Roger Rochat
Datos Biográficos
| ID | 3573416 |
|---|---|
| NOMBRE | Roger Rochat |
| NOMBRES | Roger |
| APELLIDO | Rochat |
| FIRMA | ROCHAT R |
| AFILIACIONES | Emory University |
| ORCID | 0000-0001-6641-9291 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 67 |
| TOTAL DE CITAS | 134 |
| TOTAL COMO AUTOR | 67 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1971 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 7 |
The influence of the expanded Global Gag Rule on Malawi’s sexual and reproductive health and rights landscape
INTRODUCTION: The Global Gag Rule (GGR) prohibits non-governmental organisations receiving US international family planning funding from using these funds to provide or refer for abortion services or advocate for abortion law liberalisation. In 2017, President Trump renamed the policy Protecting Life in Global Health Assistance (PLGHA) and expanded it to all US global health assistance funding. On 28 January 2021, President Biden revoked PLGHA. L…
Barriers to abortion access for young southerners
Young people in the U.S. Southeast navigate a constellation of legal, systemic and social barriers for abortion care. We identified and described barriers to abortion access experienced by young Southerners who sought abortion funding and the context they navigate to do so. We conducted a secondary qualitative data analysis of case notes from people ages 21 and under who resided in six Southeastern states and contacted ARC-Southeast for support b…
Labor and Delivery Unit Closures in Rural Georgia from 2012 to 2016 and the Impact on Black Women
No One Does This for the Money or Lifestyle”
Our recommendations for provider recruitment and retention include cooperation between professional organizations, training programs, and healthcare institutions to create opportunities for training and networking and encourage abortion-supportive organizational and policy environments
Supporting Staff in Southern Family Planning Clinics
Study findings provide key areas for intervention including providing development opportunities, commitment from leadership to recognize and invest in staff and supporting self-care. Focusing on ensuring internal organizational justice for staff may also facilitate resilience to external challenging environments. Better supporting clinic staff is likely also important for quality services and ensures the full workforce involved in providing famil…
“I’d Rather Use a Refuse Bag
Influences on Women’s Care Seeking at Planned Parenthood Health Centers in Two Southern States
Racial and Ethnic Abortion Disparities Following Georgia's 22-Week Gestational Age Limit
Context matters
Integrated Family Planning and Routine Child Immunization Services in Benin
Comparison of Women from Georgia and Contiguous States Who Obtained Abortions in Georgia, 1994–2016
Women from neighboring states seek abortions in Georgia later in gestation and may therefore lack affordable, safe, early abortion care in their home states. Understanding trends in travel for abortion can allow providers and policymakers to better respond to the needs of patients
Abortion Trends in Georgia Following Enactment of the 22-Week Gestational Age Limit, 2007–2017
Objectives. To measure trends before, during, and after implementation of Georgia House Bill 954, a limit on abortion at 22 or more weeks of gestation passed in 2012, in total abortions and abortions by gestational age and state residence. Methods. We analyzed aggregate year-level induced termination of pregnancy data from the Georgia Department of Public Health from 2007 to 2017. We used linear regression to describe annual trends in the number …
Gender equality in global health leadership
Women comprise two-thirds of the global-health (GH) workforce but are underrepresented in leadership. GH departments are platforms to advance gender equality in GH leadership. Using a survey of graduates from one GH department, we compared women's and men's post-training career agency and GH employment and assessed whether gender gaps in training accounted for gender gaps in career outcomes. Master-of-Public-Health (MPH) and mid-career-fellow alu…
Associations Between Hospital Maternal Service Level and Delivery Outcomes
Is Abortion Included in Maternal and Child Health Curricula in the United States
“It's a Race Against the Clock”
CONTEXT: In 2006, the Colombian Constitutional Court issued a decision largely decriminalizing abortion; however, illegal abortion persists. Understanding the barriers that cause women to resort to unsafe, illegal abortions could help improve access to legal services. METHODS: In-depth interviews were conducted in 2014 with 17 women aged 18 or older who had had legal abortions in the past year in Bogotá, Colombia, to identify barriers to abortion…
Public health implications of complex emergencies and natural disasters
CEs had greater odds of being associated with outbreaks compared with NDs. Moreover, CEs had high odds of a vaccine-preventable disease causing that outbreak. Focusing on better vaccine coverage could reduce CE-associated morbidity and mortality by preventing outbreaks from spreading
Physician opinions concerning legal abortion in Bogotá, Colombia
Since the decriminalisation of abortion in 2006, women in Colombia have continued to seek clandestine abortions, endangering their health and contributing to maternal mortality and morbidity. The goal of this study was to explore physicians' opinions towards and knowledge about legal abortion in Bogotá, Colombia, and key barriers to the legal abortion access. We conducted 13 key informant interviews followed by a survey with a probability sample …
Understanding Female Condom Use and Negotiation Among Young Women in Cape Town, South Africa
CONTEXT: In most countries, female condoms are not widely available and uptake has been slow. More information is needed on how women and men successfully negotiate female condom use. METHODS: In-depth interviews were conducted at two sites in Cape Town, South Africa, with 14 women and 13 men who had used female condoms. A structured interview guide was used to elicit information on how women negotiate female condom use, and how male partners neg…
“The Fetus Is My Patient, Too”
CONTEXT: In 2006, the Colombian Constitutional Court partially decriminalized abortion. However, barriers to access, including improper use of conscientious objection, remain. METHODS: To explore conscientious objection from the objectors' perspectives, in-depth interviews were conducted in 2014 with 13 key informants and with 15 Colombian physicians who self-identified as conscientious objectors. Recruitment included snowball and purposive sampl…
Georgia Maternal and Infant Health Research Group (GMIHRG)
Working Towards Safe Motherhood
Bridging the Gaps in Obstetric Care
Obstetric Provider Trainees in Georgia
Commentary on Obstetric Care in Rural Georgia
Trends in the incidence of breastfeeding for Hispanics of Mexican origin and Anglos on the US-Mexico border
In 1979 the Centers for Disease Control conducted a household probability survey of reproductive aged women living in 51 selected US countries on the US-Mexico border. Information on the incidence of breastfeeding for the period 1971-1979 was analyzed on 345 Anglo women and 689 Hispanic women of Mexican origin. Results indicated that the Anglos are following the national trend of increased breastfeeding, but Hispanics show no indication of an inc…
No fathers' names
The underregistration of neonatal deaths
We reviewed the neonatal outcome of 3,369 infants who weighed less than or equal to 1500 grams and who were born in Georgia during the years 1974--76. We matched 1,465 of these infants with a death certificate registered in the State's Vital Records. Upon review of the hospital records of the remaining infants, we identified 453 infants that died during the neonatal period without a death certificate being registered. Subsequently, we compared th…
Differences Between Mistimed and Unwanted Pregnancies Among Women Who Have Live Births
CONTEXT: Mistimed and unwanted pregnancies that result in live births are commonly considered together as unintended pregnancies, but they may have different precursors and outcomes METHODS: Data from 15 states participating in the 1998 Pregnancy Risk Assessment Monitoring System were used to calculate the prevalence of intended, mistimed and unwanted conceptions, by selected variables. Associations between unintendedness and women's behaviors an…
Lung cancer mortality and smoking habits
Lung cancer mortality was reported to be higher among Mexican-American women as compared with Anglo women from 1950 until 1970; however, smoking habits of Mexican-American women have not been adequately described. This study updates lung cancer mortality data in Texas, describes smoking patterns of 1,255 Mexican-American women from a household survey in the four states bordering Mexico, and compares these findings to a reference group of Anglo wo…
Maternal Mortality in Addis Ababa, Ethiopia
An assessment of the incidence of maternal mortality in the United States
