Cynthia C Harper
Biographic Data
| ID | 2403195 |
|---|---|
| NAME | Cynthia C Harper |
| GIVEN NAMES | Cynthia C |
| FAMILY NAME | Harper |
| SIGNATURE | HARPER C C |
| AFFILIATIONS | University of California, San Francisco |
| ORCID | 0000-0002-5587-6398 |
| VERIFIED | Yes |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 103 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Provider perspectives on telehealth for contraceptive care
Training providers to improve access to emergency contraception in abortion ban states in the U.S.
Social influence on women's contraceptive use
Myriad barriers impede women's access to contraception in Uganda and affect their reproductive autonomy. Almost half of married women of reproductive age in Uganda want to avoid pregnancy and one-third are undecided, yet only 38% use modern contraception. Interventions harnessing the influence of women's social networks may help to overcome these barriers and support desired contraceptive use. Using population-based longitudinal, socio-centric ne…
A qualitative study of abortion decision-making trajectories among pregnant women at their first antenatal care visit in Kampala, Uganda
Background: In Uganda, only about half of women who want to avoid pregnancy are using modern contraceptives, leading to high numbers of unintended pregnancies and elevated maternal and neonatal morbidity and mortality. In this study, we aimed to learn more about women's abortion decision-making before continuing to carry a pregnancy. Methods: We utilised a qualitative study design and interviewed 31 purposively selected single and partnered pregn…
The Role of Health Networks in Disseminating Knowledge about Infant HIV Testing in Rural Uganda
Early testing of infants exposed to HIV can significantly decrease mortality for those linked to HIV treatment. Infants exposed to HIV should first be tested at 6 weeks of age, but only 60% are tested as recommended. Little research has focused on the role of social networks in disseminating information about infant HIV testing. We conducted a cross-sectional, sociocentric network study of all adults living in a rural parish in Uganda (N=1,383) a…
Measuring a Critical Component of Contraceptive Decision Making
The psychometrically robust Concerns instrument can be used in research to measure autonomous contraceptive decision-making and to design person-centered care
She should support me, she's my doctor
Most participants were aware of their agency during contraceptive visits and how it varied in different experiences with providers and the healthcare system. Patient perspectives can help to inform measurement development and ultimately the delivery of care that supports contraceptive agency
Telehealth for Contraceptive Services During the Covid-19 Pandemic
The pandemic significantly impacted contraceptive health care delivery. Telehealth has sustained access to contraception in important ways, but has been accompanied by various challenges, including technological access and confidentiality. As hybrid models of care evolve, it is important to assess how telehealth can play a role in providing contraceptive care while addressing its barriers
The association between men’s family planning networks and contraceptive use among their female partners
Whether men have a FP network, be it provider or social ties, distinguishes if couples are using contraception. Interventions should focus on reaching men not only through providers but also through their social ties to foster communication and support for contraceptive use
Concerns About the Cost of Contraception Among Young Women Attending Community College
Educating men about vaginal microbicides
Men desire to be involved in their partner's decision-making about vaginal microbicide use. This coincides with women's desire to inform male partners about their microbicide use. Educating men about microbicides may enhance acceptability and generate critical support for the female participants of microbicide trials. In this multiphase mixed-methods study, we adapted an educational intervention on vaginal microbicides and tested it among men (n …
The Fine Line Between Informing and Coercing
Providers try to promote their young patients' autonomous decision making, but their support for high-efficacy methods can result in coercive practices. More training is needed to ensure that providers employ patient-centered counseling approaches, including honoring patient requests for removals
Do home pregnancy tests bring women to community health workers for antenatal care counselling? A randomized controlled trial in Madagascar
Task-shifting the provision of pregnancy tests to community health workers (CHWs) in low-resource settings has the potential to reach significantly more underserved women at risk of pregnancy with essential reproductive health services. This study assessed whether an intervention to supply CHWs with home pregnancy tests brought more clients for antenatal care (ANC) counselling. We implemented a randomized controlled trial among CHWs providing rep…
