Roosa, Mark W.; Tein, Jenn-Yun; Reinholtz, Cindy; Angelini, Patricia Jo
Examined the sexual history of 2,003 young women to determine whether childhood sexual abuse contributed to a greater risk for teenage pregnancy. Results indicate that sexual abuse alone was not related to the incidence of teenage pregnancy, but sexual precocity was related to much higher incidences of teenage pregnancy. (RJM)
Prenatal care - teenage pregnancy ... the baby. If you decide to continue the pregnancy, it is important to have good prenatal care. ... trimester is the first 3 months of your pregnancy. During this time, you will have a prenatal ...
Bempechat, Janine; And Others
Drug and alcohol abuse and teenage pregnancy are two behaviors manifested by at-risk children that are both a cause and a result of their lack of success in school and possible subsequent dropping out. The distinction between substance use and abuse may be determined using the following criteria: (1) age of onset; (2) physiological responses; (3)…
McClellan, Mary C.
Reviews the problems of teenage pregnancy, including the costs to society, the challenge to educators, and the types of preventive programs developing across the country. Programs dealing strictly with reproduction and contraception are the least effective deterrents to teenage pregnancy. (MD)
Murdock, N H
Pregnancy among women under age 15 years is unusual, but not rare. About one third of the approximately 3 million total pregnancies which occur each year in the US are to teenagers. However, only about 30% of all pregnant adolescents receive adequate prenatal care, even though it is women in that age group who most need such care. Teen mothers have a higher rate of anemia and pregnancy-induced hypertension, most probably related to diet. Infants born to teen mothers are more likely to be premature and of low birth weight. Infants born to teen mothers are also more predisposed to mental retardation, brain damage, and birth injuries. Teen mothers are more likely to have poor weight gain, premature labor, abruptio placentae, and preeclampsia. The psychosocial reasons why teenage women become pregnant are considered, as well as the relevant media influences. While teenage pregnancy remains a major problem in the US, 1996 statistics indicate an overall 4% decline to 54.7 births/1000 among women aged 15-19 years. Teenage women need to be taught that there are many options in life other than pregnancy.
Molina Cartes, Ramiro; González Araya, Electra
Teen pregnancy is a social problem not resolved in developing and some developed countries. Adolescent fecundity has become the most exact bio-demographic and health indicator of development. In developing countries that are expected to follow the sexual behaviour patterns of developed countries, without offering the levels of education and services for adolescents, the consequences will be adolescent fecundity and STI prevalence increase. The ignorance about sexuality and reproduction both in parents, teachers and adolescents increases the early initiation of coital relations and of unwanted pregnancies. Extreme poverty and being the son or daughter of an adolescent mother are risk factors of repeating the early pregnancy model. The application of predictive risk criteria in pregnant adolescents to facilitate the rational use of Health Services to diminish the maternal and perinatal mortality is discussed as well as the social factors associated with adolescent pregnancy as socioeconomic levels, structure - types and characteristics of the family, early leaving school, schooling after delivery, female employment, lack of sexual education, parental and family attitudes in different periods of adolescent pregnancy, adolescent decisions on pregnancy and children, unstable partner relationship and adoption as an option. Social consequences are analyzed as: incomplete education, more numerous families, difficulties in maternal role, abandonment by the partner, fewer possibilities of having a stable, qualified and well-paid job, greater difficulty in improving their socioeconomic level and less probability of social advancement, lack of protection of the recognition of the child. Finally, based on evidence, some measures that can reduce adverse consequences on adolescent mothers, fathers and their children are suggested.
Mora-Cancino, María; Hernández-Valencia, Varcelino
In Mexico, 20% of the annual births are presented in women younger than 20 years old. Pregnancy in adolescents puts at risk mother and child health. This risk is major while the woman is younger, especially when the social and economic conditions are not favorable, which is decisive in later psychosocial development. It has been pointed out that the youths with low education, with minor academic and laboral expectations, with low self-esteem and assertiveness, tend to begin early their active sexual life, to use less frequently contraceptives, and in the case of younger women, to be pregnant, with the risk of abortion because they cannot to make the best decision. It is important to take into account the social context and the special characteristics of the family to understand situation of adolescent at risk of pregnancy.
The Teenage Pregnancy Independent Advisory Group (TPIAG) was established in 2000 to advise the government about reducing teenage pregnancy rates and supporting teenage parents to continue with their education. The group reached the end of its tenure in December 2010. This short article highlights some of the key issues from the final report and provides some insights into past achievements and future directions from an interview with Gill Frances, TPIAG's chair.
Paranjothy, S; Broughton, H; Adappa, R; Fone, D
In this review, we examine the epidemiology of teenage pregnancy (girls aged 15-17 years) in the UK and consider the evidence for its impact on the health and well-being of the mother, the baby, the father and society. There has been some decrease in the teenage pregnancy rate over the last decade in the UK but rates are still considerably higher than those in other European countries. Pregnancy and childbirth during the teenage years are associated with increased risk of poorer health and well-being for both the mother and the baby, possibly reflecting the socio-economic factors that precede early pregnancy and childbirth. There is little evidence concerning the impact of teenage fatherhood on health and future studies should investigate this. The effect on society is a perpetuation of the widening gap in health and social inequalities. Public health interventions should aim to identify teenagers who are vulnerable and support those who are pregnant with evidence based interventions such as teenage antenatal clinics and access to initiatives that provide support for early parenthood.
Consumer Health Information Program and Services (CHIPS), Carson, CA.
This unannotated bibliography lists 44 books on teenage pregnancy. Publisher, date, price and ISBN number are supplied in each instance. The list is divided into the following five sections: Reference; General; Parenthood; Sexuality; and Teen-Parent Relations. Two additional sections list five films and four pamphlets respectively. One of the…
Antecedent factors operative in the causation of adolescent pregnancy include: The sexuality of contemporary society, especially the media. Prolongation of educational any vocational preparation in industrialized western society. Normal physical maturation at an early age. Peer and social pressure. Low expectations of life among minority and economically poor individuals. The conspiracy of silence surrounding sexuality and the inability of society to admit and deal realistically with the sexual activity of adolescents. Failure to provide sex education, clarification of values, family-life education, preparation for parenthood, and knowledge of birth-control and family-planning services targeted to teenagers, including adolescent males. Psychological and emotional problems. Failure to provide available and accessible early pregnancy-detection services with adequate counseling and support services. Failure to provide abortion services. Failure to provide supportive services to adolescents who have a child in order to prevent repeated pregnancy. Pregnancy, childbearing, and motherhood represent ultimate feminine fulfillment to many in our society, and unless attainable expectations and desirable alternatives are available, adolescents will continue to see little reason to postpone pregnancy and childbearing.
The influence of cultural variables on teenage pregnancy is not clearly understood. In-depth interviews with 20 Native American Indian, 17 black and 18 white teenage women indicated intercultural differences in beliefs about: (1) prevention of pregnancy, (2) significance of becoming a mother at an early age and (3) kinds of support systems available to them within their social network. The implications of these differences for nursing care include recognition and acceptance of intercultural differences and support of a decision-making model of pregnancy prevention for teenagers that incorporates diverse belief systems.
Mitchell, M. Faith
Reviews the medical and social risks of teenage pregnancy and describes two successful programs dealing with pregnancy and parenting: the St. Paul Maternal and Infant Care Project in Minnesota and the Teenage Pregnancy and Parenting Project in San Francisco. (SK)
Theriot, Rosemary; Bruce, Becky
Looks at issues surrounding teenage pregnancy and describes different school-based approaches to sex education. Stresses that parental involvement is critical to the success of any effective program for reducing teenage pregnancy. (RWB)
General Accounting Office, Washington, DC.
The study reported in this document is a follow-up to earlier reviews of drugs and other youth problems. It addressed the current status of and the recent trends in teenage drug use, pregnancy, and dropping out of school, and the post-1987 research about the relationship between teenage drug use and either pregnancy or dropping out. Statistics…
Morgenthau, J E
The issue of abortion, except when it is rendered moot because the fetus endangers the life of the mother, is not really a medical issue. The physician's role is to help patients achieve and maintain their maximum potential for physical, mental, and social well-being. To accomplish this, the physician must acquire a constantly evolving database of scientific knowledge, must evaluate this information in a critical and ethical manner, and must be prepared to apply what is learned. In the realm of applied ethics, no particular religion, profession, culture, class, or sex should be thought of as having all the answers in the realm of applied ethics. This physician's actions are predicated on the belief that, to a large extent, ethical precepts reflect the broader social and economic issues of the period in which they are articulated. If this is the case, then in today's world the population explosion, the postindustrial society, the women's rights movement, inequality of access, and the ability to perform prenatal diagnosis are all factors which have molded the approach to the issue of abortion. Only the last 3 of these can in any way be considered as medical. When considering the role of a physician in dealing with the issue of abortion in the adolescent, this individual relies on the concept articulated by the World Health Association (WHA): promoting the physical, emotional, and social well-being of one's patients. Each year in the US over 1 million 15-19 year olds become pregnant, resulting in over 600,000 births. Most of these pregnancies are unintentional, yet approximately 90% of the infants are kept in the home by mothers who are ill prepared to be parents. What is most disturbing is that the pregnancy rate for the younger mother, 16 years or under, is accounting for an ever increasing percentage of the total. Studies at the Adolescent Health Center of the Mount Sinai Hospital in New York City as well as national studies suggest that the younger teens are more
Thompson, Stephen P.
Books in the Opposing Viewpoints series challenge readers to question their own opinions and assumptions. By reading carefully balanced views, readers confront new ideas on the topic of interest. Although some experts believe that the problem of teenage pregnancy has been overstated, other recent studies have led many people to believe that…
Dempsey, P L
The author finds that teenage pregnancy is more complicated than access to contraception or abortion. At risk teenagers are not identifiable, only at risk factors such as isolation, lack of perception of future opportunities, lack of self esteem, lack of self worth, poor performance in school, poor role models or lack of role models at home or in the community. There is indictment of parents who are just as much in need. The focus on teen pregnancy as one dimensional belies the reality that health, family, work, social and cultural experience affect people's decisions and sexual behavior. The recommendation is for a holistic approach, regardless of race, ethnicity, or socioeconomic background. Adolescents need education and jobs as well as preventive health, body image, and nutrition in conjunction with contraceptives. Where success is defined by motherhood or fatherhood, birth control pills sit in drawers at home. Teenagers need to be convinced that there is some benefit in being connected to mainstream society. Support services need to help teenagers answer the question of what's in it for me? Why? Teenagers need assistance in attaining educational success, job success, the ability to handle anger, and leadership opportunities. A holistic approach is not only realistic but also is the most practical with the longest term benefit. With resources for teen pregnancy superseded by the problems of AIDs and crack gangs, there is a constantly changing political agenda for resource allocation. In fact, teenage pregnancy is reflective of social ills in an urban society simultaneous with drug abuse, school dropouts, juvenile crime and gang activity. The common denominator is that teens all need good educational opportunities, good health, and good housing. Parent involvement is needed, and it is presumptuous to believe that a couple of hours of contact a week can change lives. Parents need respect and understanding for their important role; they need information and a role
Jarvis, D. L.
Social workers, Cooperating with doctors, nurses, hospital social workers and educators in other helping systems, conducted a demonstration project described here, aimed at preventing illegitimate teenage pregnancy. (Author)
Galvez-Myles, Rosa; Myles, Thomas D.
Purpose: This study compares rural and small-city teenage and adult pregnancies, with respect to complication rates and pregnancy outcomes. Methods: Chart review of Medicaid patients (513 teenage [under 20 years] and 174 adult controls [ages 25-34]) delivered (excluding multiple gestation) in Amarillo, Texas, from January 1999 to April 2001.…
Mott (C.S.) Foundation, Flint, MI.
The Mott Foundation has been involved with the issue of teenage pregnancy for 15 years, and has supported a network of programs with the main objective of finding new ways to deal with the negative consequences of teenage pregnancy. This report, which reflects the Foundation's perspective, is divided into six sections. The first provides an…
Hughes, Suzanne J
Unwanted teenage pregnancy is a major health problem in Wales and perioperative nurses are frequently involved in caring for teenagers undergoing surgical termination of pregnancy. By providing such adolescents with holistic care--by taking into account both biological and psychological aspects of health--nurses can help reduce an adolescent's anxiety and pain.
Two-thirds of all schools in the United States are rural and three-fourths are small. Statistically, most teenage parents are from such school systems. Yet the problem of teenage pregnancy is most frequently overlooked by rural and small school communities. In fact, some cultural factors and resource deficiencies of these communities actually…
Carmody, David; Doyle, Aoife; Firth, Richard G R; Byrne, Maria M; Daly, Sean; Mc Auliffe, Fionnuala; Foley, Micheal; Coulter-Smith, Samuel; Kinsley, Brendan T
Younger maternal age at delivery has been linked to adverse reproductive outcomes. Pregnancy complicated by type 1 diabetes mellitus (T1DM) is also associated with adverse pregnancy outcomes. Optimising diabetic glycaemic control prior to pregnancy is known to reduce the rate of congenital abnormalities and improve pregnancy outcomes. Teenage pregnancies are not usually planned and little data exist on teenage pregnancy complicated by T1DM. We sought to identify the glycemic control achieved in teenage pregnancy with T1DM and to clarify if there is an associated increase in adverse pregnancy outcomes compared to those seen in older women with T1DM. We compared outcomes in 18 teenagers (TG) with 582 older women with T1DM (CON) from 1995-2007. TG booked to the combined diabetes-obstetrical service at a median gestational age of 11 weeks (range 6-22) compared to 7 weeks in CON (range 4-40, p < 0.02). Glycaemic was worse in TG compared to CON at 13, 26 and 35 weeks gestation, despite higher insulin doses. First trimester miscarriage rate did not differ between groups. Major congenital anomaly rate was 6.2% (1/16) compared to 3.2% in CON. This preliminary study has demonstrated that pregnant teenage women with T1DM book later to specialised care and have worse glycaemic control in pregnancy compared to older women with T1DM. This group also appear to be more insulin resistant than older women in early pregnancy. Our data would suggest that teenagers with type 1 diabetes mellitus may constitute a high-risk group for adverse pregnancy outcomes.
Mahavarkar, S H; Madhu, C K; Mule, V D
Teenage pregnancy is a global problem and is considered a high-risk group, in spite of conflicting evidence. Our objective was to compare obstetric outcomes of pregnancy in teenagers and older women. This was a retrospective study of case records of pregnancies from August 2000 to July 2001. Girls aged < or =19 years were compared with pregnancy outcomes in older women (19-35 years) in the same hospital. The study took place in the Government General Hospital, Sangli, India, a teaching hospital in rural India, with an annual delivery rate of over 3,500. A total of 386 teenage pregnancies were compared with pregnancies in 3,326 older women. Socioeconomic data, age, number of pregnancies, antenatal care and complications, mode of delivery, and neonatal outcomes were considered. The incidence of teenage pregnancy in the study was 10%. A significant proportion of teenage pregnant mothers were in their first pregnancies. The teenage mothers were nearly three times more at risk of developing anaemia (OR = 2.83, 95% CI = 2.2-3.7, p < 0.0001) and delivering pre-term (OR = 2.97, 95% CI = 2.4-3.7, p < 0.0001). Teenage mothers were twice as likely to develop hypertensive problems in pregnancy (OR = 2.2, 95% CI = 1.5-3.2, p < 0.0001) and were more likely to deliver vaginally with no significant increase in the risk of assisted vaginal delivery or caesarean section. Young mothers were nearly twice at risk of delivering low birth weight babies (OR = 1.8, 95% CI = 1.5-2.2, p < 0.0001) and 50% less likely to have normal birth weight babies (OR = 0.5, 95% CI = 1.2-2.9, p < 0.0001). The outcome of this study showed that teenage pregnancies are still a common occurrence in rural India in spite of various legislations and government programmes and teenage pregnancy is a risk factor for poor obstetric outcome in rural India. Cultural practices, poor socioeconomic conditions, low literacy rate and lack of awareness of the risks are some of the main contributory factors. Early booking
Ladner, Joyce A.
Analyzes the impact of teen pregnancy on the education of Black adolescents. Examines the scope of the problem, its social context, and its consequences. Discusses several effective approaches to teenage pregnancy prevention, including sex/family life education, school-based health clinics, life skills instruction, school retention, and…
Redwood, Tracey; Pyer, Michelle; Armstrong-Hallam, Sarah
This article illustrates a methodological approach, which actively engaged 14 to 19 year olds in the research process. This two phase study explored the attitudes and behaviours of young people towards teenage pregnancy in Northamptonshire, UK. The first phase involved training young mothers to lead six focus groups with three specifically targeted 'at-risk' groups; other teenage mothers, young offenders and looked after children (from 14 to 19 years of age). An open question began each focus group but the young women or peer researchers were aware of the topics they wished to explore and provided prompts as necessary. Seven topics are presented under the headings of: alcohol and drugs; planned pregnancy; professionals' treatment; need for love; support by family, friends and partners; labelling and the reality for teenage mothers; and future aspirations. The reasons for pregnancy or consequences of pregnancy are discussed under the implications and recommendations.
Garlick, R; Ineichen, B; Hudson, F
Teenage motherhood is often said to be the result of deficient contraceptive and abortion services. Using data from the Public Health Common Data Set (PH CDS) we demonstrate two important effects in a Regional Health Authority: higher rates of conception are related to a live birth rather than an abortion pregnancy outcome; District Health Authorities (DHAs) with high underprivileged area scores (UPA) are more likely to have high rates of conception in the teenage years than those districts with low scores.
Lao, T T; Ho, L F
A retrospective review was performed on the obstetric outcome of teenage pregnancies delivered in 1 year in a tertiary centre. The results were compared with the rest of the obstetric population in the same hospital in the same year. The teenage mothers (n = 194) had increased incidence of sexually transmitted diseases (5.2 versus 1.0%, P < 0.05), and preterm labour (13.0 versus 7.0%, P < 0.01), but decreased incidence of gestational glucose intolerance (3.1 versus 11.4%, P < 0.001), when compared with the non-teenage mothers (n = 4914). There was no difference in the types of labour, while the incidence of Caesarean section was lower (4.1 versus 12.6%, P < 0.001) in the teenage mothers. Although the incidence of low birthweight was higher in the teenage mothers (13.5 versus 6.5%, P < 0.001), there was no significant difference in the mean birthweight, gestation at delivery, incidence of total preterm delivery, or perinatal mortality or morbidity. The results indicate that the major risk associated with teenage pregnancies is preterm labour, but the perinatal outcome is favourable. The good results accomplished in our centre could be attributed to the free and readily available prenatal care and the quality of support from the family or welfare agencies that are involved with the care of teenage mothers.
Cunningham, P W; Boult, B E
Black teenage pregnancy and sexually transmitted diseases in South Africa have reached a threatening level. Accepting that teenage pregnancy is multi-causational, this article outlines selected consequences. It concludes that teenage pregnancy as a social problem needs reexamination in terms of two hypotheses: that the pheronomal climate has an impact on prepuberal girls; and that teenage pregnancy is nature's way of ensuring the survival of the species.
Rolle, George E.; And Others
Many school administrators view teenage pregnancy as a top problems facing their school systems. Programs designed to reduce the teenage pregnancy rate must address multiple factors connected with teenage pregnancy. School-based clinic programs provide comprehensive primary health care for low income youth, require parental consent, provide mental…
Rugg, Carol D.
This document focuses on the involvement of the Mott Foundation in the problem of teenage pregnancy. After a brief introduction to the topic including statistics on the incidence of teenage pregnancy, methods by which other organizations and foundations have attacked the problem of teenage pregnancy are described. The role of the Mott Foundation…
Cunningham, Peter W.; Boult, Brenda E.
Asserts black teenage pregnancy and sexually transmitted diseases in South Africa are at threatening levels. Outlines selected consequences based on the assertion that teenage pregnancy is multi-causational. Hypothesizes teenage pregnancy needs reexamination in terms of the pheronomal climate's impact on prepuberial girls; and nature's way of…
Scott, Joseph W.
Examines mother-daughter relationships and teenage pregnancy prevention in 153 school-aged mothers. The consistent finding is that negative daughter-mother relationships foster earlier first pregnancies, whereas positive relationships resulted in later-age pregnancies. Consistently positive relationships are second in potency for delaying or…
Narins, Dorice M.; Hill, Virginia R.
Because of the importance of nutrition during teenage pregnancies, the Illinois State Council on Nutrition held public hearings in Chicago and in Carbondale, areas having a high incidence of infant mortality. Several issues were identified: (1) effects on nutrition of low income, poor nutrition habits, and lack of understanding of the increased…
Johnson, Frank; Lay, Patrick; Wilbrandt, Mary
The positive health trends and overall improvement in health status among the US population cause health professionals, human service providers, educators, and policy makers to be encouraged about the fitness of our nation. When taking a closer look at these trends and related changes, however, a dilemma exists among a portion of our population that cannot be dismissed. While the health status of the US population as a whole has steadily improved over the past decades, such progress has not been sustained for adolescents. In fact, adolescence (15 to 21 years of age) is the only age group in which mortality rates have increased over the past decade. One of the principal threats to adolescent health is unwanted pregnancy. More than one million teenage pregnancies occur each year in the United States, 75 percent of which are unintended. Teenage pregnancy is a multifaceted problem that requires multifaceted intervention. It is not just the pregnant teenager's problem either, but may involve up to three generations of family members and a host of other significant relationships. The impact and cost to society can become staggering. If such a great proportion of these pregnancies are unintended, what steps can be taken to offer acceptable and accessible alternatives to adolescents? An assessment of the magnitude of this problem, its impact on the family and society, and the measures implemented to date reveal a major challenge facing our policy makers, health and human service providers, and concerned citizenry. PMID:3071607
... pregnancies. If your daughter is considering an elective abortion, discuss the risks and emotional consequences. Be aware ... some states require parental notification for a legal abortion. In addition to talking to you, encourage your ...
The perinatal psychology and psychiatry unit of Caen university hospital has put in place two systematic intervention protocols relating to pregnancy: teenage pregnancy and denial of pregnancy. Professionals are particularly concerned with teenagers with a history of early emotional deprivation and mistreatment, with the spectre of repetition. A partnership with a motherhood centre helps all concerned to work together to build resilience.
del Rey Calero, Juan
Pregnancy in teenagers in an important problem due to its human, health and social implication, and the World Health Organization considers them as high-risk pregnancies. About one-third to one-half of teenagers assume high risk sex behaviours. Fecundity rates among teenagers have risen up 19 per 1,000. Birth from adolescents mothers (11,284 in the year 2,000) have not increased due to abortion (rate of 9,8 per 1,000) and the percentage of adolescents pregnant girls who have an abortion, 50% (in 2003). Sexual education campaigns have failed. Odds ratio for became pregnant was 3.2 among those girls who consulted about oral contraceptives, 2.9 in those who use oral contraceptives, and 2.7 in those who used contraceptive sheath. These data indicate that information per se is not enough is not accompanied by ah round training of the personality as to values, self-control and responsability.
Widom, C S; Kuhns, J B
OBJECTIVES: This study examined the extent to which being abused and/or neglected in childhood increases a person's risk for promiscuity, prostitution, and teenage pregnancy. METHODS: A prospective cohorts design was used to match, on the basis of age, race, sex, and social class, cases of abused and/or neglected children from 1967 to 1971 with nonabused and nonneglected children; subjects were followed into young adulthood. From 1989 to 1995 1196 subjects (676 abused and/or neglected and 520 control subjects were located and interviewed. RESULTS: Early childhood abuse and/or neglect was a significant predictor of prostitution for females (odds ratio [OR] = 2.96). For females, sexual abuse (OR = 2.54) and neglect (OR = 2.58) were associated with prostitution, whereas physical abuse was only marginally associated. Childhood abuse and neglect were not associated with increased risk for promiscuity or teenage pregnancy. CONCLUSIONS: These findings strongly support a relationship between childhood victimization and subsequent prostitution. The presumed causal sequence between childhood victimization and teenage pregnancy may need to be reevaluated. PMID:8916528
Suri, Kul Bhushan
Examines data surrounding issues related to educational attitudes and attainment and teenage pregnancy, nonmarital births, and child poverty. Addresses proximate and root causes of rising U.S. rates of teenage pregnancy, correlations between nonmarital births and educational and occupational expectations, and educational and economic consequences.…
Fletcher, Adam; Harden, Angela; Brunton, Ginny; Oakley, Ann; Bonell, Chris
Purpose: The limited evidence of effectiveness of existing teenage pregnancy strategies which focus on sex education, together with growing evidence that factors such as poor school ethos, disaffection, truancy, poor employment prospects and low expectations are associated with teenage pregnancy, has increased interest in interventions which…
Kaphagawani, Nanzen Caroline; Kalipeni, Ezekiel
This study explores sociocultural and other risk factors associated with unplanned teenage pregnancy in Zomba district of Malawi. Data were obtained from 505 participants under the age of 20 years using a questionnaire administered through face-to-face interviews held at five antenatal clinics. The data were analysed using descriptive statistics, frequency tables and chi-square analysis which allowed comparative understanding of the sociocultural risk factors for planned and unplanned teenage pregnancy in Zomba district. The findings revealed that teenage pregnancy is a major health and social problem. Over 76% of the teenage respondents in the study had experienced unplanned pregnancy. Among the prominent factors that stood out in the analysis for this high rate of teenage pregnancy were early sex and marriage, low contraceptive use, low educational levels, low socio-economic status, lack of knowledge of reproductive and sexual health, gender inequity, and physical/sexual violence. The consequences on teenage mothers of unplanned pregnancy have been tragic and have compromised their physical, psychological and socioeconomic wellbeing, not just on them but also their families and society at large. The findings point to the need for a multi-sectoral approach to tackle the problem on teenage pregnancy in this district, and likely throughout Malawi.
This package of nutrition lessons was developed for teaching pregnant teenagers and teenaged parents enrolled in School-Aged Maternity (SAM) Programs in Wisconsin about nutrition. This guide provides a set of flexible lessons and resources for the SAM teacher (and for any person involved in teaching pregnant teenagers or teenaged parents) to…
Sekiwunga, Richard; Whyte, Susan Reynolds
In Uganda teenage pregnancy is considered a problem for moral and social, as well as health, reasons. This qualitative stud,y in Busia District focused on the views of teenagers themselves as expressed in 9 focus group discussions with girls and boys. Their perspectives were contrasted with those of community leaders and mothers of adolescents. The young people blamed teenage pregnancy on failures of the parental generation. They asserted that parents and guardians were both too lenient and too harsh, that they failed to provide for their daughters' needs, and that they pressured them into early marriages instead of giving priority to education. Although poverty and family breakdown were recognized as underlying structural causes of parental failure, the teenagers experienced these factors in their everyday lives as problems with their parents and guardians. The teenagers expressed the 'enlightened' view that adolescent pregnancy was undesireable, even though many girls have few alternatives to marriage and childbearing.
Flamer, Mary Guess; Davis, Elaine P.
The purpose of this guide for educators is to provide strategies that schools can adopt to discourage teenage pregnancy. The first section describes adolescent pregnancy in New Jersey, including education efforts to address adolescent pregnancy, and statistics on adolescent fertility. The second section addresses familial, media and peer effects…
This brief digest discusses teenage pregnancy and various educational strategies that appear to affect pregnancy rates. While pregnancy among white teenagers has increased since the 1970s, the birthrate among black teenagers is still five to eight times higher. Teenage mothers and fathers have lower educational attainment and income than their…
Davis, J K; Fink, R; Yesupria, A; Rajegowda, B; Lala, R
Recent research suggests that adverse consequences of teenage pregnancy are largely a function of social background factors and adequacy of prenatal care. This study examines the situation of young mothers with new babies in a low income, urban environment. The study explores the relationship between age and ethnicity and various life circumstance and life style differences which might effect long term developmental outcome. 475 Hispanic and black mothers were interviewed using a structured questionnaire. The majority are poorly educated, single parents. Educational attainment is higher for blacks than for Hispanics and for older mothers than for younger. Older mothers are more likely to be living with the father, to be married, and to have received adequate prenatal care. Hispanic parents are more likely than Blacks to be planning to live together. Hispanic mothers are more likely than blacks to be planning to be the primary caretaker for their babies. Adequacy of prenatal care is related to both prematurity and low birth weight. The implications of these findings are discussed in relation to pregnancy prevention and parenting education programs.
Gonçalves, Helen; Souza, Ana D; Tavares, Patrícia A; Cruz, Suélen H; Béhague, Dominique P
In Brazil, as in many other countries, teenage pregnancy is widely recognised as a public health problem. Buttressed by a public health science of the economics of teenage pregnancy that emphasises the postponement of parenthood as key to poverty reduction, young people's lack of appreciation for medical knowledge of contraceptives is most often credited for failed attempts to reduce teenage pregnancy. Based on a longitudinal ethnographic study conducted in Pelotas, Brazil, with young people over the course of 10 years, our study found that young women who became teenage parents did not lack medical knowledge but were, rather, highly medicalised. Not only were they intensely concerned with the ill-effects of oral contraceptives on possible future fertility, they also engaged in intricate routines of contraceptive-use as a way of testing and safeguarding their fecundity. Our analysis attends to the way these practices are shaped by the problematisation of the economics of teenage pregnancy, as well as by the gendering of cultural norms relating to the transition to adulthood. We theorise the results by considering how contraceptive medicalisation enabled some women to engage with the authority of normative society, while developing a potent off-stage critique of this authority and of what they considered to be discriminatory messages imbedded in scientific discourses on teenage pregnancy.
Outlines what help is available and how it can be provided for Ontario teenagers with alcohol-related problems through community agencies and programs, services of professional social workers and counselors, group support, residential treatment, therapeutic goals, and family involvement. (NEC)
Henshaw, S K
In 1992, 112 pregnancies occurred per 1,000 U.S. women aged 15-19; of these, 61 ended in births, 36 in abortions and 15 in miscarriages. Black teenagers' rates of pregnancies, births and abortions were 2-3 times those of whites; Hispanic teenagers had rates of births and abortions between those of blacks and whites. While similar proportions of pregnant black and non-Hispanic white teenagers had abortions (40% and 38%, respectively), the proportion was lower among Hispanics (29%). Among all women 15-19, the birthrate rose 12 points between 1987 and 1991; one-third of the rise (four points) may be attributable to a fall in the abortion rate. Between 1991 and 1995, the birth rate of black teenagers fell from 116 to 96 per 1,000, a level well below that of Hispanics (106 per 1,000). Among the states, pregnancy rates per 1,000 teenagers in 1992 ranged from 159 (in California) to 59 (in North Dakota), birth rates per 1,000 varied from 84 (Mississippi) to 31 (New Hampshire) and abortion rates per 1,000 ranged from 67 (Hawaii) to nine (Utah). The pregnancy rates of white and black teenagers are negatively correlated.
Hinchliffe, M.; Abrahams, R.; Wittmann, B.K.
Drug-dependent pregnancies are on the increase, are high risk, and require skilled medical attention. Unfortunately, because they fear the “system,” many addicted women do not receive this medical care, putting both mother and baby at risk. We describe a case in which we tried to make the system more approachable. The family physician is essential for providing the continuity of care necessary to improve prenatal care, establish a support system, and facilitate family development. Imagesp1935-ap1936-a PMID:21229110
Pregnancy in a teenager may be an expression of her angst. From a lack of contraception or its failure, to the desire to be pregnant, she may be expressing her wish to acquire the status of an adult or to offset depression and anxiety resulting from abandonment. The situation is further compounded by the physical changes she undergoes. Providing the teenager with global support is essential.
Gueorguieva, R V; Carter, R L; Ariet, M; Roth, J; Mahan, C S; Resnick, M B
Teenage pregnancies have become a public health issue because of their observed negative effects on perinatal outcomes and long-term morbidity. The association of young maternal age and long-term morbidity is usually confounded, however, by the high prevalence of poverty, low level of education, and single marital status among teenage mothers. The authors assess the independent effect of teenage pregnancy on educational disabilities and educational problems in a total population of children who entered kindergarten in Florida in 1992--1994 and investigate how controlling for potentially confounding factors affects the relation between teenage pregnancies and poor outcome. When no other factors are taken into account, children of teenage mothers have significantly higher odds of placement in certain special education classes and significantly higher occurrence of milder education problems, but when maternal education, marital status, poverty level, and race are controlled, the detrimental effects disappear and even some protective effects are observed. Hence, the increased risk for educational problems and disabilities among children of teenage mothers is attributed not to the effect of young age but to the confounding influences of associated sociodemographic factors. In contrast to teen age, older maternal age has an adverse effect on a child's educational outcome regardless of whether other factors are controlled for or not.
Amu, Olubusola; Appiah, Koby
The teenage pregnancy unit's strategy for dealing with the increasing problem of unwanted pregnancy is rather prescriptive and simplistic for such a complex problem. It is not surprising that despite its recent recommendations, the problem has worsened. It is ludicrous to promote efficient ways to provide oral contraceptive pills to teenagers when good evidence of its inconsistent use among this age group is common knowledge. In addition, increasing access to emergency contraception could undermine teenagers' perception of the importance of commitment in relationships and thus send them a wrong message. This paper reviews the available evidence on the subject and highlights some good practices from other parts of the western world, which have not been incorporated into the UK strategy. It challenges the various stakeholders to show better commitment by providing a more rigorous and effective strategy.
This paper reports a retrospective study undertaken to determine if differences existed in obstetric outcome, contraceptive usage, and repeat pregnancy rates of teenage patients cared for in three different health care settings: the Rochester Adolescent Maternity Project (RAMP), a traditional obstetric clinic, and a neighborhood health center.…
Alan Guttmacher Inst., New York, NY.
This document gives information about teenage pregnancy and related issues. The document is divided into 10 sections and then further subdivided into components. The components contain prose summaries with statistical charts. Section 1, Sexuality Activity and Marriage, provides data on trends in premarital sex and marriage rates for black and…
Approximately 700 teenagers in Nassau County, New York become mothers every year. Most of these young mothers fail to finish high school, thereby embarking on marginal, nonproductive lives characterized by low earning power, long-term welfare dependency, more unplanned-for babies, and high-risk infants. In 1982 the Board of Cooperative Educational…
This paper explores the role of sex and relationship education (SRE) in reducing teenage pregnancy rates. It critically examines some of the assumptions underlying the emphasis placed on SRE within the teenage pregnancy strategy ( SEU, 1999)--in particular, the view that ignorance of sexual matters plays a key part in teenage conception. An…
Bustos, Patrick D.
This document reviews three teenage pregnancy prevention strategies which were selected because of their easy access to teenagers and to illustrate the cost of implementation. After a discussion of the high cost of teenage pregnancy, the role of the state legislatures is described. Accessibility and acceptability are cited as two important…
Reviews the literature concerning variables associated with adolescent sexuality and pregnancy, focusing on the effects of young motherhood on child development. Discusses pregnancy resolution, child welfare, health risks, socio-emotional consequences and cognitive and intellectual status, and suggests strategies for dealing with some of these…
Coleman, Lester; Cater, Suzanne
The reduction of teenage pregnancy has attracted much interest in research, practice and social policy. Little is known about teenagers who report their pregnancies as "planned." Forty-one in-depth interviews were undertaken, in six different parts of England, among young women who reported their pregnancy as "planned". The…
Krulewitch, Cara J.; Herman, Allen A.
This bibliography, containing over 1,000 entries from the period 1968 to June, 1991, was compiled to assist in the development of a report to Congress on the impact (both maternal and fetal) of substance abuse on pregnancy. Topics include pregnancy outcome, child health issues, legal and political issues, epidemiological aspects of substance abuse…
Trad, Paul V.
