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The Pop Reporter®

Volume 3, Number 2
13 January 2003


FAMILY PLANNING / REPRODUCTIVE HEALTH LAW AND POLICY

China Encourages Voluntary Family-planning Efforts in Rural Areas (news article)
Family-planning efforts conducted by Chinese rural residents voluntarily have become an important component of China's overall family-planning program, according to Zhang Weiqing, minister in charge of the State Family Planning Commission.

Domestic Violence a TV Hit in China (news article)
"Don't Talk to Strangers,'' a 23-part series that ran on Chinese networks and is being marketed abroad, has been credited with bringing the uncomfortable subject of domestic violence into the open in an unprecedented way for China, where traditional culture teaches that family problems should stay within the family.

Ghana: Mutilation Tale a Lie, Feds Tell B'klyn Jury (news article)
A woman from Ghana made a "mockery of the immigration system and real victims of female genital mutilation" with her phony claim for political asylum, a federal prosecutor charged yesterday. Regina Danson, 33, whose cause was supported by then-First Lady Hillary Clinton, actress Julia Roberts and activist Gloria Steinem, had argued in immigration court in 1997 that she would be sexually mutilated if she were deported to Ghana. Assistant U.S. Attorney Ronnie Abrams told jurors in Brooklyn Federal Court yesterday that Danson, who had entered the U.S. illegally, "formulated an elaborate lie" in order to stay.

Prostitution an Economic Force in China (news article)
Although prostitution is technically illegal, the government in China winks at the sex for sale by women and men, who have grown more brazen in peddling their bodies to foreign diplomats and businessmen.

China Lays Out Family Planning Schemes to Boost Development (news article)
The world's most populous country, has mapped out a three-step family-planning scheme to ensure that its population will stay within 1.5 billion by 2020 and achieve stable economic development.


FAMILY PLANNING / REPRODUCTIVE HEALTH RESEARCH

Prescribing Oral Contraceptives for Women Older than 35 Years of Age (research abstract)
This paper addresses the use of combined oral contraceptives in women older than 35 years of age, including the potential risks and benefits, pretreatment assessment, common side effects and their management, appropriate follow-up, and diagnosis of menopause. The case-based discussion also focuses on issues that pertain to women who smoke, have hypertension, or have dyslipidemia.

The Role of Men in Fertility and Family Planning Program in Tigray RegionPDF Format (research article)
This cross-sectional study was conducted to assess Tigrian men's role on fertility and their attitudes towards family planning, to compare in which ways and to what extent they differ from their wives/partners and its implications for future family planning programs. Results suggest that men's fertility intentions, reproductive preferences and their attitude towards family planning seem to influence the fertility behavior of their wives and their attitudes towards the use of modern contraceptives. In an attempt to promote reproductive health through the increasing use of modern contraceptives, family planning programs need to target men specifically at all levels of the program.

Estate Women's Fertility in Sri Lanka: Some Aberrant Perspectives in the Causal Links PDF Format (research article)
This study looks at the fertility trends of the estate women in Sri Lanka since the mid-1940s and brings to light the determinants that contributed to the anomalous course. Despite these women recording a high degree of labour force participation, far less contraceptive use and their age at marriage being lower than other ethnic groups, their fertility performance was the lowest. This deviant fertility behaviour and the obscure nature of the determinants at work hinges on negative factors. Their impoverished state due to low nutritional levels resulted in their inability to reproduce. Hence, their low fertility signalled the prevalent deprivation factors. However, the changing ownership of the plantations and the concomitant amelioration programmes mooted since the late 1970s provided better life and stepped up their potency to reproduce. Consequently, they showed a rising trend in fertility and currently record the highest level vis-a-vis other ethnic groups. Their current high fertility levels reflect a rational association with demographic variables and the socio-economic milieu that surrounds them.


FAMILY PLANNING / REPRODUCTIVE HEALTH NEWS

Young Africans Reject Genital Mutilation (news article)
A young Ethiopian couple's wedding became a demonstration against female genital mutilation.

Breast Cancer Drug Used to Boost Fertility (news article)
Tamoxifen, the world's most successful breast cancer drug, may now have a new role as a fertility booster for women being treated for the disease.

imbabwe: Mutare Residents Pull Down Condom Billboard (news article)
A billboard in Mutare's Dangamvura suburb advertising the use of condoms was pulled down by angry residents who said it promoted promiscuity and premarital sex among the youths.


