comprehensive Cancer Network. NCCN Guidelines Version 2.2014 Genetics/Familial ...

  18. Placement History of Foster Children : A Study of Placement History and Outcomes in Long-Term Family Foster Care

    NARCIS (Netherlands)

    Strijker, Johan; Knorth, Erik J.; Knot-Dickscheit, Jana


    The files of 419 children in family foster care and kinship foster care were used in a retrospective longitudinal design study that examined their placement histories in child welfare. Significant associations were found between the number of placements on one hand, and the prevalence of attachment

  19. Placement History of Foster Children: A Study of Placement History and Outcomes in Long-Term Family Foster Care (United States)

    Strijker, Johan; Knorth, Erik J.; Knot-Dickscheit, Jana


    The files of 419 children in family foster care and kinship foster care were used in a retrospective longitudinal design study that examined their placement histories in child welfare. Significant associations were found between the number of placements on one hand, and the prevalence of attachment disorders, severity of behavioral problems, and…

  20. Germline rearrangements in families with strong family history of glioma and malignant melanoma, colon, and breast cancer (United States)

    Andersson, Ulrika; Wibom, Carl; Cederquist, Kristina; Aradottir, Steina; Borg, Åke; Armstrong, Georgina N.; Shete, Sanjay; Lau, Ching C.; Bainbridge, Matthew N.; Claus, Elizabeth B.; Barnholtz-Sloan, Jill; Lai, Rose; Il'yasova, Dora; Houlston, Richard S.; Schildkraut, Joellen; Bernstein, Jonine L.; Olson, Sara H.; Jenkins, Robert B.; Lachance, Daniel H.; Wrensch, Margaret; Davis, Faith G.; Merrell, Ryan; Johansen, Christoffer; Sadetzki, Siegal; Bondy, Melissa L.; Melin, Beatrice S.; Adatto, Phyllis; Morice, Fabian; Payen, Sam; McQuinn, Lacey; McGaha, Rebecca; Guerra, Sandra; Paith, Leslie; Roth, Katherine; Zeng, Dong; Zhang, Hui; Yung, Alfred; Aldape, Kenneth; Gilbert, Mark; Weinberger, Jeffrey; Colman, Howard; Conrad, Charles; de Groot, John; Forman, Arthur; Groves, Morris; Levin, Victor; Loghin, Monica; Puduvalli, Vinay; Sawaya, Raymond; Heimberger, Amy; Lang, Frederick; Levine, Nicholas; Tolentino, Lori; Saunders, Kate; Thach, Thu-Trang; Iacono, Donna Dello; Sloan, Andrew; Gerson, Stanton; Selman, Warren; Bambakidis, Nicholas; Hart, David; Miller, Jonathan; Hoffer, Alan; Cohen, Mark; Rogers, Lisa; Nock, Charles J; Wolinsky, Yingli; Devine, Karen; Fulop, Jordonna; Barrett, Wendi; Shimmel, Kristen; Ostrom, Quinn; Barnett, Gene; Rosenfeld, Steven; Vogelbaum, Michael; Weil, Robert; Ahluwalia, Manmeet; Peereboom, David; Staugaitis, Susan; Schilero, Cathy; Brewer, Cathy; Smolenski, Kathy; McGraw, Mary; Naska, Theresa; Rosenfeld, Steven; Ram, Zvi; Blumenthal, Deborah T.; Bokstein, Felix; Umansky, Felix; Zaaroor, Menashe; Cohen, Avi; Tzuk-Shina, Tzeela; Voldby, Bo; Laursen, René; Andersen, Claus; Brennum, Jannick; Henriksen, Matilde Bille; Marzouk, Maya; Davis, Mary Elizabeth; Boland, Eamon; Smith, Marcel; Eze, Ogechukwu; Way, Mahalia; Lada, Pat; Miedzianowski, Nancy; Frechette, Michelle; Paleologos, Nina; Byström, Gudrun; Svedberg, Eva; Huggert, Sara; Kimdal, Mikael; Sandström, Monica; Brännström, Nikolina; Hayat, Amina; Tihan, Tarik; Zheng, Shichun; Berger, Mitchel; Butowski, Nicholas; Chang, Susan; Clarke, Jennifer; Prados, Michael; Rice, Terri; Sison, Jeannette; Kivett, Valerie; Duo, Xiaoqin; Hansen, Helen; Hsuang, George; Lamela, Rosito; Ramos, Christian; Patoka, Joe; Wagenman, Katherine; Zhou, Mi; Klein, Adam; McGee, Nora; Pfefferle, Jon; Wilson, Callie; Morris, Pagan; Hughes, Mary; Britt-Williams, Marlin; Foft, Jessica; Madsen, Julia; Polony, Csaba; McCarthy, Bridget; Zahora, Candice; Villano, John; Engelhard, Herbert; Borg, Ake; Chanock, Stephen K; Collins, Peter; Elston, Robert; Kleihues, Paul; Kruchko, Carol; Petersen, Gloria; Plon, Sharon; Thompson, Patricia; Johansen, C.; Sadetzki, S.; Melin, B.; Bondy, Melissa L.; Lau, Ching C.; Scheurer, Michael E.; Armstrong, Georgina N.; Liu, Yanhong; Shete, Sanjay; Yu, Robert K.; Aldape, Kenneth D.; Gilbert, Mark R.; Weinberg, Jeffrey; Houlston, Richard S.; Hosking, Fay J.; Robertson, Lindsay; Papaemmanuil, Elli; Claus, Elizabeth B.; Claus, Elizabeth B.; Barnholtz-Sloan, Jill; Sloan, Andrew E.; Barnett, Gene; Devine, Karen; Wolinsky, Yingli; Lai, Rose; McKean-Cowdin, Roberta; Il'yasova, Dora; Schildkraut, Joellen; Sadetzki, Siegal; Yechezkel, Galit Hirsh; Bruchim, Revital Bar-Sade; Aslanov, Lili; Sadetzki, Siegal; Johansen, Christoffer; Kosteljanetz, Michael; Broholm, Helle; Bernstein, Jonine L.; Olson, Sara H.; Schubert, Erica; DeAngelis, Lisa; Jenkins, Robert B.; Yang, Ping; Rynearson, Amanda; Andersson, Ulrika; Wibom, Carl; Henriksson, Roger; Melin, Beatrice S.; Cederquist, Kristina; Aradottir, Steina; Borg, Åke; Merrell, Ryan; Lada, Patricia; Wrensch, Margaret; Wiencke, John; Wiemels, Joe; McCoy, Lucie; McCarthy, Bridget J.; Davis, Faith G.


    Background Although familial susceptibility to glioma is known, the genetic basis for this susceptibility remains unidentified in the majority of glioma-specific families. An alternative approach to identifying such genes is to examine cancer pedigrees, which include glioma as one of several cancer phenotypes, to determine whether common chromosomal modifications might account for the familial aggregation of glioma and other cancers. Methods Germline rearrangements in 146 glioma families (from the Gliogene Consortium; were examined using multiplex ligation-dependent probe amplification. These families all had at least 2 verified glioma cases and a third reported or verified glioma case in the same family or 2 glioma cases in the family with at least one family member affected with melanoma, colon, or breast cancer.The genomic areas covering TP53, CDKN2A, MLH1, and MSH2 were selected because these genes have been previously reported to be associated with cancer pedigrees known to include glioma. Results We detected a single structural rearrangement, a deletion of exons 1-6 in MSH2, in the proband of one family with 3 cases with glioma and one relative with colon cancer. Conclusions Large deletions and duplications are rare events in familial glioma cases, even in families with a strong family history of cancers that may be involved in known cancer syndromes. PMID:24723567

  1. Family relationships and advance care planning: do supportive and critical relations encourage or hinder planning? (United States)

    Boerner, Kathrin; Carr, Deborah; Moorman, Sara


    The effectiveness of advance care planning (ACP) may depend on family members' understanding of patient preferences. However, we know of no studies that explore the association between family relationship dynamics and ACP. ACP includes a living will, durable power of attorney for health care (DPAHC) appointment, and discussions. We evaluated the effects of three aspects of family relations--general family functioning, support and criticism from spouse, and support and criticism from children--on both overall ACP and specific DPAHC designations. Using multinomial logistic regression models and data from a sample of 293 older adults, we estimated the effects of family relationship quality on the likelihood of completing ACP and appointing a spouse or adult child as DPAHC. Analyses controlled for demographic and health characteristics. Better overall family functioning increased the odds of ACP. Higher levels of spousal support increased the odds of holding informal discussions, whereas spousal criticism reduced the odds of naming one's spouse as DPAHC. Both criticism and emotional support from children increased the odds that a child was named as DPAHC. Family dynamics affect ACP in complex ways and should be considered when patients and their families discuss end-of-life care and make DPAHC designations.

  2. Fertility and prospects of family planning in The Three Towns. (United States)

    Adam, A Y


    This article studies fertility and prospects of family planning in the Three Towns based on data from the survey on the beginning of family limitation in Khartoum province (1975). The data was obtained using a stratified random sample design of currently married women, using the 1973 census records as the sample frame. Family planning is a recent development in the Three Towns. The inherent difficulties (political, administrative, economic and cultural), of organizing an effective program are numerous and complex. The main problem facing the program at present is ignorance rather than failure to act on information already acquired. Most people do not know that fertility control is possible. Lack of communication, rather than lack of motivation is the issue the program should address itself to. Due to social attitudes, much more attention should be given to contacting husbands, informing and motivating them. A material stimulus towards successful encouragement is that contraceptives should be widely available and cheap in relation to the incomes of the masses. This opens a door of economic responsibilities that can not be met by the association alone. Therefore, contacts with philanthropic institutions and individuals, domestically and internationally, are necessary for getting financial help.

  3. Women's experiences after Planned Parenthood's exclusion from a family planning program in Texas. (United States)

    Woo, C Junda; Alamgir, Hasanat; Potter, Joseph E


    We assessed the impact on depot medroxyprogesterone continuation when a large care provider was banned from a state-funded family planning program. We used three methods to assess the effect of the ban: (a) In a records review, we compared how many state program participants returned to two Planned Parenthood affiliates for a scheduled dose of depot medroxyprogesterone acetate (DMPA) immediately after the ban; (b) We conducted phone interviews with 224 former Planned Parenthood patients about DMPA use and access to contraception immediately after the ban; (c) We compared current contraceptive method of our interviewees to that of comparable DMPA users in the National Survey of Family Growth 2006-2010 (NSFG). (a) Fewer program clients returned for DMPA at a large urban Planned Parenthood, compared to a remotely located affiliate (14.4%, vs. 64.8%), reflecting different levels of access to alternative providers in the two cities. (b) Among program participants who went elsewhere for the injection, only 56.8% obtained it at no cost and on time. More than one in five women missed a dose because of barriers, most commonly due to difficulty finding a provider. (c) Compared to NSFG participants, our interviewees used less effective methods of contraception, even more than a year after the ban went into effect. Injectable contraception use was disrupted during the rollout of the state-funded family planning program. Women living in a remote area of Texas encountered more barriers. Requiring low-income family planning patients to switch healthcare providers has adverse consequences. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. [The third medical Rwandan colloquium on the national family planning program]. (United States)

    Muhawenimana, A


    The 3rd medical colloquium in Rwanda held in Kigali in 1989 was organized jointly by the Ministry of Health and the National Office on Population (ONAPO) to promote use of family planning and to study the process of integrating family planning into basic health services. Objectives of the colloquium included identifying obstacles to family planning use, developing strategies for rational use of health resources so as to offer high quality family planning services, mobilizing health personnel to combat misinformation about family planning, and promoting methods of contraception that are still not frequently used. Over the 3 days of the colloquium there were presentations on Rwanda's family planning policy, the current status of integration of family planning into the health system, and the program of social mobilization and results of a pilot project using community promoters in 2 communes of Ruhengeri. The colloquium among other suggestions recommended that a committee be created to coordinate government and other family planning activities. Areas with particularly strong negative propaganda against modern family planning methods should be identified and should receive intensive family planning education and promotion. Adequate records should be kept of family planning activities. A survey of family planning clients should be undertaken to identify what changes would increase client satisfaction. To combat misinformation, personnel at all levels should continue and intensify provision of objective information, and the Ministry of Health and ONAPO should develop a mechanism for quality control of contraceptives. Efforts to inform the population of different contraceptive methods should be intensified.

  5. The influence of informant characteristics on the reliability of family history interviews. (United States)

    Verweij, Kim H W; Derks, Eske M; Hendriks, Eva J E; Cahn, Wiepke


    Family history interviews are widely used in psychiatric research, as well as in genetic and twin studies, and provide a way to collect family history information quickly and economically. To obtain a valid assessment of family history, it is important to investigate which family member will be able to provide accurate information. Previous research shows that the validity of family history reporting can be influenced by characteristics of the informant, such as age, gender and personal history of psychiatric disorder. The aim of this study was to investigate the role of a subject's position in a pedigree on the validity of data collection. Family history data on diabetes and psychiatric disorders were collected in three generations of 33 families by interviewing both an index subject (3rd generation) and his or her mother (2nd generation). Mothers were shown to report higher rates of diabetes and psychiatric disorder in the family compared to the index subjects. There was no significant difference in the disease rate reported by male and female index subject. Mothers who experienced a depressive episode indicated significantly more family members as having a psychiatric disorder than mothers who never experienced such an episode. This could be explained by the presence of informant bias, but may also result from the fact that depression is a heritable disorder and is therefore actually more prevalent in these families. Our findings suggest that family interview data should be collected by interviewing subjects who have a central position in the pedigree and can therefore provide information on his/her own generation, the previous and the next. In addition, psychiatric status of the informant should be carefully addressed.

  6. Levels of Distress in Women With a Family History of Ovarian Cancer

    National Research Council Canada - National Science Library

    Kash, Kathryn


    The overall goal of this study is to determine the levels of distress in women with a family history of ovarian cancer and to identify the mediating factors between risk of developing ovarian cancer...

  7. Family history of coronary heart disease and markers of subclinical cardiovascular disease: where do we stand? (United States)

    Pandey, Arvind K; Pandey, Shivda; Blaha, Michael J; Agatston, Arthur; Feldman, Theodore; Ozner, Michael; Santos, Raul D; Budoff, Matthew J; Blumenthal, Roger S; Nasir, Khurram


    The goals of this systematic analysis are to determine the association between family history of coronary heart disease (CHD) and markers of subclinical cardiovascular disease as well as to discuss the inclusion of CHD family history in the frequently used coronary risk prediction algorithms. Individuals with a family history of CHD are at high risk for developing atherosclerosis and events related to CHD, regardless of the presence of other coronary risk factors. They form a target population that might benefit from primary prevention strategies; however, family history data is not a part of the frequently used risk prediction algorithms. Medline and PubMed databases were searched for all studies evaluating the relationship between measures of subclinical atherosclerosis and family history of CHD, published till June 2010. Thirty-two studies met the above criteria and were included in this review. Coronary artery calcium, carotid intima thickness, vascular function, and inflammatory markers including C reactive protein, fibrinogen, and D-dimer were used as measures of subclinical atherosclerosis. Studies differed in design, demographic data of the population, techniques and validation of family history information. Most studies established a statistically significant relationship between the above markers and family history of CAD; further, the association was noted to be independent of traditional risk factors. Family history of CAD is associated with markers of subclinical atherosclerosis, and this relationship remains statistically significant after adjusting for traditional risk factors. The above data suggest these individuals should be considered strongly as candidates for assessment of subclinical CVD to further refine risk and treatment goals. Copyright © 2013. Published by Elsevier Ireland Ltd.

  8. Deficits in Affective Prosody Comprehension: Family History of Alcoholism versus Alcohol Exposure


    Sorocco, Kristen H.; Monnot, Marilee; Vincent, Andrea S.; Ross, Elliott D.; Lovallo, William R.


    Background: Abstinent alcoholics have deficits in comprehending the affective intonation in speech. Prior work suggests that these deficits are due to alcohol exposure rather than preexisting risk factors for alcoholism. The present paper examines whether family history of alcoholism is a contributor to affective prosody deficits in alcoholics. Methods: Fifty-eight healthy, nonabusing young adults with and without a family history of alcoholism or other substance abuse (29 FH+ and 29 FH−) wer...

  9. Family History of Alcohol Abuse Associated With Problematic Drinking Among College Students


    LaBrie, Joseph W.; Migliuri, Savannah; Kenney, Shannon R.; Lac, Andrew


    Studies examining family history of alcohol abuse among college students are not only conflicting, but have suffered various limitations. The current report investigates family history of alcohol abuse (FH+) and its relationship with alcohol expectancies, consumption, and consequences. In the current study, 3753 student participants (35% FH+), completed online assessments. Compared to FH−same-sex peers, FH+ males and FH+ females endorsed greater overall positive expectancies, consumed more dr...

  10. The relationship between family history of cancer, coping style and psychological distress


    Liu, Yu; Cao, Chunmei


    Objective: To investigate the relationship between family history of cancer, coping style and psychological distress. Methods: Total 80 patients with family history of cancer and 72 normal controls were analyzed using self-reporting inventory (SCL-90), coping style scale and impact of event scale-revised (IES-R). Results: 1. Between the two groups of patients, there were significant differences in anxiety, depression, cancer-specific distress and coping style. 2. Psychological distress (anxie...

  11. Family History of Cancer in Relation to Breast Cancer Subtypes in African American Women. (United States)

    Bethea, Traci N; Rosenberg, Lynn; Castro-Webb, Nelsy; Lunetta, Kathryn L; Sucheston-Campbell, Lara E; Ruiz-Narváez, Edward A; Charlot, Marjory; Park, Song-Yi; Bandera, Elisa V; Troester, Melissa A; Ambrosone, Christine B; Palmer, Julie R


    The evidence on the relation of family history of cancers other than breast cancer to breast cancer risk is conflicting, and most studies have not assessed specific breast cancer subtypes. We assessed the relation of first-degree family history of breast, prostate, lung, colorectal, ovarian, and cervical cancer and lymphoma or leukemia, to the risk of estrogen receptor-positive (ER(+)), ER(-), and triple-negative breast cancer in data from the African American Breast Cancer Epidemiology and Risk Consortium. Multivariable logistic regression models were used to calculate ORs and 95% confidence intervals (CI). There were 3,023 ER(+) and 1,497 ER(-) breast cancer cases (including 696 triple-negative cases) and 17,420 controls. First-degree family history of breast cancer was associated with increased risk of each subtype: OR = 1.76 (95% CI, 1.57-1.97) for ER(+), 1.67 (1.42-1.95) for ER(-), and 1.72 (1.38-2.13) for triple-negative breast cancer. Family history of cervical cancer was associated with increased risk of ER(-) (OR = 2.39; 95% CI, 1.36-4.20), but not ER(+) cancer. Family history of both breast and prostate cancer was associated with increased risk of ER(+) (3.40; 2.42-4.79) and ER(-) (2.09; 1.21-3.63) cancer, but family history of both breast and lung cancer was associated only with ER(-) cancer (2.11; 1.29-3.46). A family history of cancers other than breast may influence the risk of breast cancer, and associations may differ by subtype. Greater surveillance and counseling for additional screening may be warranted for women with a family history of cancer. ©2015 American Association for Cancer Research.

  12. Family history and risk of pregnancy-associated breast cancer (PABC). (United States)

    Johansson, Anna L V; Andersson, Therese M-L; Hsieh, Chung-Cheng; Cnattingius, Sven; Dickman, Paul W; Lambe, Mats


    The risk of breast cancer is at least two-fold increased in young women with a family history of breast cancer. Pregnancy has a dual effect on breast cancer risk; a short-term increase followed by a long-term protection. We investigated if the risk of breast cancer during and within 10 years following pregnancy is affected by a family history of breast cancer. We followed a cohort of women aged 15-44 years between 1963 and 2009 identified in Swedish population-based registers. Family history was defined as having a mother or sister with breast cancer. We estimated incidence rate ratios of breast cancer during pregnancy and time intervals up to 10 years post-delivery, with a focus on pregnancy-associated breast cancer (PABC), defined as breast cancer during pregnancy or within 2 years post-delivery. In 3,452,506 women, there were 15,548 cases of breast cancer (1208 were PABC). Compared to nulliparous women, the risk of breast cancer was decreased during pregnancy, similar during first year and increased during second year post-delivery. The pattern was similar in women with or without family history of breast cancer. A peak in risk was observed 5-6 years following the first birth regardless of family history. After a second birth, this peak was only present in women with a family history. Our results indicate that women with a family history of breast cancer do not have a different breast cancer risk during and within 10 years following pregnancy compared to women without a family history.

  13. High accuracy of family history of melanoma in Danish melanoma cases. (United States)

    Wadt, Karin A W; Drzewiecki, Krzysztof T; Gerdes, Anne-Marie


    The incidence of melanoma in Denmark has immensely increased over the last 10 years making Denmark a high risk country for melanoma. In the last two decades multiple public campaigns have sought to increase the awareness of melanoma. Family history of melanoma is a known major risk factor but previous studies have shown that self-reported family history of melanoma is highly inaccurate. These studies are 15 years old and we wanted to examine if a higher awareness of melanoma has increased the accuracy of self-reported family history of melanoma. We examined the family history of 181 melanoma probands who reported 199 cases of melanoma in relatives, of which 135 cases where in first degree relatives. We confirmed the diagnosis of melanoma in 77% of all relatives, and in 83% of first degree relatives. In 181 probands we validated the negative family history of melanoma in 748 first degree relatives and found only 1 case of melanoma which was not reported in a 3 case melanoma family. Melanoma patients in Denmark report family history of melanoma in first and second degree relatives with a high level of accuracy with a true positive predictive value between 77 and 87%. In 99% of probands reporting a negative family history of melanoma in first degree relatives this information is correct. In clinical practice we recommend that melanoma diagnosis in relatives should be verified if possible, but even unverified reported melanoma cases in relatives should be included in the indication of genetic testing and assessment of melanoma risk in the family.

  14. Provider barriers to family planning access in urban Kenya. (United States)

    Tumlinson, Katherine; Okigbo, Chinelo C; Speizer, Ilene S


    A better understanding of the prevalence of service provider-imposed barriers to family planning can inform programs intended to increase contraceptive use. This study, based on data from urban Kenya, describes the frequency of provider self-reported restrictions related to clients' age, parity, marital status, and third-party consent, and considers the impact of facility type and training on restrictive practices. Trained data collectors interviewed 676 service providers at 273 health care facilities in five Kenyan cities. Service providers were asked questions about their background and training and were also asked about age, marital, parity, or consent requirements for providing family planning services. More than half of providers (58%) reported imposing minimum age restrictions on one or more methods. These restrictions were commonly imposed on clients seeking injectables, a popular method in urban Kenya, with large numbers refusing to offer injectables to women younger than 20 years. Forty-one percent of providers reported that they would not offer one or more methods to nulliparous women and more than one in four providers reported that they would not offer the injectable to women without at least one child. Providers at private facilities were significantly more likely to impose barriers, across all method types, and those without in-service training on family planning provision had a significantly higher prevalence of imposing parity, marital, and consent barriers across most methods. Programs need to address provider-imposed barriers that reduce access to contraceptive methods particularly among young, lower parity, and single women. Promising strategies include targeting private facility providers and increasing the prevalence of in-service training. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Relation between family history, obesity and risk for diabetes and heart disease in Pakistani children

    International Nuclear Information System (INIS)

    Basit, A.; Hakeem, R.; Hydrie, M.Z.; Ahmadani, M.Y.; Masood, Q.


    Objective: To assess the differences in relative risk of developing diabetes and CHD, obesity, fasting blood glucose, insulin and lipids of children having family history of diabetes or heart disease in first or second degree relatives as compared to control group. Design: Children were given a questionnaire to collect demographic data and to assess their dietary habits and family history. Anthropometric measurements and blood samples for fasting blood glucose, insulin and lipids of 8-10 years old children from 4 schools was taken. Subjects: Children having positive family history of diabetes (n=44) or heart disease (n=16) in first or second degree relatives were compared with a control group (n=39). Results: Children having positive family history for diabetes had slightly higher mean values for BMI, waist circumference, arm fat % as compared to the controls but the differences were not statistically significant. Overweight children (>85th Percentile of BMI for age) did not differ significantly in terms of various risk indicators however those who were in the uppermost tertile of arm fat % had significantly higher total Cholesterol, Triglycerides, LDL-C, LDL:HDL and Insulin levels (P<0.05 in each case). Conclusion: Diabetes and CVD risks from positive family history for the disease are probably mediated through increased body fat percentage. Thus even when information about family history of disease is lacking, arm-fat-percentage could be used as an important screening tool for determining the risk status of children. (author)

  16. Completeness of pedigree and family cancer history for ovarian cancer patients. (United States)

    Son, Yedong; Lim, Myong Cheol; Seo, Sang Soo; Kang, Sokbom; Park, Sang Yoon


    To investigate the completeness of pedigree and of number of pedigree analysis to know the acceptable familial history in Korean women with ovarian cancer. Interview was conducted in 50 ovarian cancer patients for obtaining familial history three times over the 6 weeks. The completeness of pedigree is estimated in terms of familial history of disease (cancer), health status (health living, disease and death), and onset age of disease and death. The completion of pedigree was 79.3, 85.1, and 85.6% at the 1st, 2nd, and 3rd time of interview and the time for pedigree analysis was 34.3, 10.8, and 3.1 minutes, respectively. The factors limiting pedigree analysis were as follows: out of contact with their relatives (38%), no living ancestors who know the family history (34%), dispersed family member because of the Korean War (16%), unknown cause of death (12%), reluctance to ask medical history of relatives (10%), and concealing their ovarian cancer (10%). The percentage of cancers revealed in 1st (2%) and 2nd degree (8%) relatives were increasing through surveys, especially colorectal cancer related with Lynch syndrome (4%). Analysis of pedigree at least two times is acceptable in Korean woman with ovarian cancer from the first study. The completion of pedigree is increasing, while time to take family history is decreasing during three time survey.

  17. Leveraging family history in population-based case-control association studies. (United States)

    Ghosh, Arpita; Hartge, Patricia; Kraft, Peter; Joshi, Amit D; Ziegler, Regina G; Barrdahl, Myrto; Chanock, Stephen J; Wacholder, Sholom; Chatterjee, Nilanjan


    Population-based epidemiologic studies often gather information from study participants on disease history among their family members. Although investigators widely recognize that family history will be associated with genotypes of the participants at disease susceptibility loci, they commonly ignore such information in primary genetic association analyses. In this report, we propose a simple approach to association testing by incorporating family history information as a "phenotype." We account for the expected attenuation in strength of association of the genotype of study participants with family history under Mendelian transmission. The proposed analysis can be performed using standard statistical software adopting either a meta- or pooled-analysis framework. Re-analysis of a total of 115 known susceptibility single-nucleotide polymorphisms, discovered through genome-wide association studies for several disease traits, indicates that incorporation of family history information can increase efficiency by as much as 40%. Efficiency gain depends on the type of design used for conducting the primary study, extent of family history, and accuracy and completeness of reporting. © 2014 WILEY PERIODICALS, INC.

  18. Rh factor, family history and risk of breast cancer: a case-control study in Uruguay. (United States)

    Ronco, Alvaro L; Stoll, Mario; De Stéfani, Eduardo; Maisonneuve, Juan E; Mendoza, Beatriz A; Deneo-Pellegrini, Hugo


    To explore possible relationships among blood factors, family history of breast cancer (BC) and the risk of the disease, a case-control study was carried out in Montevideo, Uruguay. Eight hundred and one patients were interviewed, including 252 certified cases of BC and 549 frequency-matched controls. Blood groups (ABO, Rh) were obtained from medical records. Multivariate analyses were performed, adjusting for age, selected menstrual and reproductive factors, and family history of BC as well as of other cancers. We found that the absence of Rh factor (Rh-) was positively associated with the risk of BC (adjusted Odds Ratio [OR]=1.49, 95% Confidence Interval [95% CI] 1.05-2.11). Stratified analyses by family history of BC showed a strong association for Rh- with a positive history of first degree relatives (OR=3.17, 95% CI 1.06-9.47). Also stratified analyses by family history of other cancers showed a positive association for Rh- with a positive history of first degree relatives (OR=2.08, 95% CI 1.05-4.11). Regarding the implications of an inherited factor like Rh and its associations with the family history of BC, it might increase the probability to generate high-risk individuals if further studies confirm the present preliminary findings.

  19. Family planning: a major public health programme in India. (United States)

    Datta, S


    India's increase of 12 million people each year nullifies almost all the considerable progress the country made in agriculture and industrial production during 19 years of her freedom. Today she ranks 2nd in population and 7th in land area of the world. She claims 15% of the world's population, on about 2.4% of the world's land area. The Government of India has taken family planning as a major national health program under her Five-Year Plans, but impact of this program is not felt as yet. Since this is a difficult complex problem with many facets, it has to be attacked forcefully, drastically, and on all fronts. An all-out war has to be waged against the population growth. India should attack it with all the weapons she had: education, propaganda, taxation, legalization of abortion, and even compulsory sterilization. Overnight change in the fertility pattern of the people is impossible.

  20. Relationship between Social Media for Social Marketing in Family Planning

    Directory of Open Access Journals (Sweden)



    Full Text Available This research aims to examine the influence of marketing mix carried out media performance social media portal on attitude towards a social marketing program,and its relationship with source credibility of the portal. This study was focused on "Generasi Berencana" Program (Generation with Plan Program, a program aimed at educating the youth on family planning The Research employed Structural Equations Modeling (SEM. Based on data from 150 respondents it can be concluded that in social marketing programs, source credibility, engagement, word of mouth have positive influence on the formation of behavior, but awareness of a program is not found to influence formation of behavior. This research also obtained findings that attitudes influence behavioral intention, but subjective norms is not positively influence the formation of behavioral intentions.

  1. Multigenerational Positive Family History of Psychiatric Disorders Is Associated With a Poor Prognosis in Bipolar Disorder

    NARCIS (Netherlands)

    Post, Robert M.; Altshuler, Lori; Kupka, Ralph; McElroy, Susan L.; Frye, Mark A.; Rowe, Michael; Grunze, Heinz; Suppes, Trisha; Keck, Paul E.; Leverich, Gabriele S.; Nolen, Willem A.


    The authors assessed how family history loading affected the course of illness in patients from the United States. A total of 676 outpatients with bipolar disorder from the United States rated their illness and provided a parental and grandparental history of mood disorder, substance abuse, and

  2. Predictors of Chlamydia trachomatis infection among women attending rural Midwest family planning clinics. (United States)

    Hilger, T M; Smith, E M; Ault, K


    To determine predictors of Chlamydia trachomatis infection among women 14-24 years of age attending family planning clinics throughout a rural Midwestern state. The study population included 16,756 women between the ages of 14 and 24 years attending family planning clinics for annual examinations throughout the state of Iowa in 1997. All women under 25 years of age having annual exams were tested for C. trachomatis during the visit. At the time of exam, both behavioral and demographic data were collected on all women participating in the study. The majority of women in the study (96%) reported no symptoms of chlamydia. Only 2.5% of all women had a positive test result. In the multivariate model, the odds ratios were significantly increased among the youngest age (14-17 years; OR = 2.2), those with mucopurulent cervicitis (OR = 3.4), cervical friability (OR = 2.2), symptomatic for infection (OR = 1.8), risk history (OR = 1.6), and black race (OR = 1.2) and predictive of a C. trachomatis infection. Risk factors predictive of C. trachomatis infection among younger aged women attending family planning clinics in a Midwest rural population are consistent with predictors of infection among women attending family planning clinics across the United States. The overall findings suggest the importance of developing screening guidelines as a means of lowering chlamydia rates. This may be a particularly difficult task in light of the low rate of symptoms that would lead a woman to seek medical care, even in younger age women who are at higher risk. In addition, screening guidelines would be more difficult to implement in a rural setting.

  3. Implementing Trauma-Informed Partner Violence Assessment in Family Planning Clinics. (United States)

    Decker, Michele R; Flessa, Sarah; Pillai, Ruchita V; Dick, Rebecca N; Quam, Jamie; Cheng, Diana; McDonald-Mosley, Raegan; Alexander, Kamila A; Holliday, Charvonne N; Miller, Elizabeth


    Intimate partner violence (IPV) and reproductive coercion (RC) are associated with poor reproductive health. Little is known about how family planning clinics implement brief IPV/RC assessment interventions in practice. We describe the uptake and impact of a brief, trauma-informed, universal IPV/RC assessment and education intervention. Intervention implementation was evaluated via a mixed methods study among women ages 18 and up receiving care at one of two family planning clinics in greater Baltimore, MD. This mixed methods study entailed a quasi-experimental, single group pretest-posttest study with family planning clinic patients (baseline and exit survey n = 132; 3-month retention n = 68; retention rate = 52%), coupled with qualitative interviews with providers and patients (total n = 35). Two thirds (65%) of women reported receiving at least one element of the intervention on their exit survey immediately following the clinic-visit. Patients reported that clinic-based IPV assessment is helpful, irrespective of IPV history. Relative to those who reported neither, participants who received either intervention element reported greater perceived caring from providers, confidence in provider response to abusive relationships, and knowledge of IPV-related resources at follow-up. Providers and patients alike described the educational card as a valuable tool. Participants described trade-offs of paper versus in-person, electronic medical record-facilitated screening, and patient reluctance to disclose current situations of abuse. In real-world family planning clinic settings, a brief assessment and support intervention was successful in communicating provider caring and increasing knowledge of violence-related resources, endpoints previously deemed valuable by IPV survivors. Results emphasize the merit of universal education in IPV/RC clinical interventions over seeking IPV disclosure.

  4. Possible consequences of applying guidelines to healthy women with a family history of breast cancer

    NARCIS (Netherlands)

    van Asperen, CJ; Tollenaar, RAEM; Krol-Warmerdam, EMM; Blom, Jannet; Hoogendoorn, WE; Seynaeve, CMJC; Brekelmans, CTM; Devilee, P; Cornelisse, CJ; Klijn, JGM; de Bock, GH

    Possible effects of consistently applying published guidelines on healthy women with breast cancer in their family history were analysed. We investigated 1060 unrelated breast cancer patients and calculated the numbers of first-degree relatives that would be referred to a familial cancer clinic if

  5. The Influence of Family History on Reading Remediation and Reading Skills in Children with Dyslexia (United States)

    Dick, Bruce D.; Kaplan, Bonnie J.; Crawford, Susan


    This study examined whether family history of reading disability influences the efficacy of reading remediation. A retrospective review of children's performance in a reading remediation program was carried out along with parental interviews for 102 families. Significant improvements were found in the areas of nonword decoding, phonological…

  6. Focus Group Evaluation of Customized Family Health History Education Materials in a North Carolina Community (United States)

    Powell, Karen; Edelson, Vaughn; O'Leary, James; Christianson, Carol; Henrich, Vincent


    The "Does It Run In The Family?" booklets provide educational materials about family health history (FHH) and basic genetics to readers of all levels and are customizable for local communities. Purpose: The booklets were customized and provided to focus groups to evaluate their usefulness in conveying health information at a low reading…

  7. Family history of premature death and risk of early onset cardiovascular disease. (United States)

    Ranthe, Mattis Flyvholm; Carstensen, Lisbeth; Oyen, Nina; Tfelt-Hansen, Jacob; Christiansen, Michael; McKenna, William J; Wohlfahrt, Jan; Melbye, Mads; Boyd, Heather A


    The purpose of this study was to examine the effect of a family history of premature death, cardiovascular death in particular, on the risk of early cardiovascular disease. Studies suggest that fatal cardiovascular events and less severe cardiovascular diseases may co-occur in families. Consequently, a family history of premature death may indicate a familial cardiac frailty that predisposes to early cardiovascular disease. We ascertained family history of premature death (age Denmark from 1950 to 2008 and followed this cohort for early cardiovascular disease (age history of premature cardiovascular death in first-degree relatives were 1.72 (95% confidence interval [CI]: 1.68 to 1.77), 2.21 (95% CI: 2.11 to 2.31), and 1.94 (95% CI: 1.70 to 2.20), respectively. With ≥2 cardiovascular deaths in a family, corresponding IRRs were 3.30 (95% CI: 2.77 to 3.94), 5.00 (95% CI: 3.87 to 6.45), and 6.18 (95% CI: 3.32 to 11.50). The IRR for any early cardiovascular disease given a family history of premature noncardiovascular death was significantly lower, 1.12 (95% CI: 1.10 to 1.14) (p(cardiac vs. noncardiac) history of premature cardiovascular death was consistently and significantly associated with a risk of early cardiovascular disease, suggesting an inherited cardiac vulnerability. These results should be kept in mind when assessing cardiovascular disease risk in persons with a family history of premature cardiovascular death. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  8. "That was grown folks' business": narrative reflection and response in older adults' family health history communication. (United States)

    Yamasaki, Jill; Hovick, Shelly R


    Given the importance of family health history and the pivotal role of older adults in communicating it, this study examines how African American older adults (a) characterize their understandings of health-related conditions in their family histories and (b) rationalize their motivations and constraints for sharing this information with current family members. Using narrative theory as a framework, we illustrate how the participants reflect on prior health-related experiences within the family to respond to moral and practical calls for communicating family health information to current relatives. Specifically, our analysis highlights how storied family secrets--as constructed by 28 participants in group and individual interviews--reveal and inform shifting cultural and generational practices that shape the lived health behaviors and communication of older adults at greater risk for health disparities.

  9. Factors influencing family planning practice among reproductive age married women in Hlaing Township, Myanmar. (United States)

    Lwin, Myo Min; Munsawaengsub, Chokchai; Nanthamongkokchai, Sutham


    To study the factors that influence the family planning practice among married, reproductive age women in Hlaing Township, Myanmar. Cross-sectional survey research was conducted among 284 married, reproductive age women using stratified random sampling. The data were collected through questionnaire interviews during February and March 2012 and analyzed by frequency, percentage, Chi-square test, and multiple logistic regression. The proportion of families practicing family planning was 74.7%, contraceptive injection being the most commonly used method. The factors influencing family planning practice were attitude towards family planning, 24-hour availability of family planning services, health worker support, and partner and friends support. The women with a positive attitude toward family planning practiced family planning 3.7 times more than women who had a negative attitude. If family planning services were available for 24 hours, then women would practice 3.4 times more than if they were not available for 24 hours. When women got fair to good support from health workers, they practiced 15.0 times more on family planning and 4.3 times more who got fair to good support from partners and friends than women who got low support. The factors influencing family planning practice of married, reproductive age women were attitude toward family planning, 24-hour availability of family planning services, health worker support, and partner and friends support. The findings suggest that empowerment of health workers, training of volunteers, pharmacists and contraceptive drug providers, encouraging inter-spousal communication, and peer support, as well as an integrated approach to primary health care in order to target different populations to change women's attitudes on family planning, could increase family planning practice among Myanmar women.