Discusses a method of adolescent pregnancy intervention that addresses the developmental needs of the adolescents. The previewing process alerts the mother to the imminent developmental trends that her infant will soon be undergoing. Adolescent mothers can also learn how to preview their own maturational changes. (GCP)
The pamphlet, "What Can Be Done About the Epidemic of Adolescent Pregnancies in the United States?" is critically examined. The author attempts to correct statistical distortions, thereby challenging the much-decried epidemic, and takes a look at the administration of the Planned Parenthood/Guttmacher Institute in terms of its objectives. (RK)
Aparicio, Elizabeth; Pecukonis, Edward V; Zhou, Kelly
Despite gains in reducing teenage pregnancy during the past 20 years, disparities in teenage pregnancy rates persist: The teenage pregnancy rate in Latino communities is now nearly double the average rate of teenage pregnancy in the United States. Considering the significant risks teenage pregnancy and parenting pose to both the teenager and the child, and that social workers are already often working in communities with populations at risk, this is not only a major public health issue, but one that the field of social work is well positioned to actively address. This article synthesizes pertinent literature on some of the social and cultural influences important for understanding this phenomenon. Implications for social work practice are discussed.
Bhana, Deevia; Morrell, Robert; Shefer, Tamara; Ngabaza, Sisa
South African law forbids excluding pregnant teenagers from school and permits young parents to continue with their schooling. However, the existence of progressive policy and law does not by itself ensure that pregnant teenagers and young parents remain in school or experience as little disruption to their studies as possible. Two of the factors influencing the experiences that pregnant girls and young parents have are the attitudes and practices of teachers. We explore how teachers in diverse South African secondary schools respond to young women's pregnancy and parenting. Teachers' responses are situated within a complex set of meanings invoking sexuality (and sexual censure), gender, class and race. We argue that many teachers view teenage pregnancy and parenting as social problems - a domain of sexual shame with negative effects and disruptive to the academic life of the school (including teachers and other learners). Teachers do not monolithically subscribe to such negativity and, in the context of changing policy and gender equality, there are glimmers of hope. Without much support, training or any formal school-based support, many teachers show care and concern for pregnant women and young parents, providing some hope for better experiences of schooling.
Whalen, Mathilde Logan; Loper, Ann Booker
This study examines the association between the incarceration of a household member and adolescent pregnancy, and evaluates whether this association extends beyond that of other variables associated with sexual health. We used data from 12 waves of the National Longitudinal Survey of Youth: Child and Young Adult. After eliminating males and individuals who did not respond to key questions, a sample of 1,229 girls (ages 14-19) was analyzed. Girls who experienced the incarceration of a household member faced more demographic and family environment risk factors than those who did not. Regression analyses demonstrated that the addition of a household incarceration variable afforded superior prediction of teenage pregnancy relative to the prediction based on demographic and family features alone. Programs that are directed toward reducing teen pregnancy will benefit from attention to the home situation of the at-risk girl, particularly the experience of household member incarceration and related family dynamics.
Girma, Sourafel; Paton, David
This paper examines potential explanations for recent declines in teenage pregnancy in England. We estimate panel data models of teenage conception, birth and abortion rates from regions in England. Although point estimates are consistent with the promotion of long acting reversible contraception (LARC) having a negative impact on teenage pregnancy rates, the effects are generally small and statistically insignificant. In contrast, improvements in educational achievement and, to a lesser extent, increases in the non-white proportion of the population are associated with large and statistically significant reductions in teenage pregnancy.
East, Patricia L.; Reyes, Barbara T.; Horn, Emily J.
CONTEXT The extent to which young women’s risk of adolescent pregnancy is associated with having a mother who was a teenage parent, a sister who was a teenage parent or both is not known. METHODS A sample of 127 Latina and black adolescent females completed in-depth surveys at three time points between 1994 and 2000. Logistic regression analyses were used to examine whether socioeconomic factors, mothers’ parenting characteristics and certain sibling relationship qualities explain the association between a family history of teenage births and young women’s risk of pregnancy. RESULTS Compared with young women with no family history of teenage births, young women whose sister had had a teenage birth and those whose sister and mother both had had teenage births were significantly more likely to experience a teenage pregnancy (odds ratios, 4.8 and 5.1, respectively). Young women who had only a sister who had had a teenage birth had greater odds of pregnancy than young women who had only a mother who had had a teenage birth (4.5). Having both a mother and a sister who had had teenage births was independently associated with an elevated risk of pregnancy (3.7), even after controlling for socioeconomic and mothers’ parenting characteristics. Frequent companionship with an older sister was associated with increased odds of teenage pregnancy (4.5); frequent conflict with an older sister who had had a teenage birth was marginally associated with decreased odds of the outcome (0.3). CONCLUSION Pregnancy prevention interventions targeting young women according to maternal and sibling teenage birth histories may be effective. PMID:17565624
Rose, India; Prince, Mary; Flynn, Shannon; Kershner, Sarah; Taylor, Doug
Teenage pregnancy is a major public health issue in the USA; this is especially true in the state of South Carolina (SC). Research shows that well developed, good-quality teenage pregnancy prevention (TPP) programmes can be effective in modifying young people's sexual behaviour. While several quantitative studies have examined parents' perceptions…
Fergusson, David M.; Woodward, Lianne J.
Study examined the relationship between teenage pregnancy and educational underachievement in a sample of women studied from birth to 21 years. Findings suggest that rates of teenage pregnancy might be elevated among women who leave school early, rather than rates of early school leaving being elevated among women who become pregnant. (Author/JDM)
Plotnick, R D
A review of recent research findings suggests that social policies have a significant effect on adolescent pregnancy and its outcomes. Excluded from the analysis were studies that did not control for the influence of personal, familial, and environmental factors on adolescent sexual behavior. Policies most likely to prevent undesired outcomes are those offering tangible family planning services and improving both the access to and affordability of abortion. Most effective in improving contraceptive use among teenagers appear to be comprehensive community-based programs with links to local schools. There is no evidence that efforts to promote values such as abstinence or enhance self-esteem are successful. However, job training, guaranteed student loans, and other measures that improve the educational and earnings opportunities of adolescents may have an indirect impact on reducing teenage pregnancy and childbearing by providing an incentive for deferred parenthood. The research concerning the impact of AFDC benefits is inconclusive, but higher welfare benefits appear to discourage marriage. In addition, the deteriorating economic status of young males over the past 15 years has increased the proportion of out-of-wedlock births.
Although South Africa's total fertility rate is one of the lowest in sub-Saharan Africa, high rates of early childbearing remain a concern. Most teenage pregnancies occur among poor black and coloured South Africans. The majority of these pregnancies are said to be unwanted and unplanned and the teenager's relationships, unstable. Becoming a mother during one's teenage years is perceived to be socially, economically and physically deleterious for the teenager and her baby. This paper presents ethnographic data collected over a five-year period in the South African township of Nyanga East in the Western Cape. It draws attention to the circumstances that surround teenage pregnancy and discusses reactions to teenage pregnancies in this community. Findings highlight that despite the negative perception of teenage pregnancy within the township, particular social and cultural circumstances provided fertile ground for its occurrence. Furthermore, the paper argues that in this particular community the management of a teenage pregnancy played a functional and critical role in maintaining and reproducing social norms and ideals regarding intergenerational relationships, which ultimately ensured that the rates of early childbearing remained high.
Hegazi, Aseel; Daley, Natalie; Williams, Elizabeth; McLeod, Felicity; Rafiezadeh, Saba; Prime, Katia
Young people attending genitourinary medicine services are at high risk of unplanned pregnancy. We performed a retrospective cohort study to identify characteristics of pregnant teenagers accessing an inner London genitourinary medicine service. There were 481 pregnancies in 458 teenagers with 54 previous pregnancies and 46 previous terminations of pregnancy. The under-18 and under-16 teenage pregnancy rates were 92.1 and 85.8 per 1000 age-matched clinic attendees, respectively. Median age was 17.1 years. 'Black Other' teenagers ('Black British', 'Mixed White-Black Caribbean' and 'Mixed White-Black African') were over-represented, compared to our clinic population, while those of White ethnicity were under-represented. Few pregnancies (1.5%) were planned with the majority (64%) intending terminations of pregnancy. Most teenagers did not use consistent contraception. Two-thirds of patients had attended genitourinary medicine services in the past and sexually transmitted infection prevalence at presentation was high. Effectively targeting the sexual and reproductive health needs of teenage genitourinary medicine clinic attendees may have a significant impact on reducing sexually transmitted infections, unplanned pregnancy and terminations of pregnancy in this group.
Erickson, P I
The conclusion of this quantitative and qualitative evaluation of 350 mothers delivering at Women's Hospital in East Los Angeles and recruited between April 1989 and December 1990 was that basic ethnographic research on teenage sexual and reproductive behavior is needed. Target groups of Hispanics, for instance, may not be homogenous and may require multiple strategies. New interventions should accommodate the effects of poverty, the influence of significant others, and the cultural meaning of relationships, pregnancy, childbearing, contraceptive use, and gender roles. Concern focused on the notion that limited program effects can be considered trivial. The point was made that bilingual mothers who had been in the US for some time and desired upward socioeconomic mobility were helped by the program. Also, the program developed referral resources in child care, school programs, employment, housing, emergency aid, and services for physical and sexual abuse. Additional funding was able to provide part-time work experiences in the clinic for a few of the teenagers, which provided more social support, solid work experience, and incentives. Through the use of qualitative data, counselors were able to prioritize teenage needs and thus supply needed food and housing before contraception. Qualitative data also helped to distinguish several different groups of Hispanics: those recent immigrants who wanted to be wives and mothers; bilingual adolescents desiring economic advancement; throw-away kids involved with drugs and gangs; and Central American teenagers who fled war-torn countries and desired a better life. There were pressing needs related to poverty and social circumstances that interfered with family planning program implementation. Recognition of the different lifestyles helped to direct services in appropriate ways. The statistical demographic profiles were presented and indicated that these teenage obstetric persons had significant social, economic, and medical
Maso, M J; Gong, E J; Jacobson, M S; Bross, D S; Heald, F P
The highest relative risks of low birth weight are found among births to teenage mothers. An analysis of anthropometrics (weight, mid-arm circumference, and triceps skinfold) among black teenagers attending an adolescent prenatal program was studied. The sample consisted of 100 girls under 17 years. Data were collected from 19 to 35 weeks gestation. Adolescent mothers who delivered low birth weight (LBW) infants demonstrated different patterns of anthropometric changes than teen mothers who delivered normal birth weight (NBW) infants. Mean mid-arm circumference increases in the LBW group (0.05 mm/wk) were significantly less than mean increases in the NBW group (0.80 mm/wk) (p less than 0.05). Arm fat area estimates of the LBW mothers demonstrated weekly depletion (-24.9 mm2/wk), which was significantly less than those of the NBW group, who accumulated fat (+15.3 mm2/wk) (p less than .05). Changes in maternal nutritional status may in part mediate the birthweight outcome in adolescent pregnancy. Anthropometrics may be useful in predicting those teens at highest risk of bearing LBW infants.
Heilborn, Maria Luiza; Cabral, Cristiane S.
This paper brings a synthesis of some of the main results provided by GRAVAD survey (Teenage pregnancy: multicentric study about youth, sexuality and reproduction in Brazil). GRAVAD is a study about sexual and reproductive behavior among Brazilian youth that interviewed 4,634 individuals in a population survey with a random sample. Women and men between 18 and 24 years old were interviewed in three capitals—Porto Alegre, Rio de Janeiro and Salvador. “Teen pregnancy” is not the consequence of promiscuous sexual activities, as popular beliefs currently state. It is often ignored that amidst the poorer social segments parenthood is seen as a sign of social status, given the lack of professional perspectives. Among the middle class, other sociocultural horizons give parenthood the status of an experience to be lived in later moments of live, when one's professional and financial lives have been consolidated. PMID:21912748
Devanarayana, Niranga Manjuri; Rajindrajith, Shaman; Perera, Madushanka S; Nishanthanie, Samudu W; Karunanayake, Amaranath; Benninga, Marc A
Abdominal pain-predominant functional gastrointestinal diseases (AP-FGD) are common in children and commonly attributed to exposure to child abuse. However, this relationship has not been studied in teenagers, and the main objective of the current study was to assess it. Teenagers were recruited from four randomly selected schools in Western province of Sri Lanka. Data were collected using a validated self-administered questionnaire. AP-FGD were diagnosed using Rome III criteria. A total of 1850 teenagers aged 13-18 years were included. Three hundred and five (16.5%) had AP-FGD. AP-FGD were significantly higher in those exposed to sexual (34.0%), emotional (25.0%) and physical (20.2%) abuse, than in those not abused (13.0%, p < 0.001). Those with AP-FGD exposed to abuse had a higher severity score for bowel symptoms (30.8% vs. 24.7% in not abused, p < 0.05). This study highlights the importance of identifying exposure to abuse in management of teenagers with AP-FGD.
Literature concerning problems that result from teenage pregnancy is synthesized and reviewed. The first section briefly compares rates of pregnancy among adolescents in the United States against those of other countries. This comparison is discussed in greater detail in the second section, which focuses on pregnancy rates in Connecticut and the…
Fonseca, Laura; Araujo, Helena C.; Santos, Sofia A.
This article focuses on Portuguese working-class teenage girls' voices and experiences concerning sexuality and pregnancy. Within a sociological, feminist and educational framework, it explores the girls' perspective on sexual and intimate citizenship as evidence of fairer forms of regulation of teenage sexualities. Through building life histories…
Evans, J R; Selstad, G; Welcher, W H
Following abortion or delivery, teenagers' knowledge and use of effective contraception improved markedly; but those who had negative pregnancy tests continued to take risks--and to get pregnant--subsequently. Most sexually active teenagers were poorly educated on the facts of reproduction, and began to have intercourse before seeking contraception.
Eshleman, J. Ross
Pregnancies, abortions, and births to unmarried women occur frequently in the United States; these are of particular concern when they occur to teenagers. This study examined the effects of age on the decision to have an abortion for teenagers (N=256) at a clinic serving a predominantly white clientele from several mid-size cities and the…
Hooke, Alister; Capewell, Simon; Whyte, Meg
Examines attitudes of 129 teenagers concerning teenage pregnancy and early sex. Results indicate that 73% of girls advocated joint responsibility for contraceptive protection compared with only 46% of boys. Significantly more boys than girls saw nothing wrong with casual sex and significantly less boys than girls upheld the virtue of commitment in…
Kiselica, Mark S.; Scheckel, Steve
Reviews the history and prevalence of teenage pregnancy and parenthood in the United States. Focuses on a somatic reaction called the Couvade Syndrome (CS) whereby expectant fathers experience the physical symptoms of their pregnant partners as it relates to teenage fathers. Notes that the effects of CS can be mitigated by school counselors. (KW)
Cornelius, Marie D; Goldschmidt, Lidush; DeGenna, Natacha; Day, Nancy L
We prospectively examined the relationship between prenatal tobacco exposure (PTE) and child behavior in a birth cohort of 357 offspring of teenage mothers. PTE was defined as any exposure across pregnancy and, in separate analyses, exposure within each trimester. Outcomes included measures of behavior problems, activity, and attention. On average, the children were 6.4 years of age, 48% were females, and 69% were Black. Data on maternal tobacco and other substance use were collected prenatally and postnatally: 46% of the mothers smoked in the first trimester and 58% smoked 6 years later. Child urinary cotinine measured exposure to environmental tobacco smoke (ETS). Stepwise multiple regressions were run. PTE predicted significantly increased offspring activity; impulsivity; and aggression, externalizing, and total behavior problems in step 1. PTE remained a significant predictor of increased activity when maternal psychological characteristics, home environment, and ETS were added. The results were similar when PTE was examined by trimesters, although later pregnancy tobacco exposure predicted the most behavioral outcomes. In the final model, PTE (all three trimesters) and PTE (second trimester) were significant predictors of increased activity and attention problems, respectively. Other predictors of child behavior included maternal anxiety, depression, hostility, and home environment. ETS was not a significant predictor of child behavior when PTE was considered. Smoking during pregnancy among adolescents is a significant predictor of increased activity and attention problems in their offspring after controlling for covariates in the prenatal and current environments. Smoking cessation interventions are recommended for this population to avoid the effects of PTE on the offspring of pregnant adolescents. This is particularly important because these mothers will likely become pregnant again and many will increase their level of tobacco use as they mature.
Bernard van Leer Foundation Newsletter, 1995
This theme issue of the Bernard van Leer Foundation newsletter focuses on the problem of teenage pregnancy and teenage parenthood in developing and developed nations, and examines the problems that teenage mothers face in different societies. It explores societal norms and values related to teenage parenting; the effects of teenage parents on…
Mothiba, Tebogo M; Maputle, Maria S
Teenage pregnancy refers to pregnancy of a woman of less than 19 years. It is found commonly amongst young people who have been disadvantaged and have poor expectations with regard to either their education or job market. Adolescents may lack knowledge of access to conventional methods of preventing pregnancy, as they may be afraid to seek such information. The study purpose was to identify factors contributing to teenage pregnancy in one village in the Capricorn District of the Limpopo Province. A quantitative descriptive research approach was chosen. Population consisted of all pregnant teenagers attending antenatal care during June to August 2007 at one clinic in the Capricorn District of the Limpopo Province. Simple random probability sampling was used to include 100 pregnant teenagers who satisfied the inclusion criteria. Data were collected through structured self-administered questionnaires. Descriptive statistical data analysis was used. Ethical considerations were ensured. Findings were classified as demographic data where 24% of the respondents were aged between 15-16 years and 76% were aged between 17-19 years. Findings further revealed that 60% of the respondents started to engage in sex at 13-15 years; 48% of the teenagers' partners were 21 years and above, 44% depended on a single parents' income; 20% father's income, 16% received a social grant and 8% lived on the pension fund of the grandparents. Pregnancy prevention strategies were recommended based on the results. The strategies focused on reproductive health services, male involvement and adult-teenager communication programmes.
Gencer, Suzan Lema; Koc, Mustafa
This study focused on exploring Internet abuse among teenagers and its relations to some Internet usage patterns and demographic characteristics in a digitalizing country, Turkey. It was designed as a cross-sectional research on three types of school that differ in their academic performances. The data were collected from 1380 high school students…
Hulton, Linda J.
Teenage pregnancy and the subsequent social morbidities associated with unintended pregnancies are complex issues facing school nurses in their daily work. In contemporary practice, school nurses are being held to higher standards of accountability and being asked to demonstrate the effective outcomes of their interventions. The purpose of this…
Ellis, Bruce J.; Bates, John E.; Dodge, Kenneth A.; Fergusson, David M.; Horwood, L. John; Pettit, Gregory S.; Woodward, Lianne
Longitudinal studies in two countries investigated impact of father absence on girls' early sexual activity (ESA) and teenage pregnancy. Findings indicated that greater exposure to father absence strongly related to elevated ESA and adolescent pregnancy risk. Elevated risk was not explained (U.S. sample) or only partly explained (New Zealand…
Knight, Abigail; Chase, Elaine; Aggleton, Peter
Previous research has shown that children and young people who are looked after are vulnerable to poor life outcomes, including early pregnancy. This paper examines how experiences of being looked after may contribute to teenage pregnancy. Using in-depth interviews, data were collected from 63 young people recently looked after who are aged 15-24…
Cockett, Lynn S.; Knetzer, Sarah
Suggests that library media centers and public libraries are among the main institutions responsible for providing information on teenage pregnancy. Argues that the treatment of teen pregnancy as an "epidemic" by the United States government and the media, and the representation of pregnant girls in young adult fiction contribute to gender…
Kanayama, Gen; Boynes, Matthew; Hudson, James I.; Field, Alison E.; Pope, Harrison G.
Background Recent media reports have portrayed an alarming increase in apparent anabolic-androgenic steroid (AAS) use among American teenage girls; Congress even held hearings on the subject in June 2005. We questioned whether AAS use among teenage girls was as widespread as claimed. Methods We reviewed four large national surveys and many smaller surveys examining the prevalence of AAS use among teenage girls. Virtually all of these surveys used anonymous questionnaires. We asked particularly whether the language of survey questions might generate false-positive responses among girls who misinterpreted the term “steroid.” We also reviewed data from other countries, together with results from the only recent study (to our knowledge) in which investigators personally interviewed female AAS users. Results The surveys produced remarkably disparate findings, with the lifetime prevalence of AAS use estimated as high as 7.3% among ninth-grade girls in one study, but only 0.1% among teenage girls in several others. Upon examining the surveys reporting an elevated prevalence, it appeared that most used questions that failed to distinguish between anabolic steroids, corticosteroids, and over-the-counter supplements that respondents might confuse with “steroids.” Other features in the phrasing of certain questions also seemed likely to further bias results in favor of false-positive responses. Conclusions Many anonymous surveys, using imprecise questions, appear to have greatly overestimated the lifetime prevalence of AAS use among teenage girls; the true lifetime prevalence may well be as low as 0.1%. Future studies can test this impression by using a carefully phrased question regarding AAS use. PMID:17127018
Jimerson, Steven D; Musick, Sarah
Several states have proposed laws that urine drug screening be performed as a part of qualifying for public assistance. At least one state (Florida) has passed such a law, and several other states are considering similar laws. The Oklahoma Commission on Children and Youth created a committee to study laws and policies regarding the use of illegal drugs while pregnant. To get a better understanding of drug screening and pregnancy, 151 consecutive obstetrical patients receiving Medicaid were screened at their initial obstetrical visit by verbal and written questionnaire's concerning the use of alcohol, nicotine, and other illicit\\dangerous drugs; in addition a urine drug screen for the use of illicit or dangerous drugs was performed. The patient histories regarding the use of dangerous or illicit substances was reviewed and compared with the urine drug screens performed at the same visit. The authors note that when studied the incidence of substance abuse has been similar in patient population receiving public assistance and patient populations with traditional insurance. Oklahoma is one of 13 states with laws requiring mandatory reporting of substance abuse in pregnancy or the exposure of the newborn to illicit substances.
Thomas Farrell, C; Clyde, Alexis; Katta, Madhuri; Bolland, John
In countries such as the USA, a substantial percentage of teenage pregnancies are intentional, and desire for pregnancy increases risk. Black US Americans have been found to be less accepting of homosexuality than their non-Black peers, which may result in minority ethnic teenagers demonstrating heterosexual orientation through attempting pregnancy. Young, socioeconomically disadvantaged African Americans were surveyed longitudinally regarding attitudes about their sexuality, pregnancy intentions and other psychosocial factors. Young people who reported being somewhat concerned about their sexual orientation were nearly four times more likely to report attempting pregnancy compared to those who were not at all concerned. This relationship held true while accounting for the significant effect of religion, sense of community, hopelessness and numerous demographic factors. The current study suggests that uncertainty regarding sexual orientation, potentially due to social stigma, may impact pregnancy attempts among young Black people from disadvantaged communities.
Krugu, John Kingsley; Mevissen, Fraukje; Münkel, Meret; Ruiter, Robert
Globally, an estimated 16 million young women aged 15 to 19 years give birth every year. Most teenage pregnancies are unintended and being pregnant or delivering a baby as a teenager can have serious adverse consequences. Knowledge of the environmental factors and social cognitive determinants influencing young women's failure to protect against unintended pregnancy is necessary to address the high rate of teenage pregnancies. We conducted semi-structured in-depth interviews with 21 young women, who had experience of pregnancy, in Bolgatanga, Ghana. The interview protocol included themes (relationships, sex, pregnancy, family planning) and determinants (knowledge, attitudes, self-efficacy, norms, risk perceptions) derived from empirical studies and theories related to sexuality behaviour. Findings show that young women's motivations for sexual relationships are mostly 'beyond love' and seem to focus on economic factors. The main means of sexual protection seems to be condom use. Other forms of contraception were believed to be linked to infertility. Sexuality remains a largely taboo topic for open discussion and sex education in schools seems limited to abstinence-only messages. The need for more open communication on matters of sexuality with young people and the provision of a more comprehensive sexuality education in school to address teenage pregnancies in Ghana, is discussed.
Hooke, A; Capewell, S; Whyte, M
Disadvantages and risks related to teenage pregnancy, together with a recent increase in Scottish conception rates among teenagers aged 13-15 years old, give cause for concern. Using an illustrated short story and questionnaire, attitudes of 129 Ayrshire teenagers aged 14-15 years old were examined to teenage pregnancy, and more generally to early sex. Seventy-three percent of girls advocated joint responsibility for contraceptive protection compared with only 46% of boys (p<0.01). Also, significantly more boys than girls saw nothing wrong with casual sex (21%vs. 5%, p<0.01), and significantly less boys than girls upheld the virtue of commitment in sexual relationships (27%vs. 54%, p<0.01). Sex education programmes should explore these gender-related disparities.
Gans, Gian; Hetzel, Barbara A.
The lessons developed in this guide were designed for pregnant teenagers and teenage parents enrolled in the Wisconsin School-Age Parent (SAPAR) Program. The lessons can also be adapted for use in non-SAPAR courses such as family and consumer education, health, and language arts. The guide has eight chapters: Introduction (a preliminary lesson…
Strunk, Julie A.
Teenage pregnancy outcomes have become an increasing concern in the United States. Education and support of pregnant teens are critical factors that may determine good or poor pregnancy outcomes. Poor outcomes may include low birth weight, developmental delays, and poor academic performance. Although the number of teenagers experiencing pregnancy…
Christofides, Nicola J.; Jewkes, Rachel K.; Dunkle, Kristin L.; McCarty, Frances; Shai, Nwabisa Jama; Nduna, Mzikazi; Sterk, Claire
Background Although teenage pregnancies in South Africa have declined, the short and longer term health and social consequences are a potential public health concern. This longitudinal study aimed to describe the range of risk and protective factors for incident unwanted and unplanned pregnancies occurring over 2 years of follow-up among a cohort of adolescent women in the Eastern Cape, South Africa. It also investigated the relationship between gender inequality and gender-based violence and subsequent unplanned and unwanted pregnancies among the cohort. Objective Teenage girls, aged 15–18 years (n=19), who were volunteer participants in a cluster randomized controlled trial and who had data from at least one follow-up were included in this analysis. To assess risk and protective factors for incident unwanted or unplanned pregnancies, we constructed multivariate polytomous regression models adjusting for sampling clusters as latent variables. Covariates included age, having a pregnancy prior to baseline, education, time between interviews, study intervention arm, contraceptive use, experience of intimate partner violence, belief that the teenage girl and her boyfriend are mutual main partners, and socioeconomic status. Results Overall, 174 pregnancies occurred over the 2-year follow-up period. Beliefs about relationship control were not associated with unwanted and unplanned pregnancies, nor were experiences of forced first sex or coerced sex under the age of 15. Hormonal contraception was protective against unplanned pregnancies (OR 0.40; 95% CI 0.21–0.79); however, using condoms was not protective. Physical abuse (OR 1.69; 95% CI 1.05–2.72) was a risk factor for, and having a pregnancy prior to baseline was protective against an unwanted pregnancy (OR 0.25; 95% CI 0.07–0.80). Higher socioeconomic status was protective for both unplanned and unwanted pregnancies (OR 0.69; 95% CI 0.58–0.83 and OR 0.78; 95% CI 0.64–0.96). Believing that the teenage girl
Mann, Emily S; Cardona, Vanessa; Gómez, Cynthia A
Despite the fact that the US teenage birth rate has declined dramatically in recent years, teen births among Latinas are higher than any other racial/ethnic group. Most studies focus on the causes and consequences of early motherhood among Latina teenagers, neglecting other important dimensions of the issue. This study examines how Latina/o teenage parents living in California narrate their experiences with unintended pregnancy resolution. Qualitative analysis reveals three central themes. First, participants expressed shock upon learning they or their partner was pregnant, followed by acceptance about their impending parenthood. Second, participants' views of abortion and adoption largely foreclosed these options as pathways by which to resolve their unintended pregnancies. Third, participants recounted numerous stories of the messages they received from parents, other family members and male partners that were frequently directive regarding how to resolve their pregnancies. These findings have implications for young people's reproductive health and rights, and for reproductive justice more broadly.
Gyan, Sylvia Esther; Ahorlu, Collins; Dzorgbo, Dan-Bright S; Fayorsey, Clara K
This study focuses on how older adolescent girls access and utilize social capital to develop resilience against teenage pregnancy in Begoro, Ghana. A survey of 419 non-pregnant girls aged 15-19 years, selected using a multi-stage cluster sampling technique, was conducted in 2012. Qualitative data were gathered through in-depth interviews with ten girls purposively selected from the survey respondents. Parents, relatives, teachers and religious groups were found to be important sources of social capital for the non-pregnant girls in developing resilience against teenage pregnancy. In addition, resilient girls tended to rely on multiple sources of social capital. It is recommended that stakeholders and policymakers in Ghana ensure that these significant sources of social capital in adolescent girls' sexual experience are equipped with the right information to help girls decrease the risk of teenage pregnancy.
Bankston, Karen; Strong, Sherrill
This resource guide was written for teachers; school counselors and nurses; principals and school administrators; other professionals in health care, family planning, alcohol and other drug abuse (AODA) prevention and treatment; and community agencies who work with pregnant teenagers and their partners. It is designed to help these practitioners…
Mukhopadhyay, Prianka; Chaudhuri, R N; Paul, Bhaskar
Teenage pregnancy is a worldwide problem bearing serious social and medical implications relating to maternal and child health. A cross-sectional observational study was undertaken to compare the different sociodemographic characteristics and perinatal outcomes of teenage primigravida mothers with those of adult primigravida mothers in a tertiary-care hospital in eastern India. A sample of 350 each in cases and comparison group comprised the study subjects. Data were collected through interviews and by observations using a pretested and predesigned schedule. Results revealed that the teenage mothers had a higher proportion (27.7%) of preterm deliveries compared to 13.1% in the adult mothers and had low-birthweight babies (38.9% vs 30.4% respectively). Stillbirth rate was also significantly higher in teenage deliveries (5.1% vs 0.9% respectively). The teenage mothers developed more adverse perinatal complications, such as preterm births, stillbirths, neonatal deaths, and delivered low-birthweight babies, when compared with those of the adult primigravida mothers. Teenage pregnancy is still a rampant and important public-health problem in India with unfavourable perinatal outcomes and needs to be tackled on a priority basis.
Pergialiotis, V; Vlachos, D-E G; Gkioka, E; Tsotra, K; Papantoniou, N; Vlachos, G D
We present the experience of a tertiary referral hospital in Greece, evaluating obstetric and perinatal outcomes among teenage and average maternal age (AMA) women. We retrospectively assessed all singleton pregnancies during a twelve-month period (January-December 2012). A total of 1,704 cases were reviewed and divided into two groups: one of AMA mothers (20-34 years old) (1,460 women) and the other of teenage mothers (12-19 years old) (244 women). We observed significantly higher incidence rates of preterm births (p < 0.001), preterm premature rupture of the membranes (p < 0.001), gestational hypertension (p < 0.001), preeclampsia (p = 0.043) and Apgar scores < 7 at 5 min (p = 0.015) among teenage mothers. Antenatal surveillance was decreased among teenage mothers (p < 0.001), while rates of anaemia were higher (p < 0.001). Teenage pregnancy is accompanied by significant antenatal and perinatal complications that need specific obstetrical attention. Obstetricians should be aware of these complications in order to ameliorate the antenatal outcome of childbearing teenagers.
There is little doubt that the present level of interest in initiating sex education programs in the schools stems from the effort to reduce the teenage pregnancy rate. While one can hardly challenge the respectability of the goal to reduce teenage pregnancy, the writers take the view that the focus on reducing teenage pregnancy may be counter-productive to the establishment of effective sex education programs in school for the following reasons. 1. It promotes a narrow and incorrect understanding of human sexuality and sex education. 2. It creates misunderstanding of what constitutes a comprehensive sex education program. 3. Because the focus is on the junior/senior high youngster the assumption is left that sexuality occurs only between grades six and twelve. 4. It focuses primarily on the female and provides little education for the male. 5. It implies that the majority of teenagers want sex and not babies. 6. It implies that advocating sexual restraint is moralizing (and moralizing is bad) but teaching students that they should use contraceptives to avoid pregnancy is not moralizing. 7. The contraception approach presents human sexuality as a negative behavior because it conveys the impression that sex will get you into trouble if you do not know what to do.
National Urban League, Inc., New York, NY.
The most devastating effects of teenage pregnancy are felt among African Americans because of the disproportionate number of adolescent unmarried females in this community who get pregnant and give birth each year. Aspects of this problem are discussed as they relate to the African-American community. Historical antecedents of the problem are…
Washington, Anita C.
Compares changes in birth rates, sexual activity, abortion rates, illegitimate births, and incidence of giving babies up for adoption among White and Black adolescents and explores social and cultural influences on the racial differences. Presents suggestions for culturally related interventions in the area of teenage pregnancy. (Author/MJL)
This paper is concerned with how inequality is lived in the body. I have written elsewhere about how teenage pregnancy--as both a public discourse and an individual experience--provides a compelling example of the ways that inequality is carried in bodies, minds, and hearts. The aim of this paper is to revisit my earlier analysis and consider more…
Plotnick, Robert D.
Studies the influence of self-esteem, locus of control, attitudes toward women's family roles, attitudes toward school, educational aspirations, and religiosity on the probability of teenage premarital pregnancy and its resolution. Results for 1,142 white adolescent girls show that self-esteem and attitudes toward schooling and family roles were…
Office for Civil Rights (ED), Washington, DC.
This pamphlet has been prepared for elementary and secondary school administrators, teachers, counselors, parents, and students. It describes school retention problems associated with teenage pregnancy and parenthood and the requirements pertaining to these issues contained in the U.S. Department of Education regulation implementing Title IX.…
This document presents materials from a course designed to teach adolescents about teenage pregnancy and parenting. The materials are organized into nine modules, each of which contains instructions on how to use the module; a pre- and post-test on the information presented in the module; a fact finder leaflet of information; and relevant…
Saravalli, Susan K.
The seriousness of the consequences of teenage pregnancy and parenthood results in substantial long-term costs to the public as well as immeasurable personal implications. Education may be one way to combat the deleterious effects. Since attendance at school seems to be the avenue for acquiring the necessary knowledge and skills to become…
Levitt-Merin, Marta; Sutter, Sharon Kingdon
This final report provides a descriptive overview of three approaches which the Hawaii Demonstration Project initiated to reduce unintended teenage pregnancies. Project evaluation findings are summarized; both qualitative and quantitative data are presented for a comprehensive picture of the project and its input. Project limitations and successes…
Fleming, Jennie; Chong, Hannah Goodman; Skinner, Alison
The Centre for Social Action was commissioned by the Leicester City Council to evaluate its Teenage Pregnancy Prevention Strategy. This was a multi-stage project with a central element of consulting with young people. This article outlines the process that was followed in order to recruit, train and support young people through the process of…
Casanueva, Cecilia E.; Martin, Sandra L.
This research examines whether women who have experienced intimate partner violence (IPV) during pregnancy have a higher child abuse potential than women who have not experienced IPV. Data were analyzed from a longitudinal investigation of IPV during pregnancy. This study recruited 88 pregnant women during prenatal care and followed them for 1 1/2…
Keddie, Arlene M.
Compared self-esteem and perceived maternal care and control of 134 Jamaican schoolgirls and 108 pregnant adolescents and teenage mothers. Subjects were 14 through 17 years old, from working-class backgrounds, and living in rural and urban areas. Findings suggest that father-figure absence and low self-esteem may combine as risk factors for…
Ellis, Bruce J; Bates, John E; Dodge, Kenneth A; Fergusson, David M; Horwood, L John; Pettit, Gregory S; Woodward, Lianne
The impact of father absence on early sexual activity and teenage pregnancy was investigated in longitudinal studies in the United States (N = 242) and New Zealand (N = 520), in which community samples of girls were followed prospectively from early in life (5 years) to approximately age 18. Greater exposure to father absence was strongly associated with elevated risk for early sexual activity and adolescent pregnancy. This elevated risk was either not explained (in the US. study) or only partly explained (in the New Zealand study) by familial, ecological, and personal disadvantages associated with father absence. After controlling for covariates, there was stronger and more consistent evidence of effects of father absence on early sexual activity and teenage pregnancy than on other behavioral or mental health problems or academic achievement. Effects of father absence are discussed in terms of life-course adversity, evolutionary psychology, social learning, and behavior genetic models.
