Abstract

Welcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance global health, promote research, and foster the prevention and treatment of disease worldwide. Its goals are to improve the health and well-being of all people, advance health equity, and promote wise stewardship of the earth's environment. The latest journal impact factor is 3.64.Annals of Global Health is supported by the Program for Global Public Health and the Common Good at Boston College. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health. Authors of articles accepted for publication in Annals of Global Health will be asked to pay an Article Publication Charge (APC) to cover publication costs. This charge can normally be sourced from your funder or institution. We are committed to supporting authors from all countries to publish their work in Annals of Global Health regardless of national income level, and to achieve this goal, we waive the Article Publication Charge for manuscripts where all authors are from low-income or lower-middle-income countries (as defined by the World Bank). From time to time, Annals of Global Health publishes Special Collections, a series of articles organized around a common theme in global health. Recent Special Collections have included “Strengthening Women’s Leadership in Global Health”, “Decolonizing Global Health Education”, and “Capacity Building for Global Health Leadership Training”. Global health workers interested in developing a Special Collection are strongly encouraged to contact the Managing Editor in advance to discuss the project.

Highlights

  • Females aged 15-19 are among the groups with the highest burden of STI and unintended pregnancy in the US

  • In California, STI and adolescent pregnancy are highest in counties along the US-Mexico border, including San Diego

  • Sexually active females (n1⁄420) aged 15-19 were recruited from an urban health clinic in San Diego County to participate in qualitative interviews on STI and pregnancy risk

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Summary

Introduction

Females aged 15-19 are among the groups with the highest burden of STI and unintended pregnancy in the US. In California, STI and adolescent pregnancy are highest in counties along the US-Mexico border, including San Diego. While both pregnancy and STI are critical health threats, little is known regarding female adolescents’ perceived risks related to STI and pregnancy and how this informs their decisions to use contraceptives, including condoms. Perioperative mortality rates (POMR) serve as an important indicator for the quantification of risk for surgery and anesthesia. Pediatric POMR data is lacking in low and middle-

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