Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">Family Planning and the Burden of Unintended Pregnancies</title>
<author>
<name sortKey="Tsui, Amy O" sort="Tsui, Amy O" uniqKey="Tsui A" first="Amy O." last="Tsui">Amy O. Tsui</name>
</author>
<author>
<name sortKey="Mcdonald Mosley, Raegan" sort="Mcdonald Mosley, Raegan" uniqKey="Mcdonald Mosley R" first="Raegan" last="Mcdonald-Mosley">Raegan Mcdonald-Mosley</name>
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<author>
<name sortKey="Burke, Anne E" sort="Burke, Anne E" uniqKey="Burke A" first="Anne E." last="Burke">Anne E. Burke</name>
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<idno type="pmid">20570955</idno>
<idno type="pmc">3115338</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3115338</idno>
<idno type="RBID">PMC:3115338</idno>
<idno type="doi">10.1093/epirev/mxq012</idno>
<date when="2010">2010</date>
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<title xml:lang="en" level="a" type="main">Family Planning and the Burden of Unintended Pregnancies</title>
<author>
<name sortKey="Tsui, Amy O" sort="Tsui, Amy O" uniqKey="Tsui A" first="Amy O." last="Tsui">Amy O. Tsui</name>
</author>
<author>
<name sortKey="Mcdonald Mosley, Raegan" sort="Mcdonald Mosley, Raegan" uniqKey="Mcdonald Mosley R" first="Raegan" last="Mcdonald-Mosley">Raegan Mcdonald-Mosley</name>
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<name sortKey="Burke, Anne E" sort="Burke, Anne E" uniqKey="Burke A" first="Anne E." last="Burke">Anne E. Burke</name>
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<title level="j">Epidemiologic Reviews</title>
<idno type="ISSN">0193-936X</idno>
<idno type="eISSN">1478-6729</idno>
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<date when="2010">2010</date>
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<p>Family planning is hailed as one of the great public health achievements of the last century, and worldwide acceptance has risen to three-fifths of exposed couples. In many countries, however, uptake of modern contraception is constrained by limited access and weak service delivery, and the burden of unintended pregnancy is still large. This review focuses on family planning's efficacy in preventing unintended pregnancies and their health burden. The authors first describe an epidemiologic framework for reproductive behavior and pregnancy intendedness and use it to guide the review of 21 recent, individual-level studies of pregnancy intentions, health outcomes, and contraception. They then review population-level studies of family planning's relation to reproductive, maternal, and newborn health benefits. Family planning is documented to prevent mother-child transmission of human immunodeficiency virus, contribute to birth spacing, lower infant mortality risk, and reduce the number of abortions, especially unsafe ones. It is also shown to significantly lower maternal mortality and maternal morbidity associated with unintended pregnancy. Still, a new generation of research is needed to investigate the modest correlation between unintended pregnancy and contraceptive use rates to derive the full health benefits of a proven and cost-effective reproductive technology.</p>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<journal-id journal-id-type="nlm-ta">Epidemiol Rev</journal-id>
<journal-id journal-id-type="hwp">epirev</journal-id>
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<journal-title>Epidemiologic Reviews</journal-title>
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<issn pub-type="ppub">0193-936X</issn>
<issn pub-type="epub">1478-6729</issn>
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<publisher-name>Oxford University Press</publisher-name>
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<article-id pub-id-type="doi">10.1093/epirev/mxq012</article-id>
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<subject>Articles</subject>
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<title-group>
<article-title>Family Planning and the Burden of Unintended Pregnancies</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tsui</surname>
<given-names>Amy O.</given-names>
</name>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McDonald-Mosley</surname>
<given-names>Raegan</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Burke</surname>
<given-names>Anne E.</given-names>
</name>
</contrib>
</contrib-group>
<author-notes>
<corresp id="cor1">
<label>*</label>
Correspondence to Dr. Amy O. Tsui, Population, Family and Reproductive Health Department, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, W4041, Baltimore, MD 21205 (e-mail:
<email>atsui@jhsph.edu</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>4</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>6</month>
<year>2010</year>
</pub-date>
<volume>32</volume>
<issue>1</issue>
<fpage>152</fpage>
<lpage>174</lpage>
<history>
<date date-type="accepted">
<day>29</day>
<month>4</month>
<year>2010</year>
</date>
</history>
<permissions>
<copyright-statement>Epidemiologic Reviews © The Author 2010. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>
<abstract>
<p>Family planning is hailed as one of the great public health achievements of the last century, and worldwide acceptance has risen to three-fifths of exposed couples. In many countries, however, uptake of modern contraception is constrained by limited access and weak service delivery, and the burden of unintended pregnancy is still large. This review focuses on family planning's efficacy in preventing unintended pregnancies and their health burden. The authors first describe an epidemiologic framework for reproductive behavior and pregnancy intendedness and use it to guide the review of 21 recent, individual-level studies of pregnancy intentions, health outcomes, and contraception. They then review population-level studies of family planning's relation to reproductive, maternal, and newborn health benefits. Family planning is documented to prevent mother-child transmission of human immunodeficiency virus, contribute to birth spacing, lower infant mortality risk, and reduce the number of abortions, especially unsafe ones. It is also shown to significantly lower maternal mortality and maternal morbidity associated with unintended pregnancy. Still, a new generation of research is needed to investigate the modest correlation between unintended pregnancy and contraceptive use rates to derive the full health benefits of a proven and cost-effective reproductive technology.</p>
</abstract>
<kwd-group>
<kwd>contraception</kwd>
<kwd>contraceptive behavior</kwd>
<kwd>family planning services</kwd>
<kwd>pregnancy outcome</kwd>
<kwd>pregnancy, unplanned</kwd>
<kwd>reproduction</kwd>
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</front>
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