Document Detail


Understanding pregnancy-related attitudes and behaviors: a mixed-methods study of homeless youth.
MedLine Citation:
PMID:  23231333     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Pregnancy rates are substantially higher among homeless youth than in the general population of youth, yet little is known about homeless adolescents' and young adults' pregnancy-related attitudes and behaviors.
METHODS: Pregnancy-related attitudes and behaviors were examined among two samples of sexually active homeless 13-24-year-olds in Los Angeles County. Data from 37 semistructured interviews conducted in March-April 2011 were analyzed using standard qualitative methods. Data from a structured survey with 277 respondents, conducted between October 2008 and August 2009, were analyzed primarily using regression modeling.
RESULTS: More than half of interview respondents held ambivalent attitudes toward pregnancy, and ambivalent youth reported less contraceptive use than others. The interviews identified several potential influences on pregnancy attitudes: barriers associated with homelessness, readiness to settle down, desire to achieve goals, belief that a child would create something positive in life, and family and partners. In the survey, having positive attitudes toward pregnancy was positively associated with duration of homelessness (odds ratio, 1.6), contact with relatives (1.1) and relationship commitment (1.8); it was negatively associated with frequency of drinking (0.9). Relationship commitment was positively associated with nonuse of an effective contraceptive method at last sex (1.5).
CONCLUSIONS: Effective and accessible pregnancy prevention and family planning programs for homeless youth are needed. Youths' ambivalence toward pregnancy and feelings of relationship commitment warrant attention as possible areas for programs to address.
Authors:
Joan S Tucker; Jesse Sussell; Daniela Golinelli; Annie Zhou; David P Kennedy; Suzanne L Wenzel
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-11-13
Journal Detail:
Title:  Perspectives on sexual and reproductive health     Volume:  44     ISSN:  1931-2393     ISO Abbreviation:  Perspect Sex Reprod Health     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-12     Completed Date:  2013-05-20     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  101140654     Medline TA:  Perspect Sex Reprod Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-61     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 by the Guttmacher Institute.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior / psychology*
Attitude to Health*
Contraception Behavior / psychology*,  statistics & numerical data
Female
Homeless Youth / psychology*,  statistics & numerical data
Humans
Interpersonal Relations
Pregnancy / psychology*
Pregnancy, Unwanted / psychology
Sexual Behavior / psychology*
Unsafe Sex / psychology
Young Adult
Grant Support
ID/Acronym/Agency:
R01 DA020351/DA/NIDA NIH HHS; R01DA020351/DA/NIDA NIH HHS
Comments/Corrections

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