  10. Abdominal aortic aneurysms do not develop more aggressively among patients with a positive family history of the disease

    DEFF Research Database (Denmark)

    Mejnert Jørgensen, Trine; Wemmelund, Holger; Green, Anders

    Title: Abdominal aortic aneurysms no not develop more aggressively among patients with a positive family history of the disease Authors: Trine M. M. Joergensen, Holger Wemmelund, Anders Green, Jes Lindholt, Kim Houlind. Introduction: It is well known, that a family history of abdominal aortic...... among patients with a positive family history of the disease....... with information on family history of AAA, diameter of AAA throughout follow-up, surgery, ruptures, comorbidity, smoking, and use of medication. Methods: Patients with and without a family history of AAA were compared regarding mean age at diagnosis and surgery, diameter of AAA at diagnosis, risk of surgery...


    Directory of Open Access Journals (Sweden)

    Anand Mohan Dixit


    Full Text Available Objective: To assess the knowledge of contraceptive methods and intended family size among the men of urban slum.Material and Method: Present study conducted in urban slum area of Jaipur. Information from 400 married men of age group 18-49 years collected on semi structured schedule during June to October 2012.House to house survey conducted to achieve defined sample size. Data were analyzed by using SPSS 12 soft ware. Chi square, t test and ANOVA were used for interpretation.Result and Conclusion: Most commonly known methods of family planning were female sterilization (95.2%, condom (94.7% and Male sterilization (93.5%.  IUCD (57% was still not popularly known method of contraception. Emergency contraceptive pills (12.2% and Injectables (25.7% were least known methods among men. Knowledge of different contraceptive differs according to educational status and caste of men.  TV and radio were main source of information. Only 16% men said that they got information from health personnel. On analysis present family size was 3.125 while desired family size was 2.63, it shows that two child norm is not ideal to all. Men who had already two children 53 % of them still want to expand their family. Approximately half of the men feel that they have larger family size and the main reasons were inappropriate knowledge (37% and ignorance (21%. Those men who want to expand their family size, son preference was the major reason. Only 3% men show the intention of one child as ideal in family, which indicate that one child norm is too far to reach.

  12. Awareness and determinants of family planning practice in Jimma, Ethiopia. (United States)

    Beekle, A T; McCabe, C


    The continuing growth of the world population has become an urgent global problem. Ethiopia, like most countries in sub-Saharan Africa, is experiencing rapid population growth. Currently, the country's population is growing at a rate of 3%, one of the highest rates in the world and if it continues unabated, the population will have doubled in 23 years, preventing any gain in the national development effort. To determine the level and determinants of family planning awareness and practice in one Ethiopian town. A quantitative study using a descriptive survey design was conducted in Jimma University Hospital. The findings revealed that the knowledge and practice of modern contraception methods was low. Most women's contraceptive knowledge and practice was influenced by socio-cultural norms such as male/husband dominance and opposition to contraception, and low social status of women. A lack of formal education for women was identified as a key factor in preventing change in the patterns of contraceptive knowledge and use by women in this part of Ethiopia. The support and encouragement for women and men to enter and complete formal education is essential in bringing about a cultural and social change in attitude towards the economic and social value of family planning. This study and others suggest that education can address the imbalance in decision making about contraception and the role of women in society generally.

  13. Priority strategies for India′s family planning programme

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    Saroj Pachauri


    Full Text Available Strategies to accelerate progress of India′s family planning programme are discussed and the importance of improving the quality and reach of services to address unmet contraceptive need by providing method choice is emphasized. Although there is a growing demand for both limiting and spacing births, female sterilisation, is the dominant method in the national programme and use of spacing methods remains very limited. Fertility decline has been slower in the empowered action group (EAG s0 tates which contribute about 40 per cent of population growth to the country and also depict gloomy statistics for other socio-development indicators. It is, therefore, important to intensify efforts to reduce both fertility and mortality in these s0 tates. a0 rationale has been provided for implementing integrated programmes using a gender lens because the lack of women′s autonomy in reproductive decision-making, compounded by poor male involvement in sexual and reproductive health matters, is a fundamental issue yet to be addressed. The need for collaboration between scientists developing contraceptive technologies and those implementing family planning services is underscored. If contraceptive technologies are developed with an understanding of the contexts in which they will be delivered and an appreciation of end-users′ needs and perspectives, they are more likely to be accepted by service providers and used by clients.

  14. Postpartum family planning: current evidence on successful interventions

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    Blazer C


    Full Text Available Cassandra Blazer, Ndola Prata Bixby Center for Population, Health, and Sustainability, School of Public Health, University of California, Berkeley, CA, USA Abstract: We reviewed existing evidence of the efficacy of postpartum family planning interventions targeting women in the 12 months postpartum period in low- and middle-income countries. We searched for studies from January 1, 2004 to September 19, 2015, using the US Preventive Services Task Force recommendations to assess evidence quality. Our search resulted in 26 studies: 11 based in sub-Saharan Africa, six in the Middle East and North Africa, and nine in Asia. Twenty of the included studies assessed health facility-based interventions. Three were focused on community interventions, two had community and facility components, and one was a workplace program. Overall quality of the evidence was moderate, including evidence for counseling interventions. Male partner involvement, integration with other service delivery platforms, such as prevention of mother-to-child transmission of HIV and immunization, and innovative product delivery programs may increase knowledge and use during the postpartum period. Community-based and workplace strategies need a much stronger base of evidence to prompt recommendations. Keywords: postpartum period, family planning, birth spacing, interventions, systematic review, contraception, less developed countries

  15. Development of a Mobile App for Family Planning Providers. (United States)

    Halsall, Viannella; Rogers, Jennifer; Witt, Jacki; Song, Sejun; Nguyen, Hoang Duc Huy; Kelly, Patricia

    To provide an overview of lessons learned during the development process of an app for iOS and Android based on national recommendations for providing quality family planning services. After a review of existing apps was conducted to determine whether an app of clinical recommendations for family planning existed, a team of clinicians, training specialists, and app developers created a resource app by first drafting a comprehensive content map. A prototype of the app was then pilot tested using smart tablets by a volunteer convenience sample of women's healthcare professionals. Outcomes measured included usability, acceptability, download analytics, and satisfaction by clinicians as reported through an investigator-developed tool. Sixty-nine professionals tested a prototype of the app, and completed a user satisfaction tool. Overall, user feedback was positive, and a zoom function was added to the final version as a result of the pilot test. Within 3 months of being publicly available, the app was downloaded 677 times, with 97% of downloads occurring on smart phones, 76% downloads occurring on iOS devices, and 24% on Android devices. This trend persisted throughout the following 3 months. Clinicians with an interest in developing an app should consider a team approach to development, pilot test the app prior to wider distribution, and develop a web-based version of the app to be used by clinicians who are unable to access smart devices in their practice setting.

  16. The KinFact intervention - a randomized controlled trial to increase family communication about cancer history. (United States)

    Bodurtha, Joann N; McClish, Donna; Gyure, Maria; Corona, Rosalie; Krist, Alexander H; Rodríguez, Vivian M; Maibauer, Alisa M; Borzelleca, Joseph; Bowen, Deborah J; Quillin, John M


    Knowing family history is important for understanding cancer risk, yet communication within families is suboptimal. Providing strategies to enhance communication may be useful. Four hundred ninety women were recruited from urban, safety-net, hospital-based primary care women's health clinics. Participants were randomized to receive the KinFact intervention or the control handout on lowering risks for breast/colon cancer and screening recommendations. Cancer family history was reviewed with all participants. The 20-minute KinFact intervention, based in communication and behavior theory, included reviewing individualized breast/colon cancer risks and an interactive presentation about cancer and communication. Study outcomes included whether participants reported collecting family history, shared cancer risk information with relatives, and the frequency of communication with relatives. Data were collected at baseline, 1, 6, and 14 months. Overall, intervention participants were significantly more likely to gather family cancer information at follow-up (odds ratio [OR]: 2.73; 95% confidence interval [CI]: 2.01, 3.71) and to share familial cancer information with relatives (OR: 1.85; 95% CI: 1.37, 2.48). Communication frequency (1=not at all; 4=a lot) was significantly increased at follow-up (1.67 vs. 1.54). Differences were not modified by age, race, education, or family history. However, effects were modified by pregnancy status and genetic literacy. Intervention effects for information gathering and frequency were observed for nonpregnant women but not for pregnant women. Additionally, intervention effects were observed for information gathering in women with high genetic literacy, but not in women with low genetic literacy. The KinFact intervention successfully promoted family communication about cancer risk. Educating women to enhance their communication skills surrounding family history may allow them to partner more effectively with their families and ultimately

  17. Family histories of anxiety in overweight men and women with binge eating disorder: A preliminary investigation. (United States)

    Blomquist, Kerstin K; Grilo, Carlos M


    A preliminary examination of the significance of family histories of anxiety in the expression of binge eating disorder (BED) and associated functioning. Participants were 166 overweight patients with BED assessed using diagnostic interviews. Participants were administered a structured psychiatric history interview about their first-degree relatives (parents, siblings, children) (N=897) to determine lifetime diagnoses of DSM-IV anxiety disorders and completed a battery of questionnaires assessing current and historical eating and weight variables and associated psychological functioning (depression). BED patients with a family history of anxiety disorder were significantly more likely than BED patients without a family history of anxiety disorder to have lifetime diagnoses of anxiety disorders and mood disorders but not substance use disorders. A family history of anxiety was not significantly associated with timing or sequencing of age at onset of anxiety disorder, binge eating, dieting, or obesity, or with variability in current levels of binge eating, eating disorder psychopathology, or psychological functioning. Although replication with direct interview method is needed, our preliminary findings suggest that a family history of anxiety confers greater risk for comorbid anxiety and mood disorders but is largely unrelated to the development of binge eating, dieting, or obesity and unrelated to variability in eating disorder psychopathology or psychological functioning in overweight patients with BED. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Family Histories of Anxiety in Overweight Men and Women with Binge Eating Disorder: A Preliminary Investigation (United States)

    Blomquist, Kerstin K.; Grilo, Carlos M.


    Objective A preliminary examination of the significance of family histories of anxiety in the expression of binge eating disorder (BED) and associated functioning. Methods Participants were 166 overweight patients with BED assessed using diagnostic interviews. Participants were administered a structured psychiatric history interview about their first-degree relatives (parents, siblings, children) (N=897) to determine lifetime diagnoses of DSM-IV anxiety disorders and completed a battery of questionnaires assessing current and historical eating and weight variables and associated psychological functioning (depression). Results BED patients with a family history of anxiety disorder were significantly more likely than BED patients without a family history of anxiety disorder to have lifetime diagnoses of anxiety disorders and mood disorders but not substance use disorders. A family history of anxiety was not significantly associated with timing or sequencing of age at onset of anxiety disorder, binge eating, dieting, or obesity, or with variability in current levels of binge eating, eating disorder psychopathology, or psychological functioning. Conclusions Although replication with direct interview method is needed, our preliminary findings suggest that a family history of anxiety confers greater risk for comorbid anxiety and mood disorders but is largely unrelated to the development of binge eating, dieting, or obesity and unrelated to variability in eating disorder psychopathology or psychological functioning in overweight patients with BED. PMID:26343481

  19. Family Interaction Patterns, Career Planning Attitudes, and Vocational Identity of High School Adolescents (United States)

    Hargrove, Byron K.; Inman, Arpana G.; Crane, Randy L.


    The purpose of the current study was to examine how perceptions of family interaction patterns as defined along three dimensions of family environment (quality of family relationships, family goal-orientations, and degree of organization and control within the family system) predict vocational identity and career planning attitudes among male and…

  20. The application of computer-based tools in obtaining the genetic family history. (United States)

    Giovanni, Monica A; Murray, Michael F


    Family health history is both an adjunct to and a focus of current genetic research, having long been known to be a powerful predictor of individual disease risk. As such, it has been primarily used as a proxy for genetic information. Over the past decade, new roles for family history have emerged, perhaps most importantly as a primary tool for guiding decision-making on the use of expensive genetic testing. The collection of family history information is an important but time-consuming process. Efforts to engage the patient or research subject in preliminary data collection have the potential to improve data accuracy and allow clinicians and researchers more time for analytic tasks. The U.S. Surgeon General, the Centers for Disease Control and Prevention (CDC), and others have developed tools for electronic family history collection. This unit describes the utility of the Web-based My Family Health Portrait ( as the prototype for patient-entered family history.

  1. Gendered Cultural Identities: The Influences of Family and Privacy Boundaries, Subjective Norms, and Stigma Beliefs on Family Health History Communication. (United States)

    Hong, Soo Jung


    This study investigates the effects of cultural norms on family health history (FHH) communication in the American, Chinese, and Korean cultures. More particularly, this study focuses on perceived family boundaries, subjective norms, stigma beliefs, and privacy boundaries, including age and gender, that affect people's FHH communication. For data analyses, hierarchical multiple regression and logistic regression methods were employed. The results indicate that participants' subjective norms, stigma beliefs, and perceived family/privacy boundaries were positively associated with current FHH communication. Age- and gender-related privacy boundaries were negatively related to perceived privacy boundaries, however. Finally, the results show that gendered cultural identities have three-way interaction effects on two associations: (1) between perceived family boundaries and perceived privacy boundaries and (2) between perceived privacy boundaries and current FHH communication. The findings have meaningful implications for future cross-cultural studies on the roles of family systems, subjective norms, and stigma beliefs in FHH communication.

  2. Cabinet decision creating a family planning section in the Ministry of Manpower. (United States)


    As of April 1, 1989 the Indonesian Ministry of Manpower will contain a family planning section within its regular structure. It will be part of a newly created Sub-directorate for Workers Welfare, which also contains sections for health facilities/services and for nutrition and other welfare services. The family planning section is to be staffed by 8 full-time officials who are responsible for population, family welfare, and family planning programs in the Ministry of Manpower.

  3. Association of Family History With Cardiovascular Disease in Hypertensive Individuals in a Multiethnic Population. (United States)

    Valerio, Luca; Peters, Ron J; Zwinderman, Aeilko H; Pinto-Sietsma, Sara-Joan


    Hypertension alone is a poor predictor of the individual risk of cardiovascular disease. Hereditary factors of which hypertension is merely a marker may explain why some hypertensive individuals appear more susceptible to cardiovascular disease, and why some ethnicities have more often seemingly hypertension-related cardiovascular disease than others. We hypothesize that, in hypertensive individuals, a positive family history of cardiovascular disease identifies a high-risk subpopulation. Healthy Life in Urban Settings (HELIUS) is a cohort study among participants of Dutch, South-Asian Surinamese, African Surinamese, Ghanaian, Turkish, and Moroccan origin aged 70 years and younger. In participants with hypertension (n=6467), we used logistic regression to assess the association of family history of cardiovascular disease with prevalent stroke and nonstroke cardiovascular disease, adjusting for sex, age, education, and smoking. To detect ethnic differences, we tested for interaction between family history and ethnicity and stratified the analysis by ethnicity. A positive family history was associated with a higher prevalence of nonstroke cardiovascular disease (odds ratio [OR], 2.05; 95% CI, 1.65-2.54) and stroke (OR, 1.62; 95% CI, 1.19-2.20). The strongest association of family history with nonstroke cardiovascular disease was found among the Dutch (OR, 2.47; 95% CI, 1.37-4.44) and with stroke among the African Surinamese (OR, 2.17; 95% CI, 1.32-3.57). The interaction between family history and African Surinamese origin for stroke was statistically significant. In multiethnic populations of hypertensive patients, a positive family history of cardiovascular disease may be used clinically to identify individuals at high risk for nonstroke cardiovascular disease regardless of ethnic origin and African Surinamese individuals at high risk for stroke. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  4. Comparison of family history and SNPs for predicting risk of complex disease.

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    Chuong B Do

    Full Text Available The clinical utility of family history and genetic tests is generally well understood for simple Mendelian disorders and rare subforms of complex diseases that are directly attributable to highly penetrant genetic variants. However, little is presently known regarding the performance of these methods in situations where disease susceptibility depends on the cumulative contribution of multiple genetic factors of moderate or low penetrance. Using quantitative genetic theory, we develop a model for studying the predictive ability of family history and single nucleotide polymorphism (SNP-based methods for assessing risk of polygenic disorders. We show that family history is most useful for highly common, heritable conditions (e.g., coronary artery disease, where it explains roughly 20%-30% of disease heritability, on par with the most successful SNP models based on associations discovered to date. In contrast, we find that for diseases of moderate or low frequency (e.g., Crohn disease family history accounts for less than 4% of disease heritability, substantially lagging behind SNPs in almost all cases. These results indicate that, for a broad range of diseases, already identified SNP associations may be better predictors of risk than their family history-based counterparts, despite the large fraction of missing heritability that remains to be explained. Our model illustrates the difficulty of using either family history or SNPs for standalone disease prediction. On the other hand, we show that, unlike family history, SNP-based tests can reveal extreme likelihood ratios for a relatively large percentage of individuals, thus providing potentially valuable adjunctive evidence in a differential diagnosis.

  5. Relationship between family history of alcohol addiction, parents' education level, and smartphone problem use scale scores. (United States)

    Beison, Ashley; Rademacher, David J


    Background and aims Smartphones are ubiquitous. As smartphones increased in popularity, researchers realized that people were becoming dependent on their smartphones. The purpose here was to provide a better understanding of the factors related to problematic smartphone use (PSPU). Methods The participants were 100 undergraduates (25 males, 75 females) whose ages ranged from 18 to 23 (mean age = 20 years). The participants completed questionnaires to assess gender, ethnicity, year in college, father's education level, mother's education level, family income, age, family history of alcoholism, and PSPU. The Family Tree Questionnaire assessed family history of alcoholism. The Mobile Phone Problem Use Scale (MPPUS) and the Adapted Cell Phone Addiction Test (ACPAT) were used to determine the degree of PSPU. Whereas the MPPUS measures tolerance, escape from other problems, withdrawal, craving, and negative life consequences, the ACPAT measures preoccupation (salience), excessive use, neglecting work, anticipation, lack of control, and neglecting social life. Results Family history of alcoholism and father's education level together explained 26% of the variance in the MPPUS scores and 25% of the variance in the ACPAT scores. The inclusion of mother's education level, ethnicity, family income, age, year in college, and gender did not significantly increase the proportion of variance explained for either MPPUS or ACPAT scores. Discussion and conclusions Family history of alcoholism and father's education level are good predictors of PSPU. As 74%-75% of the variance in PSPU scale scores was not explained, future studies should aim to explain this variance.

