Pregnancy and other risk behaviors among adolescent girls in Ohio

Rome, Ellen S.; Rybicki, Lisa; DuRant, Robert H.

doi:10.1016/s1054-139x(97)00160-2

Cited by 33 publications

(35 citation statements)

References 21 publications

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“…15 In our sample, poor education and low level of professional training may play an important role in unemployment. These factors largely contribute to this unfavorable socio-economic status, creating a situation of lack of perspectives in life.…”

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confidence: 78%

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders

Mitsuhiro

Chalem

Barros

et al. 2006

Rev. Bras. Psiquiatr.

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A b s t r a c t Objective: To determine the prevalence of psychiatric disorders during pregnancy, the prevalence of cocaine and marijuana use during the third trimester of gestation and the socio-demographic characteristics of a population of low-income teenagers. Method: One thousand pregnant teenagers were evaluated using the Composite International Diagnostic Interview, and a sociodemographic and socio-economic questionnaire at the obstetric center of a public hospital in São Paulo, Brazil. Hair sample was collected for analysis. Results: Of the 1000 pregnant teenagers interviewed, 53.6% were poor, 90.4% were unemployed, 92.5% were financially dependant and 60.2% dropped out of school. Those using drugs during the third trimester of pregnancy were equal to 6% (marijuana: 4%, cocaine: 1.7%, both: 0.3%). Those having at least one psychiatric disorder equaled 27.6%. The most frequent diagnoses were depression (12.9%), posttraumatic stress disorder (10.0%) and anxiety disorders (5.6%). Discussion: Unstructured families, dropping out of school, unemployment and a low level of professional training are all contributing factors to the maintenance of an unfavorable socio-economic environment in which there is a high prevalence of cocaine and marijuana use during the third trimester of pregnancy and an abnormally high incidence of psychiatric disorders.Keywords: Pregnancy in adolescence; Substance-related disorders; Mental disorders; Psychosis substance-induced; Perinatal mortality (Public Health) Resumo Objetivo: Determinar, em adolescentes de baixa renda, a prevalência de transtornos psiquiátricos durante a gravidez, a prevalência de uso de cocaína e maconha no terceiro trimestre de gestação e descrever suas características sociodemográficas. Método: Mil adolescentes grávidas foram avaliadas por meio do Composite International Diagnostic Interview e de um questionário sociodemográfico e socioeconômico no centro obstétrico de um hospital público de São Paulo. Dessas, foi colhida amostra para análise de fios de cabelo. Resultados: Das mil pacientes entrevistadas, 53,6% têm baixa renda, 60,2% abandonaram a escola, 90,4% estão desempregadas e 92,5% são financeiramente dependentes, 6% usaram drogas durante o terceiro trimestre da gravidez (maconha: 4%, cocaína: 1,7%, ambos: 0,3%) e 27,6% tiveram ao menos um transtorno psiquiátrico. Os diagnósticos mais freqüentes foram: depressão (12,9%), transtorno de estresse pós-traumático (10,0%) e ansiedade (5,6%). Discussão: Famílias desestruturadas, evasão escolar, desemprego e baixa capacitação profissional são fatores que contribuem para a manutenção desta situação socioeconômica desfavorável, cenário no qual são elementos importantes a alta prevalência de uso de cocaína e maconha no 3º trimestre da gravidez e de transtornos psiquiátricos.Descritores: Gravidez na adolescência; Transtornos relacionados ao uso de substâncias; Transtornos mentais; Psicoses induzidas por substâncias; Mortalidade perinatal (Saúde Pública)

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confidence: 78%

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders

Mitsuhiro

Chalem

Barros

et al. 2006

Rev. Bras. Psiquiatr.

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“…Moreover, there is consistent evidence in the literature about the correlation between poverty, low education, lack of social and family support, teenage pregnancy, use of drugs, and psychopathology. 15 These factors contribute to an ongoing low socio-economic status, creating a situation of lack of opportunities in life. For these young women, using drugs and getting pregnant may be an attempt to escape the harsh realities of life, and psychiatric disorders may be another kind of problem that aggravates this reality.…”