Barriers to postpartum contraception
Timely use of contraception in the postpartum year is critical for pregnancy spacing, which protects a mother's health and improves her ability to care for children. This qualitative study explored contraceptive decision-making among postpartum women in Nairobi, Kenya, with a focus on accounts of how women overcame barriers to postpartum contraceptive use. Focus groups (n = 61) and in-depth interviews (n = 30) explored experiences, barriers and a…
Pregnancy Intentions, Contraceptive Knowledge And Educational Aspirations Among Community College Students
Many community college students not desiring pregnancy have limited awareness of pregnancy risk and prevention
Current and past depressive symptoms and contraceptive effectiveness level method selected among women seeking reproductive health services
Public Funding for Contraception, Provider Training, and Use of Highly Effective Contraceptives
Objectives. We determined whether public funding for contraception was associated with long-acting reversible contraceptive (LARC) use when providers received training on these methods. Methods. We evaluated the impact of a clinic training intervention and public funding on LARC use in a cluster randomized trial at 40 randomly assigned clinics across the United States (2011–2013). Twenty intervention clinics received a 4-hour training. Women aged…
Psychosocial factors and pre-abortion psychological health
Provider Opinions Regarding Expanding Access to Hormonal Contraception in Pharmacies
Exploring Young Adults' Contraceptive Knowledge and Attitudes
Young Women's Perceptions of the Benefits Of Childbearing
To better assess pregnancy risk among young women wanting to avoid pregnancy, it may be useful to acknowledge that they hold not only explicit pregnancy desires, but also beliefs about the benefits of childbearing, which may influence sexual behavior and pregnancy
Counseling for IUDs and Implants
Even in clinics that specialize in reproductive health care, health educators are less likely than clinicians to apply current evidence-based criteria in counseling about LARC. To provide evidence-based contraceptive counseling, health educators need training on LARC eligibility and indications
Sometimes they used to whisper in our ears”
Providers were generally positive about the implications of abortion legalization for the country and for women. A focus on family planning and post-abortion counselling may be welcomed by providers concerned about multiple abortions. Some of the negative judgments of women held by providers could be tempered through values-clarification training, so that women are supported and comfortable sharing their abortion history, improving the quality of…
Postabortion Contraception
Despite evidence about the safety and cost-effectiveness of postabortion LARC provision, many clinics are not offering it because of financial and logistical concerns, resulting in missed opportunities for preventing repeat unintended pregnancies
Do Racial and Ethnic Differences in Contraceptive Attitudes and Knowledge Explain Disparities In Method Use
Providing basic information about effective methods might help to decrease ethnic disparities in use. Research should examine other variables that might account for these disparities, including health system characteristics and provider behavior
Father Absence and Youth Incarceration
This study measured the likelihood of youth incarceration among adolescent males from father‐absent households, using data from the National Longitudinal Survey of Youth ( N= 34,031 person‐years). At baseline, the adolescents ranged from 14 to 17 years, and the incarceration outcome measure spanned ages 15 to 30 years. This study tested whether risk factors concentrated in father‐absent households explained the apparent effects of father absence.…
Do Racial and Ethnic Differences in Contraceptive Attitudes and Knowledge Explain Disparities In Method Use
Providing basic information about effective methods might help to decrease ethnic disparities in use. Research should examine other variables that might account for these disparities, including health system characteristics and provider behavior
Psychosocial factors and pre-abortion psychological health
Young Women's Perceptions of the Benefits Of Childbearing
To better assess pregnancy risk among young women wanting to avoid pregnancy, it may be useful to acknowledge that they hold not only explicit pregnancy desires, but also beliefs about the benefits of childbearing, which may influence sexual behavior and pregnancy
The Fine Line Between Informing and Coercing
