Subsequent Risk of Childbearing Among Adolescents with a Negative Pregnancy Test

Zabin, Laurie Schwab; Sedivy, Valerie; Emerson, Mark R.

doi:10.2307/2135941

Cited by 34 publications

(32 citation statements)

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“…Zabin, et al, found that 56Vo of urban adolescents who received negative pregnancy tests at clinic sites became pregnant within 18 months. 28 In another study with a national sample of 2926 clinic clients ages 17 or younger, Zabin, et al, reported that among those who had ever conceived, 24% had a prior negative pregnancy test at a clinic.2e Our study is rare in that it is likely that we measured feelings close to the time of possible conception, although we did not know how long adolescents thought they might have been pregnant prior to taking our survey. It is a strength of the study that our participants did not know their pregnancy status, which could have biased their responses.…”

Section: Dtscusslonmentioning

confidence: 85%

Pregnancy Feelings among Adolescents Awaiting Pregnancy Test Results

Hellerstedt¹,

Fee²,

McNeely³

et al. 2001

Public Health Rep

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Section: Dtscusslonmentioning

confidence: 85%

Pregnancy Feelings among Adolescents Awaiting Pregnancy Test Results

Hellerstedt¹,

Fee²,

McNeely³

et al. 2001

Public Health Rep

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“…For example, Zabin and colleagues 6,7 identified adolescents who receive negative pregnancy test results from health care providers to be a particularly accessible and high-risk group because they are sexually active, likely to be exposed to ongoing risk for pregnancy, and available for intervention. In their small longitudinal study of adolescents who were 17 years or younger when they received a negative pregnancy test, Zabin et al 7 found 58% were pregnant within 18 months of the pregnancy test. To test the generalizability of their findings, they conducted a survey of adolescents who presented for pregnancy tests in 52 US clinics.…”

Section: Discussionmentioning

confidence: 99%

Perceived Knowledge and Training Needs in Adolescent Pregnancy Prevention

Hellerstedt

Smith

Shew

2000

Arch Pediatr Adolesc Med

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Objectives: To examine health care professionals' knowledge and interest in training in adolescent pregnancy prevention and whether an association exists between perceived knowledge and interest in training.Design: A cross-sectional mailed survey.Participants: Random, stratified sample design that identified 800 psychologists, 800 social workers, 1000 nurses, and 400 pediatricians from national professional membership lists. Response rate to the mailed survey was 51%. After removing respondents who did not currently work with adolescents, 1242 surveys (41%) were available for analyses.Main Outcome Measures: Descriptive analyses were conducted on self-report data concerning perceived knowledge and interest in training about adolescent pregnancy prevention separately for each of the 4 disciplines. Within disciplines, perceived knowledge and interest in training were correlated for each of 3 content areas (ie, sex education and contraceptive counseling, adolescent pregnancy, and counseling after a negative pregnancy test) and for a summary measure of the content areas.Results: Less than half of the nursing, pediatrics, psychology, and social work professionals reported high perceived knowledge in the 3 content areas. Psychologists and social workers reported the lowest perceived knowledge. However, with the exception of psychologists, more than two thirds of the other respondents reported moderate or high interest in training in the 3 content areas. Interest in training was not strongly correlated with perceived knowledge within any discipline. Conclusions:The need to integrate psychosocial components into adolescent health care is a core assumption in the field, yet these data indicate that psychologists and social workers perceive low levels of knowledge and interest in training. These disciplines may benefit from more targeted professional training about their role in preventing adolescent pregnancy. These reductions have been attributed to several factors, including a decrease in the proportion of adolescents who are sexually active, an increased likelihood that adolescents will use contraception, especially condoms, at first intercourse, and the use of injectable and implantable contraceptives, especially among black youth, who have historically had the highest adolescent pregnancy and birth rates. Arch Pediatr Adolesc1 Declines in adolescent pregnancy rates should fuel optimism but not complacency, because the number of pregnancies in females younger than 20 years in the United States continues to approach 1 million per year; more than three quarters of these pregnancies are assumed to be unintended.2 Also, in the near future, we may see an increase in adolescent pregnancy and childbearing. It is estimated that between 1995 and 2005, the number of 15-to 17-year-olds in the United States will increase by 15%; the greatest increases will be in the nonwhite population, who have 2 to 3 times higher fertility rates than whites.3 If the current adolescent fertility rate remains the same, it is estimated that there ...

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“…Zabin et al [4] found that 56% of the adolescents in their study sample became pregnant within 18 months after the negative index test. When teenagers come to a health care setting for pregnancy testing, there is a window of opportunity to target this high-risk group for prevention of unintentional pregnancy and STIs.…”

mentioning

confidence: 84%

“…Our research group conducted a descriptive study, modeled after the work of Zabin et al [3,4], to investigate the clinical interventions provided to adolescents in an urban area after receiving an NPT result. Descriptive results from the first phase of the study confirmed that across multiple health care settings (in an urban community), including family planning clinics, community health centers, hospitalbased clinics, and school-based health centers, the majority (77%) of adolescents who requested pregnancy tests during a 3-month time period in the late 1990s were not pregnant [5].…”

mentioning

confidence: 99%