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Closely Supervised Foster Care Linked With Reduced Pregnancy Rates For Delinquent Teens, Study Says
Teenage girls with a history of delinquency who were placed in individualized foster care programs were less likely than their peers to become pregnant, according to a study in the June issue of the Journal of Consulting and Clinical Psychology, HealthDay/Forbes reports. Teen girls in foster care have an elevated risk for pregnancy, according to HealthDay/Forbes. For example, an earlier survey of teens in three states found that nearly half of girls in the foster care system reported a pregnancy by age 19, according to David Kerr, an assistant professor of psychology at Oregon State University and lead author of the new study.For the study, researchers followed 166 girls ages 13 to 17 with court orders to receive treatment for criminal behavior in either specialized foster care or a group-care facility. The specialized programs, known as Multidimensional Treatment Foster Care, were created in the 1980s. Under the programs, foster parents who are trained in behavioral management provide one-on-one care to severely delinquent youths, and the parents receive consultation, support and crisis intervention services from program supervisors. One of the most important aspects of the program is that, unlike group care, the teens are isolated from other troubled youths. There are 51 such programs in the U.S.After two years, 26% of the girls in MTFC became pregnant, compared with almost 47% of those in group care, according to the study. The MTFC group also showed lower levels of criminal activity and arrests, and increased school engagement. Kerr said, "One of the most interesting aspects of this research is that the MTFC program was created to reduce crime, not pregnancy." He added, "It specifically targeted changing the girl"s environment: her home, her peers and her school experience. The focus was on giving her lots of supervision, support for responsible behavior, and consistent, non-harsh consequences for negative behavior" (HealthDay/Forbes, 6/17).
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In Women With DCIS, Protein Predicts Development Of Invasive Breast Cancer: Penn Study
Women with ductal carcinoma in situ (DCIS) who exhibit an overexpression of the protein HER2/neu have a six-fold increase in risk of invasive breast cancer, according to a new study from the University of Pennsylvania School of Medicine. The results, published in the May issue of the journal Cancer Epidemiology, Biomarkers and Prevention, may help clinicians distinguish between DCIS that requires minimal treatment and DCIS that should be treated more aggressively.
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Roche NimbleGen CGH Arrays Enable Characterization Of Novel Genomic Disorders Associated With Psychiatric Disease In Recent Studies
High-resolution comparative genomic hybridization (CGH) has rapidly emerged as the method of choice for molecular cytogenetic detection and characterization of chromosomal abnormalities associated with mental retardation, cancer, and other complex phenotypes. In two recent studies published in the Journal of Medical Genetics (1, 2), high-resolution NimbleGen CGH arrays were used to further characterize two recently identified genomic disorders (3, 4).
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Sex Workers In Pakistan Give Recommendations On HIV Prevention To Health Officials

Although the recorded HIV prevalence in Pakistan is relatively low, health officials are concerned that a concentrated epidemic of the virus among injection drug users could carry over to commercial sex workers and other high risk groups in the country, IRIN/PlusNews reports. To address the issue, the National AIDS Control Program and the United Nations Population Fund recently held a meeting, called the National Consultation on HIV and Sex Work, in an effort to improve HIV prevention efforts targeted at sex workers by consulting with workers in the field.Sex workers at the meeting made various recommendations, including HIV testing, referrals and increased efforts to decrease stigma. The Ministry of Health reports that from 2006 to 2007, female sex workers were at a high risk of HIV in 12 cities across Pakistan. A survey of 4,639 female sex workers found that less than 25% reported condom use; 10% had a partner that had used injection drugs during the past six months; and that illiterate sex workers were less likely to use condoms than those with a higher level of education. A female sex worker at the meeting said, "It is very hard for us to convince [partners] to put on a condom, but I feel that a female condom would put us in a position where we can protect ourselves against HIV and sexually transmitted infections." She added that female condoms are not widely available. Legalizing sex work would make it easier for sex workers to protect their rights, another female sex worker at the conference said. She added that often, outreach workers face barriers from police forces. Daniel Baker, UNFPA"s country representative for Pakistan, said that sex workers should have greater involvement in creating and implementing HIV programs. He added, "The female sex workers have to be in there as managers, workers and leaders to benefit in the long run." Safdar Kamal Pasha with UNFPA agreed that the recommendations from sex workers are critical points to address in future programming. "The female sex workers agreed that there should be vocational training and the means for alternative work opportunities for those who want to move out of sex work, as well as those who are past their prime and do not find sustainability in sex work," Pasha said (IRIN/PlusNews, 5/14). Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.


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