  6. On financial management of population and family planning programs. (United States)


    In the 3 day workshop of the Southeast Asian Region on the Financial Management of Population/Family Planning Programs held from March 15 to 17 it was recommended that there by standardization of financial reporting procedures by country programs for population planning. Related to this recommendation was the proposal that measurement of cost benefit and cost effective analysis of country programs be undertaken by the Research and Evaluation Units of the respective population organizations in close coordination with the financial managers. Other major recommendations included: 1) closer coordination between donor agencies and policy making bodies of country programs in the disbursement of funds; 2) more exchange of experiences, ideas, technical knowledge on the financial management of country programs in the Inter G overnmental Coordinating Committee for Southeast Asian countries; and 3) inclusion of applicable financial management topics in the training of clinical staff and followup in actual operation. The priority areas identified for the Inter Governmental Coordinating Committee countries (Nepal, Malaysia, Thailand, Singapore, and the Philippines) are financial planning; generation of resources and budgeting and allocation of funds; accounting and disbursement of funds; financial management at the clinic level; use of and control of foreign aid; and cost effectiveness, benefit analysis and financial reporting.

  7. Does childhood overweight, parental perception of overweight, or family history of diabetes mellitus increase parental perception of type 2 diabetes risk for their child? (United States)

    Lee, Joyce M; Woolford, Susan; Herman, William H; Clark, Sarah J


    To evaluate factors that influence parental perception of diabetes mellitus risk for their child. Self-administered survey of parents in a managed care plan. Child overweight status, family history of type 2 diabetes, and accurate parental perception of their child's overweight status were independent predictors of parental worry about diabetes and perception of greater diabetes risk for their child. Accurate parental perception of their child's weight status and a family history of type 2 diabetes may serve as useful motivators in the clinical setting for diabetes prevention.

  8. Social norms and family planning decisions in South Sudan

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    Sumit Kane


    Full Text Available Abstract Background With a maternal mortality ratio of 789 per 100,000 live births, and a contraceptive prevalence rate of 4.7%, South Sudan has one of the worst reproductive health situations in the world. Understanding the social norms around sexuality and reproduction, across different ethnic groups, is key to developing and implementing locally appropriate public health responses. Methods A qualitative study was conducted in the state of Western Bahr el Ghazal (WBeG in South Sudan to explore the social norms shaping decisions about family planning among the Fertit community. Data were collected through five focus group discussions and 44 semi-structured interviews conducted with purposefully selected community members and health personnel. Results Among the Fertit community, the social norm which expects people to have as many children as possible remains well established. It is, however, under competitive pressure from the existing norm which makes spacing of pregnancies socially desirable. Young Fertit women are increasingly, either covertly or overtly, making family planning decisions themselves; with resistance from some menfolk, but also support from others. The social norm of having as many children as possible is also under competitive pressure from the emerging norm that equates taking good care of one’s children with providing them with a good education. The return of peace and stability in South Sudan, and people’s aspirations for freedom and a better life, is creating opportunities for men and women to challenge and subvert existing social norms, including but not limited to those affecting reproductive health, for the better. Conclusions The sexual and reproductive health programmes in WBeG should work with and leverage existing and emerging social norms on spacing in their health promotion activities. Campaigns should focus on promoting a family ideal in which children become the object of parental investment, rather than

  9. Capturing Complexities of Relationship-Level Family Planning Trajectories in Malawi. (United States)

    Furnas, Hannah E


    In a transitioning fertility climate, preferences and decisions surrounding family planning are constantly in flux. Malawi provides an ideal case study of family planning complexities as fertility preferences are flexible, the relationship context is unstable, and childbearing begins early. I use intensive longitudinal data from Tsogolo la Thanzi-a research project in Malawi that follows young adults in romantic partnerships through the course of their relationship. I examine two questions: (1) What are the typical patterns of family planning as young adults transition through a relationship? (2) How are family planning trajectories related to individual and relationship-level characteristics? I use sequence analysis to order family planning across time and to contextualize it within each relationship. I generate and cluster the family planning trajectories and find six distinct groups of young adults who engage in family planning in similar ways. I find that family planning is complex, dynamic, and unique to each relationship. I argue that (a) family planning research should use the relationship as the unit of analysis and (b) family planning behaviors and preferences should be sequenced over time for a better understanding of key concepts, such as unmet need. © 2016 The Population Council, Inc.

  10. Family-Centered Early Intervention Visual Impairment Services through Matrix Session Planning (United States)

    Ely, Mindy S.; Gullifor, Kateri; Hollinshead, Tara


    Early intervention visual impairment services are built on a model that values family. Matrix session planning pulls together parent priorities, family routines, and identified strategies in a way that helps families and early intervention professionals outline a plan that can both highlight long-term goals and focus on what can be done today.…

  11. Teaching of Family Planning at Medical Nursing and Midwifery Schools in Certain Countries of the Region. (United States)

    World Health Organization, Copenhagen (Denmark). Regional Office for Europe.

    A review is given of the status of family planning education at medical, nursing, and midwifery schools in seven European countries. The report is presented in 11 sections. Section one, an introduction, explains the scope of the study and defines family planning to include birth control, pregnancy and delivery, problems of adolescents, family life…

  12. Myth as History, History as Myth: Family and Church Among Italo-Americans (United States)

    Passi, Michael M.


    Asserts that the history of white ethnics has been written far too long as the story of disorganization and disintegration. Argues that the themes of rebirth and creativity should be explored, discarding the myth of the American as a new man emerging after stripping away Old World traditions and institutions. (Author/RJ)

  13. Psychiatric family history and schizophrenia risk in Denmark: which mental disorders are relevant? (United States)

    Mortensen, P B; Pedersen, M G; Pedersen, C B


    A family history of schizophrenia is the strongest single indicator of individual schizophrenia risk. Bipolar affective disorder and schizo-affective disorders have been documented to occur more frequently in parents and siblings of schizophrenia patients, but the familial occurrence of the broader range of mental illnesses and their role as confounders have not been studied in large population-based samples. All people born in Denmark between 1955 and 1991 (1.74 million) were followed for the development of schizophrenia (9324 cases) during 28 million person-years at risk. Information of schizophrenia in cohort members and psychiatric history in parents and siblings was established through linkage with the Danish Psychiatric Central Register. Data were analysed using log-linear Poisson regression. Schizophrenia was, as expected, strongly associated with schizophrenia and related disorders among first-degree relatives. However, almost any other psychiatric disorder among first-degree relatives increased the individual's risk of schizophrenia. The population attributable risk associated with psychiatric family history in general was 27.1% whereas family histories including schizophrenia only accounted for 6.0%. The general psychiatric family history was a confounder of the association between schizophrenia and urbanization of place of birth. Clinically diagnosed schizophrenia is associated with a much broader range of mental disorders in first-degree relatives than previously reported. This may suggest risk haplotypes shared across many disorders and/or shared environmental factors clustering in families. Failure to take the broad range of psychiatric family history into account may bias results of all risk-factor studies of schizophrenia.

  14. Comparative History in the Classroom: A Lesson Plan. (United States)

    Kneeshaw, Stephen


    Offers ideas for using comparative history in the classroom. Includes suggestions for using guided design, role playing, and an approach for a series of sequenced writing exercises. Uses the 1920s and 1970s for comparison, focusing on Teapot Dome and Watergate. (LS)

  15. Reduced small world brain connectivity in probands with a family history of epilepsy. (United States)

    Bharath, R D; Chaitanya, G; Panda, R; Raghavendra, K; Sinha, S; Sahoo, A; Gohel, S; Biswal, B B; Satishchandra, P


    The role of inheritance in ascertaining susceptibility to epilepsy is well established, although the pathogenetic mechanisms are still not very clear. Interviewing for a positive family history is a popular epidemiological tool in the understanding of this susceptibility. Our aim was to visualize and localize network abnormalities that could be associated with a positive family history in a group of patients with hot water epilepsy (HWE) using resting-state functional magnetic resonance imaging (rsfMRI). Graph theory analysis of rsfMRI (clustering coefficient γ; path length λ; small worldness σ) in probands with a positive family history of epilepsy (FHE+, 25) were compared with probands without FHE (FHE-, 33). Whether a closer biological relationship was associated with a higher likelihood of network abnormalities was also ascertained. A positive family history of epilepsy had decreased γ, increased λ and decreased σ in bilateral temporofrontal regions compared to FHE- (false discovery rate corrected P ≤ 0.0062). These changes were more pronounced in probands having first degree relatives and siblings with epilepsy. Probands with multiple types of epilepsy in the family showed decreased σ in comparison to only HWE in the family. Graph theory analysis of the rsfMRI can be used to understand the neurobiology of diseases like genetic susceptibility in HWE. Reduced small worldness, proportional to the degree of relationship, is consistent with the current understanding that disease severity is higher in closer biological relations. © 2016 EAN.

  16. Family history of rheumatoid arthritis: an old concept with new developments. (United States)

    Frisell, Thomas; Saevarsdottir, Saedis; Askling, Johan


    Family history of rheumatoid arthritis (RA) is a proxy for an individual's genetic and, in part, environmental risk of developing RA, and is a well-recognized predictor of disease onset. Although family history of RA is an old concept, the degree of familial aggregation of RA, whether it differs by age, sex, or serology, and what value it has for clinical decisions once a diagnosis of RA has been made remain unclear. New data have been emerging in parallel to substantial progress made in genetic association studies. In this Review, we describe the various ways that familial aggregation has been measured, and how the findings from these studies, whether they are based on twins, cohorts of first-degree relatives, or genetic data, correspond to each other and aid understanding of the aetiology of RA. In addition, we review the potential usefulness of family history of RA from a clinical point of view, demonstrating that, in the era of big data and genomics, family history still has a role in directing clinical decision-making and research.

  17. Choices on contraceptive methods in post-abortion family planning clinic in the northeast Brazil

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    Braga Cynthia


    Full Text Available Abstract Background In Brazil, a Ministry of Health report revealed women who underwent an abortion were predominantly in the use of contraceptive methods, but mentioned inconsistent or erroneously contraceptive use. Promoting the use of contraceptive methods to prevent unwanted pregnancies is one of the most effective strategies to reduce abortion rates and maternal morbidity and mortality. Therefore, providing post-abortion family planning services that include structured contraceptive counseling with free and easy access to contraceptive methods can be suitable. So the objective of this study is to determine the acceptance and selection of contraceptive methods followed by a post-abortion family planning counseling. Methods A cross-sectional study was carried out from July to October 2008, enrolling 150 low income women to receive post-abortion care at a family planning clinic in a public hospital located in Recife, Brazil. The subjects were invited to take part of the study before receiving hospital leave from five different public maternities. An appointment was made for them at a family planning clinic at IMIP from the 8th to the 15th day after they had undergone an abortion. Every woman received information on contraceptive methods, side effects and fertility. Counseling was individualized and addressed them about feelings, expectations and motivations regarding contraception as well as pregnancy intention. Results Of all women enrolled in this study, 97.4% accepted at least one contraceptive method. Most of them (73.4% had no previous abortion history. Forty of the women who had undergone a previous abortion, 47.5% reported undergoing unsafe abortion. Slightly more than half of the pregnancies (52% were unwanted. All women had knowledge of the use of condoms, oral contraceptives and injectables. The most chosen method was injectables, followed by oral contraceptives and condoms. Only one woman chose an intrauterine device. Conclusion The

  18. Addressing global health, economic, and environmental problems through family planning. (United States)

    Speidel, J Joseph; Grossman, Richard A


    Although obstetrician-gynecologists recognize the importance of managing fertility for the reproductive health of individuals, many are not aware of the vital effect they can have on some of the world's most pressing issues. Unintended pregnancy is a key contributor to the rapid population growth that in turn impairs social welfare, hinders economic progress, and exacerbates environmental degradation. An estimated 215 million women in developing countries wish to limit their fertility but do not have access to effective contraception. In the United States, half of all pregnancies are unplanned. Voluntary prevention of unplanned pregnancies is a cost-effective, humane way to limit population growth, slow environmental degradation, and yield other health and welfare benefits. Family planning should be a top priority for our specialty.

  19. Family planning use and its associated factors among women in the extended postpartum period in Addis Ababa, Ethiopia. (United States)

    Gebremedhin, Almaz Yirga; Kebede, Yigzaw; Gelagay, Abebaw Addis; Habitu, Yohannes Ayanaw


    Postpartum period is an important entry point for family planning service provision; however, women in Ethiopia are usually uncertain about the use of family planning methods during this period. Limited studies have been conducted to assess postpartum family planning use in Addis Ababa, in particular and in the country in general. So, this study was conducted to assess postpartum family planning use and its associated factors among women in extended postpartum period in Kolfe Keranyo sub city of Addis Ababa. A community-based cross sectional study was conducted from May to June 2015 on 803 women who have had live births during the year (2014) preceding the data collection in the sub city. The multi-stage cluster sampling technique was used to select study participants. Data were collected by interviewer administered structured questionnaire, entered into EPI INFO version 7 and analyzed by SPSS Version 20. Bivariable and Multivariable logistic regression models were employed to see the presence and strength of the association between the dependent and independent variables by computing the odds ratios with a 95% confidence intervals and p -values. The prevalence of postpartum family planning use was 80.3% (95% CI: 74.5, 83.1). Marriage, (AOR 0.09, 95% CI: 0.03, 0.22), menses resumption after birth, (AOR 2.12, 95% CI: 1.37, 3.41), length of time after delivery, (AOR 2.37, 95% CI: 1.18, 4.75), and history of contraceptive use before last pregnancy, (AOR 0.12, 95% CI: 0.07, 0.18) were the factors associated with postpartum family planning use. The prevalence of postpartum family planning use was high and the main factors associated with it were marriage, menses resumption, length of time after delivery, and history of previous contraceptive use. Therefore women should get appropriate information about the possibility of exposure to pregnancy prior to menses resumption by giving special emphasis to those who had no previous history of contraceptive use and exposure to

  20. Natural family planning: physicians' knowledge, attitudes, and practice. (United States)

    Choi, Joyce; Chan, Sherry; Wiebe, Ellen


    To assess physicians' knowledge, attitudes, and practice with respect to four evidence-based natural family planning (NFP) methods: Standard Days, cervical mucus, basal body temperature, and the lactational amenorrhea method. We undertook a cross-sectional survey of a random sample of family physicians and all gynaecologists in British Columbia (n = 460) who have women of reproductive age in their practice, as well as all affiliated residents (n = 239). Main outcome measures were (1) physicians' attitudes towards NFP and their perceptions of its effectiveness; (2) the relationship between physicians' demographic factors, their personal experience or beliefs, and their attitudes and knowledge; and (3) how these factors affect the counselling physicians offer their patients. The survey response rate was 44%. Only 3% to 6% of physicians had correct knowledge of the effectiveness in perfect use of the NFP methods cited in this study. Fifty percent of physicians who responded mention NFP to their patients as an option for contraception, and 77% of physicians mention NFP as an option to couples trying to conceive. Family physicians and residents were much more likely than gynaecologists or gynaecology residents to mention NFP during counselling. Older physicians were more likely to mention NFP than younger physicians and also had more personal experience with NFP. Most physicians in our study underestimated the effectiveness of NFP methods, and only a small proportion of physicians provide information about NFP during contraceptive counselling. Physicians need better understanding of modern methods of NFP to provide evidence-based contraceptive counselling to selected highly motivated patients who prefer NFP as a contraceptive choice.

  1. Women criminality--the influence of socio-familial history and status. (United States)

    Luta, Veronica; Pasca, Viorel; Enache, Alexandra; Ciopec, Flavius; Ursachi, Georgeta; Radu, Daniel; Stratul, Stefan; Zarie, Gabriela; Mutiu, Florentina


    Our interdisciplinary study aims at the influence of social and familial history and status in a sample of Romanian female offenders. We collected data regarding the social and familial environment and status in the moment of committing a crime from 235 women incarcerated in four Romanian prisons. We applied a 67 item questionnaire conceived by the members of the research group. The items we compared refer to: the type of offence, the offender's marital status and the number of children in the moment of committing the crime, the situation in the family of origin and the offender's evaluation of the relationship with the parents and brothers, the monthly income, the type of relationship with the partner as described by the offender, history of substance abuse and violence in the family of origin and in the own family. We also analyzed the answers regarding the motivation for the criminal act. The paper shows the distribution of various types of criminal offences in correlation with the level of education, the relevance of a stable familial environment and monthly income. The history of criminality, substance abuse and interpersonal violence in the families of origin is also taken into account.

  2. New family planning center serves 60,000 Nicaraguans. (United States)


    In Nicaragua, the recently opened Regional Family Planning (FP) Center in the capital of Chontales Province provides a variety of FP services to the 60,000 citizens of Juigalpa. These services include counseling, laboratory exams, gynecologic exams, and voluntary sterilization. the Asociacion Pro Bienestar de la Familia Nicaraguense (PROFAMILIA) opened the center, since FP services have been neglected in this province as compared to access to these services in the large population centers of Managua and Leon. A recent contraceptive prevalence survey shows that contraceptive prevalence in urban areas of Nicaragua is 62%, while it is just between 13-15% in rural regions, like Chontales and Zelaya. The center will also run a community distribution program for Chontales. As of May 1993, it had 25 community distribution posts in the region, providing contraceptives and training volunteers. PROFAMILIA hopes to open another regional center in Chinandega in the western part of Nicaragua in 1993. It plans on opening a central clinic in Grenada, the third largest city, to serve 120,000 people from Grenada and the small communities surrounding Grenada.

  3. Abdominal Aortic Diameter Is Increased in Males with a Family History of Abdominal Aortic Aneurysms

    DEFF Research Database (Denmark)

    Mejnert Jørgensen, Trine; Houlind, K; Green, A


    OBJECTIVE: To investigate, at a population level, whether a family history of abdominal aortic aneurysm (AAA) is independently related to increased aortic diameter and prevalence of AAA in men, and to elucidate whether the mean aortic diameter and the prevalence of AAA are different between...... participants with male and female relatives with AAA. DESIGN: Observational population-based cross-sectional study. MATERIALS: 18,614 male participants screened for AAA in the VIVA-trial 2008-2011 with information on both family history of AAA and maximal aortic diameter. METHODS: Standardized ultrasound scan...... measurement of maximum antero-posterior aortic diameter. Family history obtained by questionnaire. Multivariate regression analysis was used to test for confounders: age, sex, smoking, comorbidity and medication. RESULTS: From the screened cohort, 569 participants had at least one first degree relative...

  4. The role of family planning communications--an agent of reinforcement or change. (United States)

    Chen, E C


    Results are presented of a multiple classification analysis of responses to a 1972 KAP survey in Taiwan of 2013 married women aged 18-34 designed to determine whether family planning communication is primarily a reinforcement agent or a change agent. 2 types of independent variables, social demographic variables including age, number of children, residence, education, employment status, and duration of marriage; and social climate variables including ever receiving family planning information from mass media and ever discussing family planning with others, were used. KAP levels, the dependent variables, were measured by 2 variables each: awareness of effective methods and awareness of government supply of contraceptives for knowledge, wish for additional children and approve of 2-child family for attitude, and never use contraception and neither want children nor use contraception for practice. Social demographic and attitudinal variables were found to be the critical ones, while social climate and knowledge variables had only negligible effects on various stages of family planning adoption, indicating that family planning communications functioned primarily as a reinforcement agent. The effects of social demographic variables were prominent in all stages of contraceptive adoption. Examination of effects of individual variables on various stages of family planning adoption still supported the argument that family planning communications played a reinforcement role. Family planning communications functioned well in diffusing family planning knowledge and accessibility, but social demographic variables and desire for additional children were the most decisive influences on use of contraception.