HIV / AIDS RESEARCH

Height, Weight, and Growth in Children Born to Mothers with HIV-1 Infection in Europe (research abstract)
Related news article: Normal Growth in HIV-Exposed, Seronegative Children
A large and long study of European children exposed to HIV found that those born uninfected have normal height and weight growth patterns. Although children infected at birth grew much more slowly than their uninfected counterparts, growth improved after the introduction of antiretroviral combinations.

Knowledge and Practice of Condom in Preventing HIV/AIDS Infection Among Commercial Sex Workers in Three Small Towns of Northwestern Ethiopia (research article)
This study investigated the knowledge and use of condoms among commercial sex workers in the prevention of HIV/AIDS in three rural towns of northwestern Ethiopia. The level of knowledge of commercial sex workers about HIV/AIDS and condoms were very high compared to their experience of using condoms. A higher condom use rate was observed as the level of educational status of commercial sex workers increased.

HIV Knowledge and Risk Factors Among Men Who Have Sex with Men in Ho Chi Minh City, Vietnam (PubMed abstract)
Related news article: Risky Sex, Poor HIV Knowledge Among Vietnamese Gays
Men who have sex with men in Ho Chi Minh City, Vietnam, practice risky sex and have an inaccurate appreciation of their chances of infection.

Sexual Behaviour Related to HIV/AIDS: Commercial Sex and Condom Use in Hanoi, Viet Nam PDF Format (research article)
This study surveyed 493 men aged 18 to 45 years in Hanoi, including students, factory workers, government officials, businessmen and mobile workers. Findings indicate that commercial sex is obviously an urgent issue in Viet Nam because of the high prevalence, frequency and duration of the visits to prostitutes. Not only do middle-aged men and wealthy people visit sex workers, but also young and poor people. Even for those with high education and a happy married life, there is still a number who visit commercial sex workers. People born in rural areas are more likely to visit sex workers than those born in urban areas.

Course and Outcome of Pregnancy in 54 Persistently HIV-1-seronegative Sex Workers and Their Infants (PubMed abstract)
Related news article: Pregnancy May Not Imperil HIV-negative Prostitutes
In this study of prostitutes in India, women who had been repeatedly exposed to HIV without becoming infected themselves had normal pregnancies and gave birth to healthy babies. Neither the babies nor the mothers became HIV-positive during the study. The researchers are not sure how the women have been able to stay HIV-negative, but they suggest that some people may have some sort of natural immunity against the virus.

The Effect of Race/Ethnicity on the Outcome of Highly Active Antiretroviral Therapy for Human Immunodeficiency Virus Type 1 Infected Patients (research abstract)
Related news article: Response to AIDS Drugs Equal Across Race: Study
In this Danish study, 389 whites and 135 nonwhites started receiving HAART before 1 April 2001. After 1 year of treatment, 78% of nonwhites and 76% of whites achieved a virus load of <500 HIV RNA copies/mL. Researchers concluded that race and ethnic origin play no major role in the outcome associated with HAART if access to health care is free.

Cellular Human Immunodeficiency Virus (HIV) Protective Factors: A Comparison of HIV-Exposed Seronegative Female Sex Workers and Female Blood Donors in Abidjan, Côte d'Ivoire (research abstract)
Related news article: Protective Factors Still Covert in Uninfected Sex Workers
Some immunologic factors differed between HIV-exposed but uninfected women and uninfected seronegative blood donors. But none of the differences offered clear protection against HIV infection.


HIV / AIDS NEWS

Condom Ad Creates Frenzy (news article)
Young and old, rich and poor, yuppies, students and even their parents are all a-frenzy over the new Frenzy TV commercial which started airing recently in The Philippines. Some may be offended by it, but more are amused. Overall, pundits in the advertising industry agree the TV commercial is doing what it has set out to do, that is, catch the attention of targets of Frenzy, the colorful, hip and scented condoms.

Why Senegal's Bold Anti-AIDS Program Is Working (news article)
Prostitution was legalized in Senegal in 1969, and today the government tolerates it as long as each prostitute registers with the state, is over 21 years old, and comes regularly to a center run by the Ministry of Health for checkups, education, and medical treatment. And that's a big reason why this West African nation of 10.5 million, according to the World Health Organization, has an HIV infection rate of about 2 percent while many of its nearest neighbors face rates several times higher.

