Mia Zolna - Academia.edu (original) (raw)

Papers by Mia Zolna

Research paper thumbnail of Challenging unintended pregnancy as an indicator of reproductive autonomy

Research paper thumbnail of Return on investment: a fuller assessment of the benefits and cost savings of the US publicly funded family planning program

Millbank Quarterly, May 4, 2015

Research paper thumbnail of Shifts in Intended and Unintended Pregnancies in the United States, 2001–2008

Http Dx Doi Org 10 2105 Ajph 2013 301416, Jan 10, 2014

We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationall... more We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationally and for key subgroups between 2001 and 2008. Data on pregnancy intentions from the National Survey of Family Growth (NSFG) and a nationally representative survey of abortion patients were combined with counts of births (from the National Center for Health Statistics), counts of abortions (from a census of abortion providers), estimates of miscarriages (from the NSFG), and population denominators from the US Census Bureau to obtain pregnancy rates by intendedness. In 2008, 51% of pregnancies in the United States were unintended, and the unintended pregnancy rate was 54 per 1000 women ages 15 to 44 years. Between 2001 and 2008, intended pregnancies decreased and unintended pregnancies increased, a shift previously unobserved. Large disparities in unintended pregnancy by relationship status, income, and education increased; the percentage of unintended pregnancies ending in abortion decreased; and the rate of unintended pregnancies ending in birth increased, reaching 27 per 1000 women. Reducing unintended pregnancy likely requires addressing fundamental socioeconomic inequities, as well as increasing contraceptive use and the uptake of highly effective methods.

Research paper thumbnail of Unintended Pregnancy: Incidence and Outcomes Among Young Adult Unmarried Women in the United States, 2001 and 2008

Research paper thumbnail of Contraceptive Needs and Services 2010

In 2010, 19.1 million women were in need of publicly funded contraceptive services and supplies b... more In 2010, 19.1 million women were in need of publicly funded contraceptive services and supplies because they were sexually active, physically able to get pregnant, but not currently pregnant or trying to get pregnant, and were either adult women under 250% of the federal poverty level or younger than 20. All the growth in the need for publicly funded contraceptive services between 2000 and 2010 was among poor and low-income adults. Of the 19.1 million women in need of publicly supported care in 2010, 5.8 million (30%) were uninsured. A total of 8.9 million women received publicly supported contraceptive services in 2010. Clinics served 6.7 million women (including 4.7 million served by clinics funded by the federal Title X program). The remaining 2.2 million received care from private doctors paid by Medicaid. In 2010, publicly funded contraceptive services helped women prevent 2.2 million unintended pregnancies; 1.1 million of these would have resulted in unplanned births and 760,0...

Research paper thumbnail of New estimates of U.S. unintended pregnancy rates, 2006-08

Preventing unintended pregnancy is a personal goal for most couples, and reducing the unintended ... more Preventing unintended pregnancy is a personal goal for most couples, and reducing the unintended pregnancy rate is one of our most important national reproductive health goals. While there was a welcomed decrease in the U.S. unintended pregnancy rate between the late 1980s and mid-1990s, it stalled by 2001, the last year for which data are available. It is unclear if, or in what direction, unintended pregnancy rates have since changed. Additionally, recent increases in births and abortions among at least some population subgroups (e.g., teens) suggest investigation is needed. Updated unintended pregnancy rates for all women and by subgroup would be valuable information for public health officials and policy makers who monitor the national goal of reducing unintended pregnancy and track overall pregnancy rates and trends. Using newly available pregnancy intendedness data from the National Survey of Family Growth (NSFG), we will report updated numbers and rates of unintended pregnanci...

Research paper thumbnail of Couple-Focused Services in Publicly Funded Family Planning Clinics: Identifying the Need

Research paper thumbnail of Return on Investment: A Fuller Assessment of the Benefits and Cost Savings of the US Publicly Funded Family Planning Program

Research paper thumbnail of Shifts in Intended and Unintended Pregnancies in the United States, 2001–2008

American Journal of Public Health, 2014

We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationall... more We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationally and for key subgroups between 2001 and 2008. Data on pregnancy intentions from the National Survey of Family Growth (NSFG) and a nationally representative survey of abortion patients were combined with counts of births (from the National Center for Health Statistics), counts of abortions (from a census of abortion providers), estimates of miscarriages (from the NSFG), and population denominators from the US Census Bureau to obtain pregnancy rates by intendedness. In 2008, 51% of pregnancies in the United States were unintended, and the unintended pregnancy rate was 54 per 1000 women ages 15 to 44 years. Between 2001 and 2008, intended pregnancies decreased and unintended pregnancies increased, a shift previously unobserved. Large disparities in unintended pregnancy by relationship status, income, and education increased; the percentage of unintended pregnancies ending in abortion decreased; and the rate of unintended pregnancies ending in birth increased, reaching 27 per 1000 women. Reducing unintended pregnancy likely requires addressing fundamental socioeconomic inequities, as well as increasing contraceptive use and the uptake of highly effective methods.

