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Búsqueda en la BVS – Biblioteca Virtual en Salud (http://busqueda.bvsalud.org ) sobre el uso de los medios sociales, internet, telesalud, ehealth para promoción de la salud de la mujer, especialmente salud reproductiva.

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Ti:("tele-homecare" or telehomecare or ehealth or esaude or esalud or telemedicine or telehealth or telessaude or telesaude or "consulta remota" or telecare or "social media" or twitter or facebook or ti:internet) ti:("reproductive health" or "sexual health" or "family planning" or contraceptive or "saude reprodutiva" or "salud reproductive" or "saude da mulher" or "salud de la mulher"or "planejamento familiar" or "educacao sexual" or "sexual education" or "educacion sexual" or "direitos da mulher" or (reproduc$ mulher$))

Resultado de la búsqueda (21jan2013) – 234 referencias de documentos

Selección de documentos de la búsqueda

  • Reaching remote health workers in Malawi: baseline assessment of a pilot mHealth intervention.

Autor(es): Lemay NV; Sullivan T; Jumbe B; Perry CP

Fuente: J Health Commun;17 Suppl 1: 105-17, 2012.

Abstract: mHealth has great potential to change the landscape of health service delivery in less developed countries--expanding the reach of health information to frontline health workers in remote areas. Formative, process, and summative evaluation each play an important role in mHealth interventions. K4Health conducted a Health Information Needs Assessment in Malawi from July to September 2009 (formative evaluation) that found widespread use of cell phones among health workers offering new opportunities for knowledge exchange, especially in areas where access to health information is limited. K4Health subsequently designed an 18-month demonstration project (January 2010 to June 2011) to improve the exchange and use of family planning/reproductive health and HIV/AIDS knowledge among health workers, which included the introduction of a short message service (SMS) network. K4Health conducted a pretest of the mHealth intervention from June to October 2010. A baseline assessment was carried out in November 2010 before expanding the SMS network and included use of qualitative and quantitative measures and comparison groups (summative evaluation). Routinely collected statistics also guide the program (process evaluation). This article describes the approach and main findings of the SMS baseline study and contributes to a growing body of evidence measuring the effectiveness and efficiency of mHealth programs using a strong evaluation design.

Asuntos: Serviços de Saúde Comunitária/organização & administração; Auxiliares de Saúde Comunitária/educação; Telemedicina/métodos; 54834; Competência Clínica; Serviços de Planejamento Familiar; Humanos; Malauí; Determinação de Necessidades de Cuidados de Saúde; Projetos Piloto; Avaliação de Programas e Projetos de Saúde; Pesquisa Qualitativa; Serviços de Saúde Reprodutiva


  • Online sexual health services: examining youth's perspectives.

Autor(es): Shoveller J; Knight R; Davis W; Gilbert M; Ogilvie G

Fuente: Can J Public Health;103(1): 14-8, 2012 Jan-Feb.

Abstract: OBJECTIVES: Sexually transmitted infections (STIs) are high and rising in British Columbia, Canada, and youth ages 15-24 account for a disproportionate amount of the infections. As a result, new public health interventions have increasingly turned towards media such as the internet to reach youth populations at risk for STIs/HIV. We describe youth's perceptions about online sexual health services. METHODS: We used data from in-depth, semi-structured interviews with 38 men and 14 women between the ages of 15 and 24 who discussed: online STI/HIV testing services and online counselling and education services. RESULTS: In general, youth are familiar with, receptive to and have an affinity for online sexual health services. Youth in the current study suggested that online STI/HIV risk assessment and testing as well as online counselling and education could enhance opportunities for low-threshold service provision. Online services appealed to youth's needs for convenience, privacy, as well as expedient access to testing and/or counselling; however, youth also appear to have relatively low tolerance for technologies that they perceive to be antiquated (e.g., printing lab requisition forms), revealing the challenges of designing online approaches that will not quickly become outdated. CONCLUSION: Globally, pilot programs for Internet-based sexual health services such as online testing and partner notification have shown promising results. As Canadian interventions of this type emerge, research with youth populations can provide relevant insights to help program planners launch effective interventions.

Asuntos: Serviços de Saúde para Adolescentes; Atitude Frente a Saúde; Promoção da Saúde/métodos; Internet; Doenças Sexualmente Transmissíveis/prevenção & controle; Adolescente; Colúmbia Britânica; Aconselhamento/métodos; Feminino; Humanos; Masculino; Educação de Pacientes como Assunto/métodos; Medição de Risco; 54836; Adulto Jovem


  • Opportunities and limitations for using new media and mobile phones to expand access to sexual and reproductive health information and services for adolescent girls and young women in six Nigerian states.

Autor(es):Akinfaderin-Agarau F; Chirtau M; Ekponimo S; Power S

Fuente: Afr J Reprod Health;16(2): 219-30, 2012 Jun.

Abstract:Reproductive health problems are a challenge affecting young people in Nigeria. Education as a Vaccine (EVA) implements the My Question and Answer Service, using mobile phones to provide sexual and reproductive health (SRH) information and services. Use of the service by adolescent girls and young women is low. Focus group discussions were held with 726 females to assess their access to mobile phones, as well as the barriers and limitations to the use of their phones to seek SRH information and services. Results demonstrate high mobile phone access but limited use of phones to access SRH information and services. Barriers to use of these services include cost of service for young female clients, request for socio-demographic information that could break anonymity, poor marketing and publicity, socio-cultural beliefs and expectations of young girls, individual personality and beliefs, as well as infrastructural/network quality. It is therefore recommended that these barriers be adequately addressed to increase the potential use of mobile phone for providing adolescent and young girls with SRH information and services. In addition, further initiatives and research are needed to explore the potentials of social media in meeting this need.

Asuntos: Telefone Celular; Promoção da Saúde/tendências; Acesso aos Serviços de Saúde/tendências; Adolescente; Adulto; Criança; Feminino; Grupos Focais; Humanos; Informática Médica/tendências; Nigéria; Adulto Jovem


  • Avatars using computer/smartphone mediated communication and social networking in prevention of sexually transmitted diseases among North-Norwegian youngsters.

Autor(es): Gabarron E; Serrano JA; Wynn R; Armayones M

Fuente: BMC Med Inform Decis Mak;12: 120, 2012.

Abstract: UNLABELLED: ABSTRACT: BACKGROUND: Sexually transmitted diseases (STDs), especially the Chlamydia trachomatis bacterial infection, a common cause of infertility, are highly prevalent in developed countries, and a worrying problem in North Norway, where the incidence of chlamydia twice the Norwegian average. Seventy percent of reported chlamydia cases are found in people below 25 years of age, and although its spread could be controlled with proper prevention, young people are more aware of the risks of unwanted pregnancy than their risk of acquiring a STD. Information and Communication Technologies, including, the Internet, social media and/or smartphones, should be valued for sexual health promotion for their potential to engage young audiences. And in these media, avatars guarantee anonymity to users when handling sensitive information. The main objective of this project is to achieve that North Norwegian youngsters become more aware of STDs through the use of popular technologies among young people. METHODS: A Virtual Clinic for Sexually Transmitted Diseases (VCSTD) will be developed. The VCSTD will provide early guidance and reliable information sources concerning reproductive health, delivered in a novel and innovative way to the younger population. The VCSTD consists of an "avatar" supported intervention in a serious gaming and e-learning environment, which will bypass direct physical access (in person) to reliable medical information, as well as allowing the youngsters to share that information in social media, and thus helping the VCSTD to be disseminated to more people.Data analyses will be conducted on publically available health data relevant to STDs in Troms and Finnmark, like the absolute number of chlamydia tests, the amount of emergency contraception medication sold, and the number of abortions. Also, usage data of the system and experiences of usefulness will be explored through participants' voluntary responses to a feedback form available in the VCSTD. DISCUSSION: This study will examine the usefulness of an online public health intervention that aims to promote healthy sexual practices among North-Norwegian youngsters. If shown to be effective, the intervention could prove to be an affordable and widely accessible intervention to decrease risky sexual practices in younger population.


  • Young people's views on the potential use of telemedicine consultations for sexual health: results of a national survey.

Autor(es): Garrett CC; Hocking J; Chen MY; Fairley CK; Kirkman M

Fuente: BMC Infect Dis;11: 285, 2011.

Abstract: BACKGROUND: Young people are disproportionately affected by sexually transmissible infections in Australia but face barriers to accessing sexual health services, including concerns over confidentiality and, for some, geographic remoteness. A possible innovation to increase access to services is the use of telemedicine. METHODS: Young people's (aged 16-24) pre-use views on telephone and webcam consultations for sexual health were investigated through a widely-advertised national online survey in Australia. Descriptive statistics were used to describe the study sample and chi-square, Mann-Whitney U test, or t-tests were used to assess associations. Multinomial logistic regression was used to explore the association between the three-level outcome variable (first preference in person, telephone or webcam, and demographic and behavioural variables); odds ratios and 95%CI were calculated using in person as the reference category. Free text responses were analysed thematically. RESULTS: A total of 662 people completed the questionnaire. Overall, 85% of the sample indicated they would be willing to have an in-person consultation with a doctor, 63% a telephone consultation, and 29% a webcam consultation. Men, respondents with same-sex partners, and respondents reporting three or more partners in the previous year were more willing to have a webcam consultation. Imagining they lived 20 minutes from a doctor, 83% of respondents reported that their first preference would be an in-person consultation with a doctor; if imagining they lived two hours from a doctor, 51% preferred a telephone consultation. The main objections to webcam consultations in the free text responses were privacy and security concerns relating to the possibility of the webcam consultation being recorded, saved, and potentially searchable and retrievable online. CONCLUSIONS: This study is the first we are aware of that seeks the views of young people on telemedicine and access to sexual health services. Although only 29% of respondents were willing to have a webcam consultation, such a service may benefit youth who may not otherwise access a sexual health service. The acceptability of webcam consultations may be increased if medical clinics provide clear and accessible privacy policies ensuring that consultations will not be recorded or saved.

Asuntos: Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos; Referência e Consulta/estatística & dados numéricos; Doenças Sexualmente Transmissíveis/diagnóstico; Doenças Sexualmente Transmissíveis/prevenção & controle; Telemedicina/utilização; Adolescente; Austrália; Feminino; Humanos; Masculino; Modelos Estatísticos; Comportamento Sexual/estatística & dados numéricos; Adulto Jovem


  • A systematic examination of the use of online social networking sites for sexual health promotion.

Autor(es): Gold J; Pedrana AE; Sacks-Davis R; Hellard ME; Chang S; Howard S; Keogh L; Hocking JS; Stoove MA

Fuente: BMC Public Health;11: 583, 2011.

Abstract: BACKGROUND: In recent years social networking sites (SNSs) have grown rapidly in popularity. The popularity of these sites, along with their interactive functions, offer a novel environment in which to deliver health promotion messages. The aim of this paper is to examine the extent to which SNSs are currently being used for sexual health promotion and describe the breadth of these activities. METHODS: We conducted a systematic search of published scientific literature, electronic sources (general and scientific search engines, blogs) and SNSs (Facebook, MySpace) to identify existing sexual health promotion activities using SNSs. Health promotion activities were eligible for inclusion if they related to sexual health or behaviour, utilised one or more SNSs, and involved some element of health promotion. Information regarding the source and type of health promotion activity, target population and site activity were extracted. RESULTS: 178 sexual health promotion activities met the inclusion criteria and were included in the review; only one activity was identified through a traditional systematic search of the published scientific literature. Activities most commonly used one SNS, were conducted by not-for-profit organisations, targeted young people and involved information delivery. Facebook was the most commonly used SNS (used by 71% of all health promotion activities identified), followed by MySpace and Twitter. Seventy nine percent of activities on MySpace were considered inactive as there had been no online posts within the past month, compared to 22% of activities using Facebook and 14% of activities using Twitter. The number of end-users and posts in the last seven days varied greatly between health promotion activities. CONCLUSIONS: SNSs are being used for sexual health promotion, although the extent to which they are utilised varies greatly, and the vast majority of activities are unreported in the scientific literature. Future studies should examine the key factors for success among those activities attracting a large and active user base, and how success might be measured, in order to guide the development of future health promotion activities in this emerging setting.

Asuntos: Promoção da Saúde; Comportamento Sexual; 54836; Feminino; Humanos; Masculino


  • Computer-assisted telephone interviewing (CATI): using the telephone for obtaining information on reproductive health / Computer-assisted Telephone Interviewing (CATI): usando telefone para a obtenção de informações sobre saúde reprodutiva

Autor(es): Cecatti, Jose Guilherme; Camargo, Rodrigo P. S; Pacagnella, Rodolfo Carvalho; Giavarotti, Thaís; Souza, João Paulo; Parpinelli, Mary Angela; Osis, Maria José Duarte

Fuente: Cad Saude Publica;27(9): 1801-1808, Sept. 2011. ilus, tab.

Abstract: The objective of this study was to evaluate the feasibility of using computer assisted telephone interviewing (CATI) as a method for obtaining information on reproductive health in Brazil. A total of 998 eligible women for the study were selected to answer a questionnaire through computer- assisted telephone interviewing undertaken by trained interviewers. The outcomes of each telephone contact attempt were described. Differences between groups were assessed using the χ2 test. Phone contact was made in 60.3 percent of the attempts and 57.5 percent of the interviews were completed. The success rate improved with the decrease in time from hospitalization to interview and with the higher numbers of telephones available. A total of 2,170 calls were made, comprising of one to sixteen attempts per woman. The majority of situations where extra calls were necessary were due to the number being busy or to the fact that the woman was not available at the time of the call. CATI can prove be a valuable procedure for obtaining information on reproductive health among Brazilian women, particularly for relatively recent events and when more than one alternative telephone number is available.(AU); O objetivo foi avaliar a facticidade do telefone como um método de obtenção de informações sobre saúde reprodutiva no Brasil (CATI). Um total de 998 mulheres elegíveis a um estudo foi selecionado para responder um questionário por telefone com o auxílio de computador e aplicado por entrevistadoras treinadas. Os resultados de cada tentativa de contato estão descritos. A diferença entre os grupos foi avaliada pelo teste qui-quadrado. O contato telefônico foi feito em 60,3 por cento e 57,5 por cento completaram a entrevista. A taxa de sucesso melhorou com a diminuição do tempo entre a hospitalização e a entrevista e com a quantidade de números de telefone disponível. Um total de 2.170 chamadas foi feito, de 1 a 16 tentativas por mulher. A maioria das chamadas adicionais foi em razão de a linha estar ocupada ou de a mulher não ter disponibilidade naquele momento. O CATI pode ser um procedimento útil para obtenção de informações em saúde reprodutiva entre mulheres brasileiras, especialmente se dirigido a eventos relativamente recentes e quando mais de um número alternativo de telefone está disponível.(AU)

Asuntos: Feminino; Humanos; Computadores; Indicadores Básicos de Saúde; Inquéritos Epidemiológicos/métodos; Entrevistas como Assunto/métodos; 54845/estatística & dados numéricos; Telefone; Brasil; Distribuição de Qui-Quadrado; Estudos de Viabilidade; Hospitalização/estatística & dados numéricos; Questionários; Reprodutibilidade dos Testes; Fatores de Tempo


  • Reaching remote health workers in Malawi: baseline assessment of a pilot mHealth intervention.

Autor(es): Lemay NV; Sullivan T; Jumbe B; Perry CP

Fuente: J Health Commun;17 Suppl 1: 105-17, 2012.

Abstract: mHealth has great potential to change the landscape of health service delivery in less developed countries--expanding the reach of health information to frontline health workers in remote areas. Formative, process, and summative evaluation each play an important role in mHealth interventions. K4Health conducted a Health Information Needs Assessment in Malawi from July to September 2009 (formative evaluation) that found widespread use of cell phones among health workers offering new opportunities for knowledge exchange, especially in areas where access to health information is limited. K4Health subsequently designed an 18-month demonstration project (January 2010 to June 2011) to improve the exchange and use of family planning/reproductive health and HIV/AIDS knowledge among health workers, which included the introduction of a short message service (SMS) network. K4Health conducted a pretest of the mHealth intervention from June to October 2010. A baseline assessment was carried out in November 2010 before expanding the SMS network and included use of qualitative and quantitative measures and comparison groups (summative evaluation). Routinely collected statistics also guide the program (process evaluation). This article describes the approach and main findings of the SMS baseline study and contributes to a growing body of evidence measuring the effectiveness and efficiency of mHealth programs using a strong evaluation design.

Asuntos: Serviços de Saúde Comunitária/organização & administração; Auxiliares de Saúde Comunitária/educação; Telemedicina/métodos; 54834; Competência Clínica; Serviços de Planejamento Familiar; Humanos; Malauí; Determinação de Necessidades de Cuidados de Saúde; Projetos Piloto; Avaliação de Programas e Projetos de Saúde; Pesquisa Qualitativa; Serviços de Saúde Reprodutiva


  • Online sexual health services: examining youth's perspectives.

Autor(es): Shoveller J; Knight R; Davis W; Gilbert M; Ogilvie G

Fuente: Can J Public Health;103(1): 14-8, 2012 Jan-Feb.

Abstract: OBJECTIVES: Sexually transmitted infections (STIs) are high and rising in British Columbia, Canada, and youth ages 15-24 account for a disproportionate amount of the infections. As a result, new public health interventions have increasingly turned towards media such as the internet to reach youth populations at risk for STIs/HIV. We describe youth's perceptions about online sexual health services. METHODS: We used data from in-depth, semi-structured interviews with 38 men and 14 women between the ages of 15 and 24 who discussed: online STI/HIV testing services and online counselling and education services. RESULTS: In general, youth are familiar with, receptive to and have an affinity for online sexual health services. Youth in the current study suggested that online STI/HIV risk assessment and testing as well as online counselling and education could enhance opportunities for low-threshold service provision. Online services appealed to youth's needs for convenience, privacy, as well as expedient access to testing and/or counselling; however, youth also appear to have relatively low tolerance for technologies that they perceive to be antiquated (e.g., printing lab requisition forms), revealing the challenges of designing online approaches that will not quickly become outdated. CONCLUSION: Globally, pilot programs for Internet-based sexual health services such as online testing and partner notification have shown promising results. As Canadian interventions of this type emerge, research with youth populations can provide relevant insights to help program planners launch effective interventions.

