To Be Rather Than Not To Be—That Is the Problem With the Questions We Ask Adolescents About Their Childbearing Intentions

Stevens‐Simon, Catherine; Beach, Roberta K.; Klerman, Lorraine V.

doi:10.1001/archpedi.155.12.1298

Cited by 47 publications

(31 citation statements)

References 15 publications

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“…Consistent with the work of Stevens-Simon, our data suggest that the majority of adolescent women are committed to not getting pregnant and that this commitment is generally associated with contraceptive behavior during the subsequent 3 months [10]. In fact, we found that two other questions about pregnancy intentions also predicted subsequent contraceptive behavior.…”

Section: Discussionsupporting

confidence: 90%

“…Measuring pregnancy intentions to identify an at-risk population, particularly among adolescents, has been difficult [8,9]. Stevens-Simon et al proposed that asking about intentions to remain non-pregnant may better target young women at risk for pregnancy [10]. These questions asking about intentions to remain non-pregnant may be a more active question that demands that the patient critically evaluate her proactive behavior necessary to prevent pregnancy-the normal or default state for the sexually active woman.…”

mentioning

confidence: 99%

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Pregnancy Intentions and Contraceptive Behaviors Among Adolescent Women: A Coital Event Level Analysis

Bartz

Shew

Ofner

et al. 2007

Journal of Adolescent Health

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Pregnancy Intentions and Contraceptive Behaviors Among Adolescent Women: A Coital Event Level Analysis

Bartz

Shew

Ofner

et al. 2007

Journal of Adolescent Health

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“…This notion is consistent with research showing that motivation to prevent additional childbearing is a more powerful antecedent of birth control use and subsequent fertility than is ambivalence about having another child. [43][44][45] …”

Section: Previous Research On Home Visiting Effects On Fertilitymentioning

confidence: 99%

Hawaii's Healthy Start Home Visiting Program: Determinants and Impact of Rapid Repeat Birth

et al. 2004

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ABSTRACT. Objective. Healthy People 2010 calls for reductions in rapid repeat births (RRBs), defined as births occurring within 24 months after a previous birth for women of all ages, and prevention of repeat births during adolescence, regardless of the birth interval. Home visiting has been promoted as a mechanism to prevent child abuse and neglect and to improve pregnancy outcomes. This study aims to assess the impact of home visiting in preventing RRB and its malleable determinants and assesses the influence of RRB on the mother and the index child. We hypothesized that maternal desire to have a RRB, access to a family planning site, and use of birth control would be significant malleable determinants and that the effects of the program in preventing RRB would be mediated through its influence on these variables. We also hypothesized that the occurrence of RRB would result in increased stress and family dysfunction, resulting in adverse maternal and child outcomes such as severe maternal stress, maternal neglect of the index child, decreased maternal warmth toward the index child, and increased behavior problems of the index child.Methods. The Healthy Start Program (HSP) is a home visiting program to prevent child abuse and neglect and to promote child health and development among newborns of families identified as being at risk for child maltreatment. This study was a randomized, controlled trial of Hawaii's HSP, in which eligible families were randomly assigned to home-visited and control groups. A total of 643 families at risk for child abuse were enrolled between November 1994 and December 1995. Data to measure RRB and malleable determinants were collected through structured maternal interviews and observation of the home environment. We measured RRB through maternal self-report by asking about a subsequent birth in follow-up interviews at 1, 2, and 3 years. To measure the malleable determinants, we measured the mother's desire for a RRB at baseline and at the 1-year interview and determined whether she had access to a family planning site. The mother was also asked which contraceptive methods she had ever used in the past and which methods, if any, she used in the year following the index child's birth. We measured 3 maternal parenting outcomes at the year 3 follow-up interview, ie, parenting stress, neglectful behavior toward the index child, and warmth toward the index child. We used odds ratios with 95% confidence intervals (CIs) to measure the strength of associations. Multiple logistic regression was used to assess 1) program effects on RRB and its malleable determinants, 2) the impact of the malleable determinants on RRB, and 3) the association between RRB and adverse maternal and child outcomes.Results Conclusions. Overall, 20% of the mothers in our sample of at-risk families had a RRB, which was far greater than the national average of 11%. RRB was associated with a greater likelihood of adverse consequences for both the mother and the index child. The lack of program effects can be traced to sho...

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“…Thus, explicit efforts to dispel the misperceptions about the opportunity costs of childbearing and burdens of prevention are needed. 6 By contrast, when the goal is STD prevention, there is no lack of motivation to avoid the consequences of unprotected sex, yet condom distribution programs have not curtailed the spread of these infections. 7 Many teenagers with conventional relationship goals think that the worst aspect of acquiring STDs is the psychological harm caused by the loss of trust and sel-respect.…”

Section: Introductionmentioning

confidence: 99%

To Be Rather Than Not To Be—That Is the Problem With the Questions We Ask Adolescents About Their Childbearing Intentions

Cited by 47 publications

References 15 publications

Pregnancy Intentions and Contraceptive Behaviors Among Adolescent Women: A Coital Event Level Analysis

Pregnancy Intentions and Contraceptive Behaviors Among Adolescent Women: A Coital Event Level Analysis

Hawaii's Healthy Start Home Visiting Program: Determinants and Impact of Rapid Repeat Birth

Teen Pregnancy and Sexually Transmitted Diseases: Re-thinking the Bedfellow Question Means that Condoms will Never Be Seatbelts

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