Press Briefing by Special Envoy for HIV/AIDS in Africa (press briefing)
Related news article: AIDS in Africa Can Be Beat with Adequate Resources, UN Envoy Says
The top United Nations envoy for HIV/AIDS in Africa today that his recent two-week tour of the southern part of the continent had reinforced his fundamental conviction that a concerted effort between the African people and the international community can defeat the deadly disease. No matter how terrible the scourge of AIDS, no matter how limited the capacity to respond, no matter how devastating the human toll, it is absolutely certain that the pandemic can be turned around with a joint and Herculean effort between the African countries themselves and the international community.


MATERNAL AND CHILD HEALTH RESEARCH

Effect of Serologic Status and Cesarean Delivery on Transmission Rates of Herpes Simplex Virus From Mother to Infant (research abstract)
Related news article: C-section Lowers Herpes Risk for Newborns
Researchers found that a cesarean section in women who have active herpes infections reduces the risk that their newborns will be infected with the virus. The study also found that women who had been infected with herpes relatively recently were more likely to pass on the virus to their babies than women who had been infected for a longer time.

Male Predominance in Fetal Distress During Labor (research abstract)
Related news article: Baby Boys at Greater Risk Than Girls During Birth
In an analysis of more than 400,000 births in the Netherlands from 1990 to 1994, male fetuses were significantly more likely than females to experience so-called fetal distress. When a fetus goes into distress because of a lack of oxygen, immediate delivery may be necessary. After researchers took into account birth weight and whether or not a fetus was premature, males had a 48% higher risk of fetal distress than females.

Ruptured Uterus: Eight Year Retrospective Analysis of Causes and Management Outcome in Adigrat Hospital, Tigray Region, Ethiopia PDF Format (research article)
A retrospective study was carried out to describe the frequency, cause, treatment, complications, and maternal and fetal mortality associated with ruptured uterus. A total of 54 cases of ruptured uterus and 5,980 hospital deliveries were recorded. Maternal case fatality rate was 11.1% and fetal case fatality rate was 98.1%. Ruptured uterus contributed 24% of all causes of maternal deaths in the hospital within the study period. The authors call for an integrated effort to prevent the causes of uterine rupture and ensure prompt management to reduce maternal and perinatal mortality and morbidity.

Effects of Acute Diarrhea on Linear Growth in Peruvian Children (research abstract)
To study the effect of diarrhea on height during childhood, the authors followed a birth cohort of 224 Peruvian children for 35 months with records of daily diarrhea and monthly anthropometry. At 24 months of age, study children were 2.5 cm shorter than the US National Center for Health Statistics/World Health Organization growth reference. A diarrheal prevalence of 2.3% in the first 24 months of life explained 2-27% of this growth deficit. In addition, the adverse effects of diarrhea on height varied by age. Diarrhea during the first 6 months of life resulted in long-term height deficits that were likely to be permanent. In contrast, diarrhea after 6 months of age showed transient effects.

Quality Assessment of the Antenatal Program for Anaemia in Rural Tanzania (research abstract)
The object of the study was to assess the quality of antenatal care with respect to anemia, a common health problem, in a developing country. Three hundred and seventy-nine consecutively enrolled pregnant women from16 randomly selected antenatal clinics, including 10 dispensaries, four rural health centers and two hospitals. Researchers noted availability of infrastructure for management of anemia, observed provider-client interaction, and interviewed women who attended antenatal clinics. An observer and health workers measured hemoglobin levels and their measurements were compared. Results showed that half of the rural health clinics had no instrument to measure hemoglobin. The majority (58%) of pregnant women were not checked for anemia at all, 10% were clinically examined, and 37% had hemoglobin assessed.


MATERNAL AND CHILD HEALTH NEWS

Gambia: Social Welfare Raises Concern Over High Rate of Baby Dumping (news article)
Gambia's director of Social Welfare has said her department is concern over the high rate of baby dumping in the county.

Officials Investigating Why at Least 24 Babies Have Died in Less Than Month at Southern Mexico Hospital (news article)
State health officials in southern Mexico were investigating Tuesday why at least 24 babies had died in less than a month at a city hospital near Mexico's border with Guatemala. Officials at the Hospital Regional in Comitan said there has been a sharp increase in infant mortality rates in the last month, but it was unclear why. Ten of the babies who died were born premature, and two of them had congenital heart problems.

Child Mortality: Editorial Blasts Weak Political Will to Avert Deaths (editorial)
Despite a drop in child mortality rates worldwide, rates in developing nations are on the rise or holding steady and international efforts to reverse the trend remain unfocused, according to an editorial in the current issue of The Lancet.