Asuntos: Serviços de Saúde para Adolescentes; Atitude Frente a Saúde; Promoção da Saúde/métodos; Internet; Doenças Sexualmente Transmissíveis/prevenção & controle; Adolescente; Colúmbia Britânica; Aconselhamento/métodos; Feminino; Humanos; Masculino;


  • Educação de Pacientes como Assunto/métodos; Medição de Risco; 54836; Adulto Jovem

Application of information and communication technology for scaling up youth sexual and reproductive health.

Autor(es): Edouard E; Edouard L

Fuente Afr J Reprod Health;16(2): 197-205, 2012 Jun.

Abstract: The pervasive presence of the internet and the commonality of mobile devices for communication technology have changed modalities for information exchange. Recent developments in information and communication technology (ICT) have specific implications regarding dissemination of information among youth, as exemplified by the Arab spring. The opportunity of those emerging technologies should be seized upon. ICT platforms should be used to scale-up policies and programmes that promote the sexual and reproductive health of youth due to their low cost, increased access to remote populations, better efficiency and improved flexibility for programming. Successful models should be identified through programme evaluation.

Asuntos: Disseminação de Informação; Adolescente; Telefone Celular; Promoção da Saúde; Humanos; Disseminação de Informação/métodos; Internet; Saúde Pública; 54845


  • Social media-delivered sexual health intervention: a cluster randomized controlled trial.

Autor(es): Bull SS; Levine DK; Black SR; Schmiege SJ; Santelli J

Fuente: Am J Prev Med;43(5): 467-74, 2012 Nov.

Abstract: BACKGROUND: Youth are using social media regularly and represent a group facing substantial risk for sexually transmitted infection (STI). Although there is evidence that the Internet can be used effectively in supporting healthy sexual behavior, this has not yet extended to social networking sites. PURPOSE: To determine whether STI prevention messages delivered via Facebook are efficacious in preventing increases in sexual risk behavior at 2 and 6 months. DESIGN: Cluster RCT, October 2010-May 2011. SETTING/PARTICIPANTS: Individuals (seeds) recruited in multiple settings (online, via newspaper ads and face-to-face) were asked to recruit three friends, who in turn recruited additional friends, extending three waves from the seed. Seeds and waves of friends were considered networks and exposed to either the intervention or control condition. INTERVENTION: Exposure to Just/Us, a Facebook page developed with youth input, or to control content on 18-24 News, a Facebook page with current events for 2 months. MAIN OUTCOME MEASURES: Condom use at last sex and proportion of sex acts protected by condoms. Repeated measures of nested data were used to model main effects of exposure to Just/Us and time by treatment interaction. RESULTS: A total of 1578 participants enrolled, with 14% Latino and 35% African-American; 75% of participants completed at least one study follow-up. Time by treatment effects were observed at 2 months for condom use (intervention 68% vs control 56%, p=0.04) and proportion of sex acts protected by condoms (intervention 63% vs control 57%, p=0.03) where intervention participation reduced the tendency for condom use to decrease over time. No effects were seen at 6 months. CONCLUSIONS: Social networking sites may be venues for efficacious health education interventions. More work is needed to understand what elements of social media are compelling, how network membership influences effects, and whether linking social media to clinical and social services can be beneficial. TRIAL REGISTRATION: This study is registered at www.clinicaltrials.govNCT00725959.


  • Determining the impact of text messaging for sexual health promotion to young people.

Autor(es): Gold J; Lim MS; Hocking JS; Keogh LA; Spelman T; Hellard ME

Fuente: Sex Transm Dis;38(4): 247-52, 2011 Apr.

Abstract: BACKGROUND: The use of new technologies, such as mobile phones and internet, has increased dramatically in recent years. Text messages offer a novel method of sexual health promotion to young people who are the greatest users of new technology and are also at high risk of sexually transmitted infections (STIs). METHODS: In January 2008, young people aged between 16 and 29 years were recruited from a music festival in Melbourne, Australia. They completed a short survey and were asked to provide their mobile phone numbers. Participants received fortnightly short messaging service (SMS) relating to sexual health for 4 months, and then completed an online follow-up survey. Survey data were weighted to account for those lost to follow-up. McNemar's test was used to compare changes in survey responses. RESULTS: A total of 1771 participants were included in analysis as they were sexually active and provided a valid mobile phone number at baseline. In all, 18% (319/1771) withdrew from receiving the SMS during the broadcast period and 40% (587/1452) completed the follow-up survey. The majority reported on the follow-up survey that they found the SMS entertaining (80%), informative (68%), and they showed the SMS to others (73%). Weighted analyses found a significant increase in knowledge (P < 0.01) and STI testing (P < 0.05) over time in both males and females. CONCLUSION: The findings indicate that SMS appear to be a feasible, popular, and effective method of sexual health promotion to young people with a relatively low withdrawal rate, positive feedback, and an observed improvement in sexual health knowledge and STI testing.

