Document Detail

Multi-level factors associated with pregnancy among urban adolescent women seeking psychological services.
MedLine Citation:
PMID:  23054473     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to examine the prevalence of pregnancy as well as multi-level factors (i.e., individual, family, and environment) associated with history of pregnancy among a sample of urban adolescent women seeking psychological services. Data were collected from a total of 264 sexually active, 13-18-year-old, adolescent women who participated in a larger HIV prevention study. Adolescents and one participating parent completed an audio computer-assisted self-interviewing survey. A total of 17.4% of participants reported a history of pregnancy. A multivariable logistic regression model suggests that after controlling for empirically derived sociodemographic and behavioral covariates, absence of father in the home, family support and cohesion, and neighborhood risk were positively related to pregnancy. This study is among the first to examine multi-level factors associated with pregnancy among adolescent women diagnosed with psychological disorders. Consideration of such factors is crucial both in terms of clinical practice and in the design of pregnancy prevention programs. Collaboration between physicians and mental health providers working with adolescent women is crucial and represents an ideal opportunity to promote parental involvement and access to supportive community resources, including pregnancy prevention programs for this vulnerable population of adolescents.
Delia L Lang; Traci Rieckmann; Ralph J Diclemente; Richard A Crosby; Larry K Brown; Geri R Donenberg
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of urban health : bulletin of the New York Academy of Medicine     Volume:  90     ISSN:  1468-2869     ISO Abbreviation:  J Urban Health     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-26     Completed Date:  2013-09-16     Revised Date:  2014-04-01    
Medline Journal Info:
Nlm Unique ID:  9809909     Medline TA:  J Urban Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  212-23     Citation Subset:  IM    
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MeSH Terms
Confidence Intervals
Logistic Models
Mental Disorders / therapy
Mental Health Services / statistics & numerical data*
Odds Ratio
Parent-Child Relations
Patient Acceptance of Health Care*
Pregnancy in Adolescence / prevention & control*
Residence Characteristics
Risk Factors
Sexual Behavior
Urban Population*
Grant Support

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

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