Document Detail

Knowledge, attitudes and behaviors related to sexuality and family planning in adolescent women with and without diabetes.
MedLine Citation:
PMID:  17054448     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Sexually active adolescents with diabetes are at high risk for unplanned pregnancies and reproductive complications.
OBJECTIVE: Knowledge, attitudes, intentions, and behaviors regarding diabetes and reproductive issues, sexuality, and contraception were examined in teens with diabetes in relation to a non-diabetic group.
METHODS: A multisite, case-control, theory-based structured telephone interview was conducted on adolescent women: 80 with diabetes mellitus (DM) and 37 matched controls without diabetes (non-DM).
RESULTS: Teens with diabetes appeared to lack an understanding of critical information that could prevent unplanned pregnancies and pregnancy-related complications. Although they scored significantly higher than the non-DM group on diabetes-related information, the DM group had their lowest mean average of 59% for the diabetes and pregnancy score. They did not appear to have greater protective attitudes regarding reproductive health issues than the non-DM group. The DM group felt that they were only moderately susceptible to becoming pregnant and that severe complications would not happen to them. The DM group perceived greater severity to sex-related outcomes (p = 0.001). The DM group did not report safer and more effective family planning behaviors (mean age coitus = 15.7 yr), which for them could be more detrimental. Similar trends were noted between groups regarding contraceptive methods; only a single method (e.g., pill only) rather than a dual method (e.g., pill and condom) was most frequently used.
CONCLUSION: Having diabetes did not appear to significantly decrease the risk-taking behavior of the teens. Early and some unsafe sexual practices may increase their risk for an unplanned pregnancy that could result in pregnancy-related complications. Enhancing awareness, knowledge, and attitudes through preconception counseling and reproductive health education may reduce these risks by empowering young women to plan healthy future pregnancies.
Denise Charron-Prochownik; Susan M Sereika; Donna Falsetti; Shiaw-Ling Wang; Dorothy Becker; Scott Jacober; Joan Mansfield; Neil H White
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric diabetes     Volume:  7     ISSN:  1399-543X     ISO Abbreviation:  Pediatr Diabetes     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-23     Completed Date:  2007-01-09     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  100939345     Medline TA:  Pediatr Diabetes     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  267-73     Citation Subset:  IM    
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MeSH Terms
Case-Control Studies
Contraception / methods
Diabetes Mellitus / psychology*
Family Planning Services*
Health Knowledge, Attitudes, Practice*
Interviews as Topic
Reproductive Medicine
Sexual Behavior
Grant Support
5P30NR03924/NR/NINR NIH HHS; P30 DK056341/DK/NIDDK NIH HHS; P30 DK056341-05S2/DK/NIDDK NIH HHS; P30 DK056341-06/DK/NIDDK NIH HHS

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

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