  • Using the Internet and social media to promote condom use in Turkey.

Autor(es): Purdy CH

Fuente: Reprod Health Matters;19(37): 157-65, 2011 May.

Abstract: Condoms are an important contraceptive method in Turkey, used by one in three couples using modern methods. However, withdrawal remains the most common form of contraception, resulting in many unwanted pregnancies. To address this issue and increase condom use in Turkey, DKT International, a social marketing enterprise, leveraged the high use of the Internet and social networking to help build Fiesta, a premium condom brand, and promote sales and condom use. By utilising a wide range of digital platforms--a new website, Facebook page, Google Adwords, an e-newsletter, viral marketing, banner ads and involving bloggers--Fiesta achieved strong recognition among the target audience of sexually active young people, though far more men than women. Retail audits, Internet analysis and sales performance suggest that using the Internet was instrumental in establishing Fiesta. Sales reached 4.3 million condoms (of which 8% were sold online) in the first 18 months. In contrast, Kiss, a far more inexpensive DKT condom, launched at the same time but with no digital campaign, sold 2.6 million. With the growing availability and use of the Internet and social media globally, family planning organizations should consider incorporating these technologies into their educational, outreach and marketing programmes.

Asuntos: Preservativos/utilização; Internet/utilização; Marketing Social; Humanos; Sexo Seguro; Turquia


  • Efficacy of a randomized cell phone-based counseling intervention in postponing subsequent pregnancy among teen mothers.

Autor(es): Katz KS; Rodan M; Milligan R; Tan S; Courtney L; Gantz M; Blake SM; McClain L; Davis M; Kiely M; Subramanian S

Fuente: Matern Child Health J;15 Suppl 1: S42-53, 2011 Dec.

Abstract: Adolescent mothers in Washington, DC have a high rate of subsequent teen pregnancies, often within 24 months. Children of teen mothers are at risk for adverse psychosocial outcomes. When adolescents are strongly attached to parents, schools, and positive peers, they may be less likely to repeat a pregnancy. This study tested the efficacy of a counseling intervention delivered by cell phone and focused on postponing subsequent teen pregnancies by strengthening healthy relationships, reproductive practices, and positive youth assets. The objective of this study was to compare time to a repeat pregnancy between the intervention and usual care groups, and, secondarily, to determine whether treatment intensity influenced time to subsequent conception. Primiparous pregnant teens ages 15-19, were recruited in Washington, DC. Of 849 teens screened, 29.3% (n = 249) met inclusion criteria, consented to participate, and completed baseline measures. They were then randomized to the intervention (N = 124) or to usual care (N = 125). Intervention group teens received cell phones for 18 months of counseling sessions, and quarterly group sessions. Follow-up measures assessed subsequent pregnancy through 24 months post-delivery. A survival analysis compared time to subsequent conception in the two treatment groups. Additional models examined the effect of treatment intensity. By 24 months, 31% of the intervention and 36% of usual care group teens had a subsequent pregnancy. Group differences were not statistically significant in intent-to-treat analysis. Because there was variability in the degree of exposure of teens to the curriculum, a survival analysis accounting for treatment intensity was performed and a significant interaction with age was detected. Participants who were aged 15-17 years at delivery showed a significant reduction in subsequent pregnancy with increased levels of intervention exposure (P < 0.01), but not those ≥ 18 years. Adolescents ≥ 18 years faced considerable challenges to treatment success. Individual, social, and contextual factors are all important to consider in the prevention of repeat teen pregnancy. Cell phone-based approaches to counseling may not be the most ideal for addressing complex, socially-mediated behaviors such as this, except for selective subgroups. A lack of resources within the community for older teens may interfere with program success.

Asuntos: Telefone Celular; Aconselhamento/métodos; Serviços de Planejamento Familiar/métodos; Gravidez na Adolescência/prevenção & controle; Apoio Social; Adolescente; Distribuição por Idade; Intervalo entre Nascimentos; District of Columbia; Feminino; Humanos; Análise de Intenção de Tratamento; Mães/psicologia; Paridade; Gravidez; Questionários; Análise de Sobrevida; Adulto Jovem


  • Is the internet filling the sexual health information gap for teens? An exploratory study.

Autor(es): Jones RK; Biddlecom AE

Fuente: J Health Commun;16(2): 112-23, 2011 Feb.

