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Psychosocial predictors of pregnancