For more than 50 years, since the successful synthesis of estrogens
and progestins, safe and effective pregnancy prevention has been possible.
Nonetheless, in the United States an estimated 3.5 million unwanted pregnancies
occur annually, one third of which involve teenagers.1 Among
the many possible explanations for this paradox, barriers to health care figure
prominently. For instance, lack of health insurance, an issue for more than
44 million Americans, creates a formidable barrier to access. Religious beliefs,
concerns about contraceptive safety, and psychological barriers also contribute.
Contraception may not be sought, especially by teens and other women for whom
a physician visit and discussion of sexual behavior may prove embarrassing.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 5
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.