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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 13 of 13 Research Studies DisplayedFredericksen RJ, Walcott M, Yang FM
Circumstances surrounding high-risk sexual experiences among primary care patients living with and without HIV.
In this study, the investigators interviewed primary care patients living with and without HIV, regarding circumstances surrounding sexual risk behavior, to identify opportunities for providers to address and reduce STI risk. The investigators found that circumstances surrounding perceived STI exposure risk were diverse, often overlapping, and dependent on internal, environmental, and partner-related factors and inadequate communication. They suggest that meaningful care-based interventions regarding HIV/STI transmission behavior must address the diversity and interplay of these factors.
AHRQ-funded; HS022242.
Citation: Fredericksen RJ, Walcott M, Yang FM .
Circumstances surrounding high-risk sexual experiences among primary care patients living with and without HIV.
J Gen Intern Med 2018 Dec;33(12):2163-70. doi: 10.1007/s11606-018-4675-4..
Keywords: Human Immunodeficiency Virus (HIV), Primary Care, Risk, Sexual Health
Reeve BB, Wang M, Weinfurt K
Psychometric evaluation of PROMIS sexual function and satisfaction measures in a longitudinal population-based cohort of men with localized prostate cancer.
The purpose of this study was to evaluate the psychometric properties of the Patient-Reported Outcomes Measurement Information System (PROMIS) Sexual Function and Satisfaction (SexFS) measures. A population-based cohort of men with localized prostate cancer who were living in North Carolina and who could self-report their health-related quality of life in English completed surveys via phone interviews prior to treatment and at 3, 12, and 24 months after cancer treatment initiation. The researchers’ hypothesis was that men undergoing prostatectomy surgery would report the poorest sexual function at the 3-month survey. The study concludes that use of the PROMIS SexFS measures to assess sexual interest, erectile function, and satisfaction is strongly supported, and that these measures may be useful to identify effective interventions to treat sexual dysfunction and monitor sexual functioning in men with localized prostate cancer over time.
AHRQ-funded; 29020050040ITO6.
Citation: Reeve BB, Wang M, Weinfurt K .
Psychometric evaluation of PROMIS sexual function and satisfaction measures in a longitudinal population-based cohort of men with localized prostate cancer.
J Sex Med 2018 Dec;15(12):1792-810. doi: 10.1016/j.jsxm.2018.09.015..
Keywords: Cancer: Prostate Cancer, Men's Health, Sexual Health
Rice WS, Turan B, White K
Norms and stigma around unintended pregnancy in Alabama: associations with recent contraceptive use and dual method use among young women.
This study investigated the role of unintended pregnancy norms and stigma in contraceptive use among young women in Alabama. A total of 390 women aged 18-24 were surveyed from November 2014 to October 2015 at university and public health clinics. These women were considered at risk for unintended pregnancy and sexually transmitted diseases. Compared to nonusers, users of contraceptives were more likely to be White, nulliparous, from the university and had higher income. Disapproval of unintended pregnancy by close family and friends was associated with greater contraceptive use.
AHRQ-funded; HS013852.
Citation: Rice WS, Turan B, White K .
Norms and stigma around unintended pregnancy in Alabama: associations with recent contraceptive use and dual method use among young women.
Women Health 2018 Nov-Dec;58(10):1151-66. doi: 10.1080/03630242.2017.1414099.
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Keywords: Sexual Health, Pregnancy, Social Stigma, Women, Young Adults
Fredericksen RJ, Mayer KH, Gibbons LE
Development and content validation of a patient-reported sexual risk measure for use in primary care.
The objective of this study was to develop the Sexual Risk Behavior Inventory (SRBI), a brief computer-administered patient-reported measure. The SRBI is a brief, skip-patterned, clinically relevant measure that ascertains sexual risk behavior across sex, sexual orientation, gender identity, partner HIV serostatus, and partner treatment status, furnishing providers with context to determine gradations of risk for HIV/STI.
AHRQ-funded; HS022242.
Citation: Fredericksen RJ, Mayer KH, Gibbons LE .
Development and content validation of a patient-reported sexual risk measure for use in primary care.
J Gen Intern Med 2018 Oct;33(10):1661-68. doi: 10.1007/s11606-018-4496-5..
Keywords: Primary Care, Risk, Sexual Health
Moniz MH, Kirch MA, Solway E
Association of access to family planning services with Medicaid expansion among female enrollees in Michigan.
The purpose of this study was to evaluate the association of Medicaid expansion coverage with access to birth control and family planning services among women of reproductive age enrolled in the Michigan expansion plan. The investigators found that one in 3 women of reproductive age reported better ability to access birth control and family planning services through Healthy Michigan Plan compared with before enrollment.
AHRQ-funded; HS025465.
Citation: Moniz MH, Kirch MA, Solway E .
Association of access to family planning services with Medicaid expansion among female enrollees in Michigan.
JAMA Network Open 2018 Aug 31;1(4). doi: 10.1001/jamanetworkopen.2018.1627..
Keywords: Medicaid, Women, Sexual Health, Access to Care, Policy
Wu JP, Moniz MH, Ursu AN
Long-acting reversible contraception-highly efficacious, safe, and underutilized.
This paper described long-acting reversible contraception (LARC) options, myths about LARCs, benefits of LARCs and features of various LARC methods.
AHRQ-funded; HS025465.
Citation: Wu JP, Moniz MH, Ursu AN .
Long-acting reversible contraception-highly efficacious, safe, and underutilized.
JAMA 2018 Jul 24;320(4):397-98. doi: 10.1001/jama.2018.8877..
Keywords: Sexual Health, Women
Dalton VK, Carlos RC, Kolenic GE
The impact of cost sharing on women's use of annual examinations and effective contraception.
