Document Detail


Systematic review of sexual risk among pregnant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy.
MedLine Citation:
PMID:  15571886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Behaviors that lead to teen pregnancy also place young women at risk for STDs and repeat pregnancy. Compared to the broad literature on adolescent sexual risk behavior, our understanding of sexual risk in pregnant/mothering teens lags far behind. Primary objectives of this systematic review (1981-2003) of pregnant/mothering teens were to: (1) document rates of STD, repeat pregnancy, condom use, and contraception; (2) identify correlates of these biological and behavioral outcomes; (3) review sexual risk reduction interventions; and (4) discuss directions for future research and implications for clinical care. Fifty-one studies met inclusion criteria. Rates of STD and repeat pregnancy were high, with the majority of teens engaging in unprotected sex during and after pregnancy. An Ecological Model of Sexual Risk, based on Bronfenbrenner's (1989) Ecological Systems Theory, was proposed to organize findings on correlates of sexual risk. Improvements in research, including integration of outcomes and risk factors, stronger methodologies, and standardized assessments, are essential. Results suggest that teen pregnancy is a marker for future sexual risk behavior and adverse outcomes, and that pregnant/mothering teens need hybrid interventions promoting dual use of condoms and hormonal contraception. Pregnancy may provide a critical "window of opportunity" for sexual risk reduction.
Authors:
Christina S Meade; Jeannette R Ickovics
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  60     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2004-12-01     Completed Date:  2005-06-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  661-78     Citation Subset:  IM    
Affiliation:
Yale University, Department of Psychology, The Consultation Center, 389 Whitney Avenue, New Haven, CT 06511, USA. christina.meade@yale.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior
Contraception Behavior
Female
Humans
Pregnancy
Pregnancy in Adolescence / prevention & control*
Risk-Taking
Sexual Behavior*
Sexually Transmitted Diseases / epidemiology,  prevention & control*
United States / epidemiology
Grant Support
ID/Acronym/Agency:
R01MH/HD61175/MH/NIMH NIH HHS

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


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