Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Hospital Visitor Policies in the Context of COVID-19: Ensuring Support & Promoting Health Equity for Laboring Patients

After working the night shift, Mandy, now five months pregnant, travels close to two hours on public transportation to make it to her prenatal appointments. The day before, I send her a text message with a reminder and ask whether she plans to get the gumbo special of the day or a grilled cheese with tomato from the hospital’s surprisingly delicious cafeteria. As a first-year medical student, I am participating in a program that trains me to provide additional support to a pregnant patient who I’m partnered ...

20 Years of Mifepristone: Medication Abortion in the Time of COVID

Despite 20 years of safety data, mifepristone—the first of two medications used in medication abortion—remains subject to ...

Treatment of Vulvar Pain: A Worthwhile Clinical Challenge

Many people experience sexual pain or dysfunction at various points throughout their lifetime, and women’s sexual pain conditions are often mis- or undiagnosed. A common pain ...

Human Trafficking: A Review for Healthcare Providers

Human trafficking is a global pandemic and gross violation of human rights. Healthcare providers are often the first group of professionals to interact with victims of human trafficking with over 88% of victims ...

Comprehensive Sex Education as Violence Prevention

It’s #SexEdForAll month, yet most people still believe sex education is just about sex. But it’s so much more than that. As a young woman from rural Appalachia, I’m well aware that until people learn what sex education truly is, it won’t be widely accepted in our society. That’s why I created the Sexuality ...

Abortion During the COVID-19 Pandemic

The 1973 Roe v. Wade United States (US) Supreme Court case resulted in the historic decision that the US Constitution protects a person’s liberty to choose to have an abortion in private consultation with one’s clinician. Since that time patients and medical providers have had to continue to fight for access to abortion throughout this country. In the years since Roe v. Wade, over 1,000 abortion ...

Contraception During the COVID-19 Pandemic

We know that many barriers to accessing safe, equitable, and effective contraception exist at individual, institutional, and societal levels. These include things such as lack of insurance, inability to get a timely appointment, difficulty taking time off from work or childcare, and required (but not evidence-based) pelvic exams or other pre-requisites. Unfortunately, the COVID-19 pandemic is heightening many of these existing ...

A Second, Silent Pandemic: Sexual Violence in the time of COVID-19

What happens when “safer-at-home” doesn’t apply to everyone? NOTE: The term sexual violence refers to crimes like sexual assault, rape, and sexual abuse, which can be perpetrated by anyone. Domestic violence includes emotional, physical, and/or sexual harm by a current or former intimate partner. Research into the specific types of violence ...

Health Equity Through the Lenses of Intersectionality and Allostatic Load

Although the term health equity is widely used, a common understanding of this term is lacking. Viewing health equity through the lenses of allostatic load and intersectionality could help. This blog post considers three case scenarios, all of which are composites of actual cases that have occurred within the United States, to explore ideas of health equity related to intersectionality and the concept of allostatic load. Case 1 A young, black woman was admitted to Labor & Delivery and progressing well in her own labor. Shortly after ...
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