International Perspectives on Sexual and Reproductive Health

Founded in 1975, International Perspectives on Sexual and Reproductive Health, formerly International Family Planning Perspectives, is a peer-reviewed journal published quarterly by Guttmacher Institute. Articles include information about sexual and reproductive health in Africa, Latin America, the Caribbean and Asia.

Articles from Vol. 35, No. 3, September

Circumcision Does Not Directly Reduce the Likelihood of Male-to-Female HIV Transmission
Circumcision is not associated with a reduced risk of HIV transmission from infected men to their uninfected female sex partners, according to results of a randomized trial conducted in the Rakai District of Uganda. (1) The cumulative 24-month probability...
Demand and Unmet Need for Means of Family Limitation in Rwanda
CONTEXT: Rwanda is the most densely populated country in Africa, with substantial annual population growth. The current government seeks new policies for family limitation as a way to facilitate more sustainable development. METHODS: Data from the...
Estimates of Health Care System Costs of Unsafe Abortion in Africa and Latin America
CONTEXT: Each year, 19 million unsafe abortions occur in developing countries, and an estimated five million women are treated for the resulting serious medical complications. Meanwhile, the economic impact of postabortion care on health care systems...
Evidence-Based, Alternative Cervical Cancer Screening Approaches in Low-Resource Settings
Cervical cancer kills approximately 270,000 women worldwide each year, with nearly 85% of those deaths occurring in resource-poor settings. (1) Use of the Pap smear for routine screening of women has resulted in a dramatic decline in cervical cancer...
Female Orphans in Africa Are No More Likely to Marry Early Than Nonorphans
Female adolescents in Sub-Saharan Africa who have lost one or both parents are generally no more likely than their non-orphaned counterparts to marry before age 18, according to a study using population-based data from 10 countries. (1) However, in...
HIV Stigma Is Linked to Lack of HIV-Related Knowledge
HIV-related stigma and discrimination against people living with HIV are associated with lack of knowledge of antiretroviral medications and never having discussed HIV. (1) According to a 2005-2006 study of 14,203 people aged 18-32 in five sites in...
HPV Testing Is Effective for Cervical Cancer Screening in Low-Resource Settings
A single round of screening for human papillomavirus (HPV) among women in India's Osmanabad district substantially reduced the risk of death from cervical cancer during eight years of follow-up, according to a randomized trial that examined three screening...
Lack of Education Does Not Account for Heightened Sexual Risk Found among African Orphans
Because adolescents in Sub-Saharan Africa who have lost one or both parents are more likely than nonorphans to drop out of school, some researchers have suggested that differences in educational attainment and school attendance may explain excess sexual...
Male Perceptions on Female Sterilization: A Community-Based Study in Rural Central India
CONTEXT: Use of modern contraceptive methods has increased fourfold in India since the 1970s, characterized by a predominance of female sterilization. There has been considerable investigation about women's choice of female sterilization, but little...
Nearly 33 Million More Young Males Than Females in China
China's one-child policy and the use of sex-selective abortion have resulted in an estimated excess of nearly 33 million males under the age of 20, according to an analysis of data from China's 2005 inter-census survey, which was based on a representative...
Reproductive Outcomes Are Suboptimal among Women Who Marry Early in India
Women in India who marry before age 18 are more likely than those who marry later to have high parity and inadequate birth spacing, according to a nationally representative study. (1) Despite being outlawed in 1978, child marriage remains common in...
Researchers Suspect Prechewed Food May Have Transmitted HIV from Caregivers to Children
Infants who eat food that has been prechewed by an HIV-positive caregiver may be at risk for HIV infection, a series of U.S. case reports suggests. (1) Researchers identified three cases in which young, HIV-negative children were infected with the...
The Role of Education Level in the Intergenerational Pattern of Adolescent Pregnancy in Brazil
CONTEXT: Adolescent pregnancy has been associated with the early childbearing experience of the mothers of adolescents, and young people's education level is believed to be an important factor in this phenomenon. METHODS: In 2002, a representative...
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