Abstract: At the same time that there was a decline in comprehensive school-based sex education, adolescents' use of the Internet became nearly universal. This study explores adolescents' use and evaluation of the Internet for sexual health information, with a focus on the issues of contraception and abstinence. The authors conducted 58 in-depth interviews with juniors and seniors in 3 public high schools in New York City and Indiana. Most of the adolescents used the Internet on a daily basis, but few considered it a main source of information about contraception or abstinence. Students were more likely to rely on and had greater trust in traditional sexuality education sources such as school, family members, and friends. Most of the adolescents the authors interviewed were wary of sexual health information on the Internet, and the authors describe strategies adolescents used to sort through the abundance of sex-related material. Formal and informal efforts to provide sexuality education to adolescents should include specific age- and content-appropriate Web sites because many teens are not actively searching on their own, and they express reservations about relying on the Internet as a source of sexual health information.

Asuntos: Anticoncepção; Conhecimentos, Atitudes e Prática em Saúde; Comportamento de Busca de Informação; Internet/utilização; Educação Sexual/métodos; Abstinência Sexual; Adolescente; Família; Feminino; Amigos; Humanos; Indiana; Relações Interpessoais; Masculino; Cidade de Nova Iorque; Pesquisa Qualitativa; Instituições Acadêmicas; Educação Sexual/tendências; Confiança; Adulto Jovem


  • Impact of text and email messaging on the sexual health of young people: a randomised controlled trial.

Autor(es): Lim MS; Hocking JS; Aitken CK; Fairley CK; Jordan L; Lewis JA; Hellard ME

Fuente J Epidemiol Community Health;66(1): 69-74, 2012 Jan.

Abstract: OBJECTIVE: To carry out a randomised controlled trial on the effect of a new method of health promotion-email and mobile phone text messages (short messaging service (SMS))-on young people's sexual health. METHODS: 994 people aged 16-29 were recruited at a music festival to a non-blinded randomised controlled trial. Participants were randomised to either receive sexual health promotion messages (n=507) or the control group (n=487). The 12-month intervention included SMS (catchy sexually transmissible infections prevention slogans) and emails. Participants completed questionnaires at the festival at baseline and online after 3, 6 and 12 months. Outcomes were differences between the control and intervention groups in health-seeking behaviour, condom use with risky partners (new or casual partners or two or more partners within 12 months) and STI knowledge. RESULTS: 337 (34%) completed all three follow-up questionnaires and 387 (39%) completed the final questionnaire. At 12 months, STI knowledge was higher in the intervention group for both male (OR=3.19 95% CI 1.52 to 6.69) and female subjects (OR=2.36 95% CI 1.27 to 4.37). Women (but not men) in the intervention group were more likely to have had an STI test (OR=2.51, 95% CI 1.11 to 5.69), or discuss sexual health with a clinician (OR=2.92, 95% CI 1.66 to 5.15) than their control counterparts. There was no significant impact on condom use. Opinions of the messages were favourable. CONCLUSION: This simple intervention improved STI knowledge in both sexes and STI testing in women, but had no impact on condom use. SMS and email are low cost, popular and convenient, and have considerable potential for health promotion. CLINICAL TRIAL REGISTRATION NUMBER: Australian Clinical Trials Registry - ACTRN12605000760673.

Asuntos: Correio Eletrônico/estatística & dados numéricos; Conduta de Saúde; Conhecimentos, Atitudes e Prática em Saúde; Nível de Saúde; Sexualidade; 54834/estatística & dados numéricos; Adolescente; Adulto; Fatores Etários; Preservativos/estatística & dados numéricos; Preservativos/utilização; Intervalos de Confiança; Feminino; Humanos; Masculino; Razão de Chances; Questionários; Sistema de Registros; Estatística como Assunto; Tasmânia; Vitória; Adulto Jovem


  • Adolescents' perceptions of a mobile cell phone text messaging-enhanced intervention and development of a mobile cell phone-based HIV prevention intervention.

Autor(es): Cornelius JB; St Lawrence JS; Howard JC; Shah D; Poka A; McDonald D; White AC

Fuente J Spec Pediatr Nurs;17(1): 61-9, 2012 Jan.

Abstract: PURPOSE: This study examined African American adolescents' perceptions of a mobile cell phone (MCP)-enhanced intervention and development of an MCP-based HIV prevention intervention. DESIGN AND METHODS: One focus group was conducted with 11 adolescents who participated in the Becoming a Responsible Teen Text Messaging project. RESULTS: Adolescents said they benefited from the MCP-enhanced approach and were receptive to the idea of developing an MCP-based intervention. PRACTICE IMPLICATIONS: Nurses can use the findings of this report as a starting point in examining the development of MCP-based sexuality education with parents and adolescents.

Asuntos: Afro-Americanos; Infecções por HIV/prevenção & controle; Educação Sexual; 54834; Adolescente; Feminino; Grupos Focais; Humanos; Masculino; Multimídia; Educação Sexual/métodos; Educação Sexual/organização & administração


  • Clients' views on a piloted telemedicine sexual health service for rural youth.