Providers try to promote their young patients' autonomous decision making, but their support for high-efficacy methods can result in coercive practices. More training is needed to ensure that providers employ patient-centered counseling approaches, including honoring patient requests for removals
Adolescent Clinic Visits for Contraception
Pregnancy prevention programs and counseling protocols that integrate supportive networks for teenagers into contraceptive services may help adolescents to use effective methods
Public Funding for Contraception, Provider Training, and Use of Highly Effective Contraceptives
Objectives. We determined whether public funding for contraception was associated with long-acting reversible contraceptive (LARC) use when providers received training on these methods. Methods. We evaluated the impact of a clinic training intervention and public funding on LARC use in a cluster randomized trial at 40 randomly assigned clinics across the United States (2011–2013). Twenty intervention clinics received a 4-hour training. Women aged…
She should support me, she's my doctor
Most participants were aware of their agency during contraceptive visits and how it varied in different experiences with providers and the healthcare system. Patient perspectives can help to inform measurement development and ultimately the delivery of care that supports contraceptive agency
Pregnancy Intentions, Contraceptive Knowledge And Educational Aspirations Among Community College Students
Many community college students not desiring pregnancy have limited awareness of pregnancy risk and prevention
Postabortion Contraception
Despite evidence about the safety and cost-effectiveness of postabortion LARC provision, many clinics are not offering it because of financial and logistical concerns, resulting in missed opportunities for preventing repeat unintended pregnancies
Abstinence and Teenagers
Overall, providers did not give abstinence counseling as a rigid categorical concept in their preventive practices, but as a health tool to give agency to teenagers within a harm reduction framework. Their approach may be informative for adolescent policies and programs in the future
Counseling for IUDs and Implants
Even in clinics that specialize in reproductive health care, health educators are less likely than clinicians to apply current evidence-based criteria in counseling about LARC. To provide evidence-based contraceptive counseling, health educators need training on LARC eligibility and indications
The Other Half of the Equation
CONTEXT Efforts to improve reproductive health typically target women. Family planning agencies serving high-risk young women may be particularly suited to integrating young men in their health promotion efforts. METHODS In 2001, a family planning clinic in San Francisco serving primarily young women opened a male clinic as part of a male involvement program that includes education and outreach components. Client volume was assessed by reviewing …
The Other Half of the Equation
Increasing capacity within the female reproductive health model to serve males is feasible. To reach at-risk males, "in-reach" efforts with female clients may be as important as targeted outreach efforts
Adolescent Clinic Visits for Contraception
Pregnancy prevention programs and counseling protocols that integrate supportive networks for teenagers into contraceptive services may help adolescents to use effective methods
Father Absence and Youth Incarceration
This study measured the likelihood of youth incarceration among adolescent males from father‐absent households, using data from the National Longitudinal Survey of Youth ( N= 34,031 person‐years). At baseline, the adolescents ranged from 14 to 17 years, and the incarceration outcome measure spanned ages 15 to 30 years. This study tested whether risk factors concentrated in father‐absent households explained the apparent effects of father absence.…
Trends in knowledge of emergency contraception among women in California, 1999–2004
Contraceptive decision-making in sexual relationships
Much attention has been focused on efforts to reduce unintended pregnancy by improving contraceptive use among high-risk women; however, there is limited information to guide interventions to engage young men in contraceptive decision-making. We conducted focus groups of young men, aged 19-26, from diverse racial backgrounds from low-income communities in the San Francisco Bay Area to examine social norms about sexual relationships and how they i…
Abstinence and Teenagers
Overall, providers did not give abstinence counseling as a rigid categorical concept in their preventive practices, but as a health tool to give agency to teenagers within a harm reduction framework. Their approach may be informative for adolescent policies and programs in the future
Clients' Perceptions of the Quality of Care in Mexico City's Public-Sector Legal Abortion Program