Section: Discussionmentioning

confidence: 99%

Correlates of substance use during adolescent pregnancy in São Paulo, Brazil

Bessa

Mitsuhiro

Chalem

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: To investigate the association of cocaine and marijuana use during adolescent pregnancy in São Paulo-SP, Brazil, with psychiatric disorders, social status and sexual history. Method: One thousand pregnant adolescents were assessed by using the Composite International Diagnostic Interview, and sociodemographic and socio-economic questionnaire at the obstetric center of a public hospital in São Paulo. Hair samples were collected for analysis. Results: The following data were associated with cocaine and/or marijuana use during the third trimester of the pregnancy: being younger than 14 years of age, having a history of more than 3 sexual partners, and having psychiatric disorders, specifically, bipolar disorder, post-traumatic stress disorder, and somatoform disorder. Conclusion: In early adolescence pregnancy, having 3 or more sexual partners in life for this population is significantly associated with the use of cocaine or marijuana during gestation. This association suggests that specific intervention programs should target these young women. Descriptors

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“…Female athletes at the high school and college levels report less frequent and less risky sexual activity than nonathletes (Kokotailo et al, 1998;Miller et al, 1998bMiller et al, ,1999bSabo et al, 1998Sabo et al, ,1999Savage and Holcomb, 1999). Female high school sports participation has also been linked with reduced odds of teen pregnancy (Page et al, 1998;Rome et al, 1998;Zill et al, 1995). These findings have led the Women's Sports Foundation and other organizations to advocate for adolescent athletic participation as a preventive strategy against unwanted teen pregnancy, sexually transmitted disease, and other undesirable concomitants of early and high-risk sexual activity (Sabo et al, 1998).…”

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confidence: 99%

Gender/Racial Differences in Jock Identity, Dating, and Adolescent Sexual Risk

Miller¹,

Farrell²,

Barnes³

et al. 2005

J Youth Adolescence

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Despite recent declines in overall sexual activity, sexual risk-taking remains a substantial danger to US youth. Existing research points to athletic participation as a promising venue for reducing these risks. Linear regressions and multiple analyses of covariance were performed on a longitudinal sample of nearly 600 Western New York adolescents in order to examine gender-and race-specific relationships between "jock" identity and adolescent sexual risk-taking, including age of sexual onset, past-year and lifetime frequency of sexual intercourse, and number of sexual partners. After controlling for age, race, socioeconomic status, and family cohesion, male jocks reported more frequent dating than nonjocks but female jocks did not. For both genders, athletic activity was associated with lower levels of sexual risk-taking; however, jock identity was associated with higher levels of sexual risk-taking, particularly among African American adolescents. Future research should distinguish between subjective and objective dimensions of athletic involvement as factors in adolescent sexual risk.Keywords jock identity; athletic activity; sexual risk; adolescent; gender; race Despite declines in overall adolescent sexual activity over the past decade (Centers for Disease Control and Prevention, 2002;Santelli et al., 2000), sexual risk-taking (e.g., multiple partners, sexual precocity, unprotected intercourse) remains a substantial danger to US youth. Each year, American adolescents experience nearly a million unintended pregnancies and more than 4 times that many new cases of sexually transmitted diseases (US Department of Health and Human Services, 2000). Strategies to reduce sexual risk have commonly employed narrowly focused approaches such as contraceptive distribution, sex education, and abstinence programs To whom correspondence should be directed at the Research Institute on Addictions, 1021 Main Street, Buffalo, New York 14203; email: kmiller@ria.buffalo.edu. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript (Franklin et al., 1997). In their search for interventions that reduce sexual risk-taking, some researchers and policy-makers have begun to cast a wider net that addresses the larger social and developmental contexts of adolescents' daily lives, including routine behaviors for which the linkage to sexual risk outcomes is indirect (Kirby, 1997;Males, 1993). Adolescent athletic involvement constitutes one such area of interest. The present study examined the gender-and race-specific relationships among two distinct dimensions of athletic involvement (specifically, frequency of athletic activity and "jock" identity), dating, and sexual risk-taking in one longitudinal sample of Western New York adolescents. SPORTS AND ADOLESCENT SEXUAL RISKRecent research has identified adolescent athletic participation as a promising avenue for promoting sexually responsible behavior, particularly among girls. Female athletes at the high school and college levels report less freq...

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Pregnancy and other risk behaviors among adolescent girls in Ohio

Cited by 33 publications

References 21 publications

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders

Correlates of substance use during adolescent pregnancy in São Paulo, Brazil

Gender/Racial Differences in Jock Identity, Dating, and Adolescent Sexual Risk

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