Autor(es): Garrett CC; Kirkman M; Chen MY; Cummings R; Fuller C; Hocking J; Tomnay JE; Fairley CK

Fuente: Sex Health;9(2): 192-3, 2012 May.

Abstract: BACKGROUND: Given the high rate of sexually transmissible infections among young people and limited rural access to specialist healthcare, an Australian telemedicine service was piloted. Clients' views were investigated. METHODS: All clients aged 15-24 were given a questionnaire. A sub-sample was interviewed. RESULTS: The service was used by 25 rural youths aged 15-24; 18 returned the questionnaire, 4 were interviewed. All had a telephone consultation. They reported being satisfied with the service; most preferred the telemedicine service to consulting a doctor in person. CONCLUSIONS: Online video consultations for sexual health may not yet be acceptable to young people in Australia.

Asuntos: Infecções por Chlamydia/diagnóstico; Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos; Satisfação do Paciente/estatística & dados numéricos; População Rural/estatística & dados numéricos; Comportamento Sexual/estatística & dados numéricos; Telemedicina/utilização; Adolescente; Serviços de Saúde para Adolescentes/organização & administração; Austrália; Infecções por Chlamydia/epidemiologia; Feminino; Humanos; Masculino; Aceitação pelo Paciente de Cuidados de Saúde/psicologia; Projetos Piloto; Educação Sexual/estatística & dados numéricos; Comportamento Sexual/psicologia; Manejo de Espécimes/métodos; Adulto Jovem


Telemedicine and its use in promoting sexual health.

Autor(es): Hagley M; Carne C

Fuente: Int J STD AIDS;14(1): 66; author reply 68, 2003 Jan.

Asuntos: Comportamento Sexual/psicologia; Telemedicina; Educação Profissionalizante; Humanos; Telemedicina/economia; Telemedicina/organização & administração


  • Harnessing technology for adolescent health promotion.

Autor(es): Castaño PM; Martínez RA

Fuente: Adolesc Med State Art Rev;18(2): 400-6, xiii, 2007 Aug.

Abstract: Sexually active adolescents are at risk for unintended pregnancy. Teen pregnancies can be prevented by consistent use of birth control, such as oral contraceptives. However, many teens forget their daily doses and eventually stop using oral contraceptives altogether. Teen pregnancies are more likely to be medically complicated and can adversely impact the teen, her child, and their community. Cell-phone use is becoming widespread, and teen cell-phone users frequently use text messaging. We describe a study in which we use cell-phone text-messaging technology in a novel way: we provide daily oral contraceptive dosing reminders and educational messages and evaluate oral contraceptive continuation at 6 months. We will use the information we obtain to develop specific, practice-based interventions to improve reproductive health programs and policies.

Asuntos: Serviços de Saúde para Adolescentes; Telefone Celular; Serviços de Planejamento Familiar; Promoção da Saúde; Gravidez na Adolescência/prevenção & controle; Adolescente; Adulto; Criança; Comportamento Contraceptivo; Feminino; Humanos; Cidade de Nova Iorque; Estudos de Casos Organizacionais; Gravidez; Gravidez na Adolescência/estatística & dados numéricos


  • Information technology and the National Centers of Excellence in Women's Health.

Autor(es): Crandall C; Zitzelberger T; Rosenberg M; Winner C; Holaday L

Fuente: J Womens Health Gend Based Med;10(1): 49-55, 2001 Jan-Feb.

Abstract: Women are increasingly turning to the Internet for health information. The National Centers of Excellence in Women's Health (U.S. Dept. of Health and Human Services) have as one goal the use of information technology to improve care of women. Telemedicine, the Internet, and Resource Centers were used for patient consultation, patient support, support of women in academics, and clinician education regarding women's health. Access of the lay public to high-quality health information was achieved using the Internet as well as Resource Centers employing Internet educational modalities. Telemedicine, distance learning for clinicians and patient consultations for those far from medical care, has been used successfully. For clinicians, continuing medical education regarding women's health and calendars of opportunities for education in women's health were made available on-line. Creative new uses of information technology have been developed by the Centers of Excellence in Women's Health. These modalities may be adopted, tested, and adapted by others seeking to improve the care and health of women.

Asuntos: Academias e Institutos/organização & administração; Centros de Informação/organização & administração; Serviços de Informação/organização & administração; Informática Médica/organização & administração; Saúde da Mulher; Feminino; Previsões; Dotação de Recursos para Cuidados de Saúde; Educação em Saúde; Humanos; Internet/organização & administração; Determinação de Necessidades de Cuidados de Saúde; Educação de Pacientes como Assunto; Telemedicina/organização & administração; Estados Unidos