Adolescent Health Program

Krishna Upadhya

Dr. Krishna Upadhya Suggests that Teens Consider IUDs for Birth Control

Study: Condoms Fail, Teens Should Consider Implants, IUDs

A new study from the American Academy of Pediatrics says condoms fail, and that teens should consider implants and IUDs as more reliable forms of birth control. The study says implants and IUDs are not widely used by teens but are the most effective methods of contraceptives available. Only one in 2,000 women using the implants have an unintended pregnancy during the first year of use, according to the study. Depending on the IUD, the rate of accidental pregnancy ranges from one in 125 to one in 500. The study says 18% of women who start using condoms for birth control become pregnant within one year. Dr. Krishna Upadhya of Johns Hopkins Children’s Center says; “I would say you need to use both…this method is going to be great for protecting you from pregnancy but it’s not going to do anything to protect you from sexually transmitted diseases.” Nearly half of all teens are sexually active during high school and about 750,000 become pregnant each year. More than 80% of those pregnancies are unplanned.

Please see the below link for the news broadcast featuring our own Dr. Krishna Upadhya’s expert opinion on adolescent birth control methods.

http://www.foxbaltimore.com/news/features/top-stories/stories/study-condoms-fail-teens-should-consider-implants-iuds-32247.shtml

Article About Trayvon Martin

July 25, 2013

Dear SAHM-

     Trayvon Martin could have been our patient. In our office, separate from his peers, and in the context of his family, we would have had the opportunity to look for his strengths and to encourage his development. We would have understood the cell phone attached to his hand, his use of social media, his style of dress, and his experimentation with identities and risks, to be normal and expected parts adolescent development even as we worked to ensure that those things did not interfere with his likelihood of becoming a healthy, autonomous adult. With his parents we would also have been able to discuss his transition through puberty and adolescence and the potential strategies for raising resistance and building resilience and skills for the adult world he was planning to enter. This is the privilege we have as adolescent health providers.

     Along with great privilege; however, comes great responsibility. We work with youth because the rewards of connecting with young people and helping them grow are immense. But, the relationships and perspectives we gain from working with youth one-on-one will not change the more commonly held societal perceptions about them unless we also fulfill our obligation to advocate on their behalf. Unfortunately, it is too often those societal assumptions about youth, particularly those from African American communities, which shape and limit their opportunities.

     In order to fulfill our mission to help all youth become healthy adults, we must do more to influence the perception of the broader community about young people, and particularly African American boys and young men. As an organization of leaders committed to “promoting optimal health and well-being for adolescents and young adults,” and being the “authoritative voice” for dissemination of new knowledge for effective advocacy on behalf of youth, we must acknowledge the well-documented explicit and implicit biases that have shaped public perception, distribution of resources, and discriminatory treatment of young African American males in the United States and how the behaviors associated with bias influences their longitudinal trajectories.

     Yes, there may be more to Trayvon’s story than we know. We do know, however, that an unarmed adolescent boy with a bag of skittles and a cell phone was killed, that the justice system could not adequately respond because gun access and use laws are flawed, that he is neither the first nor the only case, and that our window for advocacy is rapidly closing.

     Today’s adolescent and young adults are a part of the most diverse, educated, and technologically savvy generation that we have seen. They are optimistic, have different expectations for how our world operates, and have taken to the streets and the Internet across the nation to rally fellow Americans. With our support, they have the potential to reshape the painful history of discrimination woven into the fabric of American society. On Friday, President Obama acknowledged the pain of being profiled. He illustrates the potential outcome for every African American male youth in the United States when afforded the opportunity to achieve his fullest potential

     While SAHM members are busily pulling together workshops and scientific abstracts on brain development and social ecological models to debate Nature versus Nurture next year, it is important that we acknowledge existing historical, sociological, health, and behavioral research that expose the factors that led to the outcome experienced by Trayvon Martin. SAHM must do more on this issue and stand with teens and families to prevent future tragedies.

So, let’s put our hoodies on and get to work—-in the office, in the community, in the media, and in state and national legislatures.

 

Krishna Upadhya, MD, MPH, and

Maria Trent, MD, MPH, FSAHM

and colleagues of the
Johns Hopkins Health Disparities Leadership Education in Adolescent Health Program:

Hoover Adger Jr., MD, MPH, MBA. Errol Fields, MD, MPH, PhD. Lisa Garrett, BSN, RN. Nicholas Ialongo, PhD. Lana Lee, MD. Michael A. Lindsey, PhD, MSW, MPH. Arik Marcell, MD, MPH. Marylou Rosenblatt, RN, CPNP. Shonali Saha, MD. Renata Arrington Sanders, MD, MPH. Phyllis Sharps, PhD, RN, CNE, FAAN. Kathy Tomaszewski, RN, BSN