Prescription drug abuse is a growing problem in the United States and many other countries. Estimates of prescription drug abuse rates during pregnancy range from 5% to 20%. The primary prescription drugs designated as controlled drugs with abuse potential in pregnancy are opiates prescribed for pain, benzodiazepines prescribed for anxiety, and stimulants prescribed for attention-deficit/hyperactivity disorder. Prescription drugs are obtained for abuse through diversion methods, such as purchasing them from others or by doctor shopping. The use of prescription drugs puts both the mother and the fetus at high risk during pregnancy. Identification of women who are abusing prescription drugs is important so that treatment can be ensured. It is crucial for healthcare professionals to use a multidisciplinary approach and be supportive and maintain a good rapport with pregnant women who abuse prescription drugs. Management includes inpatient hospitalization for detoxification and withdrawal symptoms, and in the case of opiate abuse, opiate maintenance is recommended for pregnant women for the duration of their pregnancy to reduce relapse rates and improve maternal and fetal outcomes. Other recommendations include referral for support groups and supportive housing.
Barr, Linda; Monserrat, Catherine
These materials for a classroom or individualized learning setting comprise a curriculum for parenting education for school-age parents. The student textbook covers these topics: pregnant teenager's self-image, questions, and concerns; reproductive cycle and fetal development; prenatal changes and care; preparation for labor and delivery;…
Seven in 10 never-married U.S. women aged 15-19 have had a sex education course, almost all of them in school. Young black women are slightly more likely than whites to have had such a course. About half of all never-married teenagers have had courses which included some teaching about modern contraceptive methods; six in 10 have had some formal instruction about VD, and seven in 10 have had courses that included detailed instruction about the monthly menstrual cycle. Six in 10 of those who have had a course with information on the menstrual cycle claim to know the period of greatest pregnancy risk; but only one-third of those who have had such a course can in fact correctly identify the time when the risk of pregnancy is highest. Young white women are nearly two times more likely than blacks to identify the period of risk correctly. Knowledge of the period of risk is a particularly important issue in relation to teenage pregnancy, because many sexually active teenagers say that they do not use contraception because they believe they are protected from the risk of pregnancy by the time of month when they have intercourse. Among those who claim to know the period of greatest risk, a sex education course is the most common source of information for both blacks and whites, with home a distant second. Medical personnel and facilities convey information about pregnancy risk the most effectively, but they are the first source for only a tiny fraction of teenagers.(ABSTRACT TRUNCATED AT 250 WORDS)
Somers, Cheryl L.
This study evaluates the effectiveness of an experiential approach to teen pregnancy (TP) prevention called "Baby Think It Over," a computerized infant simulator, on adolescents' attitudes and behaviors regarding teen pregnancy and sexuality. Recently, a more realistic model called "Real Care Baby" was developed. The small amount of research on…
Taylor, Myra; Jinabhai, Champak; Dlamini, Siyabonga; Sathiparsad, Reshma; Eggers, Matthijs S; De Vries, Hein
Researchers aimed to determine the effects of a teenage pregnancy (TP) prevention program for 816 high school students attending 16 KwaZulu-Natal, South African schools through a randomized control trial. Data were collected at baseline and at the 8-month follow-up in 2009. Results were calculated using multivariate analyses of program effects employing Mplus 6, and indicated significantly healthier attitudes, including intentions to abstain from sex whilst at school, plans to communicate with partners about teenage pregnancy, and increased reports of condom use. Researchers thus provide some support for the effectiveness of a TP prevention program that should be further strengthened in a comprehensive approach that includes schools and families.
Reviews the national impact of adolescent pregnancy with emphasis on the Black community. Criticizes the mass media for exploiting sexual behavior. Proposes a national agenda incorporating comprehensive sex education, family planning services, and educational, economic, and social opportunities. (FMW)
If complications occur within a pregnancy planned and brought to term, they often can be dealt with and accepted. They are even more traumatic when they occur in an unwanted pregnancy that could have been prevented through contraception. Teenagers, because of their physical and psychological immaturity and also because of their social environment, seem to suffer with undue frequency from the complications of induced abortion. Its result, for the teenager, is a handicapped future in comparison to other women. Hence, access to contraception is important for all women, and especially for teenagers, in order to avoid such prejudicial situations. It is important, then, to prescribe oral contraception for its efficacy and its short- and long-term innocuousness. Because of her immaturity, the pregnant teenager is at risk: of spontaneous abortion, pre-eclampsia, anemia, hemorrhage, and prematurity. She is also at risk because of the social difficulties she will be facing. This is particularly true in families from developing countries. From birth, the child is also at risk: of low birth weight for the term, mortality in the first year of life, and all risks linked to abandonment, or education by a third party. In a proportion of 13 to 30% in western countries and in a proportion of 3% in East Asia or in Northwest Africa (Maghreb), induced abortions are a reflection of the following: early sexual activity without contraception even if fertility is still low in very young teenagers, absence of social protection or social independence, refusal of forced marriage, and presence or absence of liberal legislation.(ABSTRACT TRUNCATED AT 250 WORDS)
Examined the subsequent life and development of teenagers under probation who abused alcohol and drugs. Suggests that regardless of the social environment in which they grow up, children, both boys and girls, are in a risk zone if they use alcohol and drugs, and there is an enormous gap in their social adjustment compared with children that do…
There is an unrecognised crisis in the education of pregnant schoolgirls and schoolgirl mothers. Girls leaving school due to pregnancy are not reported in official statistics. This has serious consequences in terms of resource allocation and planning of service provision. This article examines how girls are forced out of the mainstream education…
Dogan-Ates, Aysun; Carrion-Basham, Carla Y.
This study investigated the role of three groups of risk and protective factors (e.g., individual, family, and extrafamilial) that are associated with teen pregnancy. Two groups of Latina adolescents (aged 15 to 19), nonpregnant/ nonparenting (NP; N = 48) and pregnant/parenting (P; N = 46), completed a demographic survey, an adolescent profile…
Zellman, Gail L.
Local education agency responses to student pregnancy and parenthood are constrained by narrow definitions of the problem, opposition to sex education, contraception, and abortion, disagreement about the appropriate school role, lack of expertise, and lack of incentives to develop programs. Nationwide field studies were conducted to assess 12…
Gyesaw, Nana Yaa Konadu; Ankomah, Augustine
Background The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns. Methods This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling. Results Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion. Conclusion Special programs should be initiated by the government and the various responsible departments to address ignorance on sexual matters, and the challenges and risks associated with pregnancy and parenting by adolescents. Parenting techniques should be taught in sex education programs. PMID:24250233
Martinez, Edson Zangiacomi; Roza, Daiane Leite da; Caccia-Bava, Maria do Carmo Gullaci Guimarães; Achcar, Jorge Alberto; Dal-Fabbro, Amaury Lelis
Teenage pregnancy is a common public health problem worldwide. The objective of this ecological study was to investigate the spatial association between teenage pregnancy rates and socioeconomic characteristics of municipalities in São Paulo State, Southeast Brazil. We used a Bayesian model with a spatial distribution following a conditional autoregressive (CAR) form based on Markov Chain Monte Carlo algorithm. We used data from the Live Birth Information System (SINASC) and the Brazilian Institute of Geography and Statistics (IBGE). Early pregnancy was more frequent in municipalities with lower per capital gross domestic product (GDP), higher poverty rate, smaller population, lower human development index (HDI), and a higher percentage of individuals with State social vulnerability index of 5 or 6 (more vulnerable). The study demonstrates a significant association between teenage pregnancy and socioeconomic indicators.
Binet, Clotilde; Gastineau, Bénédicte; Rakotoson, Lina
In committing itself to achieve the Millennium Development Goals, Madagascar committed itself to reducing maternal and infant mortality. Teenagers must be a target for activities to improve maternal and child health, for analyses of survey data show clearly that teenager pregnancies present a risk to the health of both young mothers and their children; in particular, both have a higher risk of death than older mothers and their children. These differences can be explained both by biological factors and socioeconomic variables (place of residence, educational level, etc). The issue of abortion is also important, for it is an important cause of maternal mortality, especially among young girls. Beyond the actions of prevention, post-abortion care could help to reduce the complications of abortions and thus mortality among women.
Khodakarami, N; Naji, H; Dashti, M G; Yazdjerdi, M
We carried out a descriptive analysis on the pregnancy outcome in 313 pregnant women abused, 160 non-abused). Abuse was statistically significantly correlated with mean weight gain during pregnancy, mean frequency of the prenatal care, prolonged labour (dystocia), premature rupture of membrane, low mean birth weight and mean gestational age at birth. Given the high likelihood that a woman will access health care services during her pregnancy, physicians providing prenatal care are in a strategic position to screen for partner abuse.
Woodward, V M
In order to gain insight into factors affecting sexual behavior among teenagers in the UK, a comparative study was undertaken from May to July 1992 using data gathered from 30 teenagers attending a prenatal clinic with an unplanned pregnancy and 31 never-pregnant teenage girls attending a family planning (FP) clinic. The self-completed questionnaire contained 19 items that elicited information on age, ethnicity, living arrangements, parents' occupation (not included in the analysis), religion, school or employment, academic achievement, communication about sexual matters, menarche, sexual experience, current relationships, contraceptive usage, sources of contraceptives, and perception of available systems of support in dealing with sexual matters. It was found that the two groups were similar in regard to demographic factors, age at initiation of sexual intercourse, total number of sexual partners, number having a current regular boyfriend, and length of interval between going out with a boy and initiating sexual intercourse. The FP teens were more likely to be living with both natural parents, to be in school, to depend upon books for sexual information (rather than their mothers), and to discuss values with friends. The pregnant teens were involved in lengthier relationships with their boyfriends, were more likely to be cohabiting with their boyfriends, and were more likely to be unemployed and out of school. These findings indicate that no simple model exists to predict teenage sexual or contraceptive behavior. Further studies are warranted into the effects of family discord, of unemployment, and of perceptions of future possibilities on the use of contraception and incidence of unplanned pregnancy during adolescence.
Macdonald, D I
Sex education continues to gain prominence as a critical factor in current challenges to the nation's public health. Adolescent pregnancy, with its frequently adverse consequences for the health and well-being of both mother and child, has reached unprecedented levels in the United States, and AIDS now threatens society in its entirety. Despite awareness that effective sex education is essential to combatting these problems, current debates, focused on the content and timing of sex education provided in the schools, are shortsighted. As currently practiced in this country, sex education curriculums convey the wrong message and are targeted to the wrong audience. In emphasizing the provision of data to youth, we ignore the fact that parental guidance and direction are more often helpful than data and options. Yet we fail to provide parents and others who comprise the traditional systems of child care and nurturance with the information they require to assume responsibility for the safe and healthy development of children and youth. Understanding the reasons for the failure of conventional sex education provides a foundation for developing a more effective approach to preventing adolescent pregnancy. Defining an effective message and targeting information to the appropriate audience are necessary to effect a significant reduction in premature sexual behavior among adolescents.
Vikat, A; Rimpela, A; Kosunen, E; Rimpela, M
Study objective: To analyse sociodemographic differences in the occurrence of pregnancies to 14 to 19 year olds and changes in these differences from 1987 to 1998. Design: Follow up of adolescent survey respondents using registers. Setting and subjects: The dataset includes information on all registered pregnancies (abortions, births, and miscarriages, n=2743) of the female respondents (n=28 914) to the Adolescent Health and Lifestyle Survey (AHLS) from 1987 to 1998. In the AHLS, self administered questionnaires were mailed every second year to independent samples of 12, 14, 16, and 18 year olds representative for Finland. Main outcome measure: Relative risk (hazard) of becoming pregnant at teenage. Main results: Girls from lower socioeconomic background had a higher pregnancy risk. Girls who did not live with both parents at the baseline survey had higher pregnancy risk than those who did, and girls who lived in a stepfamily had a higher risk than those who lived in a one parent family. Swedish speaking girls had a lower pregnancy risk than the Finnish speaking girls. There was no systematic change from 1987 to 1998 in most sociodemographic differentials in the teenage pregnancy risk, however, there was some increase in the differences by family structure. Changes in the sociodemographic structure did not explain the levelling off of the downward trend in teenage pregnancy risk, nor did the regional socioeconomic differences explain regional differentials in teenage pregnancy risk. Conclusion: Although the reduction of socioeconomic and regional differences has been a general objective in Finnish social and health policies, the relative differences in teenage pregnancies have not decreased. PMID:12177081
Murphy-Erby, Yvette; Stauss, Kim; Koh, Eun
Despite an overall reduction in teenage pregnancy rates in the USA, the decrease for young women of Mexican heritage in the USA has been less significant than the decrease for their White and African-American peers. Furthermore, the availability of teenage pregnancy prevention models that are conceptualised specifically for people of Mexican…
Turgut, F; Turgut, M; Menteş, E
A case is reported of a lumbosacral plexus compression by the fetus in a young 34-weeks pregnant woman, who had low-back pain and progressive muscular weakness of the leg. Neurological examination showed a grade IV motor weakness of the iliopsoas, quadriceps femoris and biceps femoris muscles. Mechanical stretch manoeuvers were negative. Electromyography revealed denervation activity in L4 and L5 muscles. Lumbosacral plexus radiculopathy was diagnosed. Although fetal compression appears to be an uncommon cause of lumbosacral radiculopathy during teenage pregnancy, both neurosurgeons and obstetricians should be aware of the possibility.
Dawson, E B; Albers, J H; McGanity, W J
Numerous studies have suggested a significant role of selenium in the prevention of gynecological carcinoma. These were epidemiological and prospective in humans and therapeutic in laboratory animals. However, no studies have been reported regarding the normal serum selenium levels during pregnancy. The maternal total blood volume increases 30-50% during the second and third trimesters, resulting in lower measured serum levels for those metabolites, which are not increased significantly during pregnancy. A longitudinal study of the serum selenium levels in teenage pregnancy during the last two trimesters and 3 mo postpartum showed progressive elevation from 49 +/- 7 microg/dL after the 32nd week of pregnancy to 114 +/- 7 microg/dL at term, which was statistically significant (p < or = 0.001). Prenatal supplementation with 18 mg of iron per day prevented this elevation. The results of this study suggest that serum selenium levels in women normally double during pregnancy and this doubling is prevented by the minimal daily supplementation of 18 mg of iron, which may be due to increased absorption of selenium into the erythrocytes and incorporation into the glutathione peroxidase enzyme.
Sorhaindo, Annik; Bonell, Chris; Fletcher, Adam; Jessiman, Patricia; Keogh, Peter; Mitchell, Kirstin
Research on the unintended consequences of targeting 'high-risk' young people for health interventions is limited. Using qualitative data from an evaluation of the Teens & Toddlers Pregnancy Prevention programme, we explored how young women experienced being identified as at risk for teenage pregnancy to understand the processes via which unintended consequences may occur. Schools' lack of transparency regarding the targeting strategy and criteria led to feelings of confusion and mistrust among some young women. Black and minority ethnic young women perceived that the assessment of their risk was based on stereotyping. Others felt their outgoing character was misinterpreted as signifying risk. To manage these imposed labels, stigma and reputational risks, young women responded to being targeted by adopting strategies, such as distancing, silence and refusal. To limit harmful consequences, programmes could involve prospective participants in determining their need for intervention or introduce programmes for young people at all levels of risk.
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Radzilani-Makatu, Makondelele; Takalani, James F.
Background Sexuality plays a very significant role in the lives of both boys and girls. It is, therefore, considered important for schools to recognise and accept sexuality as part of the development process of the child. Professor Kader Asmal (previous South African Minister of Education) suggested that the earlier the school begins to teach learners about sexuality, the better because they can be easily misled by their peers if proper guidance regarding their sexuality is not given. Aim The current study was conducted to assess the awareness of teenagers on the prevention of teenage pregnancy (TP) in six secondary school learners situated in the Soutpansberg-West circuit, Makhado Municipality in Limpopo province. Setting The study was conducted at six secondary schools situated in the Soutpansberg-West circuit, Makhado Municipality in Limpopo province in 2014. Methodology A quantitative descriptive survey study was conducted where data were collected, using self-administered questionnaires, from 381 systematically sampled participants from six secondary schools situated in the Soutpansberg-West circuit, Makhado Municipality in Limpopo province. Data were analysed descriptively using the Statistical Package for the Social Sciences (SPSS) software, version 22.0. Necessary approval procedures and ethical clearance were obtained prior to data collection. Results Ninety-four percent of participants agreed that TP can be prevented through abstaining from sex, whilst 65% of participants agreed that TP could be prevented by using contraceptives such as pills and injections. Eighty-three percent of participants agreed that TP could be prevented through the use of condoms. Seventy-four percent participants disagreed that bathing after sex prevents teenage pregnancies. Furthermore, 28% participants agreed that TP can be prevented by oral sex. Conclusion The conclusion drawn was that learners are aware of the measures for preventing TP. PMID:27380836
Cavazos-Rehg, Patricia A.; Krauss, Melissa J.; Spitznagel, Edward L.; Schootman, Mario; Cottler, Linda B.; Bierut, Laura Jean
Objective: The present study examined the associations between initiation and intensity of substance use and with sexual experience with and without a history of teenage pregnancy. Method: Participants were high school females (weighted n = 3,451) who participated in the 1999–2003 Youth Risk Behavior Surveillance System, a cross-sectional, nationally representative survey. Multinomial multivariable logistic regression was used to assess the likelihood of being sexually experienced (but never pregnant) and teenage pregnancy (reference group: never had sexual intercourse) as a function of age at substance use initiation (i.e., age 12 or younger, 13–14 years of age, and age 15 or older) and intensity of substance use (i.e., nonuser, experimental/ new or nondaily, nonexperimental/daily user) for alcohol, cigarettes, and marijuana, while controlling for race/ethnicity, metropolitan location, symptoms of depression, and illegal drug availability at school. Results: A major finding of our study is that substance use behaviors across each substance (alcohol, cigarettes, and marijuana) independently contributed to an increased risk in sexual intercourse experience with and without a history of teenage pregnancy (vs. nonsexually experienced females). A dose-response relationship was also observed between an increased likelihood of a teenage pregnancy and marijuana behaviors. Furthermore, the risk for teenage pregnancy was compounded for daily cigarette smokers who initiated use at age 12 or younger. Conclusions: Screening substance use behaviors can help to identify girls who may benefit from pregnancy prevention strategies. Targeting cigarette and marijuana behaviors as early as age 12 or younger may provide an added benefit. Prevention strategies should also consider the role of race above and beyond substance use behaviors. PMID:21388592
Lebese, Tsakani R.; Maputle, Sonto M.; Mulaudzi, Lindiwe
Background Teenage pregnancy is a global social health concern especially because of the HIV and AIDS pandemic, sexually transmitted infections, high rate of termination of pregnancy (TOP), adolescents’ parenthood and decreased level of contraceptives. Aim To explore the views of teenagers on the TOP at Muyexe high school in a rural village of Mopani District, Limpopo Province. Setting Muyexe high school in a rural village of Mopani District, Limpopo Province, in South Africa. Methodology A qualitative method using explorative and descriptive designs was used to find in-depth description and understanding of teenagers’ views on TOP. The target population was girls aged 15–19 years at Muyexe high school in Mopani District. Non-probability, convenient sampling was used to select high school teenage girls who had undergone TOP for the study. Data were collected using individual self-report technique (interview). Tesch’s eight steps of qualitative data analysis were used. Measures to ensure trustworthiness and ethical considerations were observed. Results Two major themes were revealed: (1) Views of teenagers regarding TOP (poverty, relationship problems and single parenthood, negative impact on the teen’s life while attending school) and (2) teenager’s fears regarding pregnancy (stigma, fear of parents and friends, rape and incest and fear of giving birth). Conclusion Majority of participants had knowledge about TOP; some had experiences about TOP while others held inadequate knowledge. Recommendations were based on the findings by teaching dangers of TOP and various contraceptive methods to prevent unwanted pregnancies and TOP. PMID:27380849
Wood, Lesley; Hendricks, Farah
Teenage pregnancy among school-going youth is a concern worldwide, but in socially-economically challenged environments it is a result of, and contributory factor to, a complex web of social injustice. In South Africa, most of the school-based prevention interventions to date have been adult-designed and imparted, with the voice of the target…
... in doubt. Perhaps they are personally opposed to abortion. Or they know deep in their hearts that ... in life and therefore wish to have an abortion. Most girls, though, agonize over this difficult decision, ...
Santos, Nilma Lázara de Almeida Cruz; Costa, Maria Conceição Oliveira; Amaral, Magali Teresópolis Reis; Vieira, Graciete Oliveira; Bacelar, Eloisa Barreto; de Almeida, André Henrique do Vale
The scope of the study was to analyze possible associations between maternal age under 16 years and the weight and gestational age of the newborn child, as well as the occurrence of cesarean delivery. A cross-sectional study was conducted using data of Live Birth Certificates/DN from the National System of Live Births/SINASC in Feira de Santana, State of Bahia, Brazil, in the 2006-2012 period. In the analyses, logistic regression for the odds ratio (OR) and a confidence interval of 95% was used, measuring the strength of association between variables adjusted for confounding factors. Newborns (NB), with low birth weight and underweight, revealed a significant association with maternal age (≤ 16 years) and statistical interaction of inadequate prenatal care and cesarean delivery. In teenage pregnancy under the age of 16 years, cesarean delivery showed a significant association with single marital status (OR 1.24), inadequate prenatal care (OR 1.58) and newborns with low weight (OR 1.34). The data suggest that multiple factors may interfere with the type of delivery and pregnancy outcome of adolescents at an early age, pointing to the importance of investment in policies and actions directed at this group considered highly vulnerable to perinatal and pregnancy complications.
Lee, Sang Hyung; Lee, Seung Mi; Lim, Nam Gu; Kim, Hyun Joo; Bae, Sung-Hee; Ock, Minsu; Kim, Un-Na; Lee, Jin Yong; Jo, Min-Woo
Teenage mothers are at high risk for maternal and neonatal complications. This study aimed to evaluate the socioeconomic circumstances of teenage pregnancy, and determine whether these increased risks remained after adjustment for socioeconomic circumstances in Korea. Using the National Health Insurance Corporation database, we selected women who terminated pregnancy, by delivery or abortion, from January 1, 2010 to December 31, 2010. Abortion, delivery type, and maternal complications were defined based on the International Classification of Diseases-10th Revision. We compared teenagers (13-19 years at the time of pregnancy termination) with other age groups and investigated differences based on socioeconomic status, reflected by Medical Aid (MA) and National Health Insurance (NHI) beneficiaries. We used multivariate analysis to define the factors associated with preterm delivery. Among 463,847 pregnancies, 2267 (0.49%) involved teenagers. Teenage mothers were more likely to have an abortion (33.4%) than deliver a baby when compared with other age groups (20.8%; P < 0.001). About 14.4% of teenage mothers had never received prenatal care throughout pregnancy. Among teenage mothers, 61.7% of MA recipients made fewer than 4 prenatal care visits (vs 38.8% of NHI beneficiaries) (P < 0.001). Teenage mothers more often experienced preterm delivery and perineal laceration (P < 0.001). Teenage mothers (<20 years) were 2.47 times more likely to have preterm delivery than older mothers (20-34 years; P < 0.001). Teenage mothers had higher risk of inadequate prenatal care and subsequently of preterm delivery, which remained significantly higher after adjusting for socioeconomic confounding variables and adequacy of prenatal care in Korean teenagers (P < 0.001).
Copping, Lee T; Campbell, Anne; Muncer, Steven
Guided by principles of life history strategy development, this study tested the hypothesis that sexual precocity and violence are influenced by sensitivities to local environmental conditions. Two models of strategy development were compared: The first is based on indirect perception of ecological cues through family disruption and the second is based on both direct and indirect perception of ecological stressors. Results showed a moderate correlation between rates of violence and sexual precocity (r = 0.59). Although a model incorporating direct and indirect effects provided a better fit than one based on family mediation alone, significant improvements were made by linking some ecological factors directly to behavior independently of strategy development. The models support the contention that violence and teenage pregnancy are part of an ecologically determined pattern of strategy development and suggest that while the family unit is critical in affecting behavior, individuals' direct experiences of the environment are also important.
Hunt, I F; Murphy, N J; Cleaver, A E; Faraji, B; Swendseid, M E; Browdy, B L; Coulson, A H; Clark, V A; Settlage, R H; Smith, J C
As a follow-up of our study of pregnant women, we report effects of zinc supplementation during pregnancy in another population of 138 Hispanic teenagers in Los Angeles. Teenagers were randomized (double-blind) to a control or zinc-supplemented group and received similar daily vitamin and mineral supplements except for 20 mg zinc added to the zinc-supplemented group's capsules. Initially, mean dietary zinc intakes of both groups were about 50% of the Recommended Dietary Allowance and their mean serum zinc levels did not differ significantly (69.8 +/- 11.2 micrograms/dl in control and 69.0 +/- 11.4 micrograms/dl in zinc-supplemented group). Zinc supplementation did not maintain mean serum zinc levels during pregnancy but, as in our earlier study, it reduced (p = 0.018) the number of low serum zinc values (less than or equal to 53 micrograms/dl) in late pregnancy. Zinc supplementation did not affect outcome of pregnancy but serum zinc levels were lower (p = 0.038) in teenagers with pregnancy-induced hypertension than in normotensives.
Kaywell, Joan F.
Describes a seven-step process that uses young adult literature to help teenagers understand and deal with their troubles. Offers brief annotations of five young adult titles in each of nine areas: alienation and identity; divorce; dropouts, delinquency, and gangs; poverty; teenage pregnancy; abused children; alcohol and drugs; homosexuality; and…
Marcenko, Maureen O.; And Others
Examined psychosocial characteristics and service needs of pregnant women with substance abuse histories. Interviewed 225 pregnant women defined as having high-risk pregnancies for psychosocial reasons. Compared to non-substance-abusing women, those with admitted history of substance abuse were significantly older, had more children, were more…
Johnson, Liza-Marie; Church, Christopher L.; Gomez-Garcia, Wendy C.; Popescu, Marcela I.; Margolin, Judith F.; Ribeiro, Raul C.
The usual age range of acute lymphoblastic malignancies (acute lymphoblastic leukemia and advanced-stage lymphoblastic lymphoma) includes teenagers and young adults (<22 years of age) and coincides with the age of fertility. Concurrence of acute lymphoblastic malignancy with pregnancy is therefore most likely to happen during the younger childbearing ages. However, the therapeutic challenges posed by the dual diagnosis of lymphoblastic malignancy and pregnancy have not specifically been studied in the context of age, and management guidelines for pregnant young patients are lacking. Inconsistency in defining the legal decision-making rights of pregnant teenaged patients adds a further level of complexity in this age group. Management of this challenging combination in the young patient therefore entails unique ethical considerations. Here we present two illustrative cases of teenage pregnancy complicated by acute lymphoblastic malignancy, review the available literature, and offer suggestions for the therapeutic management of such cases in adolescent and young adult patients. Importantly, practical management recommendations are provided in the context of clinical ethics principles that are universally applicable, including in developing countries, where the highest incidence of adolescent pregnancies has been documented. PMID:25538861
Marino, Justin F.
Teenage parenting and pregnancy is discussed in terms of incidence, health consequences, effect on teenage growth and development, social and economic costs, and existing programs sponsored by DHEW (Department of Health, Education, and Welfare). (SBH)
Levels of teen pregnancy, illegitimate birth, sexually transmitted disease (STD), rape, wife-bashing, abandonment and abuse, abortion, school dropout, divorce, and drug abuse are on the rise in Fiji. 13.4% of 7,093 births to 7,093 mothers over the period January 1982-June 1983 were to mothers under age 19, of which 46.7% of the babies were illegitimate. 4% of all mothers harbored STD. Talks held by the Ministry of Education eventually led to the development and implementation of the Family Life Education Project in July 1985. The project's longterm goals are to reduce the incidence of adolescent pregnancy, unwanted births, STDs, and psychological stress. To attain these goals, family life education was incorporated in the curricula of 104 of 141 of the country's secondary schools. This core course was designed to change teen attitudes and behaviors relating to family life, population issues, and family planning, and was implemented with broad parental and community support. Anecdotal evidence suggests program success.
Smith, Debbie M; Elander, James
Information is needed about how the effects of socio-economic deprivation on teenage pregnancy are mediated by proximal risk factors, in order to target area-wide and family interventions more effectively. Using a 2x2 factorial design, we tested the separate and interacting effects of area deprivation and family deprivation on six specific proximal risk factors for teenage pregnancy: early sexual activity, life expectations, knowledge and beliefs about contraceptives, attitude to abortion, beliefs about love, and use of local sexual health services. Data were collected from 201 13-15-year-old girls in deprived and non-deprived families living in deprived and more affluent areas of the United Kingdom. Area deprivation significantly increased early sexual activity, and both area and family deprivation significantly reduced life expectations. Significant interactions between area and family deprivation showed that the impact of living in a deprived area depends to some extent on family circumstances, with implications for targeting different types of intervention. Living in a deprived area increased early sexual activity much more markedly among girls in deprived families, so interventions to reduce early sexual activity could target individually deprived girls living in deprived areas. Living in a more affluent area increased life expectations, but only among girls in non-deprived families, so both area-wide and individually targeted interventions would be needed to raise life expectations among girls most at risk of teenage pregnancy.
Peres, Simone Ouvinha; Heilborn, Maria Luiza
This article aims to unveil the notion of abortion as an element in young people's thoughts on teenage pregnancy. The study analyzes data from semi-structured interviews with 123 young men and women 18-24 years of age in Porto Alegre, Rio de Janeiro, and Salvador, Brazil, belonging to different social strata. Based on information concerning their affective, sexual, and reproductive circumstances, an abortion typology was established with a gradient ranging from considering the act to the attempt to materialize it, actually submitting to abortion, and even ruling out the possibility of interrupting the pregnancy. According to the data, 73% of interviewees had considered the possibility of an abortion, demonstrating an important presence of this notion as a recourse vis-à-vis an unpredicted pregnancy, even in the Brazilian context where abortion is illegal. Among the 86 young people who had experienced a pregnancy, 27 reported having resorted to abortion (20 males and seven females). The results indicate gender differences and contribute to an understanding of teenage pregnancy by examining induced abortion, a hidden dimension in the public and scientific debate on this issue.
Holbrook, Amber M
The past decade has seen an increase in rates of opioid abuse during pregnancy. This clinical challenge has been met with debate regarding whether or not illicit and prescription opioid-dependent individuals require different treatment approaches; whether detoxification is preferable to maintenance; and the efficacy of methadone versus buprenorphine as treatment options during pregnancy. The clinical recommendations resulting from these discussions are frequently influenced by the comparative stigma attached to heroin abuse and methadone maintenance versus prescription opioid abuse and maintenance treatment with buprenorphine. While some studies have suggested that a subset of individuals who abuse prescription opioids may have different characteristics than heroin users, there is currently no evidence to suggest that buprenorphine is better suited to treatment of prescription opioid abuse than methadone. Similarly, despite its perennial popularity, there is no evidence to recommend detoxification as an efficacious approach to treatment of opioid dependence during pregnancy. While increased access to treatment is important, particularly in rural areas, there are multiple medical and psychosocial reasons to recommend comprehensive substance abuse treatment for pregnant women suffering from substance use disorders rather than office-based provision of maintenance medication. Both methadone and buprenorphine are important treatment options for opioid abuse during pregnancy. Methadone may still remain the preferred treatment choice for some women who require higher doses for stabilization, have a higher risk of treatment discontinuation, or who have had unsuccessful treatment attempts with buprenorphine. As treatment providers, we should advocate to expand available treatment options for pregnant women in all States.
Winters, Ken C.; Leitten, Willa; Wagner, Eric; Tevyaw, Tracy O'Leary
Background: Promising and encouraging results have been recently reported on the use of briefer interventions for adolescent drug abusers. Because middle- and high-school-based drug abuse intervention programs have grown in popularity over the past several decades, the use of brief interventions (BIs) in school settings merits consideration.…
Martin, Caitlin E; Longinaker, Nyaradzo; Terplan, Mishka
Prescription opioid abuse is a significant and costly public health problem among pregnant women in the United States. We investigated recent trends in substance abuse treatment admissions for prescription opioids during pregnancy using the Treatment Episodes Data Set. From 1992 to 2012 the overall proportion of pregnant admissions remained stable at 4%; however, admissions of pregnant women reporting prescription opioid abuse increased substantially from 2% to 28% especially in the south. Demographic characteristics of pregnant opioid admissions changed from 1992 to 2012 with younger, unmarried White non-Hispanic women, criminal justice referrals, and those with a psychiatric co-morbidity becoming more common (p<0.01). About a third received medication assisted therapy despite this being the standard of care for opioid abuse in pregnancy. While substance abuse treatment centers have increased treatment volume to address the increase in prescription opioid dependence among pregnant women, targeting certain risk groups and increasing utilization of medication assisted therapy should be emphasized.
Ochiogu, Ifeoma N; Miettola, Juhani; Ilika, Amobi L; Vaskilampi, Tuula
The objective of this study was to explore whether the time at which sex education was provided had any impact on reported cases of unintended pregnancies. A cross-sectional survey of secondary school students and their teachers was conducted using self-administered questionnaires. The participants were 1,234 students aged 14-17 years and 46 teachers in 5 secondary schools in South Eastern Nigeria. The outcome measures were reported pregnancies within the last 3 years by type of school and class level; class level at the time of receiving sex education at school; and age at the time of receiving sex education at home. In all schools, sex education was provided at all the junior and senior secondary school levels (JSS and SSS, respectively). Overall, reported cases of unintended pregnancies were highest among the junior students. In the private schools, four in ten teachers reported pregnancies among JSS 3 students. Almost four in ten teachers in public schools reported pregnancies among JSS 2 students. Of all the students, about three in ten reported pregnancies among JSS 2 and 3 students respectively. At home, sex education was provided at the mean age of 16 years (SD ± 2.2). All participants cited financial need and marital promise as major predisposing factors. About four in ten students did not use contraceptives during their first sexual experience. This study highlights the need to introduce sex education much earlier, possibly before the JSS levels. At home, sex education may have greater impact if provided before the age of 14 years. Efforts should be made to address the factors predisposing to teenage pregnancy.
Cullen, Mairi Ann; Davis, Liz; Lindsay, Geoff; Davis, Hilton
Based on 65 interviews with professionals and parents conducted during 2007-2008, this 16-month, mainly qualitative evaluation of Parentline Plus' Time to Talk Community Programme (a preventative initiative within England's teenage pregnancy strategy) found that a community development approach and an ethos of partnership with parents and…
Young people leaving out-of-home care are overrepresented among teenage parents. This paper examines the research literature and identifies key factors that contribute to early pregnancy and parenthood for care leavers, the challenges of early parenting and the positive effects of early parenting. The implications for out-of-home care policy and…
Teenage parents are cast into adult roles before the role experimentation and identity development tasks of middle adolescence can be completed. Understanding the etiology of this social problem requires an ecological perspective encompassing individual characteristics, person-context variables, and societal factors such as race and social class. Risk factors identified in the literature on adolescent pregnancy in the US include: absence of a future orientation or aspirations, lack of assertiveness and interpersonal skills to control physical intimacy, low socioeconomic status and minority group membership, growing up in a single-parent family, a history of sexual abuse, five or more siblings, a sister or friend who became a teenage mother, lax parental supervision of dating and free time, low self-esteem, and dropping out or failing in school. The limited data on adolescent fathers suggest they have histories of substance use, delinquency, failure to graduate from high school, financial difficulty, and exposure to family violence. The offspring of adolescent parents show a higher incidence of developmental delays and mild mental retardation than children of adults and are at increased risk of child abuse and neglect. Teen parents raised in dysfunctional families tend to perpetuate destructive methods of child rearing and have unrealistic, age-inappropriate expectations for infants and toddlers. Teenage parents' lack of competence can be mitigated, however, by positive living arrangements, a supportive family of origin, peer support groups, quality child care, school-based services, and accurate information about parenting and child development.