  5. Knowledge, attitude and practice of family planning among Igbo women of south-eastern Nigeria. (United States)

    Ikechebelu, J I; Joe-Ikechebelu, N N; Obiajulu, F N


    A total of 200 Nigerian women visiting Nnamdi Azikiwe University Teaching Hospital's antenatal clinic were interviewed about their knowledge, attitude and practice of family planning. About 90% were literate. Their knowledge (80%) and approval (87%) of family planning was high, but the practice of modern family planning was low (25%) with most women involved in Billings/safe period (56%). The common methods used were Billings/safe period, condom, withdrawal and the intrauterine contraceptive device (IUCD). A total of 81.5% of the respondents are still willing to give birth while 77% agreed that their last pregnancy was planned. A total of 58.5% of respondents were educated about family planning in the antenatal clinic. The most common source of family planning information was mass media, closely followed by health workers, while the most common single reason for non-practice of family planning was rejection by the husband. We therefore conclude that despite the high education/literacy with the attendant and high knowledge and approval rate of family planning in this part of Nigeria, the practice of family planning is still low, especially due to partner objection. Policy makers should therefore increase male involvement in family planning programmes and pursue a more aggressive public awareness campaign.

  6. Family History of Stroke and Cardiovascular Health in a National Cohort (United States)

    Kulshreshtha, Ambar; Vaccarino, Viola; Goyal, Abhinav; McClellan, William; Nahab, Fadi; Howard, Virginia J.; Judd, Suzanne E


    Objective We investigated the association between family history of stroke and Life’s Simple 7, a public health metric defined by the American Heart Association. Methods REasons for Geographic And Racial Differences in Stroke is a national population-based cohort of 30,239 blacks and whites, aged ≥ 45 years, sampled from the US population in 2003 – 2007. Data were collected by telephone, mail questionnaires, and in-home exams. Family history of stroke was defined as any first degree relative with stroke. Levels of the Life’s Simple 7 components (total cholesterol, blood pressure, fasting glucose, physical activity, diet, smoking and body mass index) were each coded as poor (0 points), intermediate (1 point) or ideal (2 points) health. Ordinal logistic regression was used to model the data. Results Among 20,567 subjects with complete Life’s Simple 7 and family history of stroke data, there were 7702 (37 %) participants with family history of stroke. The mean age of the participants was 64 years. The mean (± SD) overall Life’s Simple 7 score was lower for blacks (6.5 ± 2.0) than whites (7.6 ± 2.1). Family history of stroke was associated with poorer levels of physiological factors, particularly high blood pressure (OR=1.13, 95% CI = 1.07, 1.19) and inversely associated with behaviors such as smoking (OR= 0.92, 95% CI= 0.85, 0.99). Conclusion Our results suggest that screening for family history of stroke can provide an opportunity for earlier detection and management of modifiable risk factors. PMID:25497723

  7. Empowerment in family planning as viewed by Iranian women: a qualitative study. (United States)

    Kohan, Shahnaz; Simbar, Masoumeh; Taleghani, Fariba


    Women carry the primary responsibility for family planning in most parts of the world, and should be afforded the power of decision-making and control over their fertility. This study seeks to gain insight into Iranian women's perception of the meaning of empowerment in family planning. Using a qualitative study, seven focus group discussions and five individual interviews were conducted with 35 married Iranian women of reproductive age. The data were analysed using a conventional content analysis approach, in which themes and categories were explored to reveal women's experiences of empowerment in family planning. The results demonstrated four main categories: control over fertility plan, participative family planning, maintaining health and access to optimal family planning services. They viewed knowledge of family planning and autonomy of decision-making in fertility issues as essential elements for control of their fertility plan. Participants felt more empowered when joint family planning decisions were made with their partners in an atmosphere of agreement. Therefore, family planning policymakers should plan services with new approaches that focus on women's health and empowerment.

  8. Evaluation of knowledge, attitude and behavior of Turkish university students regarding family planning

    Directory of Open Access Journals (Sweden)

    Fatma Fidan


    Full Text Available Research conducted to define general knowledge of university students’ attitudes and behaviors about family planning. The sample consisted of 755 Sakarya University students. Data were collected from an open-ended questionnaire form and faceto-face interviews. The data analysis process was conducted using specific software. Most participants (59.7% were over 22 years old and female, and 1.2 % of the females were married. Women in the study had a positive outlook regarding the positive effects of family planning on sexual health and stated that family planning is important to both society and our economy. The awareness and knowledge regarding family planning was found to be strongest among older participants. The family planning concept was understood correctly by about half of the students. Finally, young people did not have sufficient knowledge about family planning, its methods or where to obtain information on the topic.

  9. Life history and population genetic structure of sea stars from the family Asterinidae


    Keever, Carson C


    Life history can influence population genetic variation by altering patterns of gamete union and dispersal. Sea stars from the family Asterinidae have evolved similar life histories multiple times in parallel including planktonic feeding larvae, planktonic non-feeding larvae, development in benthic egg masses, and viviparity. In this thesis I first examine the population genetic structure of a widespread planktotrophic asterinid sea star from the East Pacific (Patiria miniata). I use mitoc...

  10. Domestic violence, marital control, and family planning, maternal, and birth outcomes in Timor-Leste. (United States)

    Meiksin, Rebecca; Meekers, Dominique; Thompson, Susan; Hagopian, Amy; Mercer, Mary Anne


    Patriarchal traditions and a history of armed conflict in Timor-Leste provide a context that facilitates violence against women. More than a third of ever-married Timorese women report physical and/or sexual domestic violence (DV) perpetrated by their most recent partner. DV violates women's rights and may threaten their reproductive health. Marital control may also limit women's reproductive control and healthcare access. Our study investigated relationships between DV and marital control and subsequent family planning, maternal healthcare, and birth outcomes in Timor-Leste. Using logistic regression, we examined 2009-2010 Demographic and Health Survey data from a nationally representative sample of 2,951 women in Timor-Leste. We controlled for age, education, and wealth. We limited our analyses of pregnancy- and birth-related outcomes to those from the 6 months preceding the survey. Rural women with controlling husbands were less likely than other rural women to have an unmet need for family planning (Adj. OR 0.6; 95 % CI 0.4-0.9). Rural women who experienced DV were more likely than other rural women to have an unplanned pregnancy (Adj. OR 2.6; 95 % CI 1.4-4.8), fewer than four antenatal visits (Adj. OR 2.3; 95 % CI 1.1-4.9), or a baby born smaller than average (Adj. OR 3.1; 95 % CI 1.4-6.7). DV and marital control were not associated with the tested outcomes among urban women. Given high rates of DV internationally, our findings have important implications. Preventing DV may benefit both women and future generations. Furthermore, rural women who experience DV may benefit from targeted interventions that mediate associated risks of negative family planning, maternal healthcare, and birth outcomes.

  11. Is family planning already accepted by the present generation? Freshmen's view on family planning at University of North Sumatera, Medan. (Third report). (United States)

    Syarifuddin, A; Thahir, I; Hasibuan, B; Siregar, Z; Siregar, H


    A survey of 1997 freshmen entering the University of North Sumatera, Medan, on their attitude toward family planning was conducted in July 1985, and compared to results of 2 prior surveys taken in 1982 and 1977. The most common sources of knowledge about family planning were newspapers (14.5%), TV (11.5%) and health workers (4.1%). 41% of the students were 1st or 2nd born. Most expected to marry at 25-29 years of age, or after graduation, in line with the government family planning campaign. The average desired family size was 2.83 children, compared to 3.05 and 3.37 in prior surveys. 31.3% wanted 2 boys and 1 girl, 26.6% wanted 1 boy and 1 girl and 12.6% wanted 2 boys and 2 girls. The most popular single reason chosen for the expected family size was good family life, by 27.2%, according to the government slogan. Virtually no one chose future security or tradition as their primary reason. 97.8% expressed readiness to accept family planning, up from 72.7% in the 1st survey. Methods chosen were IUD by 35.0%, followed by pills and periodic abstinence. The survey demonstrates the effectiveness of government family planning education.

  12. Myths, misinformation, and communication about family planning and contraceptive use in Nigeria

    Directory of Open Access Journals (Sweden)

    Ankomah A


    Full Text Available Augustine Ankomah1, Jennifer Anyanti1, Muyiwa Oladosu21Society for Family Health, Abuja, Nigeria; 2MiraMonitor Consulting Ltd, Abuja, NigeriaBackground: This paper examines myths, misinformation, factual information, and communication about family planning and their effects on contraceptive use in Nigeria.Methods: A nationally representative sample of 20,171 respondents from two waves of a multiround survey (one in 2003 and the other in 2005, was analyzed at the bivariate level using Chi-square tests and at the multivariate level using logistic regression.Results: Key myths and misinformation about family planning having significant negative effects on contraceptive use included: “contraception makes women become promiscuous”, “it is expensive to practice family planning”, and “family planning causes cancer”. Factual information having significant positive effects on contraceptive use includes the messages that family planning methods are effective and not against religious teaching. The type of people with whom respondents discussed family planning had a significant effect on use of contraception. Respondents who discussed family planning with their spouse, friends, and health workers were more likely to use contraception than those who discussed it with religious leaders. Other significant predictors of contraceptive use were region of residence, gender, and socioeconomic status.Conclusion: Family planning programs should focus on eliminating myths and misinformation, while strengthening factual information. Contraception programs should factor in the role of significant others, particularly spouses and friends.Keywords: contraceptive use, family planning, logistic regression, misconceptions, myths

  13. Barriers to Use of Family Planning Methods Among Heterosexual Mexican Couples. (United States)

    Arias, María Luisa Flores; Champion, Jane Dimmitt; Soto, Norma Elva Sáenz; Tovar, Marlene; Dávila, Sandra Paloma Esparza


    Family planning has become increasingly important as a fundamental component of sexual health and as such is offered via public health systems worldwide. Identification of barriers to use of family planning methods among heterosexual couples living in Mexico is indicated to facilitate access to family planning methods. Barriers to family planning methods were assessed among Mexican heterosexual, sexually active males and females of reproductive age, using a modified Spanish version of the Barriers to the Use of Family Planning Methods scale (Cronbach's alpha = .89, subscales ranging from .53 to .87). Participants were recruited via convenience sampling in ambulatory care clinics within a metropolitan area in Central Mexico. Participants included 52 heterosexual couples aged 18-35 years (N = 104). Sociodemographic comparisons by gender identified older age and higher education, income, and numbers of sexual partners among men than women. More men (50%) than women (25%) were currently using family planning methods; however, 80% overall indicated intentions for its use. Overall, male condoms were used and intended for use most often by men than women. Significant gender-specific differences were found, with men (71.15%) reporting no family planning barriers, whereas women (55.66%) reported barriers including low socioeconomic status, medical concerns, and stigma. The modified Spanish translation demonstrated usefulness for measuring barriers to family planning methods use in Mexico among heterosexual males and females of reproductive age. Barriers identified by Mexican women in this study may be addressed to reduce potential barriers to family planning among Mexican populations.

  14. Countrywide Evaluation of the Long-Term Family Self-Sufficiency Plan. Establishing the Baselines

    National Research Council Canada - National Science Library

    Schoeni, Robert


    ...) Plan on November 16,1999. The LTFSS Plan consists of 46 projects whose goal is to promote self-sufficiency among families that are participating in the California Work Opportunity and Responsibility to Kids (CalWORKs...

  15. Effectiveness of presence of physician and midwife in quantity and quality of family planning services in health care centers

    Directory of Open Access Journals (Sweden)

    Hossein Jabbari


    Full Text Available Background and Aim: Iran′s health sector has been engaging the services of physicians and midwives in healthcare centers since 2005, with the hope of improving the quantity and quality of family planning services. The aim of this study was to assess the effect of serving physicians and midwives on the quantity and quality of family planning services in the healthcare centers of Iran. Materials and Methods: The present cross-sectional study (Jan 2010 until Sep 2011 was carried out on 600 eligible families who were clients of healthcare centers of Tabriz, Azarshahr and Osku, cities of Northwest Iran from 2006 until 2011, in two groups (before and after. Some of the characteristics of the participants and the data on the quality and quantity of family planning services provided were grouped in a checklist of 16 variables by comparing the patients′ past medical histories. Results: In comparison with 3 years prior to engaging physician and midwife services in health care centers, the Couple Year Protection (CYP and the quantity of family planning service indexes significantly increased among eligible families. The family size of participants declined significantly after family physicians and midwives became available in the healthcare centers (P < 0.005. Conclusion: Our findings showed some improvement in the quantity of services without any noticeable changes in the quality of services provided as a consequence of this huge intervention. Therefore, it is suggested that there should be proper oversight of the duties of the health team in order to keep a close watch on primary healthcare, design of proper mechanisms for collecting and maintaining performance reports and statistics, and continuously monitor and control the quality of services.

  16. Family history, body mass index and survival in Japanese patients with stomach cancer: a prospective study. (United States)

    Minami, Yuko; Kawai, Masaaki; Fujiya, Tsuneaki; Suzuki, Masaki; Noguchi, Tetsuya; Yamanami, Hideaki; Kakugawa, Yoichiro; Nishino, Yoshikazu


    Family history and nutritional status may affect the long-term prognosis of stomach cancer, but evidence is insufficient and inconsistent. To clarify the prognostic factors of stomach cancer, we conducted a prospective study of 1,033 Japanese patients with histologically confirmed stomach cancer who were admitted to a single hospital between 1997 and 2005. Family history of stomach cancer and pretreatment body mass index (BMI) were assessed using a self-administered questionnaire. Clinical data were retrieved from a hospital-based cancer registry. All patients were completely followed up until December, 2008. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated according to family history in parents and siblings and BMI category. During a median follow-up of 5.3 years, 403 all-cause and 279 stomach cancer deaths were documented. Although no association with family history was observed in the patients overall, analysis according to age group found an increased risk of all-cause death associated with a history in first degree relatives (HR = 1.61, 95% CI: 0.93-2.78, p = 0.09) and with a parental history (HR = 1.86, 95% CI: 1.06-3.26) among patients aged under 60 years at diagnosis. BMI was related to all-cause and stomach cancer death among patients aged 60 and over, showing a J-shaped pattern (HR of all-cause death = 2.28 for BMI stomach cancer, especially parental history, may affect mortality among younger stomach cancer patients, whereas nutritional status may be a prognostic factor in older patients. © 2014 UICC.

  17. Motivations, barriers, and behaviors related to obtaining and discussing family health history: A sex-based comparison among young adults

    Directory of Open Access Journals (Sweden)

    Matthew Lee eSmith


    Full Text Available Background: Genetic predisposition is a risk factor for many chronic diseases, yet little is known about the frequency in which college students seek out their family health history or with whom they communicate relevant information.Purpose: This study examines motivations and barriers associated with obtaining one’s family health history and discussing it with others. Methods: Data were analyzed from 625 college students using an internet-delivered questionnaire. Questions asked respondents about intentions and motivations to obtain and share family health history as well as barriers encountered in obtaining family health history. Responses were bifurcated by participants’ sex. Chi-squared and t statistics were used to identify response differences by sex. Results: Females were significantly more likely than males to be motivated to obtain their family health history, and more likely to have: shared their family health history with others; state they would share their family health history with others; and express a preference for sharing their family health history with a wider range of people. Discussion: Educational interventions and improved student health services could be effective mechanisms to increase college students’ knowledge, awareness, and perceived importance of obtaining their family health history.

  18. Motivations, Barriers, and Behaviors Related to Obtaining and Discussing Family Health History: A Sex-Based Comparison Among Young Adults. (United States)

    Smith, Matthew Lee; Beaudoin, Christopher E; Sosa, Erica T; Pulczinski, Jairus C; Ory, Marcia G; McKyer, E Lisako J


    Genetic predisposition is a risk factor for many chronic diseases, yet little is known about the frequency in which college students seek out their family health history or with whom they communicate relevant information. This study examines motivations and barriers associated with obtaining one's family health history and discussing it with others. Data were analyzed from 625 college students using an internet-delivered questionnaire, which comprised of questions about intentions and motivations to obtain and share family health history as well as barriers encountered when obtaining family health history. Responses were bifurcated by participants' sex. Chi-squared and t statistics were used to identify response differences by sex. Females were significantly more likely than males to be motivated to obtain their family health history, and more likely to have shared their family health history with others; state that they would share their family health history with others; and express a preference for sharing their family health history with a wider range of people. Educational interventions and improved student health services could be effective mechanisms to increase college students' knowledge, awareness, and perceived importance of obtaining their family health history.

  19. The CCC2000 Birth Cohort Study of Register-Based Family History of Mental Disorders and Psychotic Experiences in Offspring

    DEFF Research Database (Denmark)

    Jeppesen, Pia; Tidselbak Larsen, Janne; Clemmensen, Lars


    in childhood was predicted by a family history of mental disorder with psychosis rather than a family history of nonpsychotic mental disorder and whether this association differed by severity of PE. The study examined data on 1632 children from a general population birth cohort assessed at age 11-12 years...... by use of a semistructured interview covering 22 psychotic symptoms. The Danish national registers were linked to describe the complete family history of hospital-based psychiatric diagnoses. Uni- and multivariable logistic regressions were used to test whether a family history of any mental disorder...

  20. Family planning impact evaluation: the evolution of techniques

    Directory of Open Access Journals (Sweden)

    Hermalin, Albert I.


    Full Text Available This paper is a slightly revised version of a paper prepared for the seminar on methods for inpact evaluation of family planning programs held in Jaco, Costa Rica, May 14-16, 1997. The seminar was sponsored by the International Union for the Scientific Study of Population (IUSSP, the United States Agency for International Development (USAID, the Carolina Population Center of the University of North Carolina, and the Central American Population Program of the University of Costa Rica. The goal of the seminar was to look at current methodological problems facing careful evaluation of the impact of programs, to examine some of the new methods that have been developed to address persistent issues, and to assess the methodological challenges posed by the expanded goals of many programs following the 1994 Cairo International Conference on Population and Development. This paper was designed to serve as the background to discussions of current methodologies and issues by tracing the development and nature of methods for assessing impact that started soon after the first programs were initiated in the 1950s. The techniques discussed include standardization and trend analysis, the analyses of acceptor data, experimental designs, multivariate areal analysis, population-based surveys, and multilevel strategies. The intent of the program sponsors and coordinators was to publish the collected papers but various contingencies intervened to make this infeasible. A description of the seminar and many of the papers are maintained on the University of Costa Rica website: As a background chapter, the original version contained references to many of the other chapters planned for the volume. As many of these papers appear on the website, relevant references are given to the authors and this website throughout the paper.

  1. Family and Children in the Attitudes and Life Plans of Russians (United States)

    Varlamova, Svetlana Nikolaevna; Noskova, Antonina Viacheslavovna; Sedova, Natal'ia Nikolaevna


    Specialists in the field of family research emphasize that the history of the family in Russia, as in all other countries of the world, is closely linked to the social, economic, and political processes of the modernization of society. The general vector of the development of the institution of the family, under the influence of processes of…

  2. The impact of stratifying by family history in colorectal cancer screening programs

    NARCIS (Netherlands)

    S.L. Goede (S. Lucas); L. Rabeneck (L.); I. Lansdorp-Vogelaar (Iris); A. Zauber (Ann); L.F. Paszat (Lawrence F.); J.S. Hoch (Jeffrey S.); J.H.E. Yong (Jean H.E.); F. Van Hees (Frank); J. Tinmouth (Jill); M. van Ballegooijen (Marjolein)


    textabstractIn the province-wide colorectal cancer (CRC) screening program in Ontario, Canada, individuals with a family history of CRC are offered colonoscopy screening and those without are offered guaiac fecal occult blood testing (gFOBT, Hemoccult II). We used microsimulation modeling to

  3. Early Predictors of Dyslexia in Chinese Children: Familial History of Dyslexia, Language Delay, and Cognitive Profiles (United States)

    McBride-Chang, Catherine; Lam, Fanny; Lam, Catherine; Chan, Becky; Fong, Cathy Y. C.; Wong, Terry T. Y.; Wong, Simpson W. L.