Recent studies in several states have found that the incidence of maternal mortality is higher than traditional vital statistics reports indicate. Since no comprehensive national study has been done to evaluate the completeness of maternal mortality ascertainment through the national vital statistics reporting system, the Centers for Disease Control (CDC) undertook such a study with the assistance of the National Center for Health Statistics and …
Proximate Determinants of Fertility and Policy Implications in Beijing
Data from a 1982 sample survey of 3,830 married women below age 50 in a district of Beijing City are applied to the Bongaarts model of the proximate determinants of fertility. A total fertility rate (TFR) of 0.75 births per woman is estimated from the model, compared with a TFR of 1.24 actually observed from the survey. The estimated TFR (0.75) results from the assumed total fecundity (TF) of 15.30 births per woman being inhibited by the indexes …
The risk of childbearing re-evaluated
To determine the completeness of reporting of maternal deaths after live born deliveries in Georgia for 1975 and 1976, we matched death certificates with corresponding birth certificates for women of reproductive age. For these two years, more intensive searching led to our finding a minimum of a 27 per cent higher number of maternal deaths than that found by routine death certificate surveillance. When the delivery-death interval was not restric…
Induced Abortion in a Rural Area of Bangladesh
Mortality rates from indigenous abortion practices have not been described previously. From September 1982 to August 1983, traditional birth attendants, under medical supervision, collected data on all identifiable pregnant women and pregnancy outcomes in a geographically defined population in rural Bangladesh. Of 9,906 pregnancies, 9,317 ended in live birth, 412 in induced abortion, and 177 in spontaneous abortion. All abortions were induced by …
The health impact of restricting public funds for abortion. October 10, 1977--June 10, 1978
The Center for Disease Control (CDC), Atlanta, Georgia implemented an eight-month prospective surveillance system in 24 hospitals distributed among states with and without public funding for abortion. Out of 3,157 visits for abortion-related complications, only 10 women gave a history of non-physician or self-induced abortion and none were Medicaid recipients. The small number of hospitals located in non-funded states and the smaller numbers of w…
Differences in the risk of homicide and other fatal injuries between postpartum women and other women of childbearing age
OBJECTIVES: This study compared injury deaths between postpartum women and other women aged 15 to 44. METHODS: Risk ratios and 95% confidence intervals (CIs) were computed for injury fatality rates. RESULTS: Fifty percent (29/58) of postpartum injury deaths were homicides, compared with 26% (427/1648) of injury deaths among nonpregnant, nonpostpartum women. For females aged 15 to 19, the homicide rate was 2.6 times higher (95% CI = 1.17, 5.95) fo…
Contraceptive sterilization in Puerto Rico
For twenty years Puerto Rico has had the world’s highest prevalence of sterilization. From the 1982 Puerto Rico Fertility and Family Planning Assessment we examine whether the probability of obtaining sterilization is changing and what impact sterilization has on fertility, finding that the use of contraceptive sterilization has not declined and will probably continue to increase in Puerto Rico. Nonuse rather than temporary methods of contracepti…
Reproductive Mortality in Lusaka, Zambia, 1982-1983
In this study, age- and parity-specific birth data were used to estimate maternal mortality rates for 1982-83 at University Teaching Hospital in Lusaka, Zambia. Overall, 60 maternal deaths occurred during pregnancy or within 42 days after pregnancy termination, and four pregnancy-related deaths occurred more than 42 days after pregnancy termination. Nine of the 60 maternal deaths were caused by induced abortion, one by spontaneous abortion, twelv…
Quality assessment of fetal death records in Georgia
OBJECTIVES: Although more fetal deaths than neonatal deaths occur, routinely collected fetal death data are seldom used for perinatal epidemiologic research because of data quality concerns. We developed a strategy for identifying and correcting errors in birthweight and gestational age in fetal death records. METHODS: Using data from Georgia for 1989 and 1990, we detected singleton fetal death records having improbable or missing birthweight or …