Research paper thumbnail of Abortion in the United States: Incidence and Access to Services, 2005

Perspectives on Sexual and Reproductive Health, 2008

Research paper thumbnail of A Preliminary Study of Illumination Levels in University and Elementary Classrooms in Campina Grande, Brazil

Journal of Social Sciences, 2007

The purpose of our study was to provide preliminary data on light levels used in university and e... more The purpose of our study was to provide preliminary data on light levels used in university and elementary school classrooms in Campina Grande, Brazil with the aim of providing Brazilian politicians and educators with data to support continued educational initiatives in northeast Brazil. The data were gathered at the Universidade Federal de Campina Grande (UFCG) and compared with a sample

Research paper thumbnail of A Price Survey Comparison of Alcoholic Beverages with the Five Basic Food Groups in Paraiba, Brazil

Journal of Social Sciences, 2006

Research paper thumbnail of Unintended pregnancy in the United States: incidence and disparities, 2006

Research paper thumbnail of Couples-based family planning services: is there a need?

Contraception, 2010

ABSTRACT The U.S. unintended pregnancy rate is alarmingly high, and reducing it is one of our mos... more ABSTRACT The U.S. unintended pregnancy rate is alarmingly high, and reducing it is one of our most important national reproductive health goals. While publicly funded family planning centers have played a key role in increasing contraceptive use, little significant progress in decreasing unintended pregnancy has been made nationally. Research suggests that providing family planning services to male partners can improve contraceptive use; however, the proportion of men using these services is low. In this paper, we explore a promising and relatively new programmatic strategy: couples-based family planning services, designed to foster joint decision-making around contraceptive use. A nationally representative sample of roughly 2,500 female clients aged 18-44 receiving publicly funded (Title X) family planning services were surveyed in 2009. Administrators at the 47 associated clinics were also surveyed. All surveys were self-administered. Women were asked about their contraceptive use, current partner's involvement in family planning decisions, and interest in and preferences for couples-based services. Administrators were asked about interest, ability and experiences offering couples-focused and partner family planning services. We will report findings from both the survey of women and the survey of clinics. The findings should offer insight into the demand for couples-focused services among women using public clinics. It will also offer program officers and policy-makers potential strategies to meet these needs.

Research paper thumbnail of Challenging unintended pregnancy as an indicator of reproductive autonomy

Research paper thumbnail of Return on investment: a fuller assessment of the benefits and cost savings of the US publicly funded family planning program

Millbank Quarterly, May 4, 2015

Research paper thumbnail of Shifts in Intended and Unintended Pregnancies in the United States, 2001–2008

Http Dx Doi Org 10 2105 Ajph 2013 301416, Jan 10, 2014

We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationall... more We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationally and for key subgroups between 2001 and 2008. Data on pregnancy intentions from the National Survey of Family Growth (NSFG) and a nationally representative survey of abortion patients were combined with counts of births (from the National Center for Health Statistics), counts of abortions (from a census of abortion providers), estimates of miscarriages (from the NSFG), and population denominators from the US Census Bureau to obtain pregnancy rates by intendedness. In 2008, 51% of pregnancies in the United States were unintended, and the unintended pregnancy rate was 54 per 1000 women ages 15 to 44 years. Between 2001 and 2008, intended pregnancies decreased and unintended pregnancies increased, a shift previously unobserved. Large disparities in unintended pregnancy by relationship status, income, and education increased; the percentage of unintended pregnancies ending in abortion decreased; and the rate of unintended pregnancies ending in birth increased, reaching 27 per 1000 women. Reducing unintended pregnancy likely requires addressing fundamental socioeconomic inequities, as well as increasing contraceptive use and the uptake of highly effective methods.

Research paper thumbnail of Unintended Pregnancy: Incidence and Outcomes Among Young Adult Unmarried Women in the United States, 2001 and 2008

Research paper thumbnail of Contraceptive Needs and Services 2010

In 2010, 19.1 million women were in need of publicly funded contraceptive services and supplies b... more In 2010, 19.1 million women were in need of publicly funded contraceptive services and supplies because they were sexually active, physically able to get pregnant, but not currently pregnant or trying to get pregnant, and were either adult women under 250% of the federal poverty level or younger than 20. All the growth in the need for publicly funded contraceptive services between 2000 and 2010 was among poor and low-income adults. Of the 19.1 million women in need of publicly supported care in 2010, 5.8 million (30%) were uninsured. A total of 8.9 million women received publicly supported contraceptive services in 2010. Clinics served 6.7 million women (including 4.7 million served by clinics funded by the federal Title X program). The remaining 2.2 million received care from private doctors paid by Medicaid. In 2010, publicly funded contraceptive services helped women prevent 2.2 million unintended pregnancies; 1.1 million of these would have resulted in unplanned births and 760,0...