    Background: This work tested the rates at which Chinese children with either language delay or familial history of dyslexia at age 5 manifested dyslexia at age 7, identified which cognitive skills at age 5 best distinguished children with and without dyslexia at age 7, and examined how these early abilities predicted subsequent literacy skills.…

  4. Family history of alcohol abuse associated with problematic drinking among college students. (United States)

    Labrie, Joseph W; Migliuri, Savannah; Kenney, Shannon R; Lac, Andrew


    Studies examining family history of alcohol abuse among college students are not only conflicting, but have suffered various limitations. The current report investigates family history of alcohol abuse (FH+) and its relationship with alcohol expectancies, consumption, and consequences. In the current study, 3753 student participants (35% FH+), completed online assessments. Compared to FH- same-sex peers, FH+ males and FH+ females endorsed greater overall positive expectancies, consumed more drinks per week, and experienced more alcohol-related negative consequences. Further, FH+ females evaluated the negative effects of alcohol to be substantially worse than FH- females. An ANCOVA, controlling for age, GPA, race, and alcohol expectancies, resulted in family history main effects on both drinking and consequences. An interaction also emerged between gender and family history, such that FH+ males were especially vulnerable to high levels of alcohol consumption. Results reveal the scope of FH+ individuals in the college environment and the increased risk for these students, particularly male FH+ students, suggesting a need for researchers and college health personnel to focus attention and resources on this issue. 2010 Elsevier Ltd. All rights reserved.

  5. Speech and Language Difficulties in Children with and without a Family History of Dyslexia (United States)

    Carroll, Julia M.; Myers, Joanne M.


    Comorbidity between SLI and dyslexia is well documented. Researchers have variously argued that dyslexia is a separate disorder from SLI, or that children with dyslexia show a subset of the difficulties shown in SLI. This study examines these hypotheses by assessing whether family history of dyslexia and speech and language difficulties are…

  6. Family history of alcohol dependence modulates functional neurophysiology in mood/anxiety disorders

    NARCIS (Netherlands)

    Sjoerds, Z.; van Tol, M.J.; van den Brink, W.; van der Wee, N.J.A.; Aleman, A.; Beekman, A.T.F.; Penninx, B.W.J.H.; Veltman, D.J.

    Background. A family history (FH) of alcohol dependence (AD) not only increases the risk for AD, but is also associated with an increased risk for mood and anxiety disorders. However, it is unknown how a FH of AD affects neural substrates in patients with mood and anxiety disorders. In this study we

  7. "Object Lesson": Using Family Heirlooms to Engage Students in Art History (United States)

    Rose, Marice


    This first written assignment of the semester for the author's undergraduate introductory art history class--an essay where students describe and reflect upon the significance of a family heirloom--is instrumental in meeting class objectives. The author's objectives in this class are for students: (1) to broaden their conception of what art is…

  8. [Influence of nutritional status, hormones serum levels, and family history on breast cancer development]. (United States)

    González Jiménez, Emilio; García López, Pedro A; Schmidt-Río-Valle, Jacqueline; Valenza, Carmen


    Several studies have analyzed the relation between obesity and the hormonal imbalances generated by overweight and a family history of breast cancer. All of these factors are potentially implicated in the early development of breast cancer. To verify the existence of a significant relation between the nutritional status of breast cancer patients, their hormone serum levels (estrogens, prolactin, and progesterone), and the existence of a family history of breast cancer. Retrospective data was collected from clinical records of 524 women diagnosed with breast cancer in a Spanish hospital. There was a positive association between estrogen, progesterone and prolactin serum levels and body mass index. The elevations in hormone levels occurred earlier in life among women with a family history of breast cancer. A two way ANOVA found a significant association between progesterone and prolactin levels with the age at diagnosis of breast cancer. Extreme serum levels of these hormones appear to be related to the early development of breast cancer, which in turn is influenced by the existence of a family history of cancer among those women with normal or average hormone levels.

  9. Personal Reflection: Reflections on a Family Health History Assignment for Undergraduate Public Health and Nursing Students (United States)

    Rooks, Ronica N.; Ford, Cassandra


    This personal reflection describes our experiences with incorporating the scholarship of teaching and learning and problem-based techniques to facilitate undergraduate student learning and their professional development in the health sciences. We created a family health history assignment to discuss key concepts in our courses, such as health…

  10. Family history of alcohol dependence modulates functional neurophysiology in mood/anxiety disorders

    NARCIS (Netherlands)

    Sjoerds, Z.; van Tol, M.J.; van den Brink, W.; van der Wee, N.J.A.; Aleman, A.; Beekman, A.T.F.; Penninx, B.W.J.H.; Veltman, D.J.


    Background A family history (FH) of alcohol dependence (AD) not only increases the risk for AD, but is also associated with an increased risk for mood and anxiety disorders. However, it is unknown how a FH of AD affects neural substrates in patients with mood and anxiety disorders. In this study we

  11. Family history predicts major adverse cardiovascular events (MACE) in young adults with psoriasis

    DEFF Research Database (Denmark)

    Egeberg, Alexander; Bruun, Louise E; Mallbris, Lotus


    BACKGROUND: Patients with psoriasis may have increased risk of major adverse cardiovascular (CV) events (MACE), and a family history of CV disease (CVD) is an independent risk factor for MACE. OBJECTIVE: We investigated the risk of first-time MACE in patients with psoriasis with or without a fami....... The findings call for increased focus on a family history of CVD in CV risk assessment of patients with psoriasis.......BACKGROUND: Patients with psoriasis may have increased risk of major adverse cardiovascular (CV) events (MACE), and a family history of CV disease (CVD) is an independent risk factor for MACE. OBJECTIVE: We investigated the risk of first-time MACE in patients with psoriasis with or without a family...... history of CVD. METHODS: Between January 1, 1997, and December 31, 2011, we identified 2,722,375 individuals, including 25,774 and 4504 patients with mild and severe psoriasis, through administrative registers. Incidence rate ratios were estimated by Poisson regression. RESULTS: Mean baseline age was 26...

  12. The influence of family history on prostate cancer risk : implications for clinical management

    NARCIS (Netherlands)

    Madersbacher, Stephan; Alcaraz, Antonio; Emberton, Mark; Hammerer, Peter; Ponholzer, Anton; Schroeder, Fritz H.; Tubaro, Andrea

    A family history of prostate cancer has long been identified as an important risk factor for developing the disease. This risk factor can be easily assessed in clinical practice and current guidelines recommend to initiate prostate cancer early detection 5 years earlier (i.e. around the age of 40

  13. Family History of Alcohol Abuse Associated With Problematic Drinking Among College Students (United States)

    LaBrie, Joseph W.; Migliuri, Savannah; Kenney, Shannon R.; Lac, Andrew


    Studies examining family history of alcohol abuse among college students are not only conflicting, but have suffered various limitations. The current report investigates family history of alcohol abuse (FH+) and its relationship with alcohol expectancies, consumption, and consequences. In the current study, 3753 student participants (35% FH+), completed online assessments. Compared to FH−same-sex peers, FH+ males and FH+ females endorsed greater overall positive expectancies, consumed more drinks per week, and experienced more alcohol-related negative consequences. Further, FH+ females evaluated the negative effects of alcohol to be substantially worse than FH− females. An ANCOVA, controlling for age, GPA, race, and alcohol expectancies, resulted in family history main effects on both drinking and consequences. An interaction also emerged between gender and family history, such that FH+ males were especially vulnerable to high levels of alcohol consumption. Results reveal the scope of FH+ individuals in the college environment and the increased risk for these students, particularly male FH+ students, suggesting a need for researchers and college health personnel to focus attention and resources on this issue. PMID:20359831

  14. Coronary heart disease risk : family history and gene-environment interaction

    NARCIS (Netherlands)

    Boer, J.M.A.


    The first part of this thesis describes research into lifestyle, genetic, and biological factors that may underlie the increased risk for coronary heart disease (CHD) in individuals with a family history of this disorder. The second part of this thesis describes whether levels of plasma

  15. A review of family health's latest evaluation of the demographic impact of the Louisiana Family Planning Program. (United States)

    Gettys, J O; Atkins, E H; Mary, C C


    The report, "Recent Trends in Louisiana Fertility," released in January 1973 is reviewed. This report was distinguished from other Louisiana Family Planning Program evaluations of demographic impact by several features: 1) Louisiana crude birth rates are compared with those of the United States and Mississippi; 2) differences in age-specific nonwhite fertility rates in Louisiana between 1965 and 1971 are compared with corresponding differences in Mississippi; and 3) the concepts of "parity components of age-specific rates" and "excess births" are introduced into the discussion of Louisiana fertility trends. According to the reviewers, no scientific or even psudoscientific analysis of the Louisiana Family Planning Program has ever been published or made available by the Family Health Foundation to any state agency. They contend that the so-called evaluations of the demographic impact of the Louisiana Family Planning Program are textbook examples of customized statistics. It is suggested that the family planning program services may contribute to increased natality and that the family planning program workers are more highly motivated to retain their jobs than to bring down the brith rate. The reviewers are not convinced that the statisticians on the Family Health Foundation are responsible for all of the narrative that accompanies their charts and tables.

  16. The Influence of Smoking, Gender, and Family History on Colorectal Adenomas

    International Nuclear Information System (INIS)

    Onega, T.; Goodrich, M.; Dietrich, A.; Onega, T.; Goodrich, M.; Dietrich, A.; Butterly, L.; Butterly, L.


    Evidence independently links smoking, family history, and gender with increased risk of adenomatous polyps. Using data from the New Hampshire Colonoscopy Registry (2004-2006), we examined the relation of combined risk factors with adenoma occurrence in 5,395 individuals undergoing screening colonoscopy. Self-reported data on smoking, family history and other factors were linked to pathology reports identifying adenomatous polyps and modeled with multiple logistic regression. In adjusted models a >15 pack-year smoking history increased the likelihood of an adenoma (OR=1.54 , 95% CI 1.28-1.86), although ≤15 pack-years did not (OR=1.07, 95% CI 0.87-1.32). Gender-stratified models showed a significantly increased risk of adenoma at lower smoking exposure even for men ( OR = 1.32; 95% CI:1.00-1.76. but not for women (OR = 0.85; 95% CI:0.61-1.14). An ordered logistic regression model of adenoma occurrence showed a smoking history of ≥15 pack-years associated with 61% higher odds of adenoma at successively larger size categories (95% CI 1.34-1.93). For individuals with a family history of colorectal cancer, smoking does not further increase the risk of adenomas. Smoking duration is linked to occurrence and size of adenoma, especially for men.

  17. The Influence of Smoking, Gender, and Family History on Colorectal Adenomas

    Directory of Open Access Journals (Sweden)

    Tracy Onega


    Full Text Available Evidence independently links smoking, family history, and gender with increased risk of adenomatous polyps. Using data from the New Hampshire Colonoscopy Registry (2004–2006, we examined the relation of combined risk factors with adenoma occurrence in 5,395 individuals undergoing screening colonoscopy. Self-reported data on smoking, family history and other factors were linked to pathology reports identifying adenomatous polyps and modeled with multiple logistic regression. In adjusted models a >15 pack-year smoking history increased the likelihood of an adenoma (OR=1.54, 95% CI 1.28–1.86, although ≤15 pack-years did not (OR=1.07, 95% CI 0.87–1.32. Gender-stratified models showed a significantly increased risk of adenoma at lower smoking exposure even for men (OR=1.32; 95% CI:1.00–1.76, but not for women (OR=0.85; 95% CI:0.61–1.14. An ordered logistic regression model of adenoma occurrence showed a smoking history of ≥15 pack-years associated with 61% higher odds of adenoma at successively larger size categories (95% CI 1.34–1.93. For individuals with a family history of colorectal cancer, smoking does not further increase the risk of adenomas. Smoking duration is linked to occurrence and size of adenoma, especially for men.

  18. Donor funding for family planning: levels and trends between 2003 and 2013. (United States)

    Grollman, Christopher; Cavallaro, Francesca L; Duclos, Diane; Bakare, Victoria; Martínez Álvarez, Melisa; Borghi, Josephine


    The International Conference on Population and Development in 1994 set targets for donor funding to support family planning programmes, and recent initiatives such as FP2020 have renewed focus on the need for adequate funding to rights-based family planning. Disbursements supporting family planning disaggregated by donor, recipient country and year are not available for recent years. We estimate international donor funding for family planning in 2003-13, the period covering the introduction of reproductive health targets to the Millennium Development Goals and up to the beginning of FP2020, and compare funding to unmet need for family planning in recipient countries. We used the dataset of donor disbursements to support reproductive, maternal, newborn and child health developed by the Countdown to 2015 based on the Organization for Economic Cooperation and Development Creditor Reporting System. We assessed levels and trends in disbursements supporting family planning in the period 2003-13 and compared this to unmet need for family planning. Between 2003 and 2013, disbursements supporting family planning rose from under $400 m prior to 2008 to $886 m in 2013. More than two thirds of disbursements came from the USA. There was substantial year-on-year variation in disbursement value to some recipient countries. Disbursements have become more concentrated among recipient countries with higher national levels of unmet need for family planning. Annual disbursements of donor funding supporting family planning are far short of projected and estimated levels necessary to address unmet need for family planning. The reimposition of the US Global Gag Rule will precipitate an even greater shortfall if other donors and recipient countries do not find substantial alternative sources of funding.

  19. The debate on family planning and reproductive rights in Bolivia. (United States)

    De La Fuente, M


    Using Bolivia as the example, the author critiques international organization and health professional emphasis upon providing family planning services as inadequate to meet the needs and interests of poor women. The feminist and women's movements should be expected to fight to regain the right of self-determination, and to demand integral health care for women. Contraception will constitute but a component of this holistic approach. Poverty, natalism, development, and population policies are all interrelated issues in Bolivia as the country proceeds through a period of democratization. Where total fertility averages 5 children/women as it does in Bolivia, women should certainly have the right to choose contraception in the control of fertility. Simple provision of such services and supplies will not, however, suffice to solve more deeply rooted social and economic problems faced by those women. The author further fears that some parts of the feminist movement have forgotten that population and related policies developed and imposed by other cultures have little interest in respecting the self-determination of women as individuals. Support for these policies by movement members only reinforces and helps to reproduce existing conditions of poverty and unequal rights.

  20. Achieving success with family planning in rural Afghanistan. (United States)

    Huber, Douglas; Saeedi, Nika; Samadi, Abdul Khalil


    Afghan women have one of the world's highest lifetime risks of maternal death. Years of conflict have devastated the country's health infrastructure. Total fertility was one of the world's highest, contraceptive use was low and there were no Afghan models of success for family planning. We worked closely with communities, providing information about the safety and non-harmful side-effects of contraceptives and improving access to injectable contraceptives, pills and condoms. Regular interaction with community leaders, mullahs (religious leaders), clinicians, community health workers and couples led to culturally acceptable innovations. A positive view of birth spacing was created by the messages that contraceptive use is 300 times safer than pregnancy in Afghanistan and that the Quran (the holy book of Islam) promotes two years of breastfeeding. Community health workers initiated the use of injectable contraceptives for the first time. The non-for-profit organization, Management Sciences for Health, Afghan nongovernmental organizations and the Ministry of Public Health implemented the Accelerating Contraceptive Use project in three rural areas with different ethnic populations. The contraceptive prevalence rate increased by 24-27% in 8 months in the project areas. Men supported modern contraceptives once they understood contraceptive safety, effectiveness and non-harmful side-effects. Injectable contraceptives contributed most to increases in contraceptive use. Community health workers can rapidly increase contraceptive use in rural areas when given responsibility and guidance. Project innovations were adopted as best practices for national scale-up.

  1. Malthusian paradigm and the issue of compulsion in family planning. (United States)

    Pethe, V P


    Addresses the question of whether Malthus, were he alive today, would support compulsory family planning (a policy generally referred to as "Malthusian"). The neomalthusian position is basically that the race between population growth and development of resources, especially food supply, is highly unequal; poverty and stagnation are the inevitable outcome. Population growth must therefore be curbed by whatever means are available, through legal compulsion if necessary. A number of statements from Indian government sources during the mid 1970s, with regard to sterilization, are offered as illustrations. The Malthusian paradigm described has been subjected to severe criticism, which leads to questions about its validity as a justification for compulsory sterilization. Malthus distinguished between policy measures for control of population, rejecting all but the moral restraint implied in postponement of marriage. Thus, like Gandhi, he rejected the belief that the ends justify the means. The Malthusian basis is seen as untenable for 3 reasons: it is erroneous (science and technology have nullified the thesis of over population as the cause of poverty); it is dangerous (treating symptoms rather than the disease); it is inadequate, leaving out variables other than the economic from its analysis. Malthus the moralist would have rejected compulsion, and the use of his paradigm to justify such a policy does him an injustice.

  2. Satisfaction with family planning services - interpersonal and organisational dimensions

    Directory of Open Access Journals (Sweden)

    M.S. Westaway


    Full Text Available In South Africa, client satisfaction with the quality of health care has received minimal attention; probably due to the lack of locally developed and tested measures. Therefore, we developed and tested a 20-item attitude scale to determine satisfaction with Family Planning (FP services. The objectives of this study were to: ascertain reliability of the scale and confirm, through factor analysis, that satisfaction with the FP service was based on interpersonal and organisational dimensions. The sample comprised 199 black adult interviewees (158 women and 41 men, who had previously used or were currently using contraception, from an informal settlement in Gauteng, South Africa. Three items were removed from the scale due to unacceptable communality estimates. The reliability coefficient of 0.76 for the 17-item scale was satisfactory. The principal components analysis, with orthogonal and oblique rotations, extracted two factors; accounting for 51.8% of the variance. The highest loadings on Factor I involved an interpersonal dimension (friendly, encouraging, competent, informative and communicative. Factor II tended to focus on the organisational elements of the system, such as different methods, choice of methods, service availability and length of waiting time. It was concluded that this scale was a reliable, easily administered and scored measure of satisfaction, with underlying interpersonal and organisational dimensions.

