Male experiences of unintended pregnancy: characteristics and prevalence

what is known already: Efforts to involve men in family planning have increased over the last decade; however, little is known about factors associated with men's pregnancy intentions and associated contraceptive behaviours. study design, size, duration: The data presented in this study were drawn from the nationally representative FECOND study, a population-based survey conducted in France in 2010. The sample comprised 8675 individuals (3373 men), aged 15-49 years, who responded to a telephone interview about socio-demographics and topics related to sexual and reproductive health. The total refusal rate was 20%. participants/materials, setting, methods: This study included 2997 men, of whom 664 reported 893 recent pregnancies (in the 5 years preceding the survey). Multivariate Poisson's regression with population-averaged marginal effects was applied to assess the individual and contextual factors associated with men's intentions for recent pregnancies. The contraceptive circumstances leading to the unintended pregnancies were also assessed. main results and the role of chance: Of all heterosexually active men, 5% reported they had experienced an unintended pregnancy with a partner in the last 5 years. A total of 20% of recent pregnancies reported by men were qualified to be unintended, of which 45% ended in induced abortion. Of pregnancies following a previous unintended pregnancy, 68% were themselves unintended. Among all heterosexually active men, recent experience of an unintended pregnancy was related to age, mother's education, age at first sex, parity, contraceptive method history, lifetime number of female partners and the relationship situation at the time of survey. Recent unintended pregnancies were also related to pregnancy order and to the financial and professional situation at the time of conception. The majority of unintended pregnancies occurred when men or their partners were using contraceptives; 58% of contraceptive users considered that the pregnancy was due to inconsistent use and 39% considered that it resulted from method failure. Half of the non-users who reported an unintended pregnancy thought that their partner was using a contraceptive method. The relative risk of non-use of a contraceptive method during the month of conception of a recent unintended pregnancy was higher among those without a high school degree (IRR ¼ 2.9, CI 1.6, 5.2) and higher among men for whom the pregnancy interfered with education (IRR ¼ 1.8, CI 1.0, 3.1) or work (IRR ¼ 1.9, CI 1.1, 3.6). limitations, reasons for caution: From the perspective of men, the unintended pregnancy rates may be underestimated due to a combination of underreporting of abortion and post-rationalization of birth intentions. Our use of a dichotomous measure of unintended pregnancy is unlikely to fully capture the multidimensional construct of pregnancy intentions. wider implication of the findings: These results call for gender-inclusive family planning programmes, which fully engage men as active participants in their own rights

Maternal Exposure to Nitrogen Dioxide during Pregnancy and Offspring Birth Weight: Comparison of Two Exposure Models

International audienceThe two exposure models tended to give consistent results in terms of association with birth weight, despite the moderate concordance between exposure estimates

Maternal Personal Exposure to Airborne Benzene and Intrauterine Growth

International audienceBACKGROUND: Studies relying on outdoor pollutants measures have reported associations between air pollutants and birth weight. OBJECTIVE: Our aim was to assess the relation between maternal personal exposure to airborne benzene during pregnancy and fetal growth. METHODS: We recruited pregnant women in two French maternity hospitals in 2005-2006 as part of the EDEN mother-child cohort. A subsample of 271 nonsmoking women carried a diffusive air sampler for a week during the 27th gestational week, allowing assessment of benzene exposure. We estimated head circumference of the offspring by ultrasound measurements during the second and third trimesters of pregnancy and at birth. RESULTS: Median benzene exposure was 1.8 microg/m(3) (5th, 95th percentiles, 0.5, 7.5 microg/m(3)). Log-transformed benzene exposure was associated with a gestational age-adjusted decrease of 68 g in mean birth weight [95% confidence interval (CI), -135 to -1 g] and of 1.9 mm in mean head circumference at birth (95% CI, -3.8 to 0.0 mm). It was associated with an adjusted decrease of 1.9 mm in head circumference assessed during the third trimester (95% CI, -4.0 to 0.3 mm) and of 1.5 mm in head circumference assessed at the end of the second trimester of pregnancy (95% CI, -3.1 to 0 mm). CONCLUSIONS: Our prospective study among pregnant women is one of the first to rely on personal monitoring of exposure; a limitation is that exposure was assessed during 1 week only. Maternal benzene exposure was associated with decreases in birth weight and head circumference during pregnancy and at birth. This association could be attributable to benzene and a mixture of associated traffic-related air pollutants

Approche archéologique des réseaux de peuplement et centres de pouvoir sur le territoire du Berry à l’âge du Fer / An archaeological approach to the study of networks of settlements and centres of power in Berry during the iron age

Land use during the Iron Age can be seen through traces of human activities, which varied widely at different periods in the Berry region. By examining the relative locations of dwelling places and burial mounds it is possible to identify a number of centres of power, shown by concentrations of wealth. We examine their location and development over time.L’occupation du sol à l’âge du Fer est perceptible à travers des traces d’activité humaine très différentes selon les périodes dans le Berry. En confrontant la répartition des habitats et celle des tertres funéraires, un certain nombre de centres de pouvoir, identifiés par des concentrations de richesses, peuvent être mis en évidence. Nous examinerons leur localisation et leur évolution.Buchsenschutz Olivier, Batardy Christophe, Bohet Aline. Approche archéologique des réseaux de peuplement et centres de pouvoir sur le territoire du Berry à l’âge du Fer / An archaeological approach to the study of networks of settlements and centres of power in Berry during the iron age . In: Regards croisés sur le Berry ancien. Tours : Fédération pour l'édition de la Revue archéologique du Centre de la France, 2013. pp. 149-168. (Supplément à la Revue archéologique du centre de la France, 45

Approche archéologique des réseaux de peuplement et centres de pouvoir sur le territoire du Berry à l’âge du Fer / An archaeological approach to the study of networks of settlements and centres of power in Berry during the iron age

Land use during the Iron Age can be seen through traces of human activities, which varied widely at different periods in the Berry region. By examining the relative locations of dwelling places and burial mounds it is possible to identify a number of centres of power, shown by concentrations of wealth. We examine their location and development over time.L’occupation du sol à l’âge du Fer est perceptible à travers des traces d’activité humaine très différentes selon les périodes dans le Berry. En confrontant la répartition des habitats et celle des tertres funéraires, un certain nombre de centres de pouvoir, identifiés par des concentrations de richesses, peuvent être mis en évidence. Nous examinerons leur localisation et leur évolution.Buchsenschutz Olivier, Batardy Christophe, Bohet Aline. Approche archéologique des réseaux de peuplement et centres de pouvoir sur le territoire du Berry à l’âge du Fer / An archaeological approach to the study of networks of settlements and centres of power in Berry during the iron age . In: Regards croisés sur le Berry ancien. Tours : Fédération pour l'édition de la Revue archéologique du Centre de la France, 2013. pp. 149-168. (Supplément à la Revue archéologique du centre de la France, 45

Approche archéologique des réseaux de peuplement et centres de pouvoir sur le territoire du Berry à l’âge du Fer

International audienc

La contraception en France en 2010 : nouveau contexte, nouvelles pratiques ?

En France, en 2010, 50 % des femmes de 15-49 ans concernées par la contraception utilisent la pilule. La proportion d’utilisatrices a légèrement diminué depuis le début des années 2000, la baisse étant compensée par l’adoption de nouvelles méthodes hormonales de contraception (implant, patch contraceptif et anneau vaginal) sauf chez les 20-24 ans. Le recours au stérilet (DIU) continue de diminuer légèrement et l’utilisation du préservatif progresse. La stérilisation contraceptive n’est utilisée que par une minorité de femmes alors qu’elle a été légalisée en 2001 comme méthode contraceptive. Environ 3 % de femmes n’utilisent pas de contraception du tout alors qu’elles ne souhaitent pas être enceintes. Cette situation est plus fréquente chez les femmes confrontées à une situation financière difficile, peu ou pas diplômées, ou vivant en milieu rural