Abortion Trends in Georgia Following Enactment of the 22-Week Gestational Age Limit, 2007–2017
Objectives. To measure trends before, during, and after implementation of Georgia House Bill 954, a limit on abortion at 22 or more weeks of gestation passed in 2012, in total abortions and abortions by gestational age and state residence. Methods. We analyzed aggregate year-level induced termination of pregnancy data from the Georgia Department of Public Health from 2007 to 2017. We used linear regression to describe annual trends in the number …
Differences Between Mistimed and Unwanted Pregnancies Among Women Who Have Live Births
CONTEXT: Mistimed and unwanted pregnancies that result in live births are commonly considered together as unintended pregnancies, but they may have different precursors and outcomes METHODS: Data from 15 states participating in the 1998 Pregnancy Risk Assessment Monitoring System were used to calculate the prevalence of intended, mistimed and unwanted conceptions, by selected variables. Associations between unintendedness and women's behaviors an…
Maternal cigarette smoking and invasive meningococcal disease
OBJECTIVES: This study assessed the association between maternal cigarette smoking during pregnancy and the risk of invasive meningococcal disease during early childhood. METHODS: Using a retrospective cohort study design, cases from an active surveillance project monitoring all invasive meningococcal disease in the metropolitan Atlanta area from 1989 to 1995 were merged with linked birth and death certificate data files. Children who had not die…
Decision Analysis for Assessing the Impact of Female Sterilization in Bangladesh
Bangladesh has the highest population density of any large country in the world and a population that continues to expand at a yearly rate of 2.5 percent. Sterilization has been the focus of the government's efforts to reduce the number of unwanted births and slow the growth rate: 159,000 women were sterilized in Bangladesh from July 1979 to June 1980,1 and a goal of 3.4 million sterilizations of men and women over the next five years has been se…
An epidemiological analysis of abortion in Georgia
An epidemiological analysis of abortion in Georgia. R W Rochat, C W Tyler, Jr, and A K SchoenbucherCopyRight https://doi.org/10.2105/AJPH.61.3.543 Published Online: August 29, 2011
An epidemiological analysis of abortion in Georgia
An epidemiological analysis of abortion in Georgia. R W Rochat, C W Tyler, Jr, and A K SchoenbucherCopyRight https://doi.org/10.2105/AJPH.61.3.543 Published Online: August 29, 2011
Pap Smear Screening
The decline in the cervical cancer mortality rate in the U.S. over the last 20 years is generally assumed to be due to the widespread use of the Papanicolaou test for the early detection of cervical cancer. An analysis of trends in the cervical cancer mortality rate for blacks in the U.S. lead to the conclusion that the decrease in the rate observed prior to 1965 was due in large measure to an increase in the surgical removal of the cervix for re…
Sterilization Failures in Singapore
The University Department of Obstetrics and Gynecology, Kandang Kerbau Hospital in Singapore, initiated a study in early 1974 of failure rates for various methods of sterilization and the factors responsible for the failures. During the period January 1974 to March 1976, 51 cases of first pregnancy following ligation were discovered. Cumulative failure rates at 24 months were 0.34 per 100 women for abdominal sterilization, 1.67 for culdoscopic, 3…
The health impact of restricting public funds for abortion. October 10, 1977--June 10, 1978
The Center for Disease Control (CDC), Atlanta, Georgia implemented an eight-month prospective surveillance system in 24 hospitals distributed among states with and without public funding for abortion. Out of 3,157 visits for abortion-related complications, only 10 women gave a history of non-physician or self-induced abortion and none were Medicaid recipients. The small number of hospitals located in non-funded states and the smaller numbers of w…
Sensitive Questions about Foreign Aid for Abortion
that is because lay people have never had such an opportunity. They have to learn that they have a legitimate, important role as active partners in establishing the contract (covenant) between the professional and the rest of us. The current AMA principles, as sound as they are, can be no more than a private agreement among AMA members unless the rest of us participate in drawing up the agreement
The underregistration of neonatal deaths
