{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:41:53Z","timestamp":1777916513029,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>International travel is increasingly popular, and women comprise half of all outbound travel from the United States (almost 46 million trips in 2017). The implications of international travel for women's reproductive health are not fully clear due to lack of data on travelers' contraceptive use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Women attending a U.S. university (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009340) completed a cross-sectional survey in 2016\u20132017 about their sexual and reproductive health during recent international travel. Participants were 18\u201329 years old (mean: 21.1) and had a history of male sex partners. We calculated the prevalence of contraceptive lapse\u2014nonadherence (\n                      <jats:italic toggle=\"yes\">e.g<\/jats:italic>\n                      ., missed pill) or having sex without contraception\u2014by individual and travel-related characteristics and evaluated multivariable correlates of lapse using modified Poisson regression and prevalence ratios (PRs).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Prevalence of contraceptive lapse was 29% overall and especially high among pill users (50%). Multivariable correlates of lapse were the following: using the pill (PR 4.51, 95% confidence interval [CI] 2.57\u20137.94) compared to other or no contraception; trip duration of &gt;30 days versus 1\u20137 days (PR 2.02, 95% CI 1.14\u20133.57); having trouble communicating with a male partner about contraception (PR 1.79, 95% CI 1.16\u20132.75); a high perceived impact of language barriers (PR 1.77, 95% CI 1.02\u20133.08); and perceiving local access to abortion as difficult (PR 1.67, 95% CI 1.22\u20132.27). There was a trend toward increased lapse prevalence among participants who had difficulty maintaining their contraceptive schedule while traveling across time zones (PR 1.38, 95% CI 1.00\u20131.91).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>During international travel, prevalence of contraceptive lapse varied by young women's chosen contraceptive method as well as travel-specific factors. Pretravel counseling by clinicians can help women anticipate contraceptive challenges and reduce the likelihood of unintended pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2018.7371","type":"journal-article","created":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T14:40:31Z","timestamp":1560264031000},"page":"951-960","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pregnancy Prevention on the Fly: An Exploratory Study of Contraceptive Lapse Among Young Women Traveling Internationally"],"prefix":"10.1177","volume":"28","author":[{"given":"Summer L.","family":"Martins","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy L.","family":"Hellerstedt","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Mason","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonya S.","family":"Brady","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,7,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1128\/microbiolspec.IOL5-0011-2015"},{"key":"e_1_3_4_3_2","unstructured":"The American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine. Interim guidance for care of obstetric patients during a Zika virus outbreak updated April 3 2017. Available at: www.acog.org\/About-ACOG\/News-Room\/Practice-Advisories\/Practice-Advisory-Interim-Guidance-for-Care-of-Obstetric-Patients-During-a-Zika-Virus-Outbreak Accessed April10 2017."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2010.02.2251"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1506575"},{"key":"e_1_3_4_6_2","unstructured":"U.S. Department of Commerce International Trade Administration National Travel and Tourism Office (NTTO). 2017 Outbound analysis. Available at: https:\/\/travel.trade.gov\/outreachpages\/download_data_table\/2017_Outbound_Analysis.doc Accessed November8 2018."},{"key":"e_1_3_4_7_2","volume-title":"Moving forward: Family planning in the era of health reform","author":"Sonfield A","year":"2014","unstructured":"Sonfield A, , Hasstedt K, , Gold R. Moving forward: Family planning in the era of health reform. New York: Guttmacher Institute, 2014."},{"key":"e_1_3_4_8_2","unstructured":"Daniels K Daugherty J Jones J Mosher W. Current contraceptive use and variation by selected characteristics among women aged 15\u201344: United States 2011\u20132013. Natl Health Stat Report 2015:1\u201314. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=26556545 Accessed June6 2019."},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.01.021"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1028315316669815"},{"key":"e_1_3_4_11_2","volume-title":"National College Health Assessment","author":"American College Health Association","year":"2018","unstructured":"American College Health Association. National College Health Assessment. II: Reference group executive summary fall 2017. 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