Winters, Ken C
The importance of parents as "interventionists" is supported by reviews of the treatment literature (e.g., Smit, Verdurmen, Monshouwer, & Smit, 2008; Winters, Botzet, Fahnhorst, & Koskey, 2009) as well as the emerging science that home-based initiatives by parents can contribute to desired health changes in adolescents (Fearnow, Chassin, Presson, & Sherman, 1998; Jackson & Dickinson, 2006). Parental influences on an adolescent can include reducing initiation, as well as altering its maintenance if it has started. This paper describes a project aimed helping parents to deal with a teenager who has already started to use alcohol or other drugs. Home Base is a home-based, parent-led program aimed at reversing the trajectory of drug use in an already drug-using adolescent. The program's content is organized around motivational enhancement and cognitive behavioral techniques. The ongoing study will also be discussed.
... Who may be abusing inhalants?The most common abusers of inhalants are teenagers, especially those who are ... to your child about the dangers of trying drugs can help him or her make the right ...
Government Accountability Office, 2007
The abuse of anabolic steroids by teenagers--that is, their use without a prescription--is a health concern. Anabolic steroids are synthetic forms of the hormone testosterone that can be taken orally, injected, or rubbed on the skin. Although a 2006 survey funded by the National Institute on Drug Abuse (NIDA) found that less than 3 percent of 12th…
Rickel, Annette U.; And Others
This study investigated the child rearing strategies endorsed by pregnant adolescent girls. The sample consisted of 124 pregnant adolescent girls from two alternative high schools for pregnant or parenting teenage girls in the Detroit (Michigan) Metropolitan Area. Child rearing strategies were assessed using the Rickel Modified Form of the Block…
Rational choice models of teenage sexual behaviour lead to radically different predictions than do models that assume such behaviour is random. Existing empirical evidence has not been able to distinguish conclusively between these competing models. I use regional data from England between 1998 and 2001 to examine the impact of recent increases in…
Dewitt, M S; Swain, R; Gibson, L B
Jimson weed (Datura stramonium, a member of the Belladonna alkyloid family) is a plant growing naturally in West Virginia and has been used as a home remedy since colonial times. Due to its easy availability and strong anticholinergic properties, teens are using Jimson weed as a drug. Plant parts can be brewed as a tea or chewed, and seed pods, commonly known as "pods" or "thorn apples," can be eaten. Side effects from ingesting jimson weed include tachycardia, dry mouth, dilated pupils, blurred vision, hallucinations, confusion, combative behavior, and difficulty urinating. Severe toxicity has been associated with coma and seizures, although death is rare. Treatment consists of activated charcoal and gastric lavage. Esmolol or other beta-blocker may be indicated to reduce severe sinus tachycardia. Seizures, severe hypertension, severe hallucinations, and life-threatening arrhythmias are indicators for the use of the anticholinesterase inhibitor, Physostigmine. This article reviews the cases of nine teenagers who were treated in hospitals in the Kanawha Valley after ingesting jimson weed. We hope this article will help alert primary care physicians about the abuse of jimson weed and inform health officials about the need to educate teens about the dangers of this plant.
Zapata, Lauren B.; Kissin, Dmitry M.; Bogoliubova, Olga; Yorick, Roman V.; Kraft, Joan Marie; Jamieson, Denise J.; Marchbanks, Polly A.; Hillis, Susan D.
Objective: Little is known about the magnitude and consequences of violence against children for those living outside family care. We sought to estimate the frequency of childhood abuse and examine its association with lifetime pregnancy involvement (LPI) and past year suicide ideation among orphaned youth. Methods: We analyzed data collected via…
Gelles, Richard J.
Examined data from Second National Family Violence Survey. Found women under age 25 to be more likely than older women to be both pregnant and to be hit and abused by husbands and partners. Although pregnant women were not particularly vulnerable group, pregnancy did not insulate them from high rates of violence experienced by young women.…
Socolov, Demetra-Gabriela; Iorga, Magdalena; Carauleanu, Alexandru; Ilea, Ciprian; Blidaru, Iolanda; Boiculese, Lucian; Socolov, Razvan-Vladimir
Aim. To determine pregnancy and delivery outcomes among teenagers. Materials and Methods. An 8-year retrospective comparative hospital-based cohort study is analysing singleton pregnancy comorbidities and delivery parameters of a teenage group under the age of 20 compared with a young adult group 20-24 years of age in a university hospital. Results. Teenage is a risk factor for preterm birth <37 weeks (1.21 [1.08-1.35]), foetal growth restriction (1.34 [1.21-1.48]), episiotomy (1.27 [1.21-1.34]), uterine revision (1.15 [1.06-1.25]), APGAR <7 at 1 min (2.42 [1.21-1.67]), cephalopelvic disproportion (1.26 [1.07-1.48]), and postpartum haemorrhage (1.42 [1.25-1.62]); however, caesarean delivery occurs less frequently in teenagers than in adults (0.75 [0.70-0.80]). The following comorbidities are risk factors for teenage pregnancy (risk ratio [CI 95%]): anaemia (1.13 [1.10-1.17]), low urinary tract infection (1.10 [1.03-1.18]), pediculosis (2.42 [1.90-3.00]), anogenital condyloma (1.50 [1.04-2.17]), and trichomoniasis (1.74 [1.12-2.68]). The risks for hepatitis B and hepatitis C, premature rupture of membranes, and placenta praevia were lower compared with those in the young adult group, respectively, 0.43 (0.26-0.71), 0.90 (0.85-0.96), and 0.29 (0.20-0.41), while the risk for gestational diabetes and preeclampsia were the same in both groups. Conclusion. Considering the high risks for teenage pregnancy, this information should be provided to pregnant adolescent women and their caregivers.
Aventin, Áine; Lohan, Maria; O'Halloran, Peter; Henderson, Marion
Following the UK Medical Research Council's (MRC) guidelines for the development and evaluation of complex interventions, this study aimed to design, develop and optimise an educational intervention about young men and unintended teenage pregnancy based around an interactive film. The process involved identification of the relevant evidence base, development of a theoretical understanding of the phenomenon of unintended teenage pregnancy in relation to young men, and exploratory mixed methods research. The result was an evidence-based, theory-informed, user-endorsed intervention designed to meet the much neglected pregnancy education needs of teenage men and intended to increase both boys' and girls' intentions to avoid an unplanned pregnancy during adolescence. In prioritising the development phase, this paper addresses a gap in the literature on the processes of research-informed intervention design. It illustrates the application of the MRC guidelines in practice while offering a critique and additional guidance to programme developers on the MRC prescribed processes of developing interventions. Key lessons learned were: (1) know and engage the target population and engage gatekeepers in addressing contextual complexities; (2) know the targeted behaviours and model a process of change; and (3) look beyond development to evaluation and implementation.
Berganza, Carlos E.; And Others
Conducted 2 studies to explore prevalence of adolescence pregnancy in Guatemala and identify level of contraception. In first study found 89 percent of male and 38 percent of female adolescents (N=850) had experienced coitus. In the second study found pregnancy rate of minors (N=551) in a gynecology clinic was highest for adolescents aged 13-14.…
Hoggart, Lesley; Phillips, Joan
BACKGROUND and methodology In 1999, the Government set the ambitious target of halving the number of under-18 conceptions by 2010. It is now clear that this target will not be met. Much media and policy attention has been paid to teenage mothers, and yet approximately 50% of teenage conceptions end in abortion not motherhood. In London, where the present research was based, the percentage is significantly higher. The research into teenage abortion and repeat abortion, though based in London, generated insights that could potentially help different areas reduce the number of under-18 conceptions ending in abortion. A qualitative research methodology was adopted and a wide range of interviews were conducted with young women, and professionals, in 10 London primary care trusts. RESULTS Our analysis adds to a substantial body of qualitative research that points to the complexity of sexual decision-making for young women. Contraceptive risk-taking was evident as some young women spoke of the difficulties they experienced with user-dependent methods (primarily the condom and the pill) in often unplanned, sexual encounters. They were also generally poorly informed about different contraceptive methods. Misunderstandings about fertility also emerged as an important issue that can lead young women to draw the wrong conclusions if they do not become pregnant following unprotected sex. CONCLUSIONS Young people need improved access to, and informed understanding of, the full range of contraceptive methods available to them. In addition, efforts should be made to enable young women to have a better understanding of their own likely fertility.
Ferguson, Patricia, Ed.; And Others
The National Institute on Drug Abuse presents this report as the fifth in a series intended to summarize the empirical research findings and major theoretical approaches relating to the the issues of drug use and abuse. Included in this volume are summaries of the major research findings concerning the effects of nonmedical drug use on pregnancy.…
Nolte, William H., Jr.; And Others
This pregnancy prevention curriculum guide for seventh and eighth grades is based upon the concept that individuals with social behavioral problems such as teenage pregnancy, drug abuse, criminal records, and other disruptive behaviors have a set of symptoms in common. Those symptoms include poor self-esteem, a lack of assertiveness, the inability…
Borkhardt, A; Wilda, M; Fuchs, U; Gortner, L; Reiss, I
A single case is described of congenital leukaemia with 11q23/MLL rearrangement in a preterm female newborn. Because of arachnophobia, the mother had heavily abused aerosolised permethrin, a widely used household insecticide. Permethrin is considered comparatively safe, but, in view of the mother's history, its potential to induce cleavage of the MLL gene in cell culture was tested. Incubation of the BV173 cell line with 50 micro M permethrin readily induced MLL cleavage.
This booklet discusses child abuse, targeting pre-teenagers and teenagers. It describes what child abuse is, why it happens, and what a teenager can do about it. These topics are covered: (1) definition of child abuse and types of child abuse; (2) differentiating between child abuse and discipline; (3) sexual abuse; (4) family types of child…
Pritham, Ursula A; McKay, Laura
Safe and effective management of chronic pain in pregnancy is challenging. Use of over-the-counter analgesics, opioids, opioid substitution therapies, complementary and alternative therapies, antidepressants, and anxiolytics each have benefits and risks for the mother and neonate that must be considered. Because of their potency, opioids are often used despite associated risks for adverse effects, abuse, diversion, and addiction. Development of a pain management protocol for the counsel and care of pregnant women with pain is necessary.
Adolescent pregnancy prevention programs in the US pertain to sex education about reproduction, condom availability in schools, and outreach. This review of state actions on reproductive health policy in 1995 shows that, of the more than 100 bills introduced in 41 states, 16 bills were enacted. Some states eliminated condom and sex education programs in schools. 64 bills related to sexuality education in 30 states. 75% of these bills aimed to eliminate or restrict the scope of comprehensive sexuality education. The five laws enacted were identified as receiving a comprehensive analysis in the "State Reproductive Health Monitor," Vol.6, No.2, June 1995. The conservative states of North Carolina, Oklahoma, and Texas enacted new laws, which eliminated the teacher requirement for providing pregnancy prevention and disease education. These states retained education about sexually transmitted diseases and sexuality education. North Carolina and Texas granted parents the right to remove students from these classes, and schools must inform parents of their rights. Oklahoma required parental consent for attendance in these classes. Most proposed legislation about condom distribution in schools attempts to prohibit condom access. In 1995, there were 11 measures on prohibiting condom access proposed in 9 states, but none were enacted. Massachusetts is the only state where the State Board of Education policy recommends that schools consider condom availability as part of their HIV/AIDS prevention education efforts. This action was upheld in the Massachusetts Supreme Court. Four bills, out of 50 bills introduced in 1995, were enacted on unintended teenage pregnancy prevention issues. Opponents to sexuality education tend to promote abstinence-only education and an emphasis on the immorality and negative consequences of sexual intercourse. Opponents also tend to remove information from the curricula on pregnancy prevention and disease prevention on the grounds that it promotes
Kukulski, P; Kwaśniewski, S; Szymański, J
At the paper the problems of girls hospitalized at the Gynaecological and Obstetrician ward of the hospital situated on the border of city agglomeration were described. The data regards as pregnancy, delivery and puerperium and they were collected in last two years.
Annang, Lucy; Lian, Brad; Fletcher, Faith E.; Jackson, Dawnyéa
African-American youth suffer disproportionately from sexual risk consequences including unintended pregnancy and sexually transmitted infections. Parents educating young people about sex may be one approach to reduce sexual risk behaviour among this population. The purpose of this study was to determine young people's perceptions of parents'…
Senior, Kate A.; Chenhall, Richard D.
In Australia, Indigenous young women are more likely to become pregnant while in their teens than non-Indigenous young women. Factors such as poverty, educational outcomes and unemployment play a major role; however, there is little understanding of the attitudes of young women themselves with regards to pregnancy. This paper explores young…
Socolov, Demetra-Gabriela; Carauleanu, Alexandru; Ilea, Ciprian; Blidaru, Iolanda; Boiculese, Lucian; Socolov, Razvan-Vladimir
Aim. To determine pregnancy and delivery outcomes among teenagers. Materials and Methods. An 8-year retrospective comparative hospital-based cohort study is analysing singleton pregnancy comorbidities and delivery parameters of a teenage group under the age of 20 compared with a young adult group 20–24 years of age in a university hospital. Results. Teenage is a risk factor for preterm birth <37 weeks (1.21 [1.08–1.35]), foetal growth restriction (1.34 [1.21–1.48]), episiotomy (1.27 [1.21–1.34]), uterine revision (1.15 [1.06–1.25]), APGAR <7 at 1 min (2.42 [1.21–1.67]), cephalopelvic disproportion (1.26 [1.07–1.48]), and postpartum haemorrhage (1.42 [1.25–1.62]); however, caesarean delivery occurs less frequently in teenagers than in adults (0.75 [0.70–0.80]). The following comorbidities are risk factors for teenage pregnancy (risk ratio [CI 95%]): anaemia (1.13 [1.10–1.17]), low urinary tract infection (1.10 [1.03–1.18]), pediculosis (2.42 [1.90–3.00]), anogenital condyloma (1.50 [1.04–2.17]), and trichomoniasis (1.74 [1.12–2.68]). The risks for hepatitis B and hepatitis C, premature rupture of membranes, and placenta praevia were lower compared with those in the young adult group, respectively, 0.43 (0.26–0.71), 0.90 (0.85–0.96), and 0.29 (0.20–0.41), while the risk for gestational diabetes and preeclampsia were the same in both groups. Conclusion. Considering the high risks for teenage pregnancy, this information should be provided to pregnant adolescent women and their caregivers. PMID:28133615
Bublitz, Margaret H; Stroud, Laura R
Previous research on the association between maternal daily stress and cortisol in pregnancy has yielded inconsistent findings. However, past studies have not considered whether stressful experiences in childhood impact maternal cortisol regulation in pregnancy. In this pilot study, we aimed to examine whether the association between maternal daily stress and cortisol differed according to maternal history of child abuse. Forty-one women provided salivary cortisol samples at wake-up, 30 min after wake-up, and bedtime for 3 days at three times over second and third trimesters of pregnancy. On each day of cortisol collection women reported their daily stress. Women reported child abuse experiences prior to age 18 years by completing 15 items from the Adverse Childhood Experiences Scale. Twenty-one percent (N = 9) of women reported a history of child sexual abuse (CSA), 44% (N = 18) reported a history of non-sexual child abuse and 34% (N = 14) reported no history of child abuse. Hierarchical Linear Modeling (HLM) analyses revealed that stress in the day prior was associated with increases in morning cortisol in women with CSA histories compared to women with non-sexual abuse histories or no history of child abuse. Increases in evening cortisol were associated with increases in daily stress in women with CSA histories compared to women with non-sexual abuse histories or no history of child abuse. Results reveal a dynamic association between daily stress and cortisol in pregnancy and suggest that patterns differ according to maternal child abuse history.
Fletcher, Jason M.; Wolfe, Barbara L.
The question of whether giving birth as a teenager has negative economic consequences for the mother remains controversial despite substantial research. In this paper, we build upon existing literature, especially the literature that uses the experience of teenagers who had a miscarriage as the appropriate comparison group. We show that…
Roje, Damir; Vučnović, Zoran; Capkun, Vesna; Bucat, Marija; Banović, Ivo
Purpose The aim of the study was to assess perinatal outcome of pregnancy burdened with maternal addiction in comparison with an unselected population from a European transition country. Materials and Methods Data on pregnancies complicated by illicit drug abuse (n = 85) managed during a 10-year period (1997 - 2007) at Split University Hospital were analyzed. Data on the type of drug, course of gestation and labor, and on perinatal outcome were considered. Data on all non-dependence pregnancies recorded during the study period were used as a control group. Results During the study period, there were 85 dependence-complicated pregnancies (0.2%). Use of heroin alone during pregnancy was recorded in 51 women (50%), methadone alone in 6 (7%), and a combination of heroin and methadone in 9 (11%). Premature delivery was significantly more common in the group of pregnant addicts (21% vs. 6%); 49% of pregnant addicts were carriers of hepatitis C virus (HCV) and 14% of hepatitis B virus (HBV). Neonatal abstinence syndrome developed in 61 infants (7%) born to addicted mothers. There were 4 cases (4.6%) of early neonatal death; 7 neonates had 5-minute Apgar score ≤ 7 (8%); 29 neonates had low birth weight for age (33%); and 7 neonates had congenital anomalies (8%). The risk of various congenital anomalies was 3-fold in the group of children born to addicted mothers. Conclusion Addiction pregnancies present a small but high-risk group according to perinatal outcome. Appropriate obstetric and neonatal care can reduce the rate of complications in these pregnancies and improve perinatal outcome. PMID:18972589
Stevens, Raymond P.
Deaf teenagers have more trouble coping with the effects of parental alcohol abuse than do hearing teenagers. Suggestions are made for helping the deaf teenager and other family members deal with these problems, especially in potentially violent situations. Two short case studies are provided to illustrate intervention methods and outcomes.…
Kent, Lindsey; And Others
Five cases of fetal abuse by mothers suffering from depression are discussed. Four of the women had unplanned pregnancies and had considered termination of the pregnancy. Other factors associated with fetal abuse include pregnancy denial, pregnancy ambivalence, previous postpartum depression, and difficulties in relationships. Vigilance for…
Saewyc, E M; Bearinger, L H; Blum, R W; Resnick, M D
The influence of sexual orientation on adolescents' sexual behaviors and pregnancy histories was investigated in a subsample of 3816 female adolescents, 12-19 years old, who completed the 1987 Minnesota (US) Adolescent Health Survey. 182 identified themselves as bisexual or lesbian, 1753 were unsure of their sexual orientation, and 1881 were heterosexual. Bisexual/lesbian respondents were about as likely as heterosexual respondents ever to have had intercourse (33.0% and 29.3%, respectively), but they had a significantly higher prevalence of childhood physical abuse (19.3% vs. 11.9%) and sexual abuse (22.1% vs. 15.3%) than their heterosexual counterparts. Among sexually experienced respondents, 29.8% of bisexual/lesbian adolescents, 43.5% of those unsure about their identity, and 23.1% of heterosexuals used no contraception and 12.3%, 8.5%, and 14.5%, respectively, of those who used contraception used an ineffective method. 12.3% of bisexual/lesbian women, 6.1% of those unsure about their sexual orientation, and 5.3% of heterosexual adolescents had experienced a pregnancy; 2 or more pregnancies were reported by 23.5%, 15.1%, and 9.8%, respectively, of ever-pregnant teens. Finally, 9.7% of bisexual/lesbian women had engaged in prostitution in the year preceding the survey, compared with 1.9% of heterosexuals and 3.4% of those unsure about their orientation. These findings suggest that adolescents who identify themselves as lesbian or bisexual are at high risk of pregnancy and poor contraceptive practices. Providers of reproductive health care and family planning services should not assume that their pregnant adolescent patients are heterosexual or that lesbian clients or those unsure of their sexual orientation are not in need of contraception.
Medora, N P; Goldstein, A; von der Hellen, C
In this study, the Dean Romanticism Scale and the Bachman Self-esteem Scale were administered to 121 teenagers between the ages of 12 and 19 in Southern California to investigate their degree of romanticism and self-esteem. The study also explored whether there was any relationship between the dependent variables of romanticism and self-esteem and ten independent variables--age, race, place of residence during pregnancy, age when first sexual intercourse occurred, age when pregnancy occurred, incidence of sexual abuse, incidence of abortion, adoption considerations, whether the subject was currently sexually active, and whether the teenager planned to have a child with the father of the baby. The results indicated that two variables were significantly related to feelings of romanticism--adoption considerations and whether the adolescent planned to have a child with the baby's father. In addition, two variables were significantly related to self-esteem--the incidence of sexual abuse and the incidence of abortion.
16. Davis, Richard. " Teenage Pregnancy: A Theoretical Analysis of a Social Problem." Adolescence , 24:93 (Spring 1989), 19-28. Donovan, John, and...difficulties in comparing across geographic 0 boundaries.) We also contacted experts in adolescent behavior to locate other studies or data since the...decrease. We found that teen pregnancy, Page I GAO/PEMI)1-3 Teenage Du Use 0 0 0 0 0 S 0 0 0 0 3.241016 i it birth, and abortion rates remain
Sukhato, Kanokporn; Wongrathanandha, Chathaya; Thakkinstian, Ammarin; Dellow, Alan; Horsuwansak, Pornpot; Anothaisintawee, Thunyarat
This systematic review aimed to assess the efficacy of psychosocial interventions in reducing risk of low birth weight (LBW) and preterm birth (PTB) in teenage pregnancy. Relevant studies were identified from Medline, Scopus, CINAHL, and CENTRAL databases. Randomized controlled trials investigating effect of psychosocial interventions on risk of LBW and PTB, compared to routine antenatal care (ANC) were eligible. Relative risks (RR) of LBW and PTB were pooled using inverse variance method. Mean differences of birth weight (BW) between intervention and control groups were pooled using unstandardized mean difference (USMD). Five studies were included in the review. Compared with routine ANC, psychosocial interventions significantly reduced risk of LBW by 40% (95%CI: 8%,62%) but not for PTB (pooled RR = 0.67, 95%CI: 0.42,1.05). Mean BW of the intervention group was significantly higher than that of the control group with USMD of 200.63 g (95% CI: 21.02, 380.25). Results of our study suggest that psychosocial interventions significantly reduced risk of LBW in teenage pregnancy.
Quinlivan, Julie A
It is clear that a variable number of teenage mothers have, to some extent, planned parenthood. From an evolutionary perspective, it could be argued that teenage childbearing may in fact be a positive adaptive mechanism for humans raised in a hostile environment. Life history theory suggests that in risky and uncertain environments the optimal reproductive strategy is to reproduce early in order to maximise the probability of leaving any descendents at all. If some teenagers are planning or hoping for pregnancy, it is possible that some positive behavioural changes may be observed. This has proven to be the case with many teenagers altering their risk taking behaviours in the anticipation and expectation of pregnancy. There is now substantial evidence that teenagers who become pregnant were at higher risk than the general population for using cigarettes, alcohol, and marijuana. However, once pregnant, rates of consumption are usually lower compared with their non-pregnant peers or even their own personal pre-pregnancy rates of consumption. Therefore, for some teenagers, the conscious or unconscious prospect of pregnancy represents a potential space in which to rethink behaviours that may be harmful to themselves as a future mother, and also to their child. Given that teenage motherhood is not going to simply vanish, it is important to remember to focus research and services on validated interventions that may assist teenage mothers fulfill their ambitions of parenthood and simultaneously provide the best outcomes for their offspring. Evidence-based interventions focus on sustained home visitation by nurses, with limited evidence supporting the use of volunteers. In contrast, evidence suggests that home visitation by paraprofessionals may not be effective. Other strategies that may be helpful include the use of multidisciplinary teenage pregnancy clinics that have been noted to be associated with improved pregnancy outcomes. The role of new mothers' groups, other
Trindade-Suedam, Ivy Kiemle; von Kostrisch, Lília Maria; Pimenta, Luiz André Freire; Negrato, Carlos Antônio; Franzolin, Solange Braga; Trindade, Alceu Sergio
Abstract Objective: to assessed the prevalence of diabetes mellitus (DM) and drug abuse in mothers of children with orofacial clefts (OFC). Methods: 325 women who had children (0-3y) with clefts were interviewed. Data regarding type of diabetes, use of legal/illegal drugs during pregnancy, waist girth and fasting blood sugar at the first prenatal consult were collected. Results: twenty seven percent of the women had DM, out of these, 89% had gestational DM, 5,5% type 1 DM and 5,5% type 2 DM. The prevalence of DM in mothers of children with OFC was 27%, it is significantly higher than the average Brazilian population which is 7.6% (p<0.01) (OR=4.5, 95%CI=3.5-5.8). Regarding drug abuse during pregnancy, 32% of the mothers used drugs and a significant positive correlation was observed between drug abuse and the occurrence of clefts and other craniofacial anomalies (p=0.028) (OR=2.87; 95%CI=1.1-7.4). Conclusions: DM and drug abuse during pregnancy increases the risk for OFC and related anomalies and early diagnosis of DM and prevention of drug abuse, especially in pregnant women, should be emphasized. PMID:27508899
The increase in drug abuse in South Africa has had major social implications in the country. Problems associated with drug dependency are poverty, unemployment, a heavier burden on the health care system, the disintegration of family systems and drug-related crimes. Another area of concern is the link between drug abuse and child abuse. While…
Thorne, Craig R.; DeBlassie, Richard R.
Cummings (1979), citing evidence from the National Institute of Drug Abuse, reports that one of every eleven adult Americans suffers from a severe addictive problem. Drug addiction is epidemic among teenagers; one of every six teenagers suffers from a severe addictive problem. This paper focuses on adolescent drug/substance abuse. (Author)
Owensboro Public Schools, KY.
In an attempt to deal with teenage pregnancy, the Owensboro, Kentucky, City School System operated the Teenage Parent Program, an inner-city program for pregnant teenagers from all schools in Daviess County. A "Coping Skills Project" was designed to enhance this program by improving parenting attitudes and skills, increasing career awareness, and…
Maynard, Rebecca, Ed.
This report synthesizes first-phase evaluation results of the Teenage Parent Demonstration program. This program, whose cornerstone is case management, responded to three concerns: (1) rising welfare caseloads; (2) persistently high rates of teenage pregnancies and births; and (3) the high probability that teenage parents will go onto welfare and…
Neri, Margherita; Bello, Stefania; Turillazzi, Emanuela; Riezzo, Irene
The abuse of licit and illicit drugs is a worldwide issue that is a cause for concern in pregnant women. It may lead to complications in pregnancy that may affect the mother, fetus, and /or neonate. The effects of any substance on the developing embryo and fetus are dependent upon dosing, timing, duration of drug exposure, and the extent of drug distribution. Teratogenic effects have been described when exposure takes place during the embryonic stage; however drugs have subtle effects, including abnormal growth and/or maturation, alterations in neurotransmitters and their receptors, and brain organization. The mechanisms by which intrauterine exposure to many substances may result in neuronal injury have not been completely elucidated. Oxidative stress and epigenetic changes have been recently implicated in the pathogenesis of long - term adverse health sequelae, and neuro-developmental impairment in the offspring of addicted mothers. Transgenerational epigenetics may also explain the alarming datum that developmental abnormalities, impairment in learning and memory, and attention deficit can occur even in the absence of direct fetal exposure, when drugs are consumed prior to conception. There is a growing body of evidence demonstrating a link between redox state unbalance, epigenetic markers, developmental anomalies, and neurodegeneration. The reviewed literature data uphold redox homeostasis disruption as an important factor in the pathogenesis of drug of abuse- induced neurodegeneration, and highlight the potential for new therapies that could prevent neurodegeneration through antioxidant and epigenetic modulatory mechanisms. This therefore reveals important targets for novel neuroprotective strategies.
Lara, Gerassi; Melissa, Jonson-Reid; Katie, Plax; Brett, Drake
Purpose To compare risk for teen pregnancies between children living in poverty with no Child Protection Services (CPS) report history, and those in poverty with a history of CPS report. Methods Children selected from families in poverty, both with and without CPS report histories were prospectively followed from 1993–2009 using electronic administrative records from agencies including child protective services, emergency departments, Medicaid services and juvenile courts. A total of 3281 adolescent females were followed until age 18. Results For teens with history of poverty only, 16.8% had been pregnant at least once by age 17. In teens with history of both poverty and report of child abuse or neglect, 28.9% had been pregnant at least once by age 17. While multivariate survival analyses revealed several other significant factors at the family and youth services levels, a report of maltreatment remained significant (about a 66% higher risk). Conclusions Maltreatment is a significant risk factor for teen pregnancy among low income youth even after controlling for neighborhood disadvantage, other caregiver risks and indicators of individual emotional and behavioral problems. PMID:26206437
The problem of teenage pregnancy can be viewed as endemic, a part of American culture not easy to change. Although the number of girls under 15 who are becoming pregnant is not very large (13,000 in 1978), the cost of pregnancy to the girls themselves, their families, and society is very great. Results of data analyses from action research,…
... member, a trusted teacher, a doctor, or a school or religious youth counselor. Many teachers and counselors have training in how to recognize and report abuse. Telephone and online directories list local child abuse and family violence hotline numbers that you can call for help. ...
... people to control their actions. Certain types of personality disorders or mental illness might also interfere with ... self-control. Of course, not everyone with a personality disorder or mental illness becomes abusive. Fortunately, people ...
... Stages Early-Stage Caregiving Middle-Stage Caregiving Late-Stage Caregiving Behaviors Aggression & Anger Anxiety & Agitation Depression Hallucinations Memory Loss & Confusion Repetition Sleep Issues & Sundowning Suspicion & Delusions Wandering Abuse Start Here ...
Oliveira, Aline Gaudard E Silva de; Reichenheim, Michael Eduardo; Moraes, Claudia Leite; Howard, Louise Michele; Lobato, Gustavo
The aim of the study was to explore the pathways by which childhood sexual abuse (CSA), psychological and physical intimate partner violence (IPV) during pregnancy, and other covariates relate to each other and to posttraumatic stress disorder (PTSD) symptoms in the postpartum period. The sample comprised 456 women who gave birth at a maternity service for high-risk pregnancies in Rio de Janeiro, Brazil, interviewed at 6-8 weeks after birth. A path analysis was carried out to explore the postulated pathways between exposures and outcome. Trauma History Questionnaire, Conflict Tactics Scales and Posttraumatic Stress Disorder Checklist were used to assess information about exposures of main interest and outcome. The link between CSA and PTSD symptoms was mediated by history of trauma, psychiatric history, psychological IPV, and fear of childbirth during pregnancy. Physical IPV was directly associated with postnatal PTSD symptoms, whereas psychological IPV connection seemed to be partially mediated by physical abuse and fear of childbirth during pregnancy. The role of CSA, IPV, and other psychosocial characteristics on the occurrence of PTSD symptoms following childbirth as well as the intricate network of these events should be acknowledged in clinic and intervention approaches.
Bublitz, Margaret H.; Parade, Stephanie; Stroud, Laura R.
The goal of this study was to understand the roles of maternal history of childhood sexual abuse (CSA) and current family functioning on the cortisol awakening response (CAR) in pregnancy. Participants were 185 pregnant women (ages 18–40) who completed items from the Adverse Childhood Experiences scale to measure child maltreatment history and the Family Assessment Device to measure current family functioning. Participants provided saliva samples at wake-up and 30 minutes after wake-up at 25, 29, and 35 weeks gestation to measure CAR. A moderation effect was found such that participants with more severe CSA histories and poorer perceived family functioning had increasing CAR in pregnancy compared to participants with less severe CSA histories and better family functioning. These findings highlight the importance of considering stress in both childhood and current environments in predicting maternal cortisol in pregnancy. PMID:25220484
Amemiya, Airi; Fujiwara, Takeo
The purpose of this study was to investigate whether maternal intimate partner violence (IPV) victimization during pregnancy is associated with abusive behavior by the mother towards infants at 4 months of age. A population-based sample of 6590 mothers with 4-month-old infants participated in this study in Japan. Abusive behavior was assessed via questionnaire and defined as frequency of shaking and smothering during the preceding month. Both verbal and physical IPV during pregnancy were assessed retrospectively. Multiple logistic regression analysis was used, adjusting for types of IPV and potential covariates, specifically postpartum depression. Maternal exposure to verbal and physical IPV during pregnancy was reported by 10.9% and 1.2% of women, respectively. In the adjusted model, women exposed to verbal IPV alone were significantly more likely to abuse offspring (odds ratio: 1.59, 95% confidence interval: 1.17-2.16) while exposure to physical IPV did not have an additive effect for abusive behavior. Maternal victimization by verbal, but not physical IPV was associated with maternal abusive behavior towards their 4-month-old infant. Screening for verbal abuse during pregnancy might be an efficient approach to identify high-risk mothers of infant abuse.
Epstein, Ann S.
This study investigated pregnant teenagers' knowledge about infant development during the period of their pregnancy. The sample consisted of 98 teenagers between 14 and 19 years old who were pregnant with their first child; all were planning to keep their babies. The group was approximately 50% black and 50% white, 50% middle class and 50% working…
Khurana, Atika; Cooksey, Elizabeth C.; Gavazzi, Stephen M.
The authors examined ecological risk factors associated with teen pregnancy with a sample of 1,190 court-involved female juvenile offenders between 11 and 18 years of age. Data were obtained from five Midwestern juvenile county courts using a recently developed youth risk assessment instrument called the global risk assessment device (GRAD). In…
Pardo, María L
My aim in this paper is to briefly discuss the notion of identity and how can unify the Psychoanalytical concept with the discursive, in order to carry out multidisciplinary research on this topic. This work is based on life stories collected in the Hospital Larcade, from 2008 to 2011, from teenagers who attend a pregnancy. Through the linguistic analysis of the guarantees, following the model of Toulmin (17), as it has been redefined by Pardo (14) and Molina (12), I intend to give an account of the discursive and psychological bases of what will then form an identity for these young women on maternity. They live in extreme poverty in the Buenos Aires suburbs and are combined with a large dose of family violence that links their identities as mothers to the image (or identities of the other) who have over their own mothers, parents, couples in these contexts of violence. These data are also confronted with domestic violence cases that appear in the media and how they are dealt with discursively at these. Thus realizes the contradictions imposed the cultural identity of a group (the viewers or readers of means, which are a large part of society) against the experience of violence of these mothers. This research has as theoretical framework the Critical Discourse Analysis and the methodology is qualitative.
Teenage pregnancy is an overwhelming problem in Fort Worth, Texas. To examine the problem of teenage pregnancy, figures on total live births by age, race, repeat pregnancy, and at-risk infants were gathered from 1981 and 1982 Department of Public Health data. In addition, consequences of teenage pregnancy and motivation factors were examined. An…
Intervention Now To Eliminate Repeat Unintended Pregnancy in Teenagers (INTERUPT): a systematic review of intervention effectiveness and cost-effectiveness, qualitative and realist synthesis of implementation factors and user engagement
Whitaker, Rh; Hendry, M; Booth, A; Carter, B; Charles, J; Craine, N; Edwards, R T; Lyons, M; Noyes, J; Pasterfield, D; Rycroft-Malone, J; Williams, N
Background The UK has the highest rate of teenage pregnancies in Western Europe, a fifth are repeat pregnancies. Unintended conceptions can result in emotional, psychological and educational harm to teenage girls, often with enduring implications for their life chances. Babies of teenage mothers have increased mortality in their first year and increased risk of poverty, educational underachievement and unemployment later in life, with associated societal costs. Methods and analysis We will conduct a streamed, mixed-methods systematic review to find and evaluate interventions designed to reduce repeat unintended teen pregnancies. Our aims are to identify Who is at greater risk of repeat unintended pregnancies? Which interventions are effective, cost-effective, how they work, in what setting and for whom? What are the barriers and facilitators to intervention uptake? Traditional electronic database searches will be augmented by targeted searches for evidence ‘clusters’ and guided by an advisory group of experts and stakeholders. To address the topic's inherent complexities, we will use a highly structured, innovative and iterative approach combining methodological techniques tailored to each stream of evidence. Quantitative data will be synthesised with reference to Cochrane guidelines for public health interventions. Qualitative evidence addressing facilitators and barriers to the uptake of interventions, experience and acceptability of interventions will be synthesised thematically. We will apply the principles of realist synthesis to uncover theories and mechanisms underpinning interventions. We will conduct an integration and overarching narrative of findings authenticated by client group feedback. Ethics and dissemination We will publish the complete review in ‘Health Technology Assessment’ and sections in specialist peer-reviewed journals. We will present at national and international conferences in the fields of public health, reproductive medicine
De Genna, Natacha M.; Larkby, Cynthia; Cornelius, Marie D.
