Document Detail

Determinants of delayed pregnancy testing among adolescents.
MedLine Citation:
PMID:  1402728     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pregnant teenagers often prolong the interval between suspecting and confirming that they are pregnant. Prior studies suggest a number of potential determinants for this delay but do not specify which ones are most salient. METHODS: In a cross-sectional survey, 123 pregnant teenagers, 64 of whom maintained their pregnancies and 59 of whom had abortions, completed a short version of the Center for Epidemiologic Studies Depression Scale, the Family APGAR test, and a study-specific questionnaire. RESULTS: Significant bivariate determinants of delayed pregnancy testing included young maternal age, black race, lower educational attainment, lack of pregnancy symptoms, continuing the pregnancy, and denial. Only denial, however, retained a significant net effect on delayed testing (P < .05) when the effects of these six variables were modeled using multiple linear regression. CONCLUSIONS: These results suggest that psychological barriers are the most salient determinants of delayed pregnancy testing among the teenagers surveyed in this study. Some teenagers may not volunteer information about a suspected pregnancy. Providers, therefore, should directly question teenagers about sexual activity and discuss the importance of early testing when pregnancy is suspected. Findings also suggest further research that would increase understanding of adolescent health behavior in pregnancy and identify effective clinical and educational interventions.
D Bluestein; C M Rutledge
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of family practice     Volume:  35     ISSN:  0094-3509     ISO Abbreviation:  J Fam Pract     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-11-09     Completed Date:  1992-11-09     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  406-10     Citation Subset:  AIM; IM    
Department of Family and Community Medicine, Eastern Virginia Medical School, Norfolk 23501.
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MeSH Terms
Adolescent Psychology*
Denial (Psychology)
Pregnancy Tests / psychology*
Pregnancy in Adolescence*
Pregnancy, Unwanted / psychology
Time Factors

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

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