Research paper thumbnail of New estimates of U.S. unintended pregnancy rates, 2006-08

Preventing unintended pregnancy is a personal goal for most couples, and reducing the unintended ... more Preventing unintended pregnancy is a personal goal for most couples, and reducing the unintended pregnancy rate is one of our most important national reproductive health goals. While there was a welcomed decrease in the U.S. unintended pregnancy rate between the late 1980s and mid-1990s, it stalled by 2001, the last year for which data are available. It is unclear if, or in what direction, unintended pregnancy rates have since changed. Additionally, recent increases in births and abortions among at least some population subgroups (e.g., teens) suggest investigation is needed. Updated unintended pregnancy rates for all women and by subgroup would be valuable information for public health officials and policy makers who monitor the national goal of reducing unintended pregnancy and track overall pregnancy rates and trends. Using newly available pregnancy intendedness data from the National Survey of Family Growth (NSFG), we will report updated numbers and rates of unintended pregnanci...

Research paper thumbnail of Couple-Focused Services in Publicly Funded Family Planning Clinics: Identifying the Need

Research paper thumbnail of Return on Investment: A Fuller Assessment of the Benefits and Cost Savings of the US Publicly Funded Family Planning Program

Research paper thumbnail of Shifts in Intended and Unintended Pregnancies in the United States, 2001–2008

American Journal of Public Health, 2014

We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationall... more We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationally and for key subgroups between 2001 and 2008. Data on pregnancy intentions from the National Survey of Family Growth (NSFG) and a nationally representative survey of abortion patients were combined with counts of births (from the National Center for Health Statistics), counts of abortions (from a census of abortion providers), estimates of miscarriages (from the NSFG), and population denominators from the US Census Bureau to obtain pregnancy rates by intendedness. In 2008, 51% of pregnancies in the United States were unintended, and the unintended pregnancy rate was 54 per 1000 women ages 15 to 44 years. Between 2001 and 2008, intended pregnancies decreased and unintended pregnancies increased, a shift previously unobserved. Large disparities in unintended pregnancy by relationship status, income, and education increased; the percentage of unintended pregnancies ending in abortion decreased; and the rate of unintended pregnancies ending in birth increased, reaching 27 per 1000 women. Reducing unintended pregnancy likely requires addressing fundamental socioeconomic inequities, as well as increasing contraceptive use and the uptake of highly effective methods.

Research paper thumbnail of Abortion in the United States: Incidence and Access to Services, 2005

Perspectives on Sexual and Reproductive Health, 2008

Research paper thumbnail of A Preliminary Study of Illumination Levels in University and Elementary Classrooms in Campina Grande, Brazil

Journal of Social Sciences, 2007

The purpose of our study was to provide preliminary data on light levels used in university and e... more The purpose of our study was to provide preliminary data on light levels used in university and elementary school classrooms in Campina Grande, Brazil with the aim of providing Brazilian politicians and educators with data to support continued educational initiatives in northeast Brazil. The data were gathered at the Universidade Federal de Campina Grande (UFCG) and compared with a sample

Research paper thumbnail of A Price Survey Comparison of Alcoholic Beverages with the Five Basic Food Groups in Paraiba, Brazil

Journal of Social Sciences, 2006

Research paper thumbnail of Unintended pregnancy in the United States: incidence and disparities, 2006

Research paper thumbnail of Couples-based family planning services: is there a need?

Contraception, 2010

ABSTRACT The U.S. unintended pregnancy rate is alarmingly high, and reducing it is one of our mos... more ABSTRACT The U.S. unintended pregnancy rate is alarmingly high, and reducing it is one of our most important national reproductive health goals. While publicly funded family planning centers have played a key role in increasing contraceptive use, little significant progress in decreasing unintended pregnancy has been made nationally. Research suggests that providing family planning services to male partners can improve contraceptive use; however, the proportion of men using these services is low. In this paper, we explore a promising and relatively new programmatic strategy: couples-based family planning services, designed to foster joint decision-making around contraceptive use. A nationally representative sample of roughly 2,500 female clients aged 18-44 receiving publicly funded (Title X) family planning services were surveyed in 2009. Administrators at the 47 associated clinics were also surveyed. All surveys were self-administered. Women were asked about their contraceptive use, current partner's involvement in family planning decisions, and interest in and preferences for couples-based services. Administrators were asked about interest, ability and experiences offering couples-focused and partner family planning services. We will report findings from both the survey of women and the survey of clinics. The findings should offer insight into the demand for couples-focused services among women using public clinics. It will also offer program officers and policy-makers potential strategies to meet these needs.