Early puberty is associated with stressful family environments, early sexual intercourse, and teenage pregnancy. We examined pubertal timing and sexual debut among the 14-year-old offspring of teenage mothers. Mothers (71% Black, 29% White) were recruited as pregnant teenagers (12-18 years old). Data were collected during pregnancy and when…
Levinsohn, Florence; Kelly, G. Lombard
One of a series of illustrated books written by physicians for their patients, this publication, aimed at te teenager, points out some biological and psychological changes which occur in adolescence. The first few chapters deal with sex drives, male anatomy, female anatomy, conception and pregnancy. Sociological and controversial aspects of…
Armstrong, Elizabeth; Waszak, Cynthia
Since 1986, this annual cost study has provided a measure of what it costs the taxpayer each year to support families that began when the mother was a teenager. Three sets of public costs are estimated; these reflect: (1) how much the United States spends as a result of teenage childbearing in a given year; (2) the public cost over a projected…
Bluestein, D; Starling, M E
Teenagers who are pregnant face many difficult issues, and counseling by physicians can be an important source of help. We suggest guidelines for this counseling, beginning with a review of the scope and consequences of adolescent pregnancy. Communication strategies should be aimed at building rapport with techniques such as maintaining confidentiality, avoiding judgmental stances, and gearing communication to cognitive maturity. Techniques for exploring family relationships are useful because these relationships are key influences on subsequent decisions and behaviors. We discuss topics related to abortion and childbearing, such as safety, facilitation of balanced decision making, the use of prenatal care, and the formulation of long-term plans. Physicians who can effectively discuss these topics can help pregnant teenagers make informed decisions and improve their prospects for the future.
Congress of the U.S., Washington, DC. House.
This record of the Select Committee on Narcotics Abuse and Control contains testimonies concerning the use of drugs and drug addiction during pregnancy. The physiological and psychological effects of various drugs on a pregnant woman and her developing fetus are discussed. Various programs created to care for pregnant addicts are described by…
This booklet examines the problem of alcohol use among American teenagers. The role that alcohol plays in adult society is presented and its potential danger for causing teenage alcohol addiction is considered. A discussion on why some teenagers abuse alcohol focuses on familial, peer, sociocultural, environmental, personality, and behavioral…
Laslo, Jillian; Brunner, Jon-Michael; Burns, Daniel; Butler, Emily; Cunningham, Autumn; Killpack, Ryan; Pyeritz, Courtney; Rinard, Kimberly; Childers, Jennifer; Horzempa, Joseph
The prevalence of opioid abuse in the United States has been steadily increasing over the last several years among many major demographics, including pregnant women. Rise in prenatal opioid abuse has resulted in subsequent escalation of neonatal abstinence syndrome incidence, prompting the US Congress to pass the Protecting Our Infants Act of 2015. This act specifically calls for a critical review of current treatment options for prenatal opioid abuse which may ultimately lead to the development of better therapies and a decreased incidence of neonatal abstinence syndrome. Currently, the American College of Obstetricians and Gynecologists recommends methadone, buprenorphine, or buprenorphine/naloxone in the treatment of prenatal opioid abuse. In this review, each maintenance therapy treatment option is discussed and compared revealing inconsistencies in postpartum retention rates, effects on fetal development, and availability to patients due to restrictions in health care coverage. Although each of these treatment options reduces opioid abuse and potential negative outcomes for the fetus, the shortcomings of these drugs highlight the overarching need for an improved standard of care. Drug developers and lawmakers should consider that affordability, coverage by health insurance, and success in retention rates substantially impacts the decision of the patient and healthcare provider regarding utilization of a particular opioid maintenance therapy.
Osofsky, Howard J.
Concerned with teen-aged pregnancy, the text includes discussions of premarital pregnancy, the pregnant teen as a member of the poor, as nonwhite, and as a teen-ager, obstetrical concepts, pregnancy results, factors which influence medical prognosis, and solutions to minimize medical risk. Additional areas of concern are a research review and a…
Rainey, David Y.; And Others
The reproductive and sexual histories of 200 sexually active females, ages 13 through 18, were assessed. Forty adolescents reported sexual abuse, and compared to nonabused peers, they were more often trying to conceive, had boyfriends pressuring them to conceive, and had fears about infertility. No intergroup differences were found in median age…
Raj, Anita; Sabarwal, Shagun; Decker, Michele R; Nair, Saritha; Jethva, Meghna; Krishnan, Suneeta; Donta, Balaiah; Saggurti, Niranjan; Silverman, Jay G
To examine experiences of perinatal (in pregnancy or post-partum) abuse from in-laws and to assess associations between such experiences and perinatal intimate partner violence (IPV) from husbands, as reported by Indian women residing in low-income communities in Mumbai. The present study includes both qualitative and quantitative research conducted across two phases of study. The qualitative phase involved face-to-face, semi-structured in-depth interviews (n = 32) with women seeking health care for their infants (6 months or younger) and self-reporting emotional or physical abuse from their husband. The quantitative arm involved survey data collection (n = 1,038) from mothers seeking immunization for their infants 6 months or younger at three large Urban Health Centers in Mumbai. Results of the qualitative study documented the occurrence of both non-physical and physical abuse from in-laws during pregnancy and post-partum. Non-physical forms of abuse included forced heavy domestic labor, food denial and efforts toward prevention of medical care acquisition. Quantitative results demonstrated that 26.3% of the sample reported perinatal abuse (non-physical and physical) from in-laws and that women experiencing perinatal sexual or physical IPV from husbands were significantly more likely to report perinatal abuse from in-laws (AOR = 5.33, 95% CI = 3.93-7.23). Perinatal abuse from in-laws is not uncommon among women in India and may be compromising maternal and child health in this context; such abuse is also linked to perinatal violence from husbands. Programs and interventions that screen and address IPV in pregnant and post-partum populations in India should be developed to include consideration of in-laws.
Pfeifer, Jerilyn K.
This document is a short summary of teenage suicide issues intended for use by teachers. Possible causes for teenage suicide are discussed, including: (1) chemical abuse; (2) unrealistic view of death; (3) the nuclear threat; (4) societal changes; (5) family changes; (6) lifestyle decisions; (7) academic pressures; and (8) the success code.…
Hull, Lynn; May, James; Farrell-Moore, Dawn; Svikis, Dace S
In the late-1980s and early-1990s, much attention in America was focused on cocaine abuse. In particular, the effects of prenatal cocaine use on mothers and infants were in the news spotlight. Risks of adverse effects prompted funding for novel treatment programs. More recently, media attention has shifted elsewhere, and specialized treatment resources have grown scarce. This redirection of funding is unfortunate, as social stigma and fear of legal consequences continue to encourage cocaine-abusing pregnant women to hide drug use and avoid prenatal care. The purpose of this article is to summarize the most prominent adverse maternal and fetal/infant effects associated with prenatal cocaine use; review treatment options, focusing on comprehensive care programs of the 1990s as well as recent research on evidence-based practices and their applicability to pregnant women; and highlight the population of prenatal cocaine-abusing women uninterested in treatment, with a focus on promising strategies to promote drug abstinence and other positive health behaviors.
Hadley, Alison; Evans, David T
The under-18 conception rate in England is at a 40-year low but a further reduction is needed to reach levels in comparable western European countries. Sexually transmitted infections are common among young people, with chlamydia the most prevalent STI in the UK. To challenge this, a multi-agency approach is needed, with high-quality sex and relationships education, easy access to contraception and sexual health services and an open culture around relationships and sexual health. Nurses play a crucial role in supporting young people within both contraception and sexual health services and as trusted practitioners in a range of settings.
Barmao-Kiptanui, Catherine; Kindiki, Jonah Nyaga; Lelan, Joseph K.
Teenage pregnancy and motherhood is a concern in both developed and developing countries and is a complex reality of contemporary society however the re-entry of teenage mothers into the school system continues to demand attention as society's negative attitude towards pregnant girls and teenage mothers persists. Those who do return to school…
Smith, Matthew Lee; Wilson, Kelly L.
Background: Many programs emphasize subsequent pregnancy prevention and high school graduation among teenage mothers; however, less is known about their ability to increase financial earnings from employment opportunities while concurrently enrolled in school. This study evaluates factors influencing employment status among teenage mothers after…
Teenage pregnancy is an issue receiving a growing amount of attention in the United States, with approximately one million children born to teenage mothers annually. Teen mothers tend to function less effectively in numerous realms than their peers who delay child-rearing, and the children of teen mothers are at greater risk of school failure. In…
... A free app for parents to help prevent bullying, created by the Substance Abuse and Mental Health Agency (SAMHSA). Teens Health Visit this site for information on healthy eating and exercise for children and teenagers, safety tips for your child at home when ...
Cavazos-Rehg, Patricia A; Krauss, Melissa J; Spitznagel, Edward L; Schootman, Mario; Cottler, Linda B; Bierut, Laura Jean
To investigate factors associated with favorable pregnancy attitudes among teenage girls. Participants were sexually active teenage girls aged 15-18 years old (n = 965) who took part in the 2002 or 2006-2010 National Survey of Family Growth (NSFG). Multinomial multivariable logistic regression was used to assess the likelihood of being pleased with a teenage pregnancy. Sixteen percent of sexually active teenage girls (n = 164) would be pleased (11 % a little pleased, 5 % very pleased) if they became pregnant. In a multivariable model, participants who had not yet discussed sexual health topics (i.e., how to say no to sexual intercourse or birth control) or had only discussed birth control with a parent were more likely to be very pleased with a teenage pregnancy than participants who had discussed both topics with a parent. Prior pregnancy, racial/ethnic group status, older age, and having parents with a high school education or less also increased the odds of being pleased with a teenage pregnancy. Being pleased with a teenage pregnancy was correlated with a lack of discussion of sexual health topics with parents, prior pregnancy, and sociodemographic factors (having less educated parents, racial/ethnic group status). Pregnancy prevention efforts can be improved by acknowledging the structural and cultural factors that shape teenage pregnancy attitudes.
Background A large proportion of unmarried teenage mothers in Uganda face physical, psychological, and social problems after pregnancy and childbirth, such as obstetric complications, lack of education, and stigmatisation in their communities. The Teenage Mothers Project (TMP) in Eastern Uganda empowers unmarried teenage mothers to cope with the consequences of early pregnancy and motherhood. Since 2000, 1036 unmarried teenage mothers, their parents, and community leaders participated in economic and social empowerment interventions. The present study explored the changes resulting from the TMP as well as factors that either enabled or inhibited these changes. Methods Semi-structured interviews (N = 23) were conducted with former teenage mothers , community leaders, and project implementers, and lifeline histories were obtained from former teenage mothers (N = 9). Quantitative monitoring data regarding demographic and social characteristics of teenage mother participants (N = 1036) were analysed. Results The findings suggest that, overall, the TMP seems to have contributed to the well-being of unmarried teenage mothers and to a supportive social environment. It appears that the project contributed to supportive community norms towards teenage mothers’ position and future opportunities, increased agency, improved coping with early motherhood and stigma, continued education, and increased income generation by teenage mothers. The study findings also suggest limited change in disapproving community norms regarding out-of-wedlock sex and pregnancy, late active enrolment of teenage mothers in the project (i.e., ten months after delivery of the child), and differences in the extent to which parents provided support. Conclusions It is concluded that strengths of the community-based TMP seem to be its socio-ecological approach, the participatory planning with community leaders and other stakeholders, counselling of parents and unmarried teenage mothers, and
Andrade, Ana Gonçalves; Rocha, Sara; Marques, Catarina O; Simões, Mafalda; Martins, Isabel; Biscaia, Isabel; F Barros, Carlos
Key Clinical Message Ovarian pregnancy is one of the rarest types of extrauterine pregnancy. Its preoperative diagnosis remains a challenge since it presents quite similarly to tubal pregnancy and complicated ovarian cysts. Although in most cases, histology is necessary to confirm the diagnosis, we present an ovarian pregnancy in a teenager, correctly diagnosed during ultrasound examination. PMID:26576271
Barth, R P; Schinke, S P; Maxwell, J S
The social and economic consequences of adolescent motherhood are known, yet the psychological associates are largely unstudied. Clinical studies point to distressing reactions to adolescent pregnancy, and do not reflect changes in social attitudes about teenage parenting. In the study, adolescent mothers (n=62), pregnant teenagers (n=63), and non-pregnant and nonparenting (n=60) adolescents enrolled in public high schools completed measures of socioeconomic status, depression, anxiety, loneliness, selfesteem, and social supports. Study participants were enrolled in 3 schoolaged parent programs in urban, suburban and semirural schools. Students' ages ranged from 11 to 21 years. By race, 49% of the young women were Black, 36.8% were White, 5.6% were Native American, 7% were Asian, 4% were Hispanic, and 5% declined to identify their ethnicity. Pregnant, parenting and comparison participants were recruited in the classes of the young women. Findings suggest that adolescent mothers and pregnant teenagers are less distressed by their situation than was once thought. Social supports and socioeconomic status predicted psychological well-being better thanparenting status. Expanded schools programs for teenage mothers and renewed efforts to enhance young mothers' social and socioeconomic resources are recommended.
Singh, Shakila; Hamid, Alvi
Objectives: In the context of women's vulnerability to sexual violence, HIV infection and unintended pregnancy in South Africa, this paper explores the ways in which teenage mothers who are in school reflect on their experiences of pregnancy and motherhood. We attempt to understand how teenage mothers reflect on their experiences within the…
Minnesota Univ., Minneapolis. Center for Early Education and Development.
Facts on teenage pregnancy, particularly with reference to Minnesota, are discussed. Contents discuss the following topics: Teenage pregnancy is a significant problem in the United States; adolescents' stage of development influences their views on sexuality; many sexually active adolescents do not use contraceptives; adolescent males have special…
... each trimester are described below. 1 First Trimester (Week 1 to Week 12) The events that lead to pregnancy begin ... and oxygen to the fetus. 2 Second Trimester (Week 13 to Week 28) At 16 weeks, and ...
Educational Summaries 1, 2, and 3: A Summary for Parents and Students on the Subject of Teenage Drug Abuse, Stop the 'Street Market' Suppliers, and Diseases and Disorders That May Result from Drug Abuse.
Contained are three brochures designed to provide understandable information on the drugs, narcotics, and chemicals that are being most frequently abused. They also portray the illegal "street market," and how the user will look, act, and be harmed as a result of drug use. The first brochure summarizes some characteristics and effects of…
Haffner, D; Casey, S
The US has one of the highest teenage pregnancy rates in the industrialized world, over 1,000,000 a year. This can add to social problems including poverty, unemployment, family breakup, juvenile crime, school dropouts, and child abuse. In several studies various approaches have been developed and it is concluded that teens must not only be given the knowledge to avoid teen pregnancies, but the motivation to do so. Sex education is an important part of pregnancy prevention, but few programs go beyond the facts of reproduction and less than 14% of them are 40 hours long. Studies have shown mixed results as to the effect of education on teen pregnancy. There are many programs that have been developed by different communities, including computer programs and youth service agencies. Religious groups also play an important part in sex education and they have some distinct advantages in affecting teens' sexual values and activities. Education programs for teen's parents appear to be very important since studies show when sexuality is discussed at home, the teens begin activity later and use birth control more. Clinics have had difficulty recruiting and retaining teen patients and devote special attention to establishing a rapport with them. The school-based clinic is becoming increasingly popular and can provide birth control counseling, contraceptives, family planning clinic referral, examinations, pregnancy testing, and prenatal care. There success is due to confidentiality, convenience, and comprehensive service. However, since nearly all efforts on teen pregnancy prevention are directed at girls, 1/2 of those involved in teen pregnancies--males--are not participating in programs. This must change for longterm success of these programs and also the involvement of the community and media.
... also be tired and need more rest. Your body will change as your baby grows during the nine months of your pregnancy. Don't hesitate to call your health care provider if you think you have a problem or something is bothering or worrying you.
Trad, P V
Even in the best of circumstances, pregnancy is a time of emotional upheaval. This is especially true for pregnant adolescents who are also attempting to adjust to pubertal status and to establish an identity independent from their family. Although research has focused on the etiology of teenage pregnancy, relatively few interventions consider the developmental obstacles encountered when treating pregnant teenagers. In particular, adolescents are cognitively unprepared to predict long-term outcomes, a skill essential for confronting the challenges of pregnancy. One new intervention, known as previewing, seeks to overcome this deficit. Previewing encourages expectant teenage mothers to represent future scenarios with the infant as a means of predicting and rehearsing adaptive outcomes.
Lester, David; Wilson, C.
The teenage suicide rate in Zimbabwe did not change much during the 1970s, though the rate rose for female teenagers. Female teenagers used poison as a method of suicide more often than did adults, and self-immolation had increased in frequency among young women by the mid-1980s. (Author)
Torres, Donald A.
Defines problem drinking and alcoholism, and differentiates normal drinking escapes from alcohol abuse by teenagers and other youths. Suggests teenagers consume alcohol for a myriad of reasons and this behavior often leads to alcohol dependence which can cause interference in normal relationships with others. (Author)
Corcoran, Jacqueline; Pillai, Vijayan K.
Because subsequent pregnancy in teen parents often worsens the impact of adolescent parenting; therefore, a common goal of teenage parent programs has been to reduce repeat pregnancy. To examine the impact of this goal, a meta-analysis was conducted on 16 control-comparison group studies that evaluated the effect of teenage pregnancy and parenting…
Biello, Katie Brooks; Sipsma, Heather L; Kershaw, Trace
Rates of teenage pregnancy and parenthood in the United States remain high. Although many consequences of teenage parenthood have been well studied, little prospective research has examined its effect on mental health. This study aims to better understand the impact of teenage parenthood on mental health and to determine whether sex modifies this relation. Using data from the National Longitudinal Survey of Youth, 1997 (1997-2006), and a matched cohort design, the authors compared changes in the mental health of parenting teenagers and nonparenting teenagers over 6 years of follow-up with mixed-effects regression. The results indicate that mental health improved for all teenagers over 6 years of follow-up. Furthermore, overall, teenage parenthood was not associated with changes in mental health; however, sex modified this relation. Although the mental health of teenage fathers improved at a faster rate compared with nonparenting teenage males, teenage mothers improved at a slower rate compared with nonparenting teenage females. Psychological health has important implications for both the teenage parent and the child. Future studies should aim to better understand the mechanisms through which teenage parenthood impacts mental health among both males and females, and interventions should be developed to ensure mental health among young parents.
Mahram, Manoochehr; Hosseinkhani, Zahra; Nedjat, Saharnaz; Aflatouni, Ali
Objective This study was carried out to detect the prevalence of child abuse in three domains of physical, psychological and neglect among elementary school aged children of Qazvin Province, Iran. Methods In this descriptive-analytic and cross-sectional study, 1028 elementary school aged children of Qazvin Province selected through multistage cluster sampling were assessed for child abuse in all domains, except for sexual abuse through a researcher-made questionnaire. The questionnaire was standardized for validity and reliability. Gathered data was statistically analyzed and P-value less than 0.05 was considered significant. Findings Out of 1028 studied children, including 540 (52.5%) boys and 488 (47.5%) girls 679 (66.05%) cases declared at least one type of child abuse. The number of positive cases for each domain of emotional, physical and neglect was 618 (60.1%), 360 (35%) and 394 (38.3%) respectively. No significance was seen regarding the gender and/or regions of living in any of the domains and total prevalence. Conclusion Regarding the results of this study which showed a prevalence rate of 66% for child abuse; and since there are strong association between child maltreatment and its impacts in juvenile and adulthood periods in the forms of offending, mental health concerns such as suicide and homicide, substance abuse, school failure, employment difficulties, teenage pregnancy, adult attachment difficulties, family violence, intergenerational violence and so on, appropriate education to the parents, and the punishment laws for child abuse is recommended. PMID:23724176
... your baby from getting nourishment and raises the risk of stillbirth or premature birth. Don't drink alcohol. There is no known safe amount of alcohol a woman can drink while pregnant. Alcohol can cause life-long physical and behavioral problems in children, including ...
... Search Our mission Fighting premature birth About us Annual report Our work Community impact Global programs Research Need ... Cause Our mission Fighting premature birth About us Annual report Our work Community impact Global programs Research Need ...
Santow, G; Bracher, M
The teenage fertility rate fell precipitately in Sweden after 1966 and is now one of the lowest in Europe. This decline can be seen in the context of major reforms enacted in 1975 whereby the school sex-education curriculum was revised, contraceptive services were improved, and abortion was provided free and on demand. By means of microsimulation, the possible roles of contraception and induced abortion in causing teenage fertility to fall are examined. Before 1975, the decline appears to have been caused primarily by an increase in the number of induced abortions. After that date, however, an increase in the use of highly efficient methods of contraception led to a decline in the pregnancy rate in such a way that, even though the proportion of teenagers who sought abortion increased, the abortion rate declined. Parallels are drawn with the experience of other European countries, and contrasts with that of the United States, where no such developments have occurred, are noted.
Kellam, Sheppard G.; And Others
Early predictors of two major areas of teenage outcome -- substance use and psychiatric symptoms -- were analyzed and specific developmental paths leading to each teenage outcome were identified in this long-term, follow-up study. Substance "use" rather than "abuse" and psychiatric "symptoms" rather than…
Bonell, Chris; Maisey, Ruth; Speight, Svetlana; Purdon, Susan; Keogh, Peter; Wollny, Ivonne; Sorhaindo, Annik; Wellings, Kaye
We conducted an independent evaluation of the "Teens and Toddlers" intervention. Our randomized trial examined effects on self-reported last sex without contraception, >1 episode of sex without contraception in previous 3 months, expectation of teenage parenthood and youth development score, plus secondary outcomes among 449 at-risk girls age 13/14 in England. The intervention involves 18-20 weekly sessions in pre-school nurseries. Response rates were 95% post-intervention and 91% one year later. At follow-up two, there was no evidence of intervention benefits for primary outcomes and a positive impact for our secondary outcome, low self-esteem. At follow-up one, there was no evidence of benefits for our primary outcomes but evidence of benefits for our secondary outcomes: low self-esteem; low sexual health knowledge; and difficulty discussing the contraceptive pill. The intervention should be refined, with a clearer logic model and more emphasis on sex education, and re-evaluated.
Nizamov, I G; Chechulina, O V
The reproductive health of teenagers deserves a special attention and must be regarded from the viewpoint of their future prospects as well as their social and cultural media. The mentioned social-and-cultural factors affecting the teenagers' attitude towards sexuality and preconditioning their access to information and services of healthcare have an impact on the status of their reproductive health and on their general well-being, including the ability of teenagers to avoid an undesired pregnancy or sexually transmitted diseases.
Omuga, B O; Ojwang, S B
Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers.
Department of Justice, Washington, DC. National Drug Intelligence Center.
Prescription drugs, a category of psychotherapeutics that comprises prescription-type pain relievers, tranquilizers, stimulants, and sedatives, are among the substances most commonly abused by young people in the United States. Prescription drugs are readily available and can easily be obtained by teenagers who abuse these drugs to experience a…
Alan Guttmacher Inst., New York, NY.
Although sexual activity is common among teenagers, it is not as widespread, and does not begin as early, as most adults believe. This report provides detailed data and analysis of sex among adolescents. Adolescent sexual activity is grouped in ten categories: (1) Rites of passage; (2) The context of adolescents' lives; (3) Sex among teenagers;…
Reports figures indicating a rise in teenage suicide in Canada. Shows how the problem is compounded by silence resulting from official and parent reactions and social taboo. Discusses some of the causes of teenage suicide and explains the role of the school and family in suicide intervention and prevention. (SB)
SURVEYS HAVE SHOWN THAT SOME TEENAGERS HAVE FOOD INTAKES THAT FAIL TO SUPPLY THE RECOMMENDED DIETARY ALLOWANCE FOR EACH OF THE NUTRIENTS. HOWEVER, THE NUMBER OF TEENAGERS CLASSIFIED AS HAVING INADEQUATE NUTRIENT INTAKES DEPENDS UPON WHICH REVISION OF THE RECOMMENDED DIETARY ALLOWANCES HAS BEEN USED AS A BASE FOR EVALUATION. IN EXAMINING THE…
Garanet, Franck; Bogono, Etienne; Ouédraogo, Ousmane; Mésenge, Christian
Objectives: To study the determinants of psychoactive substance use among street teenagers living in Ouagadougou.Methods: Qualitative and quantitative cross-sectional study with street teenagers living on the Zogona campus in Ouagadougou, in September 2012. A focus group was then formed with eight members of the group.Results: The median age was 16 years (range: 12 to 20 years). The various psychotropic agents were tobacco, alcohol, gasoline, glue sniffing and cannabis. Seventeen of the 31 teenagers had already been admitted to a rehabilitation centre and none of them attended school at the time of data collection. However, 12 street teenagers had previously attended school. The main reasons for the presence of these teenagers in the street were “poverty in the family”, “death of the parents”, “Koranic school”. The main reasons reported by the teenagers for substance use were “to give oneself courage”, “to relieve hunger”, “to be like the others”, “to be accepted by the group”, “to protect oneself from the cold”. The main determinants of substance abuse were social exclusion, group membership, and group identification.Conclusion: Psychoactive substance use is an integral part of the life of street teenagers and is a major obstacle to social integration.
Austin, Len; Kortum, Julie
Why would students purposefully harm themselves? Why would they cut their own wrists, yet not be suicidal? These questions are addressed in this article that explores the myths and types of self-injury in which children and teenagers engage. Research indicates a connection between self-injurers and home abuse, and anorexia. This article discusses…
Holmes, George R.
Noting that the current generation of adolescents is experiencing more stressful and negative experiences at an earlier age than previous generations, and that the consequences include drug abuse, delinquency, and mental illness, this book provides caregivers and parents with specific tactics to move teenagers successfully through adolescence. The…
Sport-specific preparticipation examinations do not address social problems (drug abuse, suicide, murder, accidents, and sex) epidemic among teenagers, but they are often the only contact these youth have with a physician. This article discusses these risk factors and presents methods for assessing them during preparticipation exams. (SM)
Annerback, E. M.; Sahlqvist, L.; Svedin, C. G.; Wingren, G.; Gustafsson, P. A.
Objective: To examine the associations between child physical abuse executed by a parent or caretaker and self-rated health problems/risk-taking behaviors among teenagers. Further to evaluate concurrence of other types of abuse and how these alone and in addition to child physical abuse were associated with bad health status and risk-taking…
Thomson, Malia; Caulfield, Rick
First of a two-part series, examines effects of teen pregnancy and parenthood on adolescents and their children, and describes exemplary program to keep teen parents in high school until graduation. Discusses how to address the issue of teenage pregnancy, how to effectively help teen parents, the importance of teaching teenagers personal…
This report summarizes three bodies of research on teenage pregnancy and programs to reduce the risk of teenage pregnancy. Studies included in this report were completed in 1980 or later, conducted in the United States or Canada, targeted adolescents, employed an experimental or quasi-experimental design, had a sample size of at least 100 in the…
The outcomes of the IS/MT pilot project and the expanded services program as well as program replications in other geographic areas suggest that efforts to support the teenage mother in the care of her firstborn infant can have a demonstrable effect. Completing school, securing employment, going off welfare, and acting on a decision to prevent subsequent unwanted pregnancies were all secondary effects of a 20-week postnatal mother-infant class program designed to positively influence infant development. Similar treatment effects have been reported by IS/MT replications in St. Louis and Genesee County, Michigan. Other program innovations, however, lacking the funds and/or the expertise to conduct adequate evaluations, are nonetheless significant because they provide a groundswell capable of establishing a climate for social change. At the community level, this is expressed in the creation of new service paradigms, as in Norfolk and Memphis, where individuals and agencies are transformed and experiment with new solutions to thorny problems. At the national level, it is expressed in coalitions and political alliances around a single issue, as with the Children's Defense Fund and adolescent and single-parent families. As one who has spent almost 20 years addressing the consequences of teenage parenthood, it is heartening to know that the time is near to address the prevention of the problem. Let us hope that the Children's Defense Fund agenda accurately reflects the beliefs and feelings of the majority of our citizenry and that our national priorities will change to include the reduction of teen pregnancy and teen parenthood.
... to: What is Elder Abuse? Elder Abuse and Substance Abuse Substance abuse has been identified as the most frequently cited ... victim and/or the perpetrator who has the substance abuse problem. Substance abuse is believed to be a ...
Optimal maternal health during pregnancy reduces the risk of suboptimal fetal development. Obesity prevalence is increasing among women of childbearing age in both developed and developing countries. Although teenage pregnancies remain common in some countries, generally women are getting pregnant a...
Nygaard, Egil; Slinning, Kari; Moe, Vibeke; Walhovd, Kristine B
Previous research has provided inconclusive evidence regarding the neuropsychological difficulties of children born to mothers partaking in opioid or poly-drug use during pregnancy. Little is known about how these children fare as they get older. The present longitudinal study includes follow-up data on 45 children born to mothers who used heroin and poly-drugs and a group of 48 children without prenatal drug exposure. Most of the drug-exposed youths were placed in permanent foster or adoptive homes before one year of age. The youths (ages 17 to 21) were administered 10 neuropsychological tests. The drug-exposed youths had cognitive and fine motor functions within the normal range compared to population norms but performed significantly worse than the non-exposed group. There were indications of generally lower cognitive functions rather than specific problems with executive functioning. Lower mean birthweight in the risk group (619 grams mean difference, p < .001) only partially mediated the group differences in cognitive functioning. There was a tendency for youths who had few and early changes in their caregivers or who were born to mothers who had used the least number of different drugs during pregnancy to have the best cognitive scores. The study indicates that youths born to mothers who used multiple drugs during pregnancy are vulnerable relative to their peers within a wide range of cognitive functions. The vulnerability seems to be related not only to the mother's drug use during pregnancy but also to factors such as birthweight and unstable parental care during infancy.
This publication presents an overview of adolescent pregnancy, including national and state statistical information; funding sources for teen pregnancy prevention programs; examples of the effects of teen pregnancy prevention on society; illustrations of teenagers' perspectives on the issue; recent developments and initiatives in the arena of teen…
... medlineplus.gov/ency/patientinstructions/000872.htm Teenagers and sleep To use the sharing features on this page, ... need. What Makes it Hard for Teens to Sleep? Several factors make it hard for teens to ...
Reichelt, Paul A.
A study was undertaken to determine American attitudes toward sex education and contraceptive services to adolescents and toward the related topics of teenage pregnancy and related welfare and medical costs. The study was based on the premise that policy decisions regarding whether to offer sex education and contraceptive services to adolescents…
The optimal nutritional support of a mother and her developing fetus begins before conception. This poses a challenge for pediatricians caring for pregnant adolescents. Approximately 1 million teenagers become pregnant in the United States each year. Of these pregnancies, 51% end in live births, 35%...
von Mandach, U; Rabner, M M; Wisser, J; Huch, A
This is a case report of a 27-year-old patient who had smoked a joint (cannabis) and 20 cigarettes (tobacco) daily up to the time of a positive pregnancy test at 7 4/7 weeks (p.c.). On day 20 p.c. she had an LSD minitrip. There are reports of chromosome aberrations in in vitro animal studies with LSD. In humans the main consequences are malformations of the fetal extremities and dysplasias of the eye. In both animals and humans cannabis causes changes in dopaminergic activity. Our recommendation was to continue the pregnancy, but to monitor it closely. The patient had a spontaneous term delivery-a lively boy with weight between the 5th and the 50th percentile, length between the 50th and the 90th percentile, normal umbilical arterial and venous pH values, and Apgar scores 7/9/10. There were no visible abnormalities, and behaviour was normal. If it is suspected that a pregnant patient consumes LSD, dysplasias of the fetal skeleton and eye should be checked for. With respect to LSD and to cannabis, too, the intellectual development of the child should be closely followed.
Adolescent pregnancy is a complex and frustrating problem that exacts a large social and personal cost. This year approximately 40,000 Canadian teenagers will become pregnant. With proper prevention, this number could be reduced. Pregnant teenagers seem to be at increased risk for some obstetric complications and their children for some neonatal complications. Family physicians who see patients over the course of a lifetime are in a good position to prevent adolescent pregnancy and the associated complications. PMID:8520241
Although an international study recently revealed that 87% of the UK's teenage mothers are unmarried, the highest figure in the world according to Alan Guttmacher Institute data of 1998, the teen conception rate in the country has declined considerably over the past 25 years and the number of teen mothers has been almost halved. Teens, as well as couples in other age groups, are increasingly cohabiting outside of marriage rather than getting married; more than two-thirds of babies born to teenagers are jointly registered by both parents. However, despite the decline in teenage conceptions since 1970, the UK still has one of the highest rates in Europe. The UK's real scandal is its failure to give young people the information they need to manage their sexual health. International research has proven that sexual health can be improved if societies are open about sex, accept teenage sexuality, and permit discussion about sex without embarrassment. Moreover, sex and relationships education should start at an early age, and young people should have easy access to free and confidential sex advice. Individuals under age 16 years have the right to the same degree of confidentiality as that afforded to adults. Vast potential exists for nurses to increase teenagers' use of services by removing the key obstacles which deter them from seeking advice: fears about confidentiality, lack of service publicity, and inappropriate opening times.
Herawati, Lucky; Budiman, Johan Arief; Haryono, W; Mulyani, Wiwiek
Smoking behavior is a threat for Indonesian teenagers, including in the city of Jayapura, Papua province. The purpose of this study was to access Jayapura teenagers smoking behavior and knowledge including parents and other family members. The study was conducted on 78 respondents (grade 7, aged 11-14 years old), using cluster random sampling for selecting the public and private junior high school in Jayapura. The data collected was smoking behavior of respondents, parents and other family members (using self-reported questionnaire), and respondents' knowledge about the dangers of smoking (using tests with Cronbach's alpha 0.701). Data were analyzed descriptively and analytically using Chi-square, 95 % level of significant. The results showed 29.3 % of teenagers, 69.23 % of parents and 25.6 % of other family members were smokers, their knowledge was low (an average score of 60.81 out of 100), there was no significant statistical relationship between knowledge and smoking behavior among respondents (p = 0.079), and there is no significant relationship between teenagers behavior with the behavior of the parents (p = 0.609) and other family members (p = 0.578), 87 % of teenagers became smokers because there were individuals who smoke at home.
Blasco-Alonso, Marta; González-Mesa, Ernesto; Gálvez Montes, Milagros; Lozano Bravo, Isabel; Merino Galdón, Federico; Cuenca Campos, Francisco; Marín Schiaffino, Gema; Pérez Torres, Sergio; Herrera Peral, José; Bellido Estévez, Inmaculada
The prevalence of substance abuse in women who become pregnant is similar to that of the general population, resulting in a high fetal exposure rate during the most vulnerable period regarding neurodevelopment and organogenesis. The present study was intended to assess the level of prenatal exposure to tobacco, alcohol or illicit drugs in the city of Málaga (Spain). It was designed as a cross-sectional study, and based on the anonymous self-reports of participants. A total of 451 pregnant women were recruited in the first, second or third trimester. The prevalence in each of the quarters respectively was 21.2%, 18.5% and 13.3% for smoking, 40.7%, 23.1% and 17.1% for alcohol and 4.8%, 1.9% and 1.2% for cannabis. We also found that a higher educational level was associated with a lower consumption of tobacco (RR 0.659 [0.537-0.810] p<0.0001) and greater exposure to alcohol (RR 1.87 [1.30-2.69] p<0.0007). These results, particularly in regard to alcohol intake, are sufficiently alarming to alert obstetric care providers about the need to implement preventive measures.
... in Spanish National Institute of Child Health and Human Development Also in Spanish Men Becoming a Father (Children's ... is the National Institute of Child Health and Human Development Disclaimers MedlinePlus links to health information from the ...