MEN'S HEALTH RESEARCH

Reversible Infertility in Male Mice After Oral Administration of Alkylated Imino Sugars: A Nonhormonal Approach to Male Contraception (research article)
Related news article: A Hormone-Free Male "Pill"?
A drug recently approved in Europe to treat the genetic disorder Gaucher disease might someday find its way as a hormone-free male contraceptive.

Weekly High-Dose Calcitriol and Docetaxel in Metastatic Androgen-Independent Prostate Cancer (research abstract)
Related news article: Report Shows Benefits of Combining Vitamin D with Taxotere for Advanced Prostate Cancer
The addition of high-dose calcitriol (the active form of vitamin D) to weekly treatment with the chemotherapy agent docetaxel appears to improve the therapeutic response in men with androgen-independent prostate cancer without compromising safety.

What Do We Know About Men's Fertility Levels in Australia? (research abstract)
Related news article: Australia: Men Hold Key to Declining Fertility
Generation X men in their thirties are twice as likely as women of the same age to be childless, according to new research on male fertility.


MEN'S HEALTH NEWS

Over-The-Counter Test Gauges Male Fertility (news article)
Finally, there's an over-the-counter fertility test for men available in the US. FertilMARQ evaluates the number of sperm a man is producing.

Viagra Can Cause Blood Clots, Heart Attack (news article)
The drug Viagra appears to stimulate the formation of blood clots, which could explain the heart attacks and strokes experienced by some men taking the erectile dysfunction drug, scientists said.

Viagra Risks Cut Down by One as Study Finds Blood Flow in Eyes Unaffected by Sex Drive Drug (news abstract)
Related news article: Australia: Men Hold Key to Declining Fertility
When Viagra was introduced in 1999, the drug's manufacturer warned of a number of visual side effects, including possible nerve damage to the eyes. But a UC Irvine College of Medicine study rules out some of these risks--even when the drug is taken in high doses.


POPULATION RESEARCH

Viet Nam's Older Population: The View from the Census PDF Format (research article)
This study provides a descriptive analysis of Viet Nam's older population based primarily on special tabulations from the 3 per cent public use sample of the 1999 census. Comparison with the 1989 census reveals remarkable stability in the living arrangements of Vietnamese elderly, with respect to co-residence with children, even as the country is undergoing a major transformation of its economy. Rural elderly are far more likely to remain economically active and to be clearly disadvantaged, in terms of educational attainment, housing quality and access to mass media. Women compare unfavourably to men with respect to formal educational attainment and literacy and are far more likely to be widowed. Older men and women, however, do not differ in terms of housing quality or in the likelihood of co-residing with children.

Europe: Demographic Yearbook 2002 (introduction and executive summary)
The report provides current comparative data on population, fertility, mortality, migration, marriages and divorces for the member states of the Council of Europe. While most countries still experience positive natural increase, in general the rate of increase is on the decline throughout Europe. Fertility is below replacement in nearly all countries. Only Turkey (TFR of 2.51) recorded a TFR in excess of the replacement level.


POPULATION NEWS

UAE Population Grows Sharply in Last 20 Years (news article)
More than 910,000 children have been born in the United Arab Emirates (UAE) over a period of 20 years at an average of 125 a day, one of the highest birth rates in the world, official figures show.


WOMEN'S HEALTH RESEARCH

Quality Assurance in Follow-up and Initial Treatment for Screening Mammography Programs in 22 Countries (research abstract)
The objective of the study was to describe the quality assurance activities related to follow-up evaluation of abnormal screening mammograms and subsequent initial treatment of women determined to have breast cancer for the screening programs represented in the International Breast Cancer Screening Network (IBSN). Results show that IBSN countries vary in their implementation of procedures and measures to assure the quality of follow-up and initial treatment for women with abnormal screening mammograms. There is more emphasis on collecting and evaluating data than establishing mechanisms to ensure that the processes of care for follow-up and initial treatment are of high quality.

Incidence of Invasive Breast Cancer by Hormone Receptor Status from 1992 to 1998 (research abstract)
Between 1987 and 1998, breast cancer incidence rates rose 0.5%/yr in the United States. A question of potential etiologic and clinical importance is whether the hormone receptor status of breast tumors is also changing over time. This is because hormone receptor status may reflect different etiologic pathways and is useful in predicting response to adjuvant therapy and prognosis. Researchers concluded that from 1992 to 1998, the proportion of tumors that are hormone receptor-positive rose as the proportion of hormone receptor-negative tumors declined. Because the incidence rates of hormone receptor-negative tumors remained fairly constant over these years, the overall rise in breast cancer incidence rates in the United States seems to be primarily a result of the increase in the incidence of hormone receptor-positive tumors. Hormonal factors may account for this trend.