  3. Invisible and Visible Language Planning: Ideological Factors in the Family Language Policy of Chinese Immigrant Families in Quebec (United States)

    Curdt-Christiansen, Xiao Lan


    This ethnographic inquiry examines how family languages policies are planned and developed in ten Chinese immigrant families in Quebec, Canada, with regard to their children's language and literacy education in three languages, Chinese, English, and French. The focus is on how multilingualism is perceived and valued, and how these three languages…

  4. Impact of gene family evolutionary histories on phylogenetic species tree inference by gene tree parsimony. (United States)

    Shi, Tao


    Complicated history of gene duplication and loss brings challenge to molecular phylogenetic inference, especially in deep phylogenies. However, phylogenomic approaches, such as gene tree parsimony (GTP), show advantage over some other approaches in its ability to use gene families with duplications. GTP searches the 'optimal' species tree by minimizing the total cost of biological events such as duplications, but accuracy of GTP and phylogenetic signal in the context of different gene families with distinct histories of duplication and loss are unclear. To evaluate how different evolutionary properties of different gene families can impact on species tree inference, 3900 gene families from seven angiosperms encompassing a wide range of gene content, lineage-specific expansions and contractions were analyzed. It was found that the gene content and total duplication number in a gene family strongly influence species tree inference accuracy, with the highest accuracy achieved at either very low or very high gene content (or duplication number) and lowest accuracy centered in intermediate gene content (or duplication number), as the relationship can fit a binomial regression. Besides, for gene families of similar level of average gene content, those with relatively higher lineage-specific expansion or duplication rates tend to show lower accuracy. Additional correlation tests support that high accuracy for those gene families with large gene content may rely on abundant ancestral copies to provide many subtrees to resolve conflicts, whereas high accuracy for single or low copy gene families are just subject to sequence substitution per se. Very low accuracy reached by gene families of intermediate gene content or duplication number can be due to insufficient subtrees to resolve the conflicts from loss of alternative copies. As these evolutionary properties can significantly influence species tree accuracy, I discussed the potential weighting of the duplication cost by

  5. Identification of Patients with Family History of Pancreatic Cancer--Investigation of an NLP System Portability. (United States)

    Mehrabi, Saeed; Krishnan, Anand; Roch, Alexandra M; Schmidt, Heidi; Li, DingCheng; Kesterson, Joe; Beesley, Chris; Dexter, Paul; Schmidt, Max; Palakal, Mathew; Liu, Hongfang


    In this study we have developed a rule-based natural language processing (NLP) system to identify patients with family history of pancreatic cancer. The algorithm was developed in a Unstructured Information Management Architecture (UIMA) framework and consisted of section segmentation, relation discovery, and negation detection. The system was evaluated on data from two institutions. The family history identification precision was consistent across the institutions shifting from 88.9% on Indiana University (IU) dataset to 87.8% on Mayo Clinic dataset. Customizing the algorithm on the the Mayo Clinic data, increased its precision to 88.1%. The family member relation discovery achieved precision, recall, and F-measure of 75.3%, 91.6% and 82.6% respectively. Negation detection resulted in precision of 99.1%. The results show that rule-based NLP approaches for specific information extraction tasks are portable across institutions; however customization of the algorithm on the new dataset improves its performance.

  6. The impact of stratifying by family history in colorectal cancer screening programs. (United States)

    Goede, Simon Lucas; Rabeneck, Linda; Lansdorp-Vogelaar, Iris; Zauber, Ann G; Paszat, Lawrence F; Hoch, Jeffrey S; Yong, Jean H E; van Hees, Frank; Tinmouth, Jill; van Ballegooijen, Marjolein


    In the province-wide colorectal cancer (CRC) screening program in Ontario, Canada, individuals with a family history of CRC are offered colonoscopy screening and those without are offered guaiac fecal occult blood testing (gFOBT, Hemoccult II). We used microsimulation modeling to estimate the cumulative number of CRC deaths prevented and colonoscopies performed between 2008 and 2038 with this family history-based screening program, compared to a regular gFOBT program. In both programs, we assumed screening uptake increased from 30% (participation level in 2008 before the program was launched) to 60%. We assumed that 11% of the population had a family history, defined as having at least one first-degree relative diagnosed with CRC. The programs offered screening between age 50 and 74 years, every two years for gFOBT, and every ten years for colonoscopy. Compared to opportunistic screening (2008 participation level kept constant at 30%), the gFOBT program cumulatively prevented 6,700 more CRC deaths and required 570,000 additional colonoscopies by 2038. The family history-based screening program increased these numbers to 9,300 and 1,100,000, a 40% and 93% increase, respectively. If biennial gFOBT was replaced with biennial fecal immunochemical test (FIT), annual Hemoccult Sensa or five-yearly sigmoidoscopy screening, both the added benefits and colonoscopies required would decrease. A biennial gFOBT screening program that identifies individuals with a family history of CRC and recommends them to undergo colonoscopy screening would prevent 40% (range in sensitivity analyses: 20-51%) additional deaths while requiring 93% (range: 43-116%) additional colonoscopies, compared to a regular gFOBT screening program. © 2015 UICC.

  7. Psychological impact of family history risk assessment in primary care: a mixed methods study. (United States)

    Birt, Linda; Emery, Jon D; Prevost, A Toby; Sutton, Stephen; Walter, Fiona M


    Routine family history risk assessment for chronic diseases could enable primary care practitioners to efficiently identify at-risk patients and promote preventive management strategies. To investigate patients' understanding and responses to family history risk assessment in primary care. A mixed methods study set in 10 Eastern England general practices. Participants in a family history questionnaire validation study were triaged into population or increased risk for four chronic diseases (type 2 diabetes, cardiovascular disease, breast cancer, colorectal cancer). Questionnaires completed immediately prior to the family history consultation (baseline) and 4 weeks later (follow-up) assessed the psychological impact, including State-Trait Anxiety Inventory scores. Semi-structured interviews explored the meaning participants gave to their personal familial disease risk. Four hundred and fifty-three participants completed both baseline and follow-up questionnaires and 30 were interviewed. At follow-up, there was no increase in anxiety among either group, or differences between the groups [difference in mean change 0.02, 95% confidence interval -2.04, 2.08, P = 0.98]. There were no significant changes over time in self-rated health in either group. At follow-up, participants at increased risk (n = 153) were more likely to have recent changes to behaviour and they had stronger intentions to make changes to diet (P = 0.001), physical activity (P = 0.006) and to seek further information in the future than those at population risk (n = 300; P history risk assessment may inform promotion of preventive management strategies. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail:

  8. Phenomenology, psychiatric comorbidity and family history in referred preschool children with obsessive-compulsive disorder

    Directory of Open Access Journals (Sweden)

    Coskun Murat


    Full Text Available Abstract Objective The study aimed to investigate phenomenology, psychiatric comorbidity, and family history of obsessive-compulsive disorder (OCD in a clinical sample of normally developing preschool children with OCD. Method Subjects in this study were recruited from a clinical sample of preschool children (under 72 months of age who were referred to a university clinic. Subjects with a normal developmental history and significant impairment related to OCD symptoms were included in the study. Children’s Yale-Brown Obsessive-Compulsive Scale was used to assess OCD symptoms. Each subject was assessed for comorbid DSM-IV psychiatric disorders using a semi-structured interview. Parents were evaluated for lifetime history of OCD in individual sessions. Results Fifteen boys and ten girls (age range: 28 to 69 months; 54.12±9.08 months were included. Mean age of onset of OCD was 35.64±13.42 months. All subjects received at least one comorbid diagnosis. The most frequent comorbid disorders were non-OCD anxiety disorders (n=17; 68.0%, attention-deficit hyperactivity disorder (ADHD (n=15; 60.0%, oppositional defiant disorder (ODD (n=12; 48.0%, and tic disorders (n=6; 24.0%. Mean number of comorbid disorders was 3.65 and 2.35 for boys and girls, respectively. At least one parent received lifetime OCD diagnosis in 68 percent of the subjects. Conclusions The results indicated that OCD in referred preschool children is more common in males, highly comorbid with other psychiatric disorders, and associated with high rates of family history of OCD. Given the high rates of comorbidity and family history, OCD should be considered in referred preschool children with disruptive behavior disorders and/or with family history of OCD.

  9. Increased Risk of Physical Punishment among Enuretic Children with Family History of Enuresis. (United States)

    Sá, Cacilda Andrade; Gusmão Paiva, Ana Carolina; de Menezes, Maria Clotilde Lima Bezerra; de Oliveira, Liliana Fajardo; Gomes, Carlos Augusto; de Figueiredo, André Avarese; de Bessa, José; Netto, José Murillo B


    Some parents blame their children for bedwetting and, therefore, punish them. This study aimed to assess the rate of punishment experienced by enuretic children and associated causative factors. A total of 87 children 6 to 15 years old with monosymptomatic enuresis were assessed individually. Parents answered the questions in the tolerance scale. The forms of punishment were classified as verbal, chastisement and physical aggression. Family history of enuresis was considered only when 1 or both parents had experienced enuresis. Of the 35 girls and 52 boys with a mean ± SD age of 9.3 ± 2.3 years 67 had a family history of enuresis. Of the 67 parents 57 (85.0%) had a history of being punished due to enuresis. All children experienced some sort of verbal punishment. Children who had a family history of enuresis were more prone to being punished by physical aggression than those without such a family history (32 of 67 or 47.8% vs 4 of 20 or 20%, OR 3.7, 95% CI 1.1-12.1, p = 0.03). Punishment was found 3 times more frequently in girls than in boys (20 of 35 or 57.1% vs 16 of 52 or 30.8%, OR 3.0, 95% CI 1.2-7.3). Parents of 79 of the 87 children (90.8%) had high scores on the tolerance scale regardless of the history of enuresis. Enuretic children are at a high risk for experiencing some kind of punishment. Children whose parents had enuresis are at risk for being physically punished. Parents should be taught about the involuntary nature of enuresis and the fact that no punishment would help improve the condition. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  10. Family History (United States)

    ... Susco Chair of Research North Shore University Hospital, Brain Aneurysm Center Chair of Research The Christopher C. Getch, MD Chair of Research Carol W. Harvey Memorial Chair of Research Kristen’s Legacy of Love Chair of Research TeamCindy Alcatraz Chair of Research ...

  11. Provision of family planning services in Tanzania: a comparative analysis of public and private facilities

    NARCIS (Netherlands)

    Kakoko, D.C.; Ketting, E.; Kamazima, S.R.; Ruben, R.


    Adherence to the policy guidelines and standards is necessary for family planning services. We compared public and private facilities in terms of provision of family planning services. We analyzed data from health facility questionnaire of the 2006 Tanzania Service Provision Assessment survey, based

  12. A methodology integrating Petri nets and knowledge-based systems to support process family planning

    NARCIS (Netherlands)

    Zhang, Linda L.; Xu, Qianli; Helo, Petri


    Planning production processes for product families have been well recognised as an effective means of achieving successful product family development. However, most existing approaches do not lend themselves to planning production processes with focus on the optimality of the cohort of a product

  13. Training of Family Planning Counselors in Jordan: Developing Human Resources through Adult Education (United States)

    Jabbar, Sinaria Kamil Abdel


    This paper briefly describes the development and status of family planning (FP) services, including counseling, in the Hashemite Kingdom of Jordan. It also reports extensively on a FP counseling training course organized by the Jordanian Association for Family Planning and Protection (JAFPP) which is a local NGO. A field survey approach, with…

  14. Does Family Planning Reduce Infant Mortality? Evidence from Surveillance Data in Matlab, Bangladesh

    NARCIS (Netherlands)

    van Soest, A.H.O.; Saha, U.R.


    Abstract: Analyzing the effect of family planning on child survival remains an important issue but is not straightforward because of several mechanisms linking family planning, birth intervals, total fertility, and child survival. This study uses a dynamic model jointly explaining infant mortality,

  15. Family Planning in a Sub-district near Kumasi, Ghana: Side Effect ...

    African Journals Online (AJOL)


    Family Planning in a Sub-district near Kumasi, Ghana: Side Effect. Fears, Unintended Pregnancies and ... regulating and implementing the correct use of Primolut N tablets, addressing real and perceived side effects of family planning practices through properly trained ...... string of color-coded beads. This method is 95.

  16. Population and Family Planning Education, Report of a Seminar (Holte, Denmark, July 3-28, 1972). (United States)


    In July 1972, DANIDA and the Danish Family Planning Association provided delegations from selected countries the opportunity to devise teaching programs on population and family planning topics for 9-to 11-year-olds. Participants from the Arab Republic of Egypt, Indonesia, Korea, Malaysia, and the Philippines attended the meeting with Danish…

  17. Perceived Benefits and Barriers to Family Planning Education among Third Year Medical Students

    Directory of Open Access Journals (Sweden)

    Kimberly G. Smith, MD, MS


    Full Text Available Purpose: The purpose of the current study is to explore third- year medical students’ interest in learning about family planning, exposure to family planning (contraception and abortion and perceived barriers and benefits to family planning education in their obstetrics and gynecology rotation.Method: We conducted four focus groups with 27 third-year medical students near the end of their rotation in obstetrics and gynecology.Results: Students desired education in family planning but perceived limited exposure during their rotation. Most students were aware of abortion but lacked factual information and abortion procedural skills. They felt systemic and faculty-related barriers contributed to limited exposure. Students discussed issues such as lack of time for coverage of contraception and abortion in the curricula and rotation itself. Perceived benefits of clinical instruction in family planning included increased knowledge of contraceptive management and abortion the ability to care for and relate to patients, opportunity for values clarification, and positive changes in attitudes towards family planning.Conclusions: Medical students who desire full education in family planning during their obstetrics and gynecology rotation may face barriers to obtaining that education. Given that many medical students will eventually care for reproductive-age women, greater promotion of opportunities for exposure to family planning within obstetrics and gynecology rotations is warranted.

  18. Family Planning in Five Continents: Africa, America, Asia, Europe, Oceania. December 1976 Update. (United States)

    International Planned Parenthood Federation, London (England).

    This document gives highlights of the family planning situation in many countries of the world. Its purpose is to provide a quick reference source for those who work in family planning. Population statistics are included for five continents and many countries. Data for the continents include population in 1976, projected population in 2000,…

  19. Family Planning in a Predominantly Non-White Rural South African ...

    African Journals Online (AJOL)

    Developments in family planning practice from 1966 to 1973 in a predominantly non-White rural community, namely the area under the jurisdiction of the Port Elizabeth Divisional Council, are described. Advantages of promoting family planning in conjunction with normal polyclinic health services are emphasised. Statistics ...

  20. Economic Evaluation of Family Planning Interventions in Low and Middle Income Countries : A Systematic Review

    NARCIS (Netherlands)

    Zakiyah, Neily; van Asselt, Antoinette D. I.; Roijmans, Frank; Postma, Maarten J.


    Background A significant number of women in low and middle income countries (L-MICs) who need any family planning, experience a lack in access to modern effective methods. This study was conducted to review potential cost effectiveness of scaling up family planning interventions in these regions

  1. Concurrent Planning and beyond: Family-Centered Services for Children in Foster Care (United States)

    Hudson, Lucy; Almeida, Connie; Bentley, Dawn; Brown, Josie; Harlin, Daria; Norris, Judy


    Family reunification is not always possible for children who have been removed from the care of their biological parents because of abuse or neglect. Concurrent planning puts into place a secondary plan for a permanent home should family reunification prove to be impossible. Working in four diverse communities around the country in an innovative…

  2. Atypical Structural Asymmetry of the Planum Temporale is Related to Family History of Dyslexia. (United States)

    Vanderauwera, Jolijn; Altarelli, Irene; Vandermosten, Maaike; De Vos, Astrid; Wouters, Jan; Ghesquière, Pol


    Research on the neural correlates of developmental dyslexia indicates atypical anatomical lateralization of the planum temporale, a higher-order cortical auditory region. Yet whether this atypical lateralization precedes reading acquisition and is related to a familial risk for dyslexia is not currently known. In this study, we address these questions in 2 separate cohorts of young children and adolescents with and without a familial risk for dyslexia. Planum temporale surface area was manually labeled bilaterally, on the T1-weighted MR brain images of 54 pre-readers (mean age: 6.2 years, SD: 3.2 months; 33 males) and 28 adolescents (mean age: 14.7 years, SD: 3.3 months; 11 males). Half of the pre-readers and adolescents had a familial risk for dyslexia. In both pre-readers and adolescents, group comparisons of left and right planum temporale surface area showed a significant interaction between hemisphere and family history of dyslexia, with participants who had no family risk for dyslexia showing greater leftward asymmetry of the planum temporale. This effect was confirmed when analyses were restricted to normal reading participants. Altered planum temporale asymmetry thus seems to be related to family history of dyslexia. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail:

  3. Pilot Trial of an Electronic Family Medical History in US Faith-Based Communities. (United States)

    Newcomb, Patricia; Canclini, Sharon; Cauble, Denise; Raudonis, Barbara; Golden, Paulette


    In spite of the acknowledged importance of collecting family health information, methods of collecting, organizing, and storage of pedigree data are not uniformly utilized in practice, though several electronic tools have been developed for the purpose. Using electronic tools to gather health information may empower individuals to take responsibility in managing their family health history. The purpose of this study was to describe the feasibility and outcomes of introducing small groups to the My Family Health Portrait tool in faith-based communities using faith community nurses (FCNs). This pilot project adopted a mixed methods approach to assess the potential of an educational intervention delivered by FCNs for increasing the use of electronic technologies for organizing and storing family health histories among the general public. Treatment and control groups were recruited from four faith-based communities in north Texas using a parallel-groups quasi-experimental design. Qualitative data were gleaned from field notes made by investigators interacting with FCNs and observing their teaching. A majority of respondents believed that knowing one's health history and passing it on to family and medical personnel is important. Those receiving face-to-face instruction on the electronic tool were significantly more likely to have written down family health information than the control group who received only an informational handout (χ(2) = 5.96, P = .015). Barriers to teaching about and using the electronic tool included FCNs' lack of facility with computers in the educational context and FCN and respondent mistrust of electronic storage for family health information. © The Author(s) 2014.

  4. Family planning practices of rural community dwellers in cross River State, Nigeria. (United States)

    Etokidem, A J; Ndifon, W; Etowa, J; Asuquo, E F


    Nigeria is the most populous nation in Africa and the seventh most populous in the world. Despite a high fertility rate of 5.5 per woman and a high population growth rate of 3.2%, Nigeria's contraceptive prevalence is 15%, which is one of the lowest in the world. The objective of this study was to determine the knowledge of family planning and family planning preferences and practices of rural community women in Cross River State of Nigeria. This was a cross-sectional study involving 291 rural women. Convenience sampling method was used. The women were assembled in a hall and a semi-structured questionnaire was administered to every consenting woman until the sample size was attained. Data obtained from the study were analyzed using the Statistical Package for the Social Sciences version 20 and presented in tables as frequencies and percentages as well as figures. Association between categorical variables was explored using chi-square test. Binary logistic regression was also performed to determine predictors of use of at least one family planning method at some point in time. Fifty (17.2%) respondents were using at least one family planning method. One hundred and ninety-eight (68.3%) respondents had used at least one family planning method at some point in time. Reasons given for not using any family planning method included "Family planning is against my religious beliefs" (56%); "it is against our culture" (43.8%); "I need more children" (64.9%); "my partner would not agree" (35.3%); "family planning does not work" (42.9%); "it reduces sexual enjoyment" (76%); and "it promotes unfaithfulness/infidelity" (59%). Binary logistic regression conducted to predict the use of at least one family planning method at some point in time using some independent variables showed that who makes the decision regarding family planning use was the strongest predictor of family planning use (OR = 0.567; 95% CI = 0.391-0.821). This suggests that family planning uptake is more

  5. [Decision on family planning work of 7 March 1990]. (United States)


    The full decision in 7 parts of the Fujian Provincial CPC Committee and Government on Family Planning (FP) Work on March 7, 1990 is reported. A general statement about population growth in Fujian urges a stop to unplanned births, early marriages, and early childbearing. Section 1 pertains to cooperative leadership at all levels of party committees and governments in strengthening FP. The call is for integration of FP with economic development in accordance with the law, available cultivated land/capita, and population growth. Leadership in FP must come from the highest levels and be integrated into normal routines with provision for manpower, material, and financial resources. Local party committees and government must supervise FP work in units at all levels according the Central Committee and State Council's directives. Members of the Communist Youth League need to be actively involved. Section 2 pertains to establishing a responsibility system at various levels in order to meet targets, particularly in the next 3 years. Average annual rate of natural population growth should not exceed 13% and should be maintained at 11.33% for 1990. Couples must stay with 1 child/family and reduce unplanned births. Evaluation of work is dependent on fulfilling FP responsibilities for leaders at all levels. Rewards and punishments are to be established. Review of FP occurs annually for individuals and units, and a progress report sent to the People's Congress at the appropriate level of the Standing Committee. Accurate statistics need to be compiled. Section 3 stipulates that FP work is be carried out within the confines of provincial law. Strict enforcement of regulations is necessary. Approval is necessary for a 2nd child, and this regulation needs to be closely monitored. The position recommended is marrying and childbearing late and having only 1 child. Prevention is the key. Rewards and punishments pertain to government or party members. Social welfare benefits for those

  6. The Impact of Reproductive Health Legislation on Family Planning Clinic Services in Texas (United States)

    Hopkins, Kristine; Aiken, Abigail R. A.; Stevenson, Amanda; Hubert, Celia; Grossman, Daniel; Potter, Joseph E.


