Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: EC:1.2.7.5 (AOR)
 1,763 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Researchers compared data on 133 women, who began to use the contraceptive implant, Norplant, between August and December 1991, with data on 112 women, who received prescriptions for oral contraceptives (OCs) during the same time period, to examine how first-time Norplant acceptors differed from women choosing OCs. All the women attended a US Planned Parenthood clinic in Baltimore, Maryland. Clinic clients tended to be Black, low-income, and inner-city residents. Medicaid payment was the strongest determinant of using Norplant (95% vs. 32%; p .05; adjusted odds ratio [AOR] = 28.47). The influence of a family size of at least 2 children was the next strongest determinant (AOR = 3.78). The only significant predictor of choosing Norplant among Medicaid patients was number of children (AOR = 10 for 1 child, 20 for at least 2 children). Adolescents were no more likely to use Norplant than older women. Women who had experienced 1 or more abortions did not choose NOrplant at a higher rate than those who had not had an abortion, suggesting that wish to avoid unwanted pregnancies is not a motivating factor. Since the researchers did not speak to the women and collected the data from the patients' charts, they could not determine the women's attitudes and perceptions. All removals were Medicaid patients, indicating a need to determine whether Medicaid reimbursement encourages early removals or whether paying out-of-pocket for removal would be a disincentive to early removal. They recommended further research to determine who cost influences the choice of contraceptive among women with private health insurance. Another research topic should include adolescents' perceptions about Norplant, their knowledge of the 4-year time frame, and their desirability of early childbearing.
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PMID:Comparison of contraceptive implant adopters and pill users in a family planning clinic in Baltimore. 826 72