The goal of this study was to describe the relationship between the elimination of out-of-pocket costs and women's use of preventive care office visits and long-acting reversible contraception after accounting for baseline levels of cost sharing. Researchers found that out-of-pocket costs were low prior to the Affordable Care Act, and that eliminating costs was associated with increases in preventive service use among those with high levels of cost, but effect sizes were low, suggesting that cost is only one barrier. They concluded that failing to recognize that cost sharing was already low could lead to a false inference that the elimination of cost sharing was ineffective.
AHRQ-funded; HS023784.
Citation: Dalton VK, Carlos RC, Kolenic GE .
The impact of cost sharing on women's use of annual examinations and effective contraception.
Am J Obstet Gynecol 2018 Jul;219(1):93.e1-93.e13. doi: 10.1016/j.ajog.2018.04.051..
Keywords: Healthcare Costs, Women, Sexual Health
Heisel E, Kolenic GE, Moniz MM
Intrauterine device insertion before and after mandated health care coverage: the importance of baseline costs.
This study evaluated changes in out-of-pocket cost for intrauterine device (IUD) placement before and after mandated coverage of contraceptive services and examined how changes in out-of-pocket cost influenced IUD insertion as a function of baseline cost. It concluded that women in plans with the greatest reduction in out-of-pocket cost after mandated coverage of contraception had the greatest gains in IUD insertion.
AHRQ-funded; HS023784.
Citation: Heisel E, Kolenic GE, Moniz MM .
Intrauterine device insertion before and after mandated health care coverage: the importance of baseline costs.
Obstet Gynecol 2018 May;131(5):843-49. doi: 10.1097/aog.0000000000002567.
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Keywords: Sexual Health, Women, Policy, Healthcare Costs
Muzny CA, Perez AE, Eaton EF
Psychosocial stressors and sexual health among Southern African American women who have sex with women.
This study identifies psychosocial stressors, including sexual health, among Southern African American women who have sex with other women. Stressors included alcohol/drug use at last sexual encounter, and intimate partner violence (IPV). Incarceration was associated with STI history. All these stressors were also associated if they had sex with men.
AHRQ-funded; HS023009.
Citation: Muzny CA, Perez AE, Eaton EF .
Psychosocial stressors and sexual health among Southern African American women who have sex with women.
LGBT Health 2018 May/Jun;5(4):234-41. doi: 10.1089/lgbt.2017.0263..
Keywords: Racial and Ethnic Minorities, Sexual Health, Stress, Women
Thomas HN, Hamm M, Hess R
Changes in sexual function among midlife women: "I'm older... and I'm wiser".
Researchers conducted 20 individual interviews and three focus groups among sexually active women aged 45 to 60 years (total n = 39) to explore how sexual function changes during midlife. Women described experiencing both positive and negative changes in sexual function during midlife. When negative changes occurred, women often adapted behaviorally and psychologically.
AHRQ-funded; HS022989.
Citation: Thomas HN, Hamm M, Hess R .
Changes in sexual function among midlife women: "I'm older... and I'm wiser".
Menopause 2018 Mar;25(3):286-92. doi: 10.1097/gme.0000000000000988.
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Keywords: Women, Sexual Health
Nguyen A, Lau BD
Collecting sexual orientation and gender identity information: Filling the gaps in sexual and gender minority health.
A lack of sexual orientation and gender identity (SOGI) data collection limits understanding of the true size of and health outcomes among these populations. In this invited commentary, the authors discuss collection of these data.
AHRQ-funded; HS024547.
Citation: Nguyen A, Lau BD .
Collecting sexual orientation and gender identity information: Filling the gaps in sexual and gender minority health.
Med Care 2018 Mar;56(3):205-07. doi: 10.1097/mlr.0000000000000856..
Keywords: Data, Disparities, Racial and Ethnic Minorities, Racial and Ethnic Minorities, Sexual Health
Sun CJ, Seloilwe ES, Magowe M
Gender differences in sexual and reproductive health protective and risk factors of Batswana adolescents: implications for parent and adolescent interventions.
The HIV epidemic continues in sub-Saharan Africa and Botswana and adolescents there have borne the brunt. This analysis assessed gender differences in sexual and reproductive health protective and risk factors in 228 Batswana adolescents. Although three-quarters of adolescents prefer to have their parents teach them about sex, it is the fourth most common source of information.
AHRQ-funded; HS022981.
Citation: Sun CJ, Seloilwe ES, Magowe M .
Gender differences in sexual and reproductive health protective and risk factors of Batswana adolescents: implications for parent and adolescent interventions.
AIDS Educ Prev 2018 Feb;30(1):35-46. doi: 10.1521/aeap.2018.30.1.35..
Keywords: Caregiving, Children/Adolescents, Human Immunodeficiency Virus (HIV), Prevention, Risk, Sex Factors, Sexual Health
Taylor BD, Totten PA, Astete SG
Toll-like receptor variants and cervical Atopobium vaginae infection in women with pelvic inflammatory disease.
Toll-like (TLR) receptor genetic variants have been implicated in bacterial vaginosis (BV). This study determined whether TLR variants are associated with fastidious BV-associated microbes that are linked with infertility following pelvic inflammatory disease (PID). The investigators concluded that host gene variants in TLR2 signaling pathways were modestly associated with cervical A. vaginae in women with clinical PID.
AHRQ-funded; HS008358.
Citation: Taylor BD, Totten PA, Astete SG .
Toll-like receptor variants and cervical Atopobium vaginae infection in women with pelvic inflammatory disease.
Am J Reprod Immunol 2018 Feb;79(2). doi: 10.1111/aji.12804..
Keywords: Genetics, Sexual Health, Women