Black, Amanda Y; Fleming, Nathalie A; Rome, Ellen S
Adolescent pregnancy remains a public health issue with significant medical, emotional, and societal consequences for the adolescent mother, her child, and her family. Teenage pregnancies are at higher risk of many adverse outcomes, including preterm delivery, low birth weight, and neonatal and infant mortality. Teen pregnancy and motherhood may have detrimental effects on the teen mother and her child; antenatal and postpartum care need to be adapted to meet the special needs of pregnant adolescents because standard obstetrical environments may not do so. This comprehensive review of adolescent pregnancy will highlight global statistics, factors contributing to adolescent pregnancy, social implications of adolescent pregnancy, obstetrical and neonatal outcomes, and the importance of multidisciplinary antenatal and postnatal care.
Sedaghat-Yazdi, Farshad; Koenig, Peter R
Palpitations can result from cardiac awareness (increased conscious perception of the heart beating) or from a fast or irregular cardiac rhythm. Most causes for palpitations in the teenager can be diagnosed with minimal testing. Patients with an abnormal ECG, non-sinus tachycardia, abnormal cardiac examination, concerning family history, or palpitations associated with activity or syncope should be referred to a pediatric cardiologist. This article discusses the evaluation, testing, and management of teenagers with palpitations. It also provides a general guideline for referral for subspecialty evaluation.
Gessner, B D; Perham-Hester, K A
Data collected in 1991-94 as part of the Alaska Pregnancy Risk Assessment Monitoring System were used to assess the experience of violence before, during, and after pregnancy among teenage mothers compared with older mothers and to identify the proportion of births to teenagers that result from statutory rape. A total of 7178 new mothers 13-45 years of age were included in this population-based data set. 9.7% of mothers under 18 years of age and 9.4% of those 18-19 years old reported having experienced domestic violence during pregnancy compared with 3.8% of mothers at least 20 years of age; violence after pregnancy was reported by 10%, 6%, and 2.9% of mothers, respectively. When potentially confounding factors (marital status, an unplanned pregnancy, enrollment in a medical assistance program) were controlled, however, age was associated with the experience of violence only for mothers under 18 years of age after pregnancy. The percentage of women who reported domestic violence each week increased after pregnancy for mothers of all ages. 66.2% of all births to unmarried teens under 16 years of age for which the age of the father was recorded resulted from second-degree statutory rape. Pediatricians and family practitioners should be aware of the increased risk of violence that occurs after pregnancy, especially in teen mothers. Recommended are violence prevention and intervention programs at school-based clinics, increased public awareness of the extent and consequences of violence against women, and identification of the specific reasons that teenage mothers experience an increased risk of violence.
Manning, Wendy D.; Cohen, Jessica A.
Cohabitation is an integral part of family research; however, little work examines cohabitation among teenagers or links between cohabitation and teenage childbearing. Drawing on the National Survey of Family Growth (2006–10), we examine family formation activities (i.e., cohabitation, marriage, and childbearing) of 3,945 15–19 year old women from the mid 1990s through 2010. One-third (34%) of teenagers cohabit, marry, or have a child. Teenage cohabitation and marriage are both positively associated with higher odds of having a child. The vast majority of single pregnant teenagers do not form a union before the birth of their child; only 22% cohabit and 5% marry. Yet most single pregnant teenagers eventually cohabit, 59% did so by the child’s third birthday and about 9% marry. Cohabitation is an important part of the landscape of the adolescent years, and many teenage mothers described as “single mothers” are actually in cohabiting relationships. PMID:25972620
Thornberg, Robert; Knutsen, Sven
The aim of the present study was to explore how teenagers explain why bullying takes place at school, and whether there were any differences in explaining bullying due to gender and prior bullying experiences. One hundred and seventy-six Swedish students in Grade 9 responded to a questionnaire. Mixed methods (qualitative and quantitative methods)…
Ahovi, Jonathan; Viverge, Agathe
Teenagers need to interpret the world around them, sometimes in a completely different way to that in which, as children, they represented external reality. Some like drawing. They can use it to express their thoughts on death, sexuality or freedom. Their creative capacities are immense: they are creating art.
Noting that family members need to work together to find ways of relating that feel comfortable, this book is intended to help teenage stepchildren understand stepfamily life and to find ways to make it happier. The chapters are: (1) "Divided Loyalty," including being a go-between for divorcing parents and where to live; (2) "Can Access Be Fun?"…
An example of the influence of television on the reading interests of teenagers may be seen in the popularity of the book "Eric," the true story of a boy's four-and-a-half-year battle with leukemia, which began just two days before he entered college. Although the television adaptation was inaccurate in many details concerning Eric's…
Today, many government and private agencies, clinics, foundations, and schools are sponsoring programs and literature for teen-age parents. These range in scope from fetal and maternal nutrition, to family planning counseling, to informal rap sessions on parenthood, to workshops on child care. (Author)
Bredenberg, Alice M.
The background of Satanism and typical Satanic activities are described. It is noted that contemporary Satanism has three forms: solitary Satanists, outlaw cults, and neo-Satanic churches. Included in a description of Satanic activities are Heavy Metal music and fantasy games, both of which are intensely interesting to teenagers. The next section…
This guide to more than 1,000 summer programs for teenagers encompasses recreational and academic programs sponsored by colleges, universities, independent schools, foundations, museums, nonprofit organizations, and for-profit businesses. Every program listed accepts students age 13-18; some programs also accept participants older or younger.…
"Bold Books for Teenagers" provides dynamic, informative viewpoints on important issues in publishing and teaching contemporary literature, especially literature for adolescents. Reviews of young adult literature also appear in this column. This article examines how English teachers can help students explore their interests without promoting any…
Endometriosis affects a significant proportion of teenagers. Published studies suggest that laparoscopically confirmed endometriosis could be found in over 60% of adolescent girls undergoing laparoscopic investigation for pain, in 75% of girls with chronic pelvic pain resistant to treatment and in 70% of girls with dysmenorrhea and in approximately 50% of girls with chronic pelvic pain not necessarily resistant to treatment. Both early and advanced forms, including deep endometriosis have been reported to be present in teenagers. It has recently been claimed that deep endometriosis has its roots in teenage years. Risk factors include obstructive mullerian anomalies, family history, early menarche and early onset dysmenorrhea. Both surgical and medical treatment approaches are used for treatment in this age group, but care should be taken when treatment with GnRHa and progestins is being considered due to their potential impact on bone formation. Further studies are urgently needed to determine whether early diagnosis and treatment of teenage endometriosis lead to better long term outcomes or simply increase number of interventions without preventing progression of the disease.
This report examines the extent to which welfare reform is changing adolescent behaviors that lead to welfare dependency. It begins by discussing the provisions in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 that require teenagers to stay in school and live with a parent, concluding that relatively little can be…
Huenemann, Ruth L.; And Others
Body size, composition, and conformation in a teen-age population, and associated factors were studied to obtain useful data for planning programs in public health nutrition. This book describes the purpose, methods, and findings of this four-year longitudinal and cross-sectional study conducted in Berkeley, California, during the years 1961 to…
Satterwhite, Catherine Lindsey; Ramaswamy, Megha
Long-acting reversible contraception (LARC) has incredible potential for decreasing teenage pregnancy rates in the USA, but use among adolescents remains low. LARC methods, including intrauterine devices and implants, are recommended as first-line choices for teenagers by multiple medical professional associations. Barriers at the system, provider and patient level persist, but new demonstration projects, in addition to provisions of the Affordable Care Act, show great promise in facilitating LARC use. A renewed national discourse should acknowledge the reality that many US teenagers have sex, that LARC is safe and effective and that LARC offers an opportunity to prevent teenage pregnancy. By encouraging widespread access and use, a large, positive impact across multiple health and economic sectors can be achieved.
To combat the problem of teenage pregnancy, public health clinics have made birth control counseling and free contraceptives available to minors and many public schools have implemented sex education programs. Despite the development and implementation of these programs, teenage sexual activity and pregnancy have increased. The increase in…
Werner, Mark J.
The high prevalence of alcohol and substance abuse by adolescents poses a significant threat to the wellness of youth. Adolescents appear to use drugs for a variety of reasons. In addition to the multiple etiologic and risk factors present for substance abuse, there are many pathways teenagers may follow on their way to substance abuse. The…
Lebowitz, M L
Divorce is woven into the fabric of today's American society, and parents and professionals alike are concerned about the effects of divorce on children of all ages. Research in this area is in its infancy, particularly research about how divorce effects teenagers, but research thus far has helped us to appreciate that divorce is difficult for children of all ages. This paper considers the effects of divorce on teenagers by drawing from existing research and clinical experiences with teenagers. The focus of this presentation is how teenagers feel when parents divorce and how they behave in response to divorce. The purpose of this focus is to provide those who interact with teenagers a greater understanding of how teenagers react to divorce.
Teenage pregnancy is an important public health issue in the world. However, little is known about the knowledge, attitudes, and behaviors related to contraception among pregnant teenagers in China. The aim of this study was to investigate the knowledge, attitudes, and behaviors related to contraception among pregnant teenagers. From April 2007 to June 2007, an investigator designed questionnaire was used to survey 53 pregnant teenagers about their knowledge, attitudes, and behaviors regarding contraception.The convenience sample was from four women and children health care hospitals in Beijing. Descriptive statistics were used. In the majority of the teenagers (73.6%, n = 39), this was their first pregnancy. The teenagers had limited knowledge regarding contraception (69.8%, n = 37) and scored <10 (on a 20-point scale) on the Contraceptive Knowledge subscale. Only 24.5% (n = 13) teenagers obtained contraceptive knowledge from school or parents; the most common source of contraceptive information came from their friends, the Internet, and the media. In addition, 11.3% (n = 6) pregnant teenagers considered that it was unnecessary to obtain contraceptive knowledge.The proportion of teenagers who reported using contraceptive methods with their first sexual encounter was 52.8% (n = 28). Of the 30.2% (n = 16) who reported always using contraceptive methods in the past 12 months, the majority chose condoms. The findings suggest that many teenagers have limited knowledge of the different kinds of contraceptive methods, including the use of condoms. But some of teenagers had misguided attitudes that contraception was unnecessary, and few teenagers insisted on using contraception due to incorrect information.
Hardy, Janet B.; Zabin, Laurie Schwab
An in-depth discussion of national and local statistics regarding teenage and adolescent pregnancy and the developmental issues involved opens this analysis. Problems and adverse consequences of adolescent pregnancy in an urban setting are explored using a city-wide random sample of adolescent births. A model pregnancy and parenting program and…
Gilson, Kathryn J.; Lancaster, Sandra
Objective: To examine childhood sexual abuse in Australian childbearing adolescents and the contribution of abuse variables (sexual and physical abuse) to antenatal and postpartum depression and anxiety in adolescents. Methods: Seventy-nine adolescents proceeding with a pregnancy for the first time were surveyed about abuse experiences and were…
Koshel, Jeffrey J.
This report provides a brief overview of state policies and programs to address the problems of adolescent pregnancy and parenting. Section 1, a brief introduction, is followed by a section which examines a broad set of state policies and programs affecting at-risk youth, including pregnant teenagers and teenage parents. The state-by-state review…
Adolescents tend to abandon the program of preventive and therapeutic medical care established for them in infancy by pediatrician and parents. Factors in this resistance were analyzed, and a teenage clinic was established. In review of experience over a four-year period, during which the number of appointments monthly rose from 20 to 300, it was noted that the needs of adolescents are related to their stage of development. In the teenage clinic the adolescent assumes an increasingly important role in communication between himself and the physician, with concurrent diminution of the parental role. Special goals of medical counseling of adolescents include strengthening of parent-adolescent relationships and adjustment of the teenager to school and community. The adolescent requests information about normal and abnormal growth and development (obesity, acne, sexual changes). Somatic abnormalities noted on physical examination were of three classes: (1) “Normal” deviations (male gynecomastia, adolescent striae, functional heart murmurs). (2) Medical problems usual to persons of any age. (3) Comparatively rare entities (lupus erythematosus disseminatus, Laurence-Moon-Biedel syndrome). PMID:13608297
Wildsmith, Elizabeth; Manlove, Jennifer; Jekielek, Susan; Moore, Kristin Anderson; Mincieli, Lisa
Using data from the National Longitudinal Survey of Youth, this article examined how early maternal characteristics, an adolescent's family environment, and the adolescent's own attitudes and behaviors were associated with the odds of a nonmarital teenage birth among youth born to teenage mothers. Multivariate analyses indicated that these domains…
Poe, Elizabeth Ann
Applying reader response theory, a study explored the responses of 19 pregnant adolescents and teenage mothers to two dissimilar young adult novels, one about teenage pregnancy and one about adolescent alcoholism. Quantitative analysis, using a modified version of the Purves-Rippere (1968) system, and qualitative analysis of written answers to…
This article is concerned with exploring the impact of stigma upon teenage mothers. Drawing upon the findings of in-depth interviews with 20 teenage mothers, the study explores the ways and contexts within which stigma is experienced and identifies differential effects and coping mechanisms reported by the participants. Thereafter, it is suggested…
Wells, Robin A.; Thompson, Barbara
Programs for teenage mothers provided through school districts or community agencies often have their own curricular agenda for teaching teenage mothers about the proper care of and nutrition for infants and the typical stages of child development, but not all programs are successful in supporting the development of positive early relationships…
Greene, Kaylin M.; Staff, Jeremy
Most American youth hold a job at some point during adolescence, but should they work? This article presents a broad overview of teenage employment in the United States. It begins by describing which teenagers work and for how long and then focuses attention on the consequences (both good and bad) of paid work in adolescence. It then presents…
Joo, Young Ju; Lim, Kyu Yon; Cho, Sun Yoo; Jung, Bo Kyung; Choi, Se Bin
The study aims to investigate structural relationships among teenagers' peer attachment, self-control, academic stress, internet usage time, and cyber delinquency. The data source was the Korea Youth Panel Survey, and the responses from 920 teenagers in the 12th grade provided the study data. Structural equation modeling was used for the analysis.…
... mistreatment may be Physical, sexual, or emotional abuse Neglect or abandonment Financial abuse - stealing of money or belongings Possible signs of elder abuse include unexplained bruises, burns, and injuries. There ...
... or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical ...
... abuse also plays a role in many major social problems, such as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a ...
da Silvia, Antonio Marcio
This current study explores three contemporary Brazilian films' depiction of commercial sexual exploitation of young girls and teenagers. It points out how the young female characters cope with the abuses they suffer and proposes that these filmic representations of the characters' experiences expose a significant social problem of contemporary…
Children Today, 1988
Presents information about various topics, including (1) an invention, Sleep Tight, that eases colic symptoms in infants; (2) a 17-year follow-up study on teenage mothers' lives; (3) working mothers; (4) discussion of child care; (5) safe adolescent celebrations; (6) homosexuality; and (7) child abuse. (BB)
Ireson, C J
This study seeks to link adolescent pregnancy with several aspects of sex-role traditionality and other variables that may be related to sex roles. It is hypothesized that orientation to traditional sex roles is related to the occurrence of pregnancy among sexually active teenagers. For the study sample of teenage females receiving birth control or pregnancy testing services, it is hypothesized that the pregnant teenagers will be more likely than other teenagers to be oriented toward traditional sex roles. The sample consisted of 161 young women, ranging in age from 13-18, with an average age of 16.5 years. Data were collected at selected health related agencies in a city in the Pacific Northwest by staff members who were blind to the hypotheses of the study. The respondents usually completed a brief questionnaire while they waited for a desired service. Of the total sample, 43 were pregnant; 34 had positive pregnancy tests and 9 others already knew they were pregnant when they filled out the questionnaire. 82 obtained birth control information or services and 36 experienced negative pregnancy tests. These groups are referred to as the pregnant group, the birth control group, and the negative pregnancy test group. Sex role values were determined by asking the respondent to indicate degree of agreement or disagreement with a series of opinion statements. The results provide some support for the main hypothesis. Pregnant teenagers were more likely than others to be oriented toward traditional sex roles. Pregnant teenagers, when compared with the birth control seeking group, showed more traditional sex-typing of activities, lower educational expectations and occupational aspirations, lower grades, and were more likely to have dropped out of school. There was only 1 significant difference between the pregnant adolescents and those in the negative pregnant test group. The pregnant teens had lower educational expectations. When all the independent and control variables
Stephenson, J N
Pregnancy testing and counseling are increasingly accepted as necessary services for adolescents within the primary care setting. For teenagers in need of a pregnancy test, the easy-to-perform, highly sensitive and specific enzyme immunoassay analysis for measuring beta-human chorionic gonadotropin (beta-HCG) is ideal. However, no single beta-HCG analysis should be taken as absolute evidence for the presence or absence of pregnancy. Instead, an integrated approach using all of the health care professional's skills in adolescent health care should be taken. In some cases a careful history and physical examination will confirm the pregnancy. At other times serial quantitative serum HCG titers, pelvic ultrasonography, and culdocentesis may be necessary to rule out the possibility of ectopic pregnancy or threatened abortion. For more than three quarters of pregnant adolescents the pregnancy is unplanned and may represent a major conflict for themselves, their partner, and their families. When such an event occurs the health care professional will frequently be sought as a resource. Successful pregnancy counseling has many components. The adolescent will need to visualize the counselor as an available, sensitive, nonjudgmental individual who believes in the right of the pregnant teenager ultimately to progress to her own decision. The counseling process should be firmly based on an understanding of adolescent psychosocial and biologic development, crises intervention techniques, and family dynamics. The counselor needs to be a reliable information source. If the adolescent decides to go to term, programs offering comprehensive prenatal services to teenagers should be identified. Information concerning high-quality, low-cost abortion services also will need to be available for those who wish to terminate. It is important to monitor the quality of care given in prenatal and abortion service referrals. Few adolescents currently choose to place their babies for adoption
Too Little, Too Late: Services for Teenage Parents. An Examination of Some Major Programs Now Operating in the United States to Serve Teenage Parents and Their Children, Including a Look at the Range and Quality of Available Services and Candid Comments by Service Providers. Working Paper.
McGee, Elizabeth A.
This report contains the findings of a 1982 survey conducted to examine existing programs for providing assistance to pregnant teenagers, young parents, and their children. The report is based on data collected through telephone interviews, site visits, personal consultations, and a review of the literature on teenage pregnancy. Sex by trial and…
Caldas, S J
Although there are fewer teenage pregnancies in the US today than was the case prior to 1970, this fact should not be used to claim that the problem of adolescent pregnancy has been exaggerated. In the earlier period, the majority of adolescent pregnancies were to married couples; moreover, early childbearing was a social norm. In the present period, the availability of effective contraception and legal abortion has enabled women to postpone marriage and childbearing into their late twenties or early thirties and to focus instead on education that enhances their marketability and wages. Under prevailing social norms, teen pregnancy represents a clear deviation. By 1990, 68% of births to women under 20 years of age involved unmarried mothers. Under current socioeconomic conditions, unmarried adolescent mothers are likely to live in poverty and their offspring are at high risk of learning disabilities, child abuse, and foster care placements. Although young people are bombarded with images of sexuality in the mass media, school-based sex education programs tend to promote abstinence and withhold information on or access to contraception. It is essential that material on human sexuality is integrated into the curriculum as early as kindergarten if the teen pregnancy rate and the intergenerational transmission of early childbearing under conditions of poverty are to be reduced.
de Moraes, Milena Lima; de Faria Barbosa, Renata; Santo, Raquel Espírito; da Silva Santos, Flávia; de Jesus, Edgar Francisco Oliveira; Sardinha, Fátima Lúcia de Carvalho; Tavares do Carmo, Maria das Graças
Adolescence is marked by intensive growth and development. When pregnancy occurs during this period of the mother's growth, there is an increase in her nutritional needs. The aim of this study was to determine the levels of calcium, iron, copper, and zinc in maternal plasma, the placenta, and in the cord plasma of pregnant teenagers and adults. A total of 80 sets of maternal plasma, placentas, and cord plasma (40 from teenagers and 40 from adults) were analyzed using synchrotron radiation total reflection X-ray fluorescence. The levels of calcium, copper, and zinc in the maternal and cord plasma from teenagers were not significantly different than those from adults. Iron levels in the teenagers maternal and cord plasma were higher than in the adults. All of the minerals analyzed were present at higher levels in the placentas from adults than those from teenagers. However, the low quantities of placental calcium, iron, copper, and zinc in the teenagers do not compromise the levels of these minerals in the cord plasma. Future research regarding the placental transport of these minerals is recommended to investigate the efficiency of mechanisms of transfer of these minerals in pregnant teenagers.
Picherot, G; Urbain, J; Dreno, L; Caldagues, E; Caquard, M; Pernel, A-S; Amar, M
Age of first drink in France and Western countries is early. National and international surveys confirm this early onset. Drunkenness, which is the most obvious drinking outcome, seems to rise amongst young adolescents. Consequences of this precocity are considerable. At short-term, drunk teenagers are more frequently victims of accidents. In addition, they are more vulnerable to sexual abuses, as victims but also as perpetrators. At medium- and long-terms, the early development of alcohol use is linked to higher levels of later drinking dependence. Three explanatory ways for this precocity are developed: family's influence, role of advertising and media, and role of peers. When alcohol meets adolescence, it is sometimes a real storm. Prevention is uneasy because of the very commonplace of alcohol at home. It can concern family level or society level. As for tobacco, society intervention is needed to delay age of first drink and limit teenager alcohol use but this should not involved adolescents condemnation.
Panthumas, Suphawadee; Kittipichai, Wirin; Pitikultang, Supachai; Chamroonsawasdi, Kanittha
The purpose of this study was to investigate predictive factors of the self-care behaviors among Thai teenagers with primigravida. The samples of 206 primigravida teenagers attending ANC clinics of six hospitals in the North-Eastern region of Thailand were included. Data collection was done through self administered-questionnaire. Scales of the questionnaire had reliability coefficients ranging from 0.72 – 0.92. The data were analyzed by using descriptive and inferential statistics. The results revealed that the percentage-mean score of overall self-care behavior was 76.91. The percentage-mean scores of self-care behaviors in specific trimester were found that the score in the second trimester was lower than the scores in the first and third trimesters (57.58, 60.45, and 64.65, respectively). Factors associated with overall self-care behavior were perceived self-efficacy, perceived social support from family, knowledge on self-care during pregnancy, accessibility to health services, self-esteem and age (r = 0.47, 0.34, 0.28, 0.24, 0.19, and 0.15, respectively). Perceived self-efficacy and knowledge on self-care during pregnancy were the two considerable predictors accounted for 25% of the variance in the self-care behaviors of Thai teenagers with primigravida. PMID:22980240
Food and Nutrition Service (USDA), Washington, DC.
This guide is designed primarily for nutritionists and other health providers who work with pregnant adolescents, aged 17 or younger. The guide lists psychosocial, educational, and health implications of early pregnancy, and discusses the nutritional risks and requirements of pregnant teenagers. The guide then identifies counseling and educational…
Cervera, Neil, Ed.; Videka-Sherman, Lynn, Ed.
Each year in the United States, approximately one million adolescents become pregnant. This guide, the seventh in a series of resource guides for human service professionals, features a collection of articles that explores and explains the different facets of teenage pregnancy, while offering strategies for intervention. The volume begins with an…
A manual on nutrition during pregnancy and lactation was developed and used with pregnant teenagers. Evaluation of the program showed that, while participants' knowledge of nutrition improved, their eating habits did not. The need for behavioral assessment of nutrition education programs is pointed out. (Author/PP)
Reichelt, Paul A.; Werley, Harriet H.
Many of today's teenagers are sexually experienced but lack the knowledge they need to avoid the emotional and physical problems resulting from unwanted pregnancy and veneral disease. With this fact in mind, a study was conducted in collaboration with the Planned Parenthood League Inc., of Detroit in order to generate specific content-oriented…
Newby, Katie; Wallace, Louise M.; Dunn, Orla; Brown, Katherine E.
Rates of sexually transmitted infections and teenage pregnancy amongst the under-16s are causing increasing concern. There is limited evidence about the sexual behaviour and sex education preferences of this age group, especially of those from Black and minority ethnic groups. This study aimed to provide data on early heterosexual risk behaviour,…
Simon, Amalini; Titia Rizzi, Alice
The place of teenagers' drawings has been studied as part of a transcultural consultation, based on the creativity of the children of migrants. When speaking is difficult, drawings enable teenagers to show another dimension of their internal world. Aravin, a young Tamil boy, who lacked the necessary words, was able to express all the complexity of his thoughts through his drawings, finally being able to formulate in the group the difficult situations which he was drawing.
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General Accounting Office, Washington, DC. Health, Education, and Human Services Div.
Teenage pregnancy and parenthood have unfortunate consequences for society, teenage mothers, and the children born to them. This report to the Senate is intended to provide information on (1) state strategies to reduce teen pregnancy and how states fund these efforts; (2) how welfare reform affected states' strategies; (3) the extent to which…
Davidhizar, R; Newman-Giger, J
After years as a taboo topic, abuse has come "out of the closet" and is being talked about openly in society. Yet, while abuse in the workplace is being confronted, abuse within families still often goes unrecognized by outsiders, including by nurses. Failure of nurses to recognize abuse is unfortunate since frequently they are the first point of contact with the victim of abuse in the emergency room, clinic and home. Understanding and insight into the problem of family violence by nurses is critical in addressing this problem. Knowledge is crucial in planning strategies that will have the long-lasting effect of decreasing the cycle of abuse in families.
Ounce of Prevention Fund.
This booklet describes two prevention programs, Peer Power, a program for girls, and Awareness and Development for Adolescent Males (ADAM), a program for boys. It is noted that these programs, designed to reach students before high school age, help young adolescents stay in school, delay sexual activity and pregnancy, and develop realistic career…
Danziger, Sandra; Farber, Naomi
This digest reviews trends in adolescent sexual activity and discusses conceptual and programmatic approaches to pregnancy prevention. It discusses a pregnant adolescent's choices for resolving an unplanned pregnancy (i.e. abortion, adoption, keeping the baby, and marriage), and the challenges faced by teenage parents. The final section touches on…
Ortiz, Elizabeth T.; Bassoff, Betty Z.
Most efforts at combating teenage pregnancy have focused on cognitive/educational levels felt by concerned adults to be of greatest importance. However, recent research has demonstrated the connection between lack of career goals, low self-esteem, perception of narrow options, and risk-taking behavior as factors leading to pregnancy. A 3-year…
... seniors who are not abused. What are the indicators? Indicators are signs or clues that abuse has ... clusters of indicators that suggest a problem. Physical indicators Sprains, dislocations, fractures, or broken bones Burns from ...
... relationships and friendships. Emotional abuse (stuff like teasing, bullying, and humiliating others) can be difficult to recognize ... How to Break Up Respectfully Abuse Dealing With Bullying Date Rape Getting Over a Break-Up Posttraumatic ...
Atkin, Charles; And Others
Surveyed teenagers (grades 7-12) about their drinking behavior, their exposure to alcohol advertising, relevant demographic information, and other communication influences. Concluded that exposure to alcohol advertising is significantly associated with teenage drinking behavior and intentions. (PD)
Hayward, Christina E; Greenwood, Susan L; Sibley, Colin P; Baker, Philip N; Challis, John R G; Jones, Rebecca L
Teenagers have an increased risk of delivering small-for-gestational-age (SGA) infants. Young maternal age and continued skeletal growth have been implicated as causal factors. In growing adolescent sheep, impaired placental development and nutrient transfer cause reduced birth weight. In human pregnancies, SGA is associated with reduced placental amino acid transport. Maternal growth has no effect on placental morphology or cell turnover, but growing teenagers have higher birth weight:placental weight ratios than nongrowing teenagers. We hypothesized that placental nutrient transporter activity would be affected by maternal age and/or growth status. Placentas from teenagers and adults were collected. Teenagers were defined as growing or nongrowing based on knee height measurements. System A amino acid transporter activity was quantified as sodium-dependent uptake of [(14)C]methylaminoisobutyric acid into placental fragments. Teenagers had lower placental system A activity than adults (P < 0.05). In adults, placental system A activity was lower in SGA infants than appropriate-for-gestational-age (AGA) infants (P < 0.05). In teenagers, AGA and SGA infants had lower placental system A activity than AGA infants born to adults (P < 0.05). Placental system A activity was higher in growing teenagers than in nongrowing teenagers (P < 0.001). Placental mRNA expression of system A transporter isoforms SLC38A1 and -2 was lower in teenagers than in adults (P < 0.05) but did not differ between growing and nongrowing teenagers. There was no difference in transporter protein expression/localization between cohorts. Teenagers have inherently reduced placental transport, which may underlie their susceptibility to delivering SGA infants. Growing teenagers appear to overcome this susceptibility by stimulating the activity, but not expression, of system A transporters.
Lebese, R T; Davhana-Maselesele, M; Obi, C L
Societies are reluctant to openly confront issues of sexuality, and this reluctance forms a barrier of communication between parents and teenagers and even between sexual partners (Wulf, 2004:2). This reluctance promotes the presence of misconceptions about sexual health, sexual risks and its consequences. Poor dialogue about sexual health between parents and teenagers is one of the contributory factors of high teenage pregnancy and sexually transmitted infection (STI) rates including HIV and AIDS. The purpose of this study was to explore and describe how dialogue about sexual health between teenagers and parents is conducted and to use the information gathered as a basis for making recommendations for improvement. A qualitative study of an explorative, descriptive and contextual nature was used. The researcher used the main question as a point of departure and more questions emanated from the discussions. There were 42 informants involved in the study, of which 4 were males and 38 were females. A purposive sampling method was used to collect data through in depth individual interviews and focus group discussions. The researcher strived to adhere to the principle of trustworthiness by adopting Guba's model (in Krefting, 1991: 217). Tech's method (Creswell, 1994:154-55) was used to analyse the data and an independent coder was used. The results indicate that there is minimal if not absent dialogue about sexual health between teenagers and parents. Culture was identified as a major challenge to sexual health dialogue between teenagers and parents. Recommendations to enhance dialogue were made.
Haeri, S; Baker, A M
In this cohort study, our objective was to identify potentially modifiable risk factors and causes for febrile morbidity in teenage mothers. We identified all cases of febrile morbidity using the United States Joint Commission on Maternal Welfare definition in a cohort of teenage deliveries over a 4-year period at one institution. Of the 730 included teenage deliveries, 49 (7%) women suffered postpartum febrile morbidity. Higher maternal pre-pregnancy body mass index (BMI: 34.0 ± 8.6 vs 30.3 ± 6.0 kg/m(2), p = 0.0001), caesarean delivery (RR 21.3, 95% CU 8.9-54.9) and postpartum haemorrhage (RR 3.0, 95% CI 1.1-6.7) were associated with postpartum febrile morbidity. Risk factors for febrile morbidity in the teenage parturient include obesity, caesarean delivery and postpartum haemorrhage. Considering the increasing rates of teenage obesity and overall caesarean delivery rates, attention must be focused on these modifiable risk factors to avoid this complication during a tenuous time for the teenage parent.
Foreman, Susan; Seligman, Linda
Discusses legal and developmental aspects of adolescent abuse, as distinguished from child abuse. The role of the school counselor in identifying and counseling abused adolescents and their families is discussed and several forms of intervention and support services are described. (JAC)
Contested social norms underlie public concern about adults' and teenagers' nonmarital pregnancy. The original, vignette-based National Pregnancy Norms Survey (N = 812) measures these norms and related sanctions. Descriptive analyses report embarrassment at the prospect of a nonmarital pregnancy by age and gender of hypothetical prospective…
Theobald, Hannah E
Good nutrition is essential to help support a successful pregnancy and breast-feeding. Women planning a pregnancy should follow a balanced nutrient-rich diet and consume a daily folic acid supplement up until the end of the first trimester. Many pregnancies, especially amongst teenagers, are unplanned, and educating women of childbearing age about the need to take folic acid to prevent neural tube defects is important. Maintaining a healthy body weight and weight gain is also important: if the mother is underweight, overweight or obese this can harm the health of both mother and fetus. Care should be taken to monitor the nutritional status of vulnerable groups (e.g. teenagers, vegans, women who are underweight, and those at risk of too little vitamin D) to ensure a healthy pregnancy outcome. During breast-feeding the mother needs to eat a sufficient and nutrient-rich diet to provide enough energy and nutrients to support milk production.
Trivedi, D.; Brooks, F.; Bunn, F.; Graham, M.
Teenage pregnancy prevention programmes targeted at young women have received considerable attention from researchers and programme developers. However, to date, relatively limited information is available on preventing teenage fatherhood or improving outcomes for young fathers. A notable gap is concerned with understanding the forms of sexual…
Gunnarsson, Gunnar J.
Does religion play any specific part in Icelandic teenagers' life interpretation? This paper examines Icelandic teenagers' talk about religion and presents some of the findings in interviews with teenagers in a qualitative research project. The focus is especially on how three individuals express themselves about the influence of religion on their…
The concept of "subcultures" is applied to depressed and suicidal teenagers. A case example is presented of a group of five teenagers, three of whom killed themseles. The characteristics of the group members are described in order to pinpoint the defining values of a teenage suicidal subculture. (Author)
Whitaker, Catherine J.
The information in this report on teenage victims of crime is based on data obtained from the National Crime Survey for the years 1982 through 1984. The introduction summarizes crimes against teenagers, highlighting numbers, rates of victimization, and differences in crimes against teenagers and adults. These topics are discussed in detail: (1)…
Past research has shown teenagers to be reluctant to read and less likely to visit libraries than younger children. These conclusions are debated and further investigation is needed. Difficulties abound in researching teenagers' opinions. Teenagers can be reluctant to participate in activities and peer support is often very important in…
A qualitative study examined how teenagers react to and interpret certain popular media messages. In addition it explored the relationship between content containing various sexual messages and teenagers' responses to those messages, with particular attention to the critical abilities this audience exhibits. Fifty male and female teenagers aged…
The belief that early childbearing leads to poverty permeates our collective understanding. However, recent findings reveal that for many teens, mothering makes sense of the limited life options that precede their pregnancies. The author challenges several assumptions about teenage mothers and offers an alternative to the modern view of the unencumbered self that drives current responses to teen childbearing. This alternative perspective entails a situated view of the self and a broader notion of parenting and citizenship that supports teen mothers and affirms our mutual interdependence.
Martinez, Gladys M.; Abma, Joyce C.
Monitoring sexual activity and contraceptive use among U.S. adolescents is important for understanding differences in their risk of pregnancy. In 2013, the U.S. birth rate for teenagers aged 15-19 dropped 57% from its peak in 1991, paralleling a decline in the teen "pregnancy" rate. But these rates are still higher than those in other…
Lawton, Beverley; Makowharemahihi, Charrissa; Cram, Fiona; Robson, Bridget; Ngata, Tina
INTRODUCTION Timely and equitable access to contraception enables teenage mothers to make informed choices about their sexual and reproductive health. This study aimed to identify barriers and facilitators to contraception for Māori teenagers who become mothers. METHODS 'E Hine' is a longitudinal qualitative Kaupapa Māori (by Māori for Māori) study involving Māori women (aged 14-19 years), following them through pregnancy (n = 44) and the birth of their babies until their babies' first birthdays (n = 41). This analysis focusses on contraception access pre-and post-pregnancy. FINDINGS Pre-pregnancy most participants accessed contraception or advice. Contraception use was compromised by a lack of information, negative side effects, and limited follow up. All reported their subsequent pregnancies as unplanned. Participants gave considerable thought to post-pregnancy contraception. Despite this many experienced clinical and service delays, financial barriers, and negative contraceptive side effects. There was little focus on contraception initiation and a lack of integrated care between midwives and other primary care services, leaving many participants without timely effective contraception. The system worked well when there was a contraception plan that included navigation, free access, and provision of contraception. CONCLUSION The majority of participants actively sought contraception pre- and post-conception. Despite a publicly funded system, a lack of health sector integration resulted in multiple missed opportunities to meet the needs of these teenagers for effective contraception. Health service funding formulas should define the goal as initiation of contraception rather than advice and provide funding to improve timely access to long acting reversible contraception. KEYWORDS Indigenous teenage pregnancy; contraception; barriers to contraception; Māori mothers.
Englander-Golden, Paula; And Others
Patterns of drug use among teenagers indicate they are highly influenced by peers. To examine the influence of Say It Straight, an alcohol/drug abuse prevention program aimed at teaching adolescents to deal with peer pressure, sixth, seventh and eighth graders (N=509) created and role played situations in which they wanted to say "no" to…
Tourigny, Marc; Hebert, Martine; Daigneault, Isabelle; Simoneau, Ann Claude
The effects of a group therapy program for teenage girls reporting child sexual abuse were evaluated by means of a pretest/post-test design with a control group. The psycho-educational intervention consisted of an average of 20 weekly two-hour meetings. Results of the repeated analyses of variance (ANOVA) revealed a significant improvement in…
Moore, Kristin A.; Caldwell, Steven B.
Out-of-wedlock birth rates have not fallen much at all among teenagers. New analyses of existing data sets indicate that becoming an out-of-wedlock parent is a process with three stages: commencement of sexual activity; conception among the sexually active; and pregnancy outcome among those who conceive. Public policy variables such as AFDC…
National Agricultural Library (USDA), Washington, DC.
This annotated bibliography on nutrition and adolescent pregnancy is intended to be a source of technical assistance for nurses, nutritionists, physicians, educators, social workers, and other personnel concerned with improving the health of teenage mothers and their babies. It is divided into two major sections. The first section lists selected…
Lee, M J
Marihuana and tobacco smoking are two of the most commonly abused substances in pregnancy. Smoke from both agents contain a multitude of potentially active components, which make them difficult to study. Both have been associated with adverse effects in pregnancy in animal and human studies. Data on marihuana use during pregnancy have been conflicting. There is much evidence, however, demonstrating adverse pregnancy outcomes associated with cigarette smoking which, fortunately, can be reversed with smoking cessation.
Harper, Cynthia C.; Henderson, Jillian T.; Schalet, Amy; Becker, Davida; Stratton, Laura; Raine, Tina R.
CONTEXT Abstinence-only education has had little demonstrable impact on teenagers’ sexual behaviors, despite significant policy and funding efforts. Given the struggle over resources to improve teenagers’ reproductive health outcomes, the views of clinicians serving teenagers at high risk for unintended pregnancy and STDs merit particular attention. METHODS In 2005, a qualitative study with 31 clinicians serving low-income, at-risk patients was conducted. A semistructured interview guide was used to ask clinicians about adolescent pregnancy, HIV and STD prevention counseling, and when they include abstinence. Thematic content analysis was used to examine the content of the counseling and the techniques used in different situations. RESULTS Providers reported offering comprehensive counseling, presenting abstinence as a choice for teenagers, along with information about contraceptives and condoms. Several providers mentioned that with young, sexually inexperienced teenagers, they discuss delaying sexual activity and suggest other ways to be affectionate, while giving information on condoms. Providers explained how they assess whether teenagers feel ready to be sexually active and try to impart skills for healthy relationships. Some described abstinence as giving teenagers a way to opt out of unwanted sexual activity. Many support abstinence if that is the patient’s desire, but routinely dispense condoms and contraceptives. CONCLUSIONS 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. PMID:20618752
de Paul, Joaquin; Domenech, Leticia
Two matched groups (24 adolescents and 24 adults) of pregnant mothers were followed for 20 months. During pregnancy, memories of child maltreatment were evaluated. Although adolescent and adult mothers showed no differences in memories of childhood physical or emotional abuse, adolescent mothers and physically abused mothers showed higher child…
Childhood sexual abuse can have big implications for a woman both physically and psychologically during childbearing. There are aspects of midwifery practice such as vaginal examinations which can have devastating effects for survivors of childhood abuse because of their similarities to sexual abuse. There are steps which can be taken by student midwives and midwives alike to not only prevent the re-traumatisation of the survivors of childhood sexual abuse but empower them through their pregnancy and birthing experience. This article is based on a presentation to fellow students in which Stephanie Marriott examined the issues.
Latalski, Maciej; Skórzyńska, Hanna; Pacian, Anna; Sokół, Marlena
Childhood and adolescence are the periods of life when the experience of violence accumulates. As socially weaker individuals, children and teenagers are exposed to violence. The factors that increase the risk of child maltreatment include, above all, social and cultural factors and the stress that family suffer from. The literature on this subject distinguishes four categories of child maltreatment, namely: emotional, physical, negligence and sexual abuse. The survey involved 250 representatives of high school teenagers aged 15-20, including 145 girls and 105 boys. The research method was the survey estimating the Scale of Battered Child Syndrome (for teenagers and adults). The results show that a big group of teenagers admitted to having experienced at least one of four kinds of domestic violence. The group is not uniform, however, and the socio-cultural factors that affect the kind and intensification of the phenomenon of violence have been revealed. The most frequent reasons for using violence are: low level of education, unemployment of parents and material status connected with this fact, low frequency of attendance to religious services, alcohol abuse, and place of living. On account of the intensification of the phenomenon of violence in the domestic environment and both direct and distant consequences of the phenomenon in the form of mental and physical disorders of individuals as well as the dangers for the proper development of the society that result from it, there is a need to continue doing research on this phenomenon.
The recently released findings of a large scale study indicate that developed countries which have accepting attitudes toward teenage sexuality and toward the provision of family planning services for adolescents generally have much lower adolescent pregnancy rates than the US; these findings are stimulating renewed efforts to make sex education and family planning services more readily available to adolescents in the US. The study, undertaken by the Alan Guttmacher Institute, consisted of a statistical analysis of factors associated with adolescent fertility in 37 developed countries and an in-depth comparative analysis of the US and 5 other developed countries (Sweden, France, Netherlands, England and Wales, and Canada). The study confirmed that the US had a higher adolescent pregnancy, abortion, and childbirth rate than almost all other developed countries. Among adolescents 15-19 years of age the pregnancy rate in the US was 96/1000. Respective rates for the Netherlands, Sweden, France, Canada, and England and Wales were 14, 35, 43, 44, and 45. The study failed to confirm many commonly proffered explanations for the high US rates. For example, the discrepancy between the US and the other 5 countries cannot be attributed to the high pregnancy rate among black teenagers in the US as the rate for white teenagers alone (83/1000) is much higher than the rate in the other 5 countries. Neither can the high US rate be attributed to the availability of welfare benefits; welfare benefits in the other countries tend to be higher. Nor can the high US rates be attributed to greater recourse to abortion in the other countries (the abortion rate is higher among adolescents in the the US then in the 5 countries) or to to high US unemployment rate (teenage unemployment is a serious problem in all the other countries). Factors which were common to all 5 countries but lacking in the US included an open attitude toward adolescent sexuality, easy access for teenagers to free and
NJEA Review, 1982
Suicide and attempted suicide among teenagers has risen dramatically since 1960, especially among girls. Three theories of the causes of suicide (emotional crises, brain chemistry and nonexpression of grief) are discussed. Depression and other first stage warning signals, and the nature of second stage "cries for help," are considered. (CM)
Most parents want to prepare their adolescents for sexual relationships, but find it difficult to discuss sex with their teenagers. This books aims to help families improve communication and presents in a short-story format, factual information on sexuality. It is intended as an introduction to the subject of sex and as a quick reference tool for…
Pounds, Elenore T.; And Others
This booklet is designed for teenage students and discusses safety and first aid. The first part of the booklet covers safety instruction, causes of accidents, what it means to be safety-minded, and discusses experimental safe-car design and testing programs. The second part presents basic descriptions for first aid treatment of common injuries…
In this article, the author describes how researchers study the adolescent brain--a subject of inquiry that did not exist a generation ago. Any parent of a teenager knows that adolescents often have difficulty navigating through their world. Now scientists are starting to find out why. Peering into the minds of maturing youngsters, researchers are…
Crews, Kimberly A.
This instructional packet consists of an essay, a wall poster, and a teacher's guide that provide information and statistics about teenage parents throughout the world. The purpose of these materials is to give junior high and high school students an overview of the health, social, psychological, economic, and demographic effects of teenage…
King, Laurie A.
Describes the types of resources available to pregnant teenagers and adolescent parents in Canada. Recommends changes that will improve psychological, day care, and health services, as well as create effective parenthood education programs. (Canadian Home Economics Association, 151 Slater Street, Suite 805, Ottawa, Ontario K1P 5H3.) (SK)
Presser, Harriet B.
Most research on teenage parenthood is concerned with illegitimacy and its determinants such as attitudes toward sex, contraceptive knowledge and practice, family relationships, and cultural factors. Empirical studies on the consequences of illegitimacy are generally limited to problems of recidivism, school dropouts, and welfare dependency.…
Brabant, Marie-Eve; Hebert, Martine; Chagnon, Francois
This study explored the clinical profiles of 77 female teenager survivors of sexual abuse and examined the association of abuse-related and personal variables with suicidal ideations. Analyses revealed that 64% of participants experienced suicidal ideations. Findings from classification and regression tree analysis indicated that depression,…
I use a randomized experiment to test whether information can change sexual behavior among teenagers in Kenya. Providing information on the relative risk of HIV infection by partner's age led to a 28% decrease in teen pregnancy, an objective proxy for the incidence of unprotected sex. Self-reported sexual behavior data suggests substitution away…
Anastasiow, Nicholas J.; And Others
The article describes FEED (Facilitative Environments Encouraging Development), a junior high child development curriculum for potential mothers, intended to result in improved childrearing practices that will in turn offset all or most of the negative effects of the low birthweight and prematurity that are associated with teenage pregnancies.…
Workman, Lauren M.; Flynn, Shannon; Kenison, Kelli; Prince, Mary
Continued efforts are needed to reduce teenage pregnancy in the United States. Implementation of evidence-based curricula in schools is one strategy toward meeting this goal. In 2010, the South Carolina Campaign to Prevent Teen Pregnancy (SC Campaign) received funding to implement a teen pregnancy prevention (TPP) curriculum. Congruent with South…
Pedersen, Willy; Mastekaasa, Arne
Research on teenage pregnancy and abortion has primarily focused on socio-economic disadvantage. However, a few studies suggest that risk of unwanted pregnancy is related to conduct disorder symptoms. We examined the relationship between level of conduct disorder symptoms at age 15 and subsequent pregnancy, child-birth and abortion. A…
... for pornography is also sexual abuse. Most sexual abusers know the child they abuse. They may be ... friends, neighbors or babysitters. About one-third of abusers are related to the child. Most abusers are ...
... Feeding Your 1- to 2-Year-Old Ectopic Pregnancy KidsHealth > For Parents > Ectopic Pregnancy Print A A ... lower back pain continue What Causes an Ectopic Pregnancy? An ectopic pregnancy usually happens because a fertilized ...
Tubal pregnancy; Cervical pregnancy; Tubal ligation - ectopic pregnancy ... In most pregnancies, the fertilized egg travels through the fallopian tube to the womb (uterus). If the movement of the egg ...
... Us Home A-Z Health Topics Pregnancy tests Pregnancy tests > A-Z Health Topics Pregnancy test fact ... To receive Publications email updates Enter email Submit Pregnancy tests If you think you may be pregnant , ...
... Feeding Your 1- to 2-Year-Old Ectopic Pregnancy KidsHealth > For Parents > Ectopic Pregnancy A A A ... lower back pain continue What Causes an Ectopic Pregnancy? An ectopic pregnancy usually happens because a fertilized ...
De Genna, Natacha M; Goldschmidt, Lidush; Cornelius, Marie D
Teenage mothers use marijuana more frequently than older mothers, and marijuana use may predict HIV risk behavior in offspring. Our goals were to (1) describe trajectories of marijuana use in teenage mothers and (2) determine if these trajectories were associated with early sexual behavior in their offspring. Pregnant adolescents (12-18 years) were recruited at a prenatal clinic and interviewed during pregnancy, at delivery, and during follow-up visits when offspring were 6, 10, 14 and 16 years old. At 16 years, 332 women (71 % Black, 29 % White) and their offspring were assessed. Mothers were asked about their marijuana use at each time point. Offspring reported on their sexual behavior at age 14. Trajectory analyses using growth mixture models revealed four maternal patterns of marijuana use: no use, only at the 6 year follow-up, quit by the 16 year follow-up, and used across most of the time points. The children of chronic users were more likely to have early sex. The maternal marijuana trajectory group variable remained a statistically significant predictor in multivariate models controlling for race, gender, socioeconomic status, child pubertal timing, child externalizing behavior problems, and child marijuana use. These findings suggest that a minority of teenage mothers continue to use marijuana over time. Chronic maternal marijuana use across a decade was associated with early sex in offspring (oral or vaginal sex by age 14). Early sexual behavior places these children at significantly higher risk of teenage pregnancy and HIV risk behaviors.
Farber, E W; Herbert, S E; Reviere, S L
This study reports findings from a chart review examining the relationship between self-report of a history of childhood abuse and the emergence of suicidal ideation in pregnancy in a group of patients referred for psychiatric evaluation. The relationship between history of childhood abuse and actual suicide attempts prior to the current pregnancy was also investigated. Results revealed that women reporting a history of childhood sexual abuse, physical abuse, or both were significantly more likely than those not reporting a history of abuse to evidence suicidal ideation during the pregnancy. Additionally, those reporting a history of sexual abuse or both physical and sexual abuse were more likely than those not reporting such a history to have made a suicide attempt in the past at some point prior to the current pregnancy. Interpretations and potential implications of these findings for clinical work with psychiatrically at-risk pregnant women are discussed.
Pregnancy sonogram; Obstetric ultrasonography; Obstetric sonogram; Ultrasound - pregnancy; IUGR - ultrasound; Intrauterine growth - ultrasound; Polyhydramnios - ultrasound; Oligohydramnios - ultrasound; ...
Derksen-Lubsen, G; Jambroes, M; Essink-Bot, M L
There are about 1.8 million children between 10 and 18 years of age in the Netherlands in 2016. These teenagers account for approximately 10% of the total population. Teenagers are relatively healthy and do not make much use of curative care. However, they are an important group in terms of public health, because a basis for good health in later life is created in the teenage years. Good health in teenagers is also important for education, relationships and employment, and their health has an influence on the health of the next generation. Child and adolescent healthcare plays an important part in preventive care for teenagers. Better cooperation and exchange of information between paediatricians, specialists in child and adolescent healthcare and general practitioners are important in order to optimise care for teenagers.
This research examines how teenage drug and alcohol use responds to changes in the economy. In contrast to the recent literature confirming pro-cyclical alcohol use among adults, this research offers strong evidence that a weaker economy leads to greater teenage marijuana and hard-drug use and some evidence that a weaker economy also leads to higher teenage alcohol use. The findings are based on logistic models with state and year fixed effects, using teenagers from the NLSY-1997. The evidence also indicates that teenagers are more likely to sell drugs in weaker economies. This suggests one mechanism for counter-cyclical drug use - that access to illicit drugs is easier when the economy is weaker. These results also suggest that the strengthening economy in the 1990s mitigated what would otherwise have been much larger increases in teenage drug use.
Brande, M.C.; Zimmerman, A.M.
This book provides an overview of the effects of several abused drugs, including opiates, cannabinoids, alcohol, nicotine, and cocaine, with special emphasis on the actions of these substances at the molecular and cellular levels. The first half deals with genetic effects, including molecular genetics, biochemical genetics, pharmacogenetics, cytogenetics, and genetic toxicity. The second half focuses on perinatal effects and covers: drug abuse during pregnancy; biochemical aspects of marihuana on male reproduction; and long-term behavioral and neuroendocrine effects of perinatal alcohol exposure.
Albersheim, Susan G.
It is important to identify high-risk women abusing drugs in order to provide good care for them and their babies. These infants require close observation after birth for perinatal complications withdrawal, long-term neurobehavioral abnormalities (even with drug use only early in pregnancy), and sudden infant death syndrome. The degree of withdrawal is not an indicator of outcome. Early involvement of Child Protective Services is important for this group, at risk for abuse and neglect. PMID:21228966
... 5th ed. Arlington, VA: American Psychiatric Publishing. 2013. Weiss RD. Drugs of abuse. In: Goldman L, ... Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the ...
... Break Up Respectfully Abuse Sexual Harassment and Sexual Bullying Love and Romance Getting Over a Break-Up Dealing With Bullying Posttraumatic Stress Disorder Sexual Attraction and Orientation Teens ...
This study is an empirical study into the new literacy practices of five teenage "Twitter" users on Twitter. Qualitative methods were used to describe the most prominent ways of participating on "Twitter." Results indicate that teenagers used "Twitter" for self-expression, communication, friendship maintenance, and…
While all teenage behavior and character traits can be challenging, the issues facing the at-risk teenager are particularly thorny. Anger, aggression, and a lack of good decision-making may happen on a minute-to-minute basis, as teachers try to guide these young adults. Unlocking the key to keeping them in school and facilitating proficiency in…
Lester, Carolyn; Allan, Alexandra
Purpose: In response to rising prevalence of sexually transmitted infection (STI) among teenagers, this study was designed to examine teenage perceptions of sex education, access to services, and attitudes relevant to STI. Design/methodology/approach: A focus group study was conducted in three schools to discuss the sexual health needs of…
Oregon State Dept. of Human Resources, Portland.
During the 3-year period from 1983 through 1985, 80 Oregon teenagers intentionally took their own lives, making suicide second only to accidents as the leading cause of death among Oregon teenagers. Data on suicides committed by individuals between the ages of 10 and 19 were retrieved from death certificates on file with the Oregon Health Division…
Campbell, Laurence R.
To determine the attitudes of teenagers toward their hometown newspapers was the purpose of this study. A four-page questionnaire in which students compared the local newspaper with other news media and expressed their attitudes on statements about this newspaper was answered by 887 teenagers. Tentative conclusions indicated that the students felt…
Reid, Penny; Legaz, Mary Ann
Camp Fire's Special Sitters Project addresses the need for respite care experienced by parents of disabled children. The project trains teenagers to care for young handicapped children and links the teenagers with parents who call for babysitting service. The project has been successfully replicated in five communities. (Author/JDD)
Hall, Horace R.; Brown-Thirston, Andrea
"Understanding Teenage Girls: Culture, Identity and Schooling" focuses on a range of social phenomenon that impact the lives of adolescent females of color. The authors highlight the daily challenges that African-American, Chicana, and Puerto Rican teenage girls face with respect to peer and family influences, media stereotyping, body image,…
Wadsworth, J.; And Others
Developmental outcome was compared in 1,031 Singleton children of teenage mothers and 10,950 Singleton children of older mothers. Children born to teenage mothers and living with them through the first five years of life performed less well than other children in tests of vocabulary and behavior, were shorter on the average, and had smaller head…
Anthony, Kathryn H.
Investigated teenagers' use of the shopping mall as a "hangout" through interviews with 51 adolescents using the mall, and 10 hours of behavioral observations. Results indicated that many teenagers visit the shopping center regularly to watch members of the opposite sex, play video games, see friends, shop, and people-watch. (Author/NRB)
Tudiver, Fred; Tudiver, Judy
Recent evidence suggests that pregnancy is a normal developmental period requiring psychological adaptation by the new parents. This period involves upheavals in emotions, relationships, values and roles which demand considerable attention. Studies have shown that unsuccessful resolution of these upheavals has been associated with difficulties of pregnancy and delivery, postpartum depression and child abuse and neglect. The family physician is in a key position to observe adaptations to pregnancy, to facilitate such adaptations and to intervene when necessary. PMID:21286516
Somers, Cheryl L.; Johnson, Stephanie A.; Sawilowksy, Shlomo S.
The Teen Attitude Pregnancy Scale (TAPS) was developed to measure teen attitudes and intentions regarding teenage pregnancy. The model demonstrated good internal consistency and concurrent validity for the samples in this study. Analysis revealed evidence of validity for this model. (JDM)
Smith, Jennifer L.; Skinner, S. Rachel; Fenwick, Jennifer
Grounded theory principles were systematically employed to reveal key differences in pregnancy risk and underlying disparities in contraceptive use in (a) never-pregnant (b) pregnant-terminated and (c) pregnant-continued teenagers. Analysis of 69 semistructured interviews revealed a bicausal model of pregnancy protection that accounted for…
Corkindale, Carolyn J.; Condon, John T.; Russell, Alan; Quinlivan, Julie A.
Little is known about what factors adolescent males consider important when making decisions concerning the resolution of an unplanned pregnancy with a teenage partner. Young men's influence on pregnancy outcome decisions can play an important part in the subsequent psychological adjustment of the female. The present report draws on data from a…
Yampolskaya, Svetlana; Brown, Eric C.; Greenbaum, Paul E.
This 7-year study examined the consequences of early pregnancy and parenting for girls with serious emotional disturbances (SED) and risk factors identified with teenage pregnancy. Risk factors that were examined included sociodemographic characteristics, psychological characteristics, and psychopathology. The 109 participants in the study were…
China is the most populated of any country in the world. Social norms and values pertaining to love and marriage have changed considerably since the launch of its open-door policy and economic reforms of the 1980s. Attitudes to sex have become more open, while the negative consequences of early sexual intercourse have become issues of health and social concern. The aim of this study is to provide an overview of the teenage sexual attitudes and behaviour in contemporary China. A literature review was conducted between 2000 and 2010, using both English (Medline, CINAHL, PsycINFO, ASSIA) and Chinese language databases (China National Knowledge Infrastructure, Wanfang database). Thirty-six studies were included and reviewed. It was found that young people reported poor sexual knowledge, especially in relation to reproductive matters and sexually transmitted infections. The media, such as television, magazines and the Internet, were seen as their main sources of information on sex. Despite the frequently reported liberal attitudes to sexual behaviour, only a small number of young people had already lost their virginity or been involved in pregnancies. Young men were more likely than young women to report having had sex, while respondents at vocational high schools were less likely to remain virgins than those at common/key high schools. Although the prevalence of sexual intercourse among Chinese teenagers was still lower than that reported in studies conducted in most western countries, the findings do reflect some changes in sexual values and behaviour of young people within the country. They also suggest the need to develop more comprehensive sex education programmes in co-operation with young people, schools, health organisations, families and communities and to make sexual and reproductive health services accessible to teenagers and unmarried young people throughout China.
Describes what goes on in teenage hangouts and why hangouts are important in providing a social meeting place for teenagers. Discusses physical features that make hangouts attractive, how small communities can effectively manage teenage hangouts, and how teenage hangouts encourage social development including developing a sense of community. (LP)
Black teenage girls have more than half the babies born to single teenagers, and as they are more frequently poor as well, they are more susceptible to the negative effects early childbearing has on future schooling and jobs. Studies show that teenage mothers are far less likely to complete high school or enter the work force than other teenagers.…
... Enter ZIP code here Enter ZIP code here Child Sexual Abuse Public This section is for Veterans, General Public, Family, & Friends Child Sexual Abuse What is child sexual abuse? Child sexual abuse ...
Casas, Lidia; Ahumada, Claudia
While Chile sees itself as a country that has fully restored human rights since its return to democratic rule in 1990, the rights of teenagers to comprehensive sexuality education are still not being met. This paper reviews the recent history of sexuality education in Chile and related legislation, policies and programmes. It also reports a 2008 review of the bylaws of 189 randomly selected Chilean schools, which found that although such bylaws are mandatory, the absence of bylaws to prevent discrimination on grounds of pregnancy, HIV and sexuality was common. In relation to how sexual behaviour and discipline were addressed, bylaws that were non-compliant with the law were very common. Opposition to sexuality education in schools in Chile is predicated on the denial of teenage sexuality, and many schools punish sexual behaviour where transgression is perceived to have taken place. While the wider Chilean society has been moving towards greater recognition of individual autonomy and sexual diversity, this cultural shift has yet to be reflected in the government's political agenda, in spite of good intentions. Given this state of affairs, the Chilean polity needs to recognise its youth as having human rights, or will continue to fail in its commitment to them.
Lee, Suzanne E.; Simons-Morton, Bruce G.; Klauer, Sheila E.; Ouimet, Marie Claude; Dingus, Thomas A.
Background Crash risk is highest during the first months after licensure. Current knowledge about teenagers’ driving exposure and the factors increasing their crash risk is based on self-reported data and crash database analyses. While these research tools are useful, new developments in naturalistic technologies have allowed researchers to examine newly-licensed teenagers’ exposure and crash risk factors in greater detail. The Naturalistic Teenage Driving Study (NTDS) described in this paper is the first study to follow a group of newly-licensed teenagers continuously for 18 months after licensure. The goals of this paper are to compare the crash and near-crash experience of drivers in the NTDS to national trends, to describe the methods and lessons learned in the NTDS, and to provide initial data on driving exposure for these drivers. Methods A data acquisition system was installed in the vehicles of 42 newly-licensed teenage drivers 16 years of age during their first 18 months of independent driving. It consisted of cameras, sensors (accelerometers, GPS, yaw, front radar, lane position, and various sensors obtained via the vehicle network), and a computer with removable hard drive. Data on the driving of participating parents was also collected when they drove the instrumented vehicle. Findings The primary findings after 18 months included the following: (1) crash and near-crash rates among teenage participants were significantly higher during the first six months of the study than the final 12 months, mirroring the national trends; (2) crash and near-crash rates were significantly higher for teenage than adult (parent) participants, also reflecting national trends; (3) teenaged driving exposure averaged between 507-710 kilometers (315-441 miles) per month over the study period, but varied substantially between participants with standard errors representing 8-14 percent of the mean; and (4) crash and near-crash types were very similar for male and female
Roberts, Andrea L.; Lyall, Kristen; Rich-Edwards, Janet W.; Ascherio, Alberto; Weisskopf, Marc G.
We sought to determine whether maternal (a) physical harm from intimate partner abuse during pregnancy or (b) sexual, emotional, or physical abuse before birth increased risk of autism spectrum disorder. We calculated risk ratios for autism spectrum disorder associated with abuse in a population-based cohort of women and their children (54,512…
Landtblom, Anne-Marie; Engström, Maria
The sleepy teenager puts the doctor in a, often tricky, situation where it must be decided if we deal with normal physiology or if we should suspect pathological conditions. What medical investigations are proper to consider? What differential diagnoses should be considered in the first place? And what tools do we actually have? The symptoms and problems that usually are presented at the clinical visit can be both of medical and psychosocial character - and actually they are often a mixture of both. Subsequently, the challenge to investigate the sleepy teenager often includes the examination of a complex behavioral pattern. It is important to train and develop diagnostic skills and to realize that the physiological or pathological conditions that can cause the symptoms may have different explanations. Research in sleep disorders has shown different pathological mechanisms congruent with the variations in the clinical picture. There are probably also different patterns of involved neuronal circuits although common pathways may exist. The whole picture remains to be drawn in this interesting and challenging area.
V Essen, H; Schlickewei, W; Dietz, H-G
Child abuse is most often diagnosed by an emergency doctor on call who sometimes "feels" more than knows what he is confronted with. He should nevertheless always take a medical history and make a physical and radiological examination. X-ray imaging and an ophthalmologic retinal examination are the most important diagnostic steps. Typical findings are multiple and/or dorsal rib fractures, complex skull fractures, physeal fractures, all fractures within the first 12 months, multiple fractures in different localisations and stages of healing, all injuries with uncommon distributions, all patterned bruises, immersion burns, intramural hematoma and every unexplained loss of consciousness. The first step towards victim protection is always the removal of the abused child from its caregivers by admitting it to hospital, as 95% of all cases of reported child abuse take place within the child's family.
Field, T; Widmayer, S; Greenberg, R; Stoller, S
Parent training was provided for 80 low-income, black teenage mothers during their infants' first six months. Half of the mothers were visited biweekly in their homes to be instructed in caregiving and in sensorimotor and interaction exercises, and half were trained as CETA (Comprehensive Employment Training ACT)-paid, teacher's aides in a medical school infant nursery that provided care for their infants and infants of medical faculty. Growth and development during the first two years were superior for the infants whose mothers received training, particularly those who received paid parent training as teacher's aides in the infant nursery. Repeat pregnancy rates were lower and return to work/school rates were higher for the infant nursery mothers, most of whom subsequently pursued nurse's aide training.
Khatun, Mohsina; Al Mamun, Abdullah; Scott, James; William, Gail M.; Clavarino, Alexandra; Najman, Jake M.
Teenage motherhood has been associated with a wide variety of negative offspring outcomes including poorer cognitive development. In the context of limitations of previous research, this paper assesses the contemporary relevance of this finding. In this study we investigate the long-term cognitive status (IQ) among 21 year adult offspring born to teenage parents using the Mater University Study of Pregnancy- a prospective birth cohort study, which recruited all pregnant mothers attending a large obstetrical hospital in Brisbane, Australia, from 1981 to 1983. The analyses were restricted to a sub-sample of 2643 mother-offspring pair. Offspring IQ was measured using the Peabody Picture Vocabulary Test at 21 year. Parental age was reported at first clinic visit. Offspring born to teenage mothers (<20 years) have -3.0 (95% Confidence Interval (CI): -4.3, -1.8) points lower IQ compared to children born to mothers ≥20 years and were more likely to have a low IQ (Odds Ratio (OR) 1.7; 95% CI: 1.3, 2.3). Adjustment for a range of confounding and mediating factors including parental socioeconomic status, maternal IQ, maternal smoking and binge drinking in pregnancy, birthweight, breastfeeding and parenting style attenuates the association, though the effect remains statistically significant (-1.4 IQ points; 95% CI: -2.8,-0.1). Similarly the risk of offspring having low IQ remained marginally significantly higher in those born to teenage mothers (OR 1.3; 95% CI: 1.0, 1.9). In contrast, teenage fatherhood is not associated with adult offspring IQ, when adjusted for maternal age. Although the reduction in IQ is quantitatively small, it is indicative of neurodevelopmental disadvantage experienced by the young adult offspring of teenage mothers. Our results suggest that public policy initiatives should be targeted not only at delaying childbearing in the population but also at supporting early life condition of children born to teenage mothers to minimize the risk for
James, Sindiwe; Rall, Nadine; Strümpher, Juanita
Pregnancy in teenagers seems to be a challenge that might contribute to a struggle to fulfil the objectives of the Millennium Development Goals directly related to women's reproductive health and neonatal care. The challenge becomes worse as midwives and nurses find it difficult to fully supervise all these pregnancies, because teenagers stay away or default from clinic attendance. The purpose of the study was to explore and describe the perceptions of pregnant teenagers of the antenatal care (ANC) clinic environment and to recommend guidelines to midwifery operational managers for strategies to create teenager-friendly ANC clinic environments. The study applied a qualitative research design with explorative, descriptive and contextual research approaches. The ethical principles that guided this study were respect for the person, beneficence and justice. Semi-structured interviews utilising a predetermined interview schedule with a central open-ended question to address the study objectives were used. Data were collected from pregnant teenagers attending ANC clinics in Nelson Mandela Metropolitan Municipality. Participants were unanimous in that they perceived the clinic environment as causing discomfort to them. Different reasons attributed to this experience were related to their young age. The age difference between themselves and other women attending the clinic made participants perceive themselves as inferior and as being treated as such at the clinic. They found this embarrassing and recommended having their own waiting area and additional midwives at the clinic so that they would not be subjected to humiliating scrutiny and disapproval from older pregnant women. Pregnant teenagers' recall of their experiences of the ANC clinic environment suggests that they perceive themselves as not being adequately cared for, as judged, and as forced to be in an environment that is insensitive to their needs. As a result some of their peers stayed away from the clinic and
Hao, Lingxin; Cherlin, Andrew J.
This study estimates the effect of welfare reform on adolescent behaviors using a difference-indifferences approach. After defining the prereform and reform cohorts and considering the life course development of adolescent behavior by following each cohort from age 14 to age 16, we compare the welfare-target and nontarget populations in the two…
Gruber, A J; Pope, H G
In the course of a study of 75 female weight lifters, we encountered 10 (13%) who reported that they were raped as teenagers or adults. Nine of these women began or greatly increased their weight lifting activities after the assault to be better able to defend themselves against men. Seven began abusing anabolic steroids and/or clenbuterol to gain muscle mass. Compulsive weight lifting and anabolic substance abuse may represent another form of response to the trauma of sexual assault.
Schonberg, S K
Illnesses related to both the pharmacologic properties of abused substances and their methods of administration often bring the teenager to medical attention and may provide sufficient motivation for the adolescent to seek help beyond the acute problem. Successful treatment of an overdose reaction, an abstinence syndrome, or any other medical complication of drug abuse may give the physician a unique opportunity to begine further evalution for future care.
Dungy-Poythress, L J
While cocaine abuse in pregnancy is associated with a number of negative outcomes for both mothers and infants, it is unclear to what extent cocaine is specifically responsible for these negative outcomes and how its effects are distinct from those associated with substance abuse in general. Use of other drugs commonly associated with cocaine abuse, such as alcohol, marijuana, and tobacco, has also been associated with adverse pregnancy outcomes. Untoward pregnancy effects often ascribed to cocaine abuse in pregnancy may be more appropriately attributed to these or other drugs or to the unhealthy life-style associated with the long-term abuser rather than to cocaine itself. Epidemiologic data concerning cocaine use in pregnancy describe only associations of drug use and do not prove causality. Future research and longitudinal studies are needed to examine the roles of maternal and environmental factors in predicting differences in cocaine-exposed and nonexposed pregnancies.
Hayes, Cheryl D., Ed.
This book examines in detail the complex, controversial problem of teenage pregnancy in the United States. Compiled by a panel of distinguished experts, it is a comprehensive review of data on such issues as sex education in the schools, contraception, abortion, adoption, prenatal and pediatric care, child support enforcement, and Aid to Families…
Santelli, John S.; And Others
Special edition discusses adolescent sexuality, focusing on pregnancy, sexually transmitted diseases, and prevention. The articles focus on demographics, risk factors, school-based risk reduction programs, contraception, early intervention, options, school-based prenatal and postpartum care programs, teenage parenting, abortion, HIV and AIDS,…
Edelman, Marion Wright
For poor and minority teenagers the lack of adequate life options may increase their desire for early pregnancy. Since teen mothers face probable poverty and single parenthood, it is imperative that schools and school social workers provide counseling, health services, and work preparation as well as academic skills training. (VM)
Davis, Richard A.
Examined data from state of North Carolina to test assumption that inordinately high Black teenage pregnancy rate accounts for difference between Black and White infant mortality rates. Results suggest that poverty, not race, plays crucial role in infant mortality. (Author/NB)
Vinovskis, Maris A.
Adolescent pregnancy (AP) is explored from historical and policy perspectives. The "epidemic" of AP, with 4 out of every 10 teenage girls becoming pregnant, is typically portrayed as a recent and unprecedented problem that requires massive federal intervention, but the problem is not new. Chapter 1 analyzes adolescent sexuality, AP, and…
This article exposes the need for support for midwives, to ensure that they are equipped to meet the needs of deaf parents to be. It uncovers research which demonstrates the urgent need for an increase in awareness, education and resources; and the reasons that deaf people have higher rates of teenage pregnancy and sexually transmitted infections than the general population. With stories from midwives at a loss as to how to communicate with deaf mothers in labour, and stories from deaf women who can't understand their health professionals, nor read the literature that has been given to them--this is thought provoking reading.
Sharma, Manoj Kumar; Mahindru, Poornima
Use of video games as a leisure-time activity has increased among teenagers. Excessive use of video games is associated with psychosocial dysfunctions in the user's life. Two teenagers came for consultation to our Service for Healthy Use of Technology (SHUT) clinic for management of addiction due to video games. They were assessed using a clinical interview as well as the General Health Questionnaire and Griffith criteria for video games. The cases emphasize the addictive potential of video games and their association with lifestyle changes. Addiction to video games has implications for screening and intervention among teenagers.
Dufort, Francine; Boucher, Kathleen; Guilbert, Edith; Saint-Laurent, Louise; Fortin-Pellerin, Laurence
This study was undertaken to gather information on the social representations of teenage pregnancy among adolescents, aged between 15 and 17. Eighteen focus groups were conducted among 150 boys and girls. The data were subjected to a qualitative content analysis. Results show that youths did not form homogeneous groups. The points of view expressed gave rise to 4 dimensions (emotive, reflexive, psychobiological, economic-social) and 4 positions (negative, positive, ambivalent and dynamic). From these dimensions and positions, 4 representations of teenage pregnancy were identified: pregnancy as a problem, pregnancy as a project, pregnancy as a source of tension, and pregnancy as a source of power. This study illustrates the importance of educative strategies such as going beyond alarmist preventive messages, opening dialogue with and between youngsters, and promoting social support and mutual aid.
... bruises, while behavioral indicators are ways victims and abusers act or interact with each other. Some of the indicators listed below can be explained by other causes (e.g. inappropriate or unusual behavior may signal dementia or drug interactions) and no single indicator can be taken ...
Hung, Suet Lin
This paper reports on a qualitative study in 2007-08 on the abortion experiences of teenage women from deprived backgrounds in Hong Kong. Twenty-nine young women aged 13-24 who had undergone one or more induced abortions in their teen years were interviewed and participated in group empowerment sessions. Ten were unemployed, four were students, the rest were employed on low pay in unskilled occupations. Abortion services are legal and available in public and private services, but they charge fees ranging from HK$310 to $10,000, and do abortions only up to 24 weeks of pregnancy. Many young women resort to poor quality illegal clinics and clinics in mainland China because the cost is lower, they do not wish to tell their parents, who would be asked for consent, and/or they want to protect their sex partners, who may be reported and prosecuted if the girl is under-age. There is a need to strengthen services for teenage women in Hong Kong, especially those who are pregnant and from deprived backgrounds. There is also a need for professionals who deliver adolescent health and social welfare services, and for society to rethink and re-examine its views and attitudes towards teenage pregnancy, sexuality and abortion.
Barth, Julian H; Clark, Sheila
Acne and body hair are both cutaneous responses to androgenic stimulation. They are normal events in adolescent girls. There is considerable variation in the evolution of the two conditions. The sebaceous gland is exquisitely sensitive to androgens, and acne appears with the onset of puberty, peaks in prevalence in the teenage years and gradually improves thereafter. Hair growth on the face, trunk and limbs develops more slowly and generally peaks in the 20s. Indications for endocrine investigation include very severe acne, onset of acne and hirsuties in the very early stage of puberty (Tanner stage 3) and systemic virilism. Treatment for acne and hirsuties can be either topical or systemic. The choice of therapy is based on the severity of the disease rather than the results of endocrine investigation. Further, since PCO is related to impaired glucose tolerance, advice relating to lifestyle changes should be offered to prevent the development of diabetes.
Discusses breast cancer and teenagers, focusing on how parents can introduce the subject and encourage breast self-examination. The article provides information on breast cancer statistics, mammography, and American Cancer Society services. (SM)
Brown, Haywood L
Acute traumatic injury during pregnancy is a significant contributor to maternal and fetal morbidity and mortality in the United States. Motor vehicle accidents are the leading cause of injury-related maternal death, followed by violence and assault. Lack of seat belts or other restraints increases the risks of both maternal and fetal morbidity and mortality. The American College of Obstetricians and Gynecologists recommends proper seat belt use by all pregnant women and screening for domestic abuse. Maternal injury and death from physical abuse is prevalent, and in some communities, homicide is a major cause of pregnancy-associated maternal death. Blunt trauma most often occurs as a result of motor vehicle accidents, whereas penetrating trauma results from gunshots or stabbings. Blunt trauma to the abdomen increases the risk for placental abruption, and direct fetal injury is more likely with penetrating trauma. Management strategies in acute maternal trauma must focus on a thorough assessment of the mother. A coordinated team effort that includes the obstetrician is essential to ensure optimal maternal and fetal outcomes. Imaging studies should not be delayed because of concerns of fetal radiation exposure, because the risk is minimal with usual imaging procedures, especially in mid-to-late pregnancy. The obstetrician should serve in a consultative role if nonobstetric surgical care is required and must also be prepared to intervene on behalf of the mother and the fetus if trauma care is compromised by the pregnancy. Perimortem cesarean delivery should be considered early in the resuscitation of a pregnant trauma victim, especially when fetal viability is a concern. Once the mother is stabilized in the emergency setting, she should be transported for appropriate maternal and fetal observation until both mother and fetus are clear of danger. It is essential that the clinician and staff maintain thorough and accurate documentation and recording of the chronology of
Leerlooijer, Joanne N.; Kok, Gerjo; Weyusya, Joseph; Bos, Arjan E. R.; Ruiter, Robert A. C.; Rijsdijk, Liesbeth E.; Nshakira, Nathan; Bartholomew, Leona K.
Out-of-wedlock pregnancy among adolescents in sub-Saharan Africa is a major concern, because of its association with health, social, psychological, economic and demographic factors. This article describes the development of the Teenage Mothers Project, a community-based intervention to improve psychological and social well-being of unmarried…
Taylor, Rae; Nabors, Erin L
This study explores the effect of pregnancy on women's risk of IPV victimization. Previous studies have produced conflicting findings and have been limited by comparing only two categories of IPV. The current study included analyses of the effect of pregnancy on three statuses of IPV: no abuse, nonlethal abuse, and lethal abuse. The data used for this project are taken from the first phase of the Chicago Women's Health Risk Study (CWHRS). Findings suggest that both nonlethal and lethal abuse statuses differ significantly from no abuse in that women's risk of IPV victimization may decrease during pregnancy.
Gullattee, Alyce C.
Spouse abuse is being discussed and agonized over more frequently than in past years. Although interpousal and intrafamilial violence have been behaviors of note and considerable consequence, they have been attributable, almost exclusively, to the lower socioeconomic classes. Many hypotheses have been proposed concerning the etiology of violence. The author discusses some of the more general sociopolitical theories of violence and proposes three areas of significant moment to behaviorists. PMID:439165
Soylu, Nusret; Alpaslan, Ahmet Hamdi; Ayaz, Muhammed; Esenyel, Selcen; Oruç, Mücahit
The purpose of this study was to compare sexually abused children and adolescents, with and without intellectual disabilities (ID), in terms of post-abuse psychiatric disorders, features of the sexual abuse, and sociodemographic characteristics. The study included sexually abused children aged 6-16 years, who were sent to three different child mental health units for forensic evaluation; there were 102 cases (69 girls and 33 boys) with ID and 154 cases (126 girls and 28 boys) without ID. Researchers retrospectively examined the files, social examination reports, and the judicial reports of the cases. It was determined that in the group with ID, sexual abuse types including penetration and contact had higher rates, they were exposed to more frequent repeated abuses, the abuses were revealed with their own reports at a later period and lower rates, and post-abuse pregnancies were more frequent. It was also determined that the abuser was a familiar person and a family member at lower rates and more than one abuser was encountered more frequently, compared to the group without ID. While no difference was determined between the two groups in terms of the frequency of post-abuse post-traumatic stress disorder (PTSD) and major depressive disorder (MDD), conduct disorder (CD) was observed more frequently in the group with ID. This study emphasizes that sexual abuse, which is an important problem in individuals with ID, has different features and effects.
Wilson, Timothy L.-Y.
The purpose of this paper was to elaborate on the definitions of child abuse in order to improve the understanding of child abuse. The definitions given by the U.S. House Joint Committee on Child Abuse in the Child Abuse Prevention and Treatment Act, and in research by Holden (1984), are cited. These definitions refer to the nature of abusive acts…
Silva, Andréa de Albuquerque Arruda; Coutinho, Isabela C; Katz, Leila; Souza, Alex Sandro Rolland
Repeat teen pregnancy is a frequent issue and is considered an aggravating factor for increased maternal and fetal morbidity and social problems. The aim of the study was to identify factors associated with repeat teen pregnancy. A case-control study was conducted in 90 postpartum adolescents with more than one pregnancy (cases) and 90 adult women with a history of only one pregnancy during adolescence (controls). Statistical analysis used hierarchical logistic regression with 5% significance. Early sexual initiation (< 15 years), early age at first pregnancy (< 16 years), not raising the children themselves, and low family income (< one minimum wage) were associated with repeat teenage pregnancy, while partner change was inversely associated. Repeat teen pregnancy was mainly associated with reproductive and socioeconomic factors. Partner change appeared as a protective factor. Measures should be adopted during the postpartum period of teenage mothers in order to avoid repeat pregnancy.
... Whether they're using street drugs or medications, drug abusers often have trouble at school, at home, with ... a short period of time may make a drug abuser aggressive or paranoid. Although stimulant abuse might not ...
Grekin, Emily R.; Ondersma, Steven J.
Aims: Nearly one-fourth of African-American women receive no prenatal care during the first trimester of pregnancy. The aim of the current study is to identify factors that underlie inadequate prenatal care among African-American women. Maternal alcohol abuse has been examined as one risk factor for inadequate prenatal care, but findings have been…
... cysts. In a complete molar pregnancy, there's no embryo or normal placental tissue. In a partial molar pregnancy, there's an abnormal embryo and possibly some normal placental tissue. The embryo ...
... woman is pregnant. If you have an ectopic pregnancy, the fertilized egg grows in the wrong place, ... tubes. The result is usually a miscarriage. Ectopic pregnancy can be a medical emergency if it ruptures. ...
... with you about how to manage common pregnancy complaints such as: Morning sickness Backaches, leg pain, and ... getting prenatal care You cannot manage common pregnancy complaints without medicines You might have been exposed to ...
Morland, Leslie A.; Leskin, Gregory A.; Block, Carolyn Rebecca; Campbell, Jacquelyn C.; Friedman, Matthew J.
Despite research documenting high rates of violence during pregnancy, few studies have examined the impact of physical abuse, psychological abuse, and posttraumatic stress disorder (PTSD) on miscarriage. Secondary analysis of data collected by the Chicago Women's Health Risk Study permitted an exploration of the relationships among physical abuse,…
Proselkova, M E; Kozlovskaia, G V; Platonova, N V
Consequences of intrafamily noncontact abuse (40 children aged from 3 to 13 years) and out-of-family contact abuse (15 children aged from 7 to 15 years) have been studied. The intrafamily abuse was long-term and demanded from a child the immersion into situation of "secrecy". The out-of-family abuse had a character of the extreme influence upon a victim. Independently of the abuse character, border-line mental disorders were found in all children. A character of these disorders was determined by the specifics of psychogenic factor, its duration and child's age. A decreased mood, different levels of autism and disturbances of cognitive function were common features of border-line disorders. In cases of intrafamily abuse, uncontrolled drives, sexual character of games and fantasies, elements of depersonalization and age-specific transformation of affective disorders from depressiveness to dysphoric aggressive reactions were observed. In the out-of-family contact abuse, especially in teenagers, the main appearances approached to posttraumatic stress syndrome. In all cases, there was a trend to stronger differentiation of affective disorders, intensification of drives and formation of characteristic pathologic changes as children get older.
Striepe, Susan E.
This article describes a case study that explores the question of how some art museums can appeal to teenagers. The significance of teenagers as the most underrepresented age demographic to visit museums is relevant to current museum practice where visitor studies have assumed increasing importance. As teenagers mature into adults, the long-term…
Porter, Susan Eva
Teaching teenagers can be very rewarding; it can also be very challenging. Relating to Adolescents helps adults who work with teenagers to understand what happens in their dynamic with students. From the "Five Things Teens Need from Grown-Ups" to the "Seven Grown-Up Skills," this book covers all aspects of the adult-teenager relationship and…
Goldman, Juliette D. G.; McCutchen, Lisa E.
Background: Teenagers need information about their changing bodies. Many young people do not receive adequate or accurate puberty/sexuality education from their parents or school, so many teenagers are going online to have their sexuality questions answered. Purpose: This research examines teenagers' web questions on sexuality, and an example of…
Lewis, Anne; And Others
This booklet was written to help parents understand their teenagers. Chapter One discusses changes in teenagers, both physical and emotional. The importance of peer groups is discussed. The changes in the world since the parents were teenagers, are discussed in Chapter Two including: (1) the school and (2) the emphasis on planning for the future.…
Tjepkes, Phyllis Kathleen; Hayden, Davis C.
A survey of research literature on teenage alcohol use will reveal many variables related to teenage drinking. This study compared these variables in two separate communities to ascertain their global validity. To investigate factors leading to teenage alcohol use, 218 high school seniors from Washington and Iowa were surveyed. Dependent variables…
Bound to the notion of teenage apathy is the concern that young people are increasingly disengaged from political and community issues and lacking in social capital. Voting is often regarded as the ultimate form of civic engagement, which implicitly excludes young teenagers from consideration through their status as non-voters. Teenagers'…
Manzi, Peter A.
Examined the stressful work experiences of 20 teenagers. Results indicated teenagers make differential assessments of stressful work situations; sex differences in assessment of coping options exist; specific emotions have stronger association with different types of primary appraisal; teenagers use problem and emotion-focused coping; and…
Babbage, Keen J.
What Financial future awaits the current generation of children and teenagers in the United States? Our children and teenagers did not cause the financial problems that confront the nation and impacts their families, but they will pay part of the price for these financial problems. What should children and teenagers know about personal finance?…
Provides suggestions to help early childhood teachers work more effectively with teenage parents and become significant adults in teenage parents' lives. Suggestions include fostering positive identification and addressing individual teenager needs. Presents Erikson's stages of psychosocial development as a basis for recommendations to develop…
This brief pamphlet on teenage alcoholism is one in a series published by the Public Affairs Committee. It was designed to give concise and useful information on teenage alcohol problems, and was written for both adults and youth. Statistics are offered as proof that large numbers of American teenagers are already problem drinkers. The current…
Winslow, Bradford T; Voorhees, Kenton I; Pehl, Katherine A
Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with men. Methamphetamine use produces a rapid, pleasurable rush followed by euphoria, heightened attention, and increased energy. Possible adverse effects include myocardial infarction, stroke, seizures, rhabdomyolysis, cardiomyopathy, psychosis, and death. Chronic methamphetamine use is associated with neurologic and psychiatric symptoms and changes in physical appearance. High-risk sexual activity and transmission of human immunodeficiency virus are also associated with methamphetamine use. Use of methamphetamine in women who are pregnant can cause placental abruption, intrauterine growth retardation, and preterm birth, and there can be adverse consequences in children exposed to the drug. Treatment of methamphetamine intoxication is primarily supportive. Treatment of methamphetamine abuse is behavioral; cognitive behavior therapy, contingency management, and the Matrix Model may be effective. Pharmacologic treatments are under investigation.
Forster, Peter; Hohoff, Carsten; Dunkelmann, Bettina; Schürenkamp, Marianne; Pfeiffer, Heidi; Neuhuber, Franz; Brinkmann, Bernd
Men age and die, while cells in their germline are programmed to be immortal. To elucidate how germ cells maintain viable DNA despite increasing parental age, we analysed DNA from 24 097 parents and their children, from Europe, the Middle East and Africa. We chose repetitive microsatellite DNA that mutates (unlike point mutations) only as a result of cellular replication, providing us with a natural 'cell-cycle counter'. We observe, as expected, that the overall mutation rate for fathers is seven times higher than for mothers. Also as expected, mothers have a low and lifelong constant DNA mutation rate. Surprisingly, however, we discover that (i) teenage fathers already set out from a much higher mutation rate than teenage mothers (potentially equivalent to 77-196 male germline cell divisions by puberty); and (ii) ageing men maintain sperm DNA quality similar to that of teenagers, presumably by using fresh batches of stem cells known as 'A-dark spermatogonia'.
Teenage Prostitution and Child Pornography. Hearings before the Subcommittee on Select Education of the Committee on Education and Labor. House of Representatives, Ninety-Seventh Congress, Second Session (April 23 and June 24, 1982).
Congress of the U.S., Washington, DC. House Committee on Education and Labor.
This document contains the transcript of hearings on teenage prostitution and child pornography. The first day of the hearings focuses on the testimony of six witnesses who are experts in dealing with and combatting sexual abuse of children. Their remarks to the committee are transcribed and copies of their prepared statements are provided…
This discussion reviews the approaches used to prevent teen pregnancy, explores ways of measuring the effects of these activities, and includes examples of programs whose effects have been documented. To avoid unintended pregnancy among young persons, 2 conditions must be met: they must have the capacity and a reason to want to control their fertility. Programs directed toward building capacity include sexuality and family life education and birth control services. Programs directed toward developing a reason for avoiding unintended pregnancy include improving the quality of life and expanding opportunities. Numerous studies have shown that sex education can enhance knowledge, at least in the short term, but little evidence exists that school-based sexuality education, per se, has an effect on attitudes, sexual activity, or contraceptive use. This conclusion has not been put to a real test with controls for the quality of the curriculum and the teaching. 2 new trends are developing as efforts are made to upgrade the quality of the education and to introduce concepts that include the life options approach: sex education is combined with vocational guidance and emerges as "life planning;" and the use of training in decision making to assist the student to take control of her life. Preliminary evaluations of the life planning approach suggest a high degree of user satisfaction and interest but no apparent behavioral changes. Evaluation of the problem-solving method, while based on a very small sample, shows a lessening of risk-taking behavior and an increase in contraceptive use among those who did decide to become sexually active. Whether or not teenagers use contraception obviously is related to pregnancy prevention. For the US as a whole, evidence exists that fertility in areas with clinics has decreased more than in areas without clinic, but that fact offers little upon which to base program design. A new study conducted in Baltimore will show lower pregnancy
Schreier, Hannah M C; Enlow, Michelle Bosquet; Ritz, Thomas; Gennings, Chris; Wright, Rosalind J
Background Hypothalamic–pituitary–adrenal (HPA) axis activity is known to be altered following events such as childhood abuse. However, despite potential adverse consequences for the offspring of women who have experienced abuse, very little is known about altered HPA axis activity during pregnancy. Methods During pregnancy, 180 women from diverse racial/ethnic backgrounds reported on their exposure to emotional, physical and/or sexual abuse before the age of 11, and general post-traumatic stress symptoms (ie, not limited to childhood years or abuse experiences). Around delivery, they provided hair samples for the assessment of cortisol levels during pregnancy. Hair cortisol was assessed for each pregnancy trimester. The effect of childhood abuse on hair cortisol was assessed using mixed-effects analyses of covariance models allowing for within-subject correlated observations, and were first performed in the entire sample and subsequently stratified by race/ethnicity. Results Controlling for post-traumatic stress symptoms, hair cortisol levels varied by history of child abuse, F(2,166)=3.66, p=0.028. Childhood physical and/or sexual abuse was associated with greater hair cortisol levels, t(166)=2.65, p=0.009, compared with no history of abuse. Because childhood rates of abuse and hair cortisol levels varied by race/ethnicity, analyses were stratified by race/ethnicity. The associations between history of abuse and cortisol levels were only significant among black women, F(2,23)=5.37, p=0.012. Conclusions Childhood abuse, especially physical and/or sexual abuse, is associated with differences in cortisol production during pregnancy, particularly among black women. Future research should investigate how these differences impact physical and mental health outcomes among offspring of affected women. PMID:26219886
Staller, Karen M.; Nelson-Gardell, Debra
Objectives: To enhance understanding of the sexual abuse disclosure process from the perspective of preteen and teenage survivors. To reconsider prominent models of the disclosure process in light of our findings. Methods: We conducted a secondary analysis of data from four focus groups in which 34 preadolescent and adolescent female survivors of…
Miller, Susan B.
This book was written for teenagers and older children who have abusive, alcoholic, or mentally ill parents. Emphasis is placed on young people in such situations using their intelligence, understanding that parents are fallible, viewing the future with optimism, facing reality, and seeing the good in other people rather than assuming everyone…
Lehti, Venla; Sourander, Andre; Klomek, Anat; Niemelä, Solja; Sillanmäki, Lauri; Piha, Jorma; Kumpulainen, Kirsti; Tamminen, Tuula; Moilanen, Irma; Almqvist, Fredrik
The aim of this study is to examine the association between bullying behaviour at the age of 8 and becoming a mother under the age of 20. This birth cohort study included 2,867 Finnish girls at baseline in 1989. Register-based follow-up data on births was collected until the end of 2001. Information, both on the main exposure and outcome, was available for 2,507 girls. Both bullies and victims had an increased risk of becoming a teenage mother independent of family-related risk factors. When controlled for childhood psychopathology, however, the association remained significant for bullies (OR 2.2, 95% CI 1.2-4.1) and bully-victims (OR 1.8, 95% CI 1.05-3.2), but not for pure victims. Reports of bullying and victimisation from the girls themselves, their parents and their teachers were all associated with becoming a teenage mother independent of each other. There is a predictive association between being a bully in childhood and becoming a mother in adolescence. It may be useful to target bullies for teenage pregnancy prevention.
Noll, Jennie G.; Trickett, Penelope K.; Harris, William W.; Putnam, Frank W.
This multigenerational study empirically demonstrates the extent to which offspring whose parents experienced childhood abuse are at increased risk of being abused or neglected. Females with substantiated childhood sexual abuse and nonabused comparison females were assessed at six points spanning 18 years in a prospective, longitudinal study. Nonabusing parents or caregivers and offspring were also assessed. Descriptive results indicate that offspring born to mothers with histories of sexual abuse were more likely to be born preterm, have a teenage mother, and be involved in protective services. Abused mothers were more likely to be high-school dropouts, be obese, and have experienced psychiatric problems, substance dependence, and domestic violence. Results provide evidence for the advantages of intervention and prevention programs for victims of childhood maltreatment and their families. Primary prevention/intervention efforts extending throughout development and focusing on the cumulative risk to offspring will likely improve victim outcomes and curtail intergenerational transmission of adversity. PMID:18451100
Jarvinen, Margaretha; Gundelach, Peter
This article analyses alcohol-related lifestyles among Danish teenagers. Building on Bourdieu's reasoning on symbolic capital and distinction, we analyse three interrelated themes. First, we show that alcohol-related variables (drinking patterns, drinking debut, experience of intoxication, etc.) can be used to identify some very distinctive life…
Slavick, Carol A.
In 1968 the California Education Code section on physically handicapped minors was amended to include pregnant girls. This change was intended to give school districts the responsibility and the funds to develop special classes or schools for teenage pregmant girls. This special class makes it possible to provide more educational materials,…
Piercey, Mary E.
This article uses music as a point of entry into the understanding of Inuit culture. I demonstrate how the analysis of the song repertoire of an Inuk teenager reveals some functions and meanings that her song choices have for her in the particular Inuit culture of Arviat, Nunavut. I present four informally learned songs from my informant Gara…
One of the most persistent findings in the literature on suicidal behavior in adolescence is its association with the characteristics of the adolescent's family. Although empirical work clearly indicates that the family is a critical variable to consider in the study of teenage suicidal behavior, it is less clear how particular family features…
McIntosh, James; MacDonald, Fiona; McKeganey, Neil
This article reports on the drinking experiences and motivations of 77 pre-teenage children. The main reason which the children gave for occasional or regular drinking was the pleasure which they derived both from the effects of the alcohol and from the social interaction which accompanied the activity. Several of the children claimed that they…
Estepa, Andrea, Ed.; Kay, Philip, Ed.
In personal essays, teenagers express their views on serious subjects like violence, racism, and teen parenting, and discuss common teen experiences like dating, getting a job, and starting college. This collection contains the following: (1) "Brotherly Love" (Jessica Vicuna); (2) "How To Survive Shopping with Mom" (Chris Kanarick); (3) "A…
Severinsson, Susanne; Nord, Catharina
We investigate how different mealtime situations help shape teenager and staff subjectivities in two Swedish residential care homes and a special school for girls and boys, 12-15 years old, with social, emotional and behavioural difficulties. Three mealtime networks are analysed using concepts from actor-network theory, treating architectural…
Education Development Center, Inc., Newton, MA.
The Teenage Health Teaching Modules (THTM) program is a health education curriculum for adolescents. Each THTM module frames an adolescent health task emphasizing development of self-assessment, communication, decision making, health advocacy, and self-management. This module attempts to help adolescents understand the meaning of stress in their…
Andersson, Gunvor; Lundstrom, Tommy
Research into press reporting on young people has tended to concentrate on young people as offenders. In contrast, this article focuses on press coverage of teenagers as victims. Reports in two Swedish newspapers (a morning broadsheet and an evening tabloid) were studied over a period of four months and subjected to a qualitative analysis of…
Parents who are having difficulty coping with their child's behavior need to understand the reasons for their child's behavior and to feel confident in their way of handling the situation. This book explains how to make, maintain, repair and strengthen relationships with teenagers. It encourages parents to take control of the parenting situation…
Smith, Claire Annelise
In seeking an understanding of the teenage brain, this author was struck by the interplay between the development of executive functioning and the development of the system that controls emotions and memory. This in turn has impacted her work as a member of faculty at a seminary with responsibilities for both directing a program with high school…
Mercer, Ramona T.
This paper reports findings of an exploratory field study of the teenager's first year of motherhood. Twelve subjects, aged 14-19, were interviewed a number of times during that year. Interviews were largely unstructured, allowing mothers to express their concerns and feelings. Data for analysis were: (1) narrative style protocols that were…
Mccrystal, Patrick; Percy, Andrew
Aims: The aim of this article was to investigate the factors associated with ecstasy use in school-aged teenagers. Methods: This was a longitudinal study of adolescent drug use, which was undertaken in three towns in Northern Ireland. A questionnaire was administered annually to participants. In this article ecstasy use patterns amongst a cohort…
Humm, Andy; Kunreuther, Frances
Discusses the alarming spread of AIDS among teenagers, virtually ignored until recently. Discusses reasons why adolescents are at high risk, including misinformation and denial about who can contract the AIDS virus. Addresses the recent controversy over AIDS education and condom distribution in the public schools and suggests ways to better reach…
This guide to parenting high school-age adolescents is intended to help parents restructure the typically adversarial relationship between parent and teenager by replacing the "parent as manager" role with the "parent as consultant" role. The text is question-driven, comprised of a series of responses to questions commonly asked by parents and…
Puffert, Miriam Torvik
This model describes an educational intervention program, designed to meet the special needs of pregnant and parent teenagers by helping students to develop skills in optimal functioning and self-awareness and to build responsibility in fulfilling a new role. The program components deal with vocational and family life education to learn about…
Basso, Michael J.
Teenagers need straight talk about sex, yet many teens are reluctant to discuss sex and love with their parents or other adults. Answers to many of their questions are provided in this book. The text draws on the actual questions that high school students have asked about sex, anatomy, love, and other related issues. The book is divided into 12…
For many North Americans, tattoos reflect hopes, values, or beliefs and act as vehicles to communicate those beliefs to others. For some, tattoos offer a means to reclaim a sense of ownership and control over their body. Tattoos are particularly popular with teenagers who explore their identity through experimentation with their outward…
Education Development Center, Inc., Newton, MA.
The Teenage Health Teaching Modules (THTM) program is a health education curriculum for adolescents. Each THTM module frames an adolescent health task emphasizing development of self-assessment, communication, decision making, health advocacy, and self-management. This module provides information on the many physical and psychological benefits of…
Neyman, Michelle R.; Block, Gladys; Morris, Jennifer L.; Zidenberg-Cherr, Sheri
Nutrition knowledge and dietary intake among 184 Hispanic teenage girls were assessed before and after a nutrition education intervention involving five weekly lessons. Intervention participants increased their nutrition knowledge by 50 percent and showed modest improvement in dietary behavior. Contains 16 references and data on subjects' dietary…
Mookherjee, Harsha N.
Investigated the extent to which alcoholic beverages are consumed by high school teenagers (N=622) in rural communities of middle Tennessee. Results showed that about 63 percent of the subjects do drink alcoholic beverages, and that most of the drinking is done in the company of friends. (LLL)
Ideas parents can use to instill safe driving habits in teenagers are discussed. Among them are tips for dealing with impatience and traffic congestion, avoiding rollovers, and being alert to other hazards, such as wet brakes, distractions, and driving after drinking. (PP)
Many instructors get a little anxious about working with teenagers; thinking that they will be immature, unmotivated, and argumentative. Add the words "at-risk" or "adjudicated" and most adults get very nervous. At-risk and adjudicated youth know when individuals are nervous and will do their best to intimidate and control them. Instructors need a…
Beiswinger, George L.
The anatomy of a recent High Court case reveals how a potpourri of legal input and reasoning resulted in a decision that could strike a blow for both understanding and positive action in the emotionally-laden, controversial area of teenage sexuality. (Author)
Hubinont, P O
The age at which adolescents start a sexual life is becoming younger and younger, and it is usually not accompanied by any correct knowledge of contraceptive methods. This particular group is more at risk of unwanted pregnancy; since a contraceptive method which is totally effective and totally reversible is not yet at hand. Several methods can be recommended to adolescents and include: 1) barrier contraception with condom and spermicidal agents, in those cases in which the couple has only occasional contacts; 2) low dose progestational oral contraception when the couple has a regular sex life; and 3) postcoital contraception only in cases of incest or rape, to be administered not later than 12 hours after coitus. While recent studies have demonstrated that low dose hormonal contraception is not harmful to the menstrual patterns and to the genetic patrimony of adolescent girls, the use of an IUD can eventually cause an infection leading to a future tubal sterility.
Hathazi, Dodi; Lankenau, Stephen E.; Sanders, Bill; Bloom, Jennifer Jackson
Research on pregnancy and sexual health among homeless youth is limited. In this study, qualitative interviews were conducted with 41 homeless young injection drug users (IDUs) in Los Angeles with a history of pregnancy. The relationship between recent pregnancy outcomes, contraception practices, housing status, substance use, utilization of prenatal care, and histories of sexual victimization are described. A total of 81 lifetime pregnancies and 26 children were reported. Infrequent and ineffective use of contraception was common. While pregnancy motivated some homeless youth to establish housing, miscarriages and terminations were more frequent among youth who reported being housed. Widespread access to prenatal and medical services was reported during pregnancy, but utilization varied. Many women continued to use substances throughout pregnancy. Several youth reported childhood sexual abuse and sexual victimization while homeless. Pregnancy presents a unique opportunity to encourage positive health behaviors in a high-risk population seldom seen in a clinical setting. PMID:18692891
Perlman, Syliva B.
Alienated adolescent girls tend to be sexually active, tend not to use contraception effectively, and tend not to terminate pregnancy. Although they welcome a baby as a solution to lifelong problems, their poverty and drug abuse, inadequate nutrition, and lack of prenatal care put offspring at high risk. (Author/NRB)
Drug abuse is a worldwide problem. Although commonly abused drugs can be identified during routine urine drug testing, less commonly abused drugs may escape detection. These less commonly abused drugs not only include some designer drugs such as synthetic cannabinoid but also include abuse of psychedelic magic mushroom (active ingredients: psilocybin and psilocin), peyote cactus (active ingredient: mescaline), and khat plants (active ingredient: cathinone). Moreover, solvent and glue abuse is gaining popularity among teenagers and young adults which may even cause fatality. Amphetamine/methamphetamine immunoassay has a low cross-reactivity with psilocin. Cathinone, if present in the urine, can be detected by amphetamine/methamphetamine immunoassay due to cross-reactivity of cathinone with assay antibody. Currently there is one commercially available immunoassay which is capable of detecting synthetic cathinone known as bath salts as well as mescaline. However, gas chromatography combined with mass spectrometry as well as liquid chromatography combined with tandem mass spectrometry (LC/MS/MS)-based method is available for confirmation of the active ingredients present in magic mushroom, peyote cactus, and khat plant. Such chromatography-based methods also offer more sensitivity and specificity compared to an immunoassay.
Gelberg, Lillian; Andersen, Ronald; Longshore, Douglas; Leake, Barbara; Nyamathi, Adeline; Teruya, Cheryl; Arangua, Lisa
This paper explores associations among the vulnerabilities of being female, being a member of a minority group, and being a drug abuser in homeless women's hospitalizations. It uses a 1997 probability survey of 974 homeless females age 15-44 in Los Angeles. In unadjusted analyses, whites were more likely than other ethnic minority groups to be hospitalized, and drug abusers were more likely to be hospitalized than non-drug abusers. Multiple logistic regression analyses indicated that factors associated with hospitalization differed considerably among the ethnic and drug-abuse subgroups. For example, ethnic disparities in inpatient health care were found for drug-abusing women, but not for those who did not abuse drugs. Pregnancy was the only important determinant of hospitalization in all subgroups (OR, 2.9-17.4). Preventing unintended pregnancy appears to be the most inclusive means of reducing hospitalization and attendant costs among homeless women.
Weishaar, Heide; Sweeting, Helen; Trevisan, Filippo; Katikireddi, Srinivasa Vittal
Objective Concerns exist that e-cigarettes may be a gateway to traditional cigarettes and/or (re)normalise teenage smoking. This qualitative study explores how teenagers in the UK currently perceive e-cigarettes and how and why they do or do not use them. Design 16 focus groups were conducted across the UK between November 2014 and February 2015, with 83 teenagers aged 14–17. All discussions were digitally recorded, transcribed verbatim, imported into NVivo 10 and thematically analysed. Results Teenagers generally agreed that e-cigarettes are useful products for smokers, including teenage smokers, to quit or reduce traditional cigarette use. Concerns were expressed about lack of information on their precise ingredients and any unknown risks for users and bystanders. However, teenagers typically viewed e-cigarettes as substantially less harmful than traditional cigarettes. They perceived e-cigarettes as attractive, with products described as ‘fun’ and having ‘great flavourings’. Seeing websites or social media featuring e-cigarettes, especially YouTube ‘vaping tricks’, prompted some experimentation and imitation. E-cigarettes were used in a variety of situations, including at parties or when they could not smoke traditional cigarettes. A very few participants suggested covert use was a possibility and that e-cigarettes might help maintain a fledgling nicotine habit. Conclusions Teenagers support the use of e-cigarettes as smoking cessation aids for established adult smokers. However, they engage with these products differently from adults, with the novel hypothesis that covert use could potentially reinforce traditional cigarette smoking requiring further investigation. Policy responses should more clearly meet the needs of young people, as well as helping established adult smokers. PMID:27852721
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... and painful this loss can be. You might wonder if you'll ever have a baby to hold and call your own. But surviving the emotional impact of pregnancy loss is possible. And many women go on to have successful pregnancies. Expand all | ...
David Stern argues that some basic features of the American high school must be modified if it is to serve all students successfully. He notes, for example, that only three-quarters of U.S. high school students graduate four years after beginning ninth grade and that the National Assessment of Educational Progress found no improvement in reading or mathematics for seventeen-year-olds between 1971 and 2004. The nation's system for educating teenagers, says Stern, seems to be stuck, despite the constant efforts of teachers and repeated waves of reform. Citing two widely accepted public purposes of educating teenagers-preparation for civic participation and for economic self-sufficiency-Stern proposes four new strategies to achieve those goals. He draws on empirical evidence suggesting that these are promising directions for research and policy, but acknowledges that existing studies provide only limited guidance. First, he says, schools should continue the current trend toward integrating educational options to provide young people with skills and experiences that pave the way to both college and careers. Second, states and districts should tie education funding not simply to the number of students attending school, but also to what young people learn, whether they graduate, and whether they find jobs or enroll in postsecondary education. Such a move, he argues, would encourage teaching and learning formats that use students' time more effectively. Third, more adults in addition to classroom teachers should be involved in educating teenagers. Other adults acting as academic advisers, learning coaches, student advocates, internship supervisors, mentors, and college counselors could help guide the education of teenagers inside and outside of school and provide some relief for the chronic shortage of teachers. Fourth, schools should expand the options for educating teenagers outside of geographically fixed schools. Combining improved Internet-based curriculum with
Frankford, Evelyn R.
This program seeks to prevent adolescent pregnancy and childbearing through a community-based feminist social service program serving teenage girls. This DAWN program, Discovery and Awareness for Women Now, was initiated as a result of the Women's Movement which has had a serious and positive impact on the lives of most adult women. Yet, teenage…
Dryfoos, Joy G.
This report presents an overview of programs that may have a potential for prevention of teenage pregnancy. The report starts with a summary of expert opinions on the dimensions of and solutions to the problem and then describes several relatively successful programs. Following this is an overview of interventions with an analysis of program…
East, Patricia L.; Khoo, Siek Toon; Reyes, Barbara T.
One hundred twenty-eight Latina and African American girls from high-risk environments (e.g., poverty, family history of teen parenting, etc.) were studied from age 13 through age 19 to prospectively identify the protective factors that might guard against teenage pregnancy. Results indicated that involved and strict parenting during early…