We reviewed the neonatal outcome of 3,369 infants who weighed less than or equal to 1500 grams and who were born in Georgia during the years 1974--76. We matched 1,465 of these infants with a death certificate registered in the State's Vital Records. Upon review of the hospital records of the remaining infants, we identified 453 infants that died during the neonatal period without a death certificate being registered. Subsequently, we compared th…
The risk of childbearing re-evaluated
To determine the completeness of reporting of maternal deaths after live born deliveries in Georgia for 1975 and 1976, we matched death certificates with corresponding birth certificates for women of reproductive age. For these two years, more intensive searching led to our finding a minimum of a 27 per cent higher number of maternal deaths than that found by routine death certificate surveillance. When the delivery-death interval was not restric…
Attitudes of Rural Bangladesh Physicians toward Abortion
The law in Bangladesh forbids abortion except to save a womans life. To determine the degree to which rural physicians in Bangladesh support the law this study surveyed the attitudes toward abortion of 376 physicians in rural health care centers. Virtually all of those interviewed (98.9%) indicated that they support the use of abortion in 1 or more circumstances not approved by the law. These attitudes and those of respondents in other surveys in…
Contraceptive sterilization
Prior to the U.S.‐Mexico Border Survey of Maternal and Child Health and Family Planning conducted by the Centers for Disease Control in 1979, little information was available about the extent to which Mexican‐Americans in the U.S., relative to Anglos, were using male and female sterilization for contraceptive reasons. This paper compares Mexican‐Americans and Anglos for (a) prevalence of contraceptive sterilization; (b) social and demographic cha…
Family planning and abortion
In Tennessee between 1975 and 1978, birth rates among teenagers decreased while they increased among older age groups. This trend was unlike previous years and coincided temporally with the increased availability of legal abortion services in Tennessee and the special efforts to prevent unwanted pregnancies among teenagers. Increased use of family planning services was significantly associated with the drop in the fertility rate for Black teenage…
Trends in the incidence of breastfeeding for Hispanics of Mexican origin and Anglos on the US-Mexico border
In 1979 the Centers for Disease Control conducted a household probability survey of reproductive aged women living in 51 selected US countries on the US-Mexico border. Information on the incidence of breastfeeding for the period 1971-1979 was analyzed on 345 Anglo women and 689 Hispanic women of Mexican origin. Results indicated that the Anglos are following the national trend of increased breastfeeding, but Hispanics show no indication of an inc…
Lung cancer mortality and smoking habits
Lung cancer mortality was reported to be higher among Mexican-American women as compared with Anglo women from 1950 until 1970; however, smoking habits of Mexican-American women have not been adequately described. This study updates lung cancer mortality data in Texas, describes smoking patterns of 1,255 Mexican-American women from a household survey in the four states bordering Mexico, and compares these findings to a reference group of Anglo wo…
Decision Analysis for Assessing the Impact of Female Sterilization in Bangladesh
Bangladesh has the highest population density of any large country in the world and a population that continues to expand at a yearly rate of 2.5 percent. Sterilization has been the focus of the government's efforts to reduce the number of unwanted births and slow the growth rate: 159,000 women were sterilized in Bangladesh from July 1979 to June 1980,1 and a goal of 3.4 million sterilizations of men and women over the next five years has been se…
An assessment of the incidence of maternal mortality in the United States
Recent studies in several states have found that the incidence of maternal mortality is higher than traditional vital statistics reports indicate. Since no comprehensive national study has been done to evaluate the completeness of maternal mortality ascertainment through the national vital statistics reporting system, the Centers for Disease Control (CDC) undertook such a study with the assistance of the National Center for Health Statistics and …
Sterilization-associated deaths