CONTEXT: In 2007, first-trimester abortion was legalized in Mexico City. Limited research has been conducted to understand clients' perceptions of the abortion services available in public-sector facilities. METHODS: Perceptions of quality of care were measured among 402 women aged 18 or older who had obtained abortions at any of three public-sector sites in Mexico City in 2009. Six domains of quality of care (client-staff interaction, informatio…
Willingness of Clinicians to Integrate Microbicides into HIV Prevention Practices in Southern Africa
Sociodemographic Factors Associated With Obstacles to Abortion Care
Increased Use of Intrauterine Contraception in California, 1997 to 2007
Sex-Selective Abortion in Nepal
Sometimes they used to whisper in our ears”
Providers were generally positive about the implications of abortion legalization for the country and for women. A focus on family planning and post-abortion counselling may be welcomed by providers concerned about multiple abortions. Some of the negative judgments of women held by providers could be tempered through values-clarification training, so that women are supported and comfortable sharing their abortion history, improving the quality of…
Postabortion Contraception
Despite evidence about the safety and cost-effectiveness of postabortion LARC provision, many clinics are not offering it because of financial and logistical concerns, resulting in missed opportunities for preventing repeat unintended pregnancies
Do Racial and Ethnic Differences in Contraceptive Attitudes and Knowledge Explain Disparities In Method Use
Providing basic information about effective methods might help to decrease ethnic disparities in use. Research should examine other variables that might account for these disparities, including health system characteristics and provider behavior
Young Women's Perceptions of the Benefits Of Childbearing
To better assess pregnancy risk among young women wanting to avoid pregnancy, it may be useful to acknowledge that they hold not only explicit pregnancy desires, but also beliefs about the benefits of childbearing, which may influence sexual behavior and pregnancy
Counseling for IUDs and Implants
Even in clinics that specialize in reproductive health care, health educators are less likely than clinicians to apply current evidence-based criteria in counseling about LARC. To provide evidence-based contraceptive counseling, health educators need training on LARC eligibility and indications
Exploring Young Adults' Contraceptive Knowledge and Attitudes
Provider Opinions Regarding Expanding Access to Hormonal Contraception in Pharmacies
Public Funding for Contraception, Provider Training, and Use of Highly Effective Contraceptives
Objectives. We determined whether public funding for contraception was associated with long-acting reversible contraceptive (LARC) use when providers received training on these methods. Methods. We evaluated the impact of a clinic training intervention and public funding on LARC use in a cluster randomized trial at 40 randomly assigned clinics across the United States (2011–2013). Twenty intervention clinics received a 4-hour training. Women aged…
Psychosocial factors and pre-abortion psychological health
Barriers to postpartum contraception
Timely use of contraception in the postpartum year is critical for pregnancy spacing, which protects a mother's health and improves her ability to care for children. This qualitative study explored contraceptive decision-making among postpartum women in Nairobi, Kenya, with a focus on accounts of how women overcame barriers to postpartum contraceptive use. Focus groups (n = 61) and in-depth interviews (n = 30) explored experiences, barriers and a…
Pregnancy Intentions, Contraceptive Knowledge And Educational Aspirations Among Community College Students
Many community college students not desiring pregnancy have limited awareness of pregnancy risk and prevention
Current and past depressive symptoms and contraceptive effectiveness level method selected among women seeking reproductive health services
Do home pregnancy tests bring women to community health workers for antenatal care counselling? A randomized controlled trial in Madagascar
Task-shifting the provision of pregnancy tests to community health workers (CHWs) in low-resource settings has the potential to reach significantly more underserved women at risk of pregnancy with essential reproductive health services. This study assessed whether an intervention to supply CHWs with home pregnancy tests brought more clients for antenatal care (ANC) counselling. We implemented a randomized controlled trial among CHWs providing rep…
Medicine (33 works) · Population (28 works) · Reproductive Health and Contraception (25 works) · Family medicine (24 works) · Family planning (23 works) · Adolescent Sexual and Reproductive Health (21 works) · Global Maternal and Child Health (20 works) · Environmental health (19 works) · Nursing (15 works) · Demography (14 works)