    We examined the impact of legislation in Texas that dramatically cut and restricted participation in the state’s family planning program in 2011 using surveys and interviews with leaders at organizations that received family planning funding. Overall, 25% of family planning clinics in Texas closed. In 2011, 71% of organizations widely offered long-acting reversible contraception; in 2012–2013, only 46% did so. Organizations served 54% fewer clients than they had in the previous period. Specialized family planning providers, which were the targets of the legislation, experienced the largest reductions in services, but other agencies were also adversely affected. The Texas experience provides valuable insight into the potential effects that legislation proposed in other states may have on low-income women’s access to family planning services. PMID:25790404

  7. The modern Chinese family in light of economic and legal history. (United States)

    Huang, Philip C C


    Most social science theory and the currently powerful Chinese ideology of modernizationism assume that, with modern development, family-based peasant farm production will disappear, to be replaced by individuated industrial workers and the three-generation family by the nuclear family. The actual record of China’s economic history, however, shows the powerful persistence of the small family farm, as well as of the three-generation family down to this day, even as China’s GDP becomes the second largest in the world. China’s legal system, similarly, encompasses a vast informal sphere, in which familial principles operate more than individualist ones. And, in between the informal-familial and the formal-individualist, there is an enormous intermediate sphere in which the two tendencies are engaged in a continual tug of war. The economic behavior of the Chinese family unit reveals great contrasts with what is assumed by conventional economics. It has a different attitude toward labor from that of both the individual worker and the capitalist firm. It also has a different structural composition, and a different attitude toward investment, children’s education, and marriage. Proper attention to how Chinese modernity differs socially, economically, and legally from the modern West points to the need for a different kind of social science; it also lends social–economic substance to claims for a modern Chinese culture different from the modern West’s.

  8. Association of premature hair graying with family history, smoking, and obesity: a cross-sectional study. (United States)

    Shin, Hyoseung; Ryu, Hyeong Ho; Yoon, Junghee; Jo, Seongmoon; Jang, Sihyeok; Choi, Mira; Kwon, Ohsang; Jo, Seong Jin


    Many researchers have been concerned about the association of hair graying with systemic diseases. However, the common factors associated with hair graying and systemic diseases have not been elucidated. This study aimed to identify risk factors for premature hair graying (PHG) in young men. We conducted a cross-sectional study using questionnaires in young men. After a pilot study that included 1069 men, we surveyed 6390 men younger than 30 years about their gray hair status and various socioclinical characteristics. The age of participants in the main survey was 20.2 ± 1.3 years (mean ± SD). Of the 6390 participants, 1618 (25.3%) presented with PHG. Family history of PHG (odds ratio [OR], 12.82), obesity (OR, 2.61), and >5 pack-years history of smoking (OR, 1.61) were significantly associated with PHG. In the multivariate analysis, family history of PHG (OR, 2.63) and obesity (OR, 2.22) correlated with the severity of PHG. Owing to the use of questionnaires, the possibility of recall bias exists. Women were not evaluated in this study. Smoking, family history of PHG, and obesity are important factors associated with PHG. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  9. Impact of family hypertension history on exercise-induced cardiac remodeling. (United States)

    Baggish, Aaron L; Weiner, Rory B; Yared, Kibar; Wang, Francis; Kupperman, Eli; Hutter, Adolph M; Picard, Michael H; Wood, Malissa J


    Left ventricular (LV) hypertrophy is a well-established, but highly variable, finding among exercise-trained persons. The causes for the variability in LV remodeling in response to exercise training remain incompletely understood. The present study sought to determine whether a family history of hypertension is a determinant of the cardiac response to exercise training. The cardiac parameters in 60 collegiate rowers (30 men/30 women; age 19.8 +/- 1.1 years) with (family history positive [FH+], n = 22) and without (family history negative [FH-], n = 38) a FH of hypertension were studied with echocardiography before and after 90 days of rowing training. The LV mass increased significantly in both groups. However, the LV mass increased significantly more in FH- persons (Delta 17 +/- 5 g/m(2)) than in FH+ persons (Delta 9 +/- 6 g/m(2), p hypertrophy between the 2 groups. FH- athletes experienced eccentric LV hypertrophy (relative wall thickness index 0.39 +/- 0.4) characterized by LV dilation. In contrast, FH+ athletes developed concentric LV hypertrophy (relative wall thickness index 0.44 +/- 0.3; p eccentric LV remodeling in FH- athletes was associated with a more robust enhancement of LV diastolic function than the concentric LV remodeling that occurred in FH+ athletes. In conclusion, these findings suggest that patterns of exercise-induced LV remodeling are strongly associated with FH history status.

  10. Allergic and non-allergic rhinitis: relationship with nasal polyposis, asthma and family history. (United States)

    Gelardi, M; Iannuzzi, L; Tafuri, S; Passalacqua, G; Quaranta, N


    Rhinitis and rhinosinusitis (with/without polyposis), either allergic or non-allergic, represent a major medical problem. Their associated comorbidities and relationship with family history have so far been poorly investigated. We assessed these aspects in a large population of patients suffering from rhinosinusal diseases. Clinical history, nasal cytology, allergy testing and direct nasal examination were performed in all patients referred for rhinitis/rhinosinusitis. Fibre optic nasal endoscopy, CT scan and nasal challenge were used for diagnosis, when indicated. A total of 455 patients (60.7% male, age range 4-84 years) were studied; 108 (23.7%) had allergic rhinitis, 128 (28.1%) rhinosinusitis with polyposis, 107 (23.5%) non-allergic rhinitis (negative skin test); 112 patients had associated allergic and non-allergic rhinitis, the majority with eosinophilia. There was a significant association between non-allergic rhinitis and family history of nasal polyposis (OR = 4.45; 95%CI = 1.70-11.61; p = 0.0019), whereas this association was no longer present when allergic rhinitis was also included. Asthma was equally frequent in non-allergic and allergic rhinitis, but more frequent in patients with polyposis. Aspirin sensitivity was more frequent in nasal polyposis, independent of the allergic (p = 0.03) or non-allergic (p = 0.01) nature of rhinitis. Nasal polyposis is significantly associated with asthma and positive family history of asthma, partially independent of the allergic aetiology of rhinitis.

  11. Diet, Lifestyles, Family History, and Prostate Cancer Incidence in an East Algerian Patient Group (United States)

    Lassed, Somia; Deus, Cláudia M.; Lourenço, Nuno; Dahdouh, Abderrezak


    Prostate cancer (PC) is the fourth most common cancer in men and the sixth leading cause of death in Algeria. To examine the relationship between lifestyle factors, including diet, and family history and PC risk, a case-control study was performed in an eastern Algerian population, comprising 90 patients with histologically confirmed PC and 190 controls. Data collection was carried out through a structured questionnaire and statistical analysis was performed to evaluate the different variables. The data showed that consumption of lamb and beef meat and high intake of animal fat and dairy products increased PC risk. Seven to thirteen vegetables servings per week and fourteen or more servings decreased PC risk by 62% and 96%, respectively. Seven to fourteen fruit servings per week decrease PC risk by 98%. Green tea consumption reduced the risk of PC but the results were statistically borderline. Increased risk was observed for individuals with family history of PC in first and in second degree. A positive strong association was also found for alcohol and smoking intake and a dose-response relationship existed for quantity and history of smoking. This study suggests that dietary habits, lifestyle factors, and family history have influence on the development of PC in Algerian population. PMID:27975054

  12. Proposed Title 20 rules could jeopardize delivery of family planning services. (United States)


    It is the view of the Planned Parenthood Federation of America that the new Title 20 regulations of the Social Security Act could have an adverse effect on the progress that has been made in family planning services. Under the proposed regulations family planning services would exclude abortion. The regulations fail to specify that sexually active minors should be served on their own initiative and consent; that outreach, transportation, and child care should be cited as allowable family planning expenses; that a choice of method and of source of service should be provided; and that medical standards should be maintained. Planned Parenthood believes that the proposed regulations do not expand the availability of family planning services for low-income persons, which was the congressional intent.

  13. [Family planning in the guidelines of the National Congress]. (United States)

    Knopp, D


    In Brazilian Congress, the importance of family planning has, for historical reasons, been confused with controlling population growth. The question is mostly related to the iniquitous distribution of wealth rather than overpopulation. The populations of developed countries consume energy, primary materials, and foodstuffs for a comfortable living, however, a large part of the populations in countries on the peripheries barely survive with incomes below the poverty line. In Brazil, the richest 10% possess half of the national wealth, and the remaining 90% are left with the other half. Most of all, the lack of access to produced wealth is the reason why the majority do not have access to health care, education, leisure, information, culture, and the conditions of living with dignity. The adoption of contraceptive methods is intimately associated with the level of culture and information of the population. The majority of women desire to use some kind of contraceptive method. It is imperative that the state grant to the women and men who so desire access to the materials and necessary information in order to choose the number of children they desire. The Ministry of Health has run for almost a decade a program for maternal health (PAISM), although it has not been fully implemented, and the benefits of this program have remained inaccessible to large numbers of women, especially in the large metropolises. In Brazil, about 30% of women of reproductive age undergo sterilization, as opposed to only 7% in developed countries. Those who cannot afford it give birth to children who grow up without education or medical care and become immersed in violence to fight for their survival.

  14. Family planning in Southern India: A survey of women's attitudes. (United States)

    Smith, Erin; Charantimath, Umesh S; Wilson, Susan F; Hoffman, Matthew K


    Women were recruited from villages in the Belgaum district of India. Members of the research team obtained consent and led 58 interviews in the local languages. Participants were asked questions covering topics related to postpartum contraceptive counseling, knowledge, and experience; postpartum sexual practice; birth spacing desire and counseling; and interest in long-acting reversible contraceptives (LARCs). Women generally desired 3 years of birth spacing. A majority did not receive counseling regarding postpartum contraception during the prenatal period, although most would have liked to have received such counseling. Those who had made a contraceptive plan during the prenatal period had an odds ratio of 25.2 (95% CI 4.9-128.6, p = 0.00001) for using postpartum contraception. Influences on contraceptive decisions primarily came from friends and family, while information from medical providers was not a major influence. Most women did not believe they could make their own decisions regarding contraception use, but those who did had an adjusted odds ratio of 56 (95% CI 3.4-9161, p = 0.0047) of utilizing postpartum contraception. Women generally liked the idea of LARCs. A large majority of the women surveyed (89.66%) liked the idea of a subdermal contraceptive implant, a method currently unavailable in this region. Ultimately, the women surveyed do have healthy attitudes and goals regarding birth spacing but few utilize effective contraception in order to meet their goals. Further efforts in counseling as well as availability of a wider variety of contraceptive methods, including the subdermal contraceptive implant, may decrease the disparity between desires and practices.

  15. Back to "hell?" The threatening family planning crisis in Poland. (United States)

    Mrugala, G


    The Polish Senate proposed an anti-abortion law that less 5 main points: the one performing the abortion can be sentenced for up to 2 years of imprisonment, women who induce or allow someone to abort their fetus are not subject to punishment, abortions done to save the life of the woman or because the pregnancy was induced by an illegal act are exempt, a tribunal can renounce the penalty, and persons who use force or threat to induce an abortion can be sentenced for up to 5 years of imprisonment. The bill must go to the Parliament and pass in order to become a law. This proposed bill has caused a large scale public debate. Many women and doctors have publicly protested against the bill. The political force behind the bill is the Catholic population of Poland, including the Catholic Church. The current abortion law in Poland adopted in 1956 allows for the abortion for social indications, until week 20; medical indications, until the 2nd trimester; or when pregnancy was a result of rape. The law resulted an elimination of deaths related to abortion, also a reduction in the number of miscarriages. However since 1955 the number of abortions performed has increased. Causes are low levels of sexual knowledge in the public, few contraceptives, and limited sexual education. The abortion issue represents a larger problem in Polish society. The lack of governmental sponsored family planning results in a large number of unintended pregnancies. It is the author's opinion that the women of Poland should be allowed to have the choice to have an abortion.

  16. Married Men’s Involvement in Family Planning – A Study from Coastal Southern India (United States)

    B, Unnikrishnan; Mithra, Prasanna P; Kumar, Nithin; Holla, Ramesh; Raina, Vishal; Hashim, Hisham; Singh, Prakhar


    Background Over the years, India has emerged as one of the most populous countries in the world, next only to China. Unregulated fertility can compromise the economic development and political stability of a country. Family planning was always thought to be a woman’s prerogative, especially in a male dominant society like India. Consequently, most of the studies on family planning focused on women as the subject of interest. Purpose To assess the knowledge, attitude and practices of family planning amongst men who have been married for at least five years. Materials and Methods A cross-sectional study was carried out in the teaching hospitals of Kasturba Medical College (Manipal University), Mangalore; India among 156 men who had been married for at least five years. They were selected using non-random sampling method and were interviewed using a pretested semi structured validated questionnaire. Chi-square test was used for statistical analyses. Results Overall, 75.6% were aged between 26 and 34 years, 41.7% had one child, 92.3% subjects from upper and 86.9% from lower socio-economic status were aware about the male family planning services available in the market. Most husbands preferred that their spouse should be sterilized (53.8%). Family planning methods were actively practiced by 71.2 %. Conclusion Most of the studies on family planning have focused mainly on females. This study throws light on the male perspective of family planning. Our study subjects were well aware about various family planning services and their attitude towards family planning was favorable, but the number of men practicing family planning was not high. PMID:26023572

  17. Married Men's Involvement in Family Planning - A Study from Coastal Southern India. (United States)

    T, Rekha; B, Unnikrishnan; Mithra, Prasanna P; Kumar, Nithin; Holla, Ramesh; Raina, Vishal; Hashim, Hisham; Singh, Prakhar


    Over the years, India has emerged as one of the most populous countries in the world, next only to China. Unregulated fertility can compromise the economic development and political stability of a country. Family planning was always thought to be a woman's prerogative, especially in a male dominant society like India. Consequently, most of the studies on family planning focused on women as the subject of interest. To assess the knowledge, attitude and practices of family planning amongst men who have been married for at least five years. A cross-sectional study was carried out in the teaching hospitals of Kasturba Medical College (Manipal University), Mangalore; India among 156 men who had been married for at least five years. They were selected using non-random sampling method and were interviewed using a pretested semi structured validated questionnaire. Chi-square test was used for statistical analyses. Overall, 75.6% were aged between 26 and 34 years, 41.7% had one child, 92.3% subjects from upper and 86.9% from lower socio-economic status were aware about the male family planning services available in the market. Most husbands preferred that their spouse should be sterilized (53.8%). Family planning methods were actively practiced by 71.2 %. Most of the studies on family planning have focused mainly on females. This study throws light on the male perspective of family planning. Our study subjects were well aware about various family planning services and their attitude towards family planning was favorable, but the number of men practicing family planning was not high.

  18. The organization and delivery of family planning services in community health centers. (United States)

    Goldberg, Debora Goetz; Wood, Susan F; Johnson, Kay; Mead, Katherine Holly; Beeson, Tishra; Lewis, Julie; Rosenbaum, Sara


    Family planning and related reproductive health services are essential primary care services for women. Access is limited for women with low incomes and those living in medically underserved areas. Little information is available on how federally funded health centers organize and provide family planning services. This was a mixed methods study of the organization and delivery of family planning services in federally funded health centers across the United States. A national survey was developed and administered (n = 423) and in-depth case studies were conducted of nine health centers to obtain detailed information on their approach to family planning. Study findings indicate that health centers utilize a variety of organizational models and staffing arrangements to deliver family planning services. Health centers' family planning offerings are organized in one of two ways, either a separate service with specific providers and clinic times or fully integrated with primary care. Health centers experience difficulties in providing a full range of family planning services. Major challenges include funding limitations; hiring obstetricians/gynecologists, counselors, and advanced practice clinicians; and connecting patients to specialized services not offered by the health center. Health centers play an integral role in delivering primary care and family planning services to women in medically underserved communities. Improving the accessibility and comprehensiveness of family planning services will require a combination of additional direct funding, technical assistance, and policies that emphasize how health centers can incorporate quality family planning as a fundamental element of primary care. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  19. Family history and renin-angiotensin system gene polymorphisms in Chinese patients with type 2 diabetes mellitus. (United States)

    Pan, Yan-Hong; Huang, Yan-Mei; Qiao, Yong-Chao; Ling, Wei; Geng, Li-Jun; Xiao, Jian-Long; Zhang, Xiao-Xi; Zhao, Hai-Lu


    A positive family history is recognized as an important risk factor for type 2 diabetes mellitus (T2DM), but the association of family history with rennin-angiotensin system (RAS) gene polymorphisms has not been reported yet, thus we aim to investigate it.Family history records, clinical and biochemical data were obtained from 1239 T2DM patients. Polymerase chain reaction (PCR) was performed for angiotensin-converting enzyme (ACE) genotyping and PCR-restricted fragment length polymorphism was used for angiotensinogen (AGT) genotyping.Patients with a negative family history had higher level of triglyceride and blood pressure, whereas those with a positive family history showed younger onset age and lower body mass index value (All P history (All P history and those with a negative family history had comparable genotype and allele distribution of ACE gene insertion/deletion polymorphisms and AGT gene M/T polymorphisms.A positive family history of diabetes was not associated with the RAS gene polymorphisms. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  20. The joint impact of family history of myocardial infarction and other risk factors on 12-year coronary heart disease mortality

    NARCIS (Netherlands)

    Boer, J M; Feskens, E.J.; Verschuren, W M Monique; Seidell, J C; Kromhout, D.


    We investigated the impact of family history of myocardial infarction on 12-year coronary heart disease mortality. Men and women with a family history had an increased risk for coronary heart disease death, irrespective of other risk factors (RR = 1.58; 95% CI = 1.17-2.13 and RR = 2.12; 95% CI =