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Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May
First multi-year cumulation covers six years: 1965-70.
Over the last 50 or 60 years, there has appeared a directional shift in the medical and social culture of the United States. We see it in the news programs every night, sometimes several times a night. Often there are generic reasons given for these changes such as “poverty and hopelessness.” But could there be other reasons? Could the medical profession be playing an important role in the violence and destructiveness of this cultural shift? Has there been any critical self-examination by the medical profession which usually demands evidence-based conclusions to be assessed? Or are there some questions that are too difficult for individuals to investigate, not because it’s impossible to investigate them, but because it can be painful and because the attitudes of a collective group of colleagues may be preventing these questions from being asked. It is as if we have BLINDERS on! This book makes an attempt to address some new questions that have rarely been asked but should be. This book, with a full-color interior, takes an objective look at data that has been produced by mostly government-based statistical gathering systems, some published in peer-reviewed medical journals and even some in news reports.
This is the first in a series of eighteen projected volumes, to be published over the next two years, aimed at converting the vast statistical yield of the 1980 Census into authoritative analyses of major changes and trends in American life. A collaborative research effort, funded by public and private foundations, this series revives a tradition of independent Census analysis (the last such project was undertaken in 1960) and offers an unparalleled array of studies on various ethnic, geographic, and status dimensions of the U.S. population. It is entirely appropriate that the inaugural volume in this series should document trends in the status of American women. Dramatic social and demographic changes over the past two decades make American Women in Transition a landmark, an invaluable one-volume summary and assessment of women's move from the private domain to the public. Clearly and in detail, the authors describe women's increasing educational attainment and labor force participation, their lagging earning power, their continued commitment to marriage and family, and the "balancing act" necessitated by this overlap of roles. Supplementing 1980 Census data with even more recent surveys from the Census Bureau and other federal agencies, Bianchi and Spain are able to extend these trends into the 1980s and sketch the complex challenges posed by such lasting and historic changes. This definitive and sensitive study is certain to become a standard reference work on American women today, and an essential foundation for future scholarship and policy concerning the status of women in our society. A Volume in the Russell Sage Foundation Census Series
February issue includes Appendix entitled Directory of United States Government periodicals and subscription publications; September issue includes List of depository libraries; June and December issues include semiannual index