Menopausal Hormone Therapy: Summary of a Scientific Workshop (workshop summary)
This article summarizes a National Institutes of Health workshop on menopausal hormone therapy held in October 2002.

Glycemic Effects of Postmenopausal Hormone Therapy: The Heart and Estrogen/progestin Replacement Study (research article)
Related news article: Hormone Replacement Therapy Reduces Diabetes Rates in Some Women
Hormone replacement therapy (HRT) can reduce diabetes by 35% in women with coronary disease, according to a study of more than 2000 women. The authors do not recommend the use of hormones for disease prevention, but instead encourage further study of the effects of estrogen and progestin hormone therapy on metabolic complications.

Body Mass Index at Age 18 Years and during Adult Life and Ovarian Cancer Risk (research abstract)
A nationwide ovarian cancer case-control study was conducted in Israel to study the association between epithelial ovarian cancer and body mass index at age 18 years and/or with weight changes in body mass index between adolescence and adult life. For body mass index at age 18 years, the odds ratio of the highest versus lowest body mass index quartile was 1.42 and after adjusting for confounders was 1.54. However, no statistically significant risk associated with change in weight from age 18 years to adult life was found.

Type III Female Genital Mutilation: Clinical Implications and Treatment by Carbon Dioxide Laser Surgery (PubMed abstract)
Related news article: Laser Surgery Treats Female Genital Mutilation
Laser surgery can provide a quick way to undo some of the harm of the most severe form of female genital mutilation (FGM).

Women's Efficiency in Decision Making and Their Perception of Their Status in the Family (research abstract)
This study included 310 women who applied to the Maternal-Child Health and Family Planning Center in Erzurum, Turkey, between June 1 and August 30, 2001. Data were collected through the inquiry form, which was prepared to determine women's efficiency in decision making, their perception of their status within the family, and their demographic characteristics. It was found that women's decision-making rate was lower than that of men, except for selecting clothes. Couples' joint decision-making rate was high on personal matters but low on official matters. The women's educational level affected their decision making in the family.


WOMEN'S HEALTH NEWS

FDA Approves New Labels for Estrogen and Estrogen with Progestin Therapies for Postmenopausal Women Following Review of Women's Health Initiative Data (press release)
Related news article: FDA Strengthens Hormone Warnings for Women
The US Food and Drug Administration strengthened warning labels on all women's hormone replacement therapy products on Wednesday, warning of the risk of heart disease, stroke, and cancer. The widely expected move follows the surprise announcement last July that HRT, taken by an estimated 10 million women to treat the symptoms of menopause, raises the risk of heart disease, heart attack, blood clots, and certain cancers. All HRT products will have to carry a boxed warning about the risks, with suggestions about alternatives.

Breast Cancer Risk Type Not Equal in Both Breasts (news article)
Women diagnosed with a condition linked to an increased risk of breast cancer appear to be more likely to develop cancer in one breast rather than the other, according to new research. This discovery may encourage women to opt for less drastic measures when it comes to cutting their risk of breast cancer.


YOUTH RESEARCH

Exploring Family Factors and Sexual Behaviors in a Group of Black and Hispanic Adolescent Males (research abstract)
Related news article: Family History Influences Sexual Behavior In Black, Hispanic Teens
This study found that black teenagers, sons of men who became teenage fathers, were three times more likely to be sexually active compared with those whose fathers had not been teen dads.


PROFILES / SPECIAL REPORTS

An Analysis of Interaction Between TB and HIV/AIDS Programmes in Sub-Saharan PDF Format (MS Word)
This study sought to analyze the interaction between tuberculosis (TB) and HIV/AIDS programs in sub-Saharan Africa. This analysis will inform WHO's role in promoting collaborative TB and HIV/AIDS program activities, aimed at more effective control of TB among HIV-infected people.

Growing, Evolving HIV/AIDS Pandemic Is Producing Social and Economic Fallout (commentary)
Early into the third decade of the HIV/AIDS pandemic, the virus continues to expand its reach across the globe. Not only is the pandemic affecting ever greater numbers of peoplean estimated 42 million are now infected worldwideit is also evolving such that for the first time since the disease emerged in the early 1980s, about half the people living with HIV are now women.


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