Risking the Future: Adolescent Sexuality, Pregnancy, and Childbearing.

Abstract

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Panel I: Epidemiology of minority health.

“…There is evidence that the health habits and health status of Hispanics of all groups declines among immigrants with increased stay in the United States and with succeeding generations. Rates of infant mortality (Becerra, Hogue, Atrash, & Perez, 1991), low birth weight (Becerra et al, 1991;Guendelman, Gould, Hudes, & Eskenazi, 1990;Mendoza et al, 1991), adolescent pregnancy (Hofferth & Hayes, 1987), use of cigarettes and alcohol (Caetanno, 1987;Gilbert, 1989;Haynes et al, 1990;Markides, Ray, Stroup-Benham, & Trevino, 1990;Marks, Garcia, & Solis, 1990;Neff, 1986), and illicit drug use (Amaro et al, 1990;National Institute on Drug Abuse, 1991;Rogler, Cortes, & Malgady, 1991) have been shown to increase with acculturation. Some studies have also documented that depressive symptomatology increases with acculturation (Burnam, Hough, Karno, Escobar, & Telles, 1987;Griffith, 1983;Kaplan & Marks, 1990;Mosciscki, Locke, Rae, & Boyd, 1989).…”

“…The relationship between acculturation and risk behaviors or jeopardized health is often striking. For example, rates of adolescent pregnancy show a twofold difference between Hispanics born in the United States and those born outside the continental United States (Hofferth & Hayes, 1987). It has also been demonstrated that the rate of low-birth-weight infants born to second-generation Mexican American women is almost 2 times higher than that among comparable firstgeneration women (Guendelmen et al, 1990).…”

Teenage pregnancy- An unsolved problem of the 21st century. Populational register-based study in Clinical County Hospital Constanta

“…According to Hofferth and Hayes, in 1987, the total births to teenagers represented 47% of pregnancies [3].…”

“…Teenage pregnancy may be considered a worldwide medico-social issue, especially if we talk about pregnancy occurring under the age of 14 years old, although teenage pregnancy is considered until 18 or even 20 years old by some authors [2].…”

Decision-making orientation and AIDS-related knowledge, attitudes, and behaviors of Hispanic, African-American, and White adolescents.

“…at high risk for contracting HIV is based on studies of sexual activity among American teenagers and young adults that indicate that adolescents are becoming sexually active at an increasingly earlier age, have more sexual partners than their predecessors, and have high rates of sexually transmitted diseases (STDs; Belfer et al, 1988;Chilman, 1983;Hofferth & Hayes, 1987;Hofferth, Kahn, & Baldwin, 1987). Furthermore, reports indicate that the rate of regular condom use among adolescents is only about 10% (Strunin & Hingson, 1987).…”