Except for data from several geographically limited studies, little is known globally about the number and causes of death associated with surgical sterilization. To identify clinical characteristics and problems leading to deaths related to the procedures, the International Planned Parenthood Federation (IPPF) and the Centers for Disease Control (CDC) in the United States collaborated in a global mail survey of 4642 physicians. Usable responses …
Contraceptive sterilization in Puerto Rico
For twenty years Puerto Rico has had the world’s highest prevalence of sterilization. From the 1982 Puerto Rico Fertility and Family Planning Assessment we examine whether the probability of obtaining sterilization is changing and what impact sterilization has on fertility, finding that the use of contraceptive sterilization has not declined and will probably continue to increase in Puerto Rico. Nonuse rather than temporary methods of contracepti…
Maternal Mortality in Women Aged 35 Years or Older
To examine maternal mortality among women aged 35 years or older, we used death certificates from the United States for 1974 through 1978. There were 425 maternal deaths, corresponding to a mortality rate of 58.3 deaths per 100,000 live births. This rate was higher than the rate for women 20 through 34 years of age (race-adjusted relative risk [RR]=4.0; 95% confidence interval [CI], 3.6 to 4.4). The leading causes of death were obstetric hemorrha…
Induced Abortion in a Rural Area of Bangladesh
Mortality rates from indigenous abortion practices have not been described previously. From September 1982 to August 1983, traditional birth attendants, under medical supervision, collected data on all identifiable pregnant women and pregnancy outcomes in a geographically defined population in rural Bangladesh. Of 9,906 pregnancies, 9,317 ended in live birth, 412 in induced abortion, and 177 in spontaneous abortion. All abortions were induced by …
Maternal Mortality in Addis Ababa, Ethiopia
Reproductive Mortality in Lusaka, Zambia, 1982-1983
In this study, age- and parity-specific birth data were used to estimate maternal mortality rates for 1982-83 at University Teaching Hospital in Lusaka, Zambia. Overall, 60 maternal deaths occurred during pregnancy or within 42 days after pregnancy termination, and four pregnancy-related deaths occurred more than 42 days after pregnancy termination. Nine of the 60 maternal deaths were caused by induced abortion, one by spontaneous abortion, twelv…
Proximate Determinants of Fertility and Policy Implications in Beijing
Data from a 1982 sample survey of 3,830 married women below age 50 in a district of Beijing City are applied to the Bongaarts model of the proximate determinants of fertility. A total fertility rate (TFR) of 0.75 births per woman is estimated from the model, compared with a TFR of 1.24 actually observed from the survey. The estimated TFR (0.75) results from the assumed total fecundity (TF) of 15.30 births per woman being inhibited by the indexes …
Mortality associated with sterilization
Sterilization is the contraceptive method most widely used worldwide, yet the case-fatality rate of deaths attributable to sterilization is not known. We used data collected from 1971–1979 from 28 countries by Family Health International to estimate case-fatality rates. We adjusted these rates for individuals lost to follow-up. Of 41,834 sterilizations, 23 resulted in deaths temporally associated with the procedure used. The adjusted attributable…
Evaluation of an intervention to reduce playground hazards in Atlanta child-care centers
In 1988, we identified playground hazards at 58 child-care centers (CCCs) and intervened by showing the director the hazards and distributing safety information. In 1990, we evaluated the 58 intervention CCCs as well as 71 randomly selected control CCCs. Intervention centers had 9.4 hazards per playground; control centers had 8.0. We conclude that the intervention was ineffective
Two techniques for evaluating the accuracy of record linkages
Two techniques for evaluating the accuracy of record linkages. G W Griffin, J A Gaudino, and R RochatCopyRight https://doi.org/10.2105/AJPH.85.9.1294 Published Online: October 07, 2011
Prenatal Smoking in Two Consecutive Pregnancies
Medicine (62 obras) · Environmental health (43 obras) · Population (34 obras) · Pregnancy (32 obras) · Demography (28 obras) · Reproductive Health and Contraception (24 obras) · Global Maternal and Child Health (23 obras) · Family medicine (22 obras) · Family planning (22 obras) · Abortion (19 obras)