Document Detail


Adolescent pregnancy intentions and pregnancy outcomes: a longitudinal examination.
MedLine Citation:
PMID:  15581524     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: (a) To examine different methods of assessing pregnancy intention; (b) to identify psychosocial differences between those who indicate pregnancy intentions and those who do not; and (c) to examine the relationship between pregnancy intentions and subsequent pregnancy at 6-month follow-up in nonpregnant (at baseline), sexually experienced adolescent females.
METHODS: Longitudinal cohort study of 354 sexually experienced female adolescents attending either a STD clinic or HMO adolescent medicine clinic in northern California. Student's t-tests and regressions examined psychosocial differences between females who reported "any" and "no" pregnancy intentions. ANOVAs examined differences among different combinations of pregnancy plans/likelihood. Chi-square analyses assessed associations between baseline pregnancy intentions and subsequent pregnancy.
RESULTS: Adolescents' reports of their pregnancy plans and their assessments of pregnancy likelihood differed from one another (chi2 = 50.39, df = 1, p < .001). Pregnancy attitudes and baseline contraceptive use differentiated those with inconsistent pregnancy intentions (Not Planning, but Likely) from those with clear pregnancy intentions (Planning and Likely, and Not Planning and Not Likely) (Pregnancy Attitudes: F [2,338] = 68.96, p < .0001; Contraceptive Use: F [2,308] = 14.87, p < .0001). Suspected pregnancies and positive pregnancy test results were associated with baseline pregnancy intentions (Suspected: chi2 = 19.08, df = 2, p < .01; Positive Results: chi2 = 8.84, df = 2, p = .015).
CONCLUSIONS: To reduce adolescent childbearing we must assess pregnancy intentions in multiple ways. Information/education might benefit those female adolescents with inconsistent reports of pregnancy intentions.
Authors:
Cynthia Rosengard; Maureen G Phipps; Nancy E Adler; Jonathan M Ellen
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  35     ISSN:  1879-1972     ISO Abbreviation:  J Adolesc Health     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-07     Completed Date:  2005-01-13     Revised Date:  2014-09-05    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  453-61     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior / psychology*
Adolescent Psychology
Analysis of Variance
Attitude to Health
California / epidemiology
Chi-Square Distribution
Cohort Studies
Contraception Behavior* / psychology,  statistics & numerical data
Female
Humans
Intention*
Longitudinal Studies
Pregnancy
Pregnancy Outcome* / epidemiology
Pregnancy in Adolescence / psychology,  statistics & numerical data
Questionnaires
Research Design
Self Disclosure*
Sex Education / methods
Grant Support
ID/Acronym/Agency:
AI36986/AI/NIAID NIH HHS; K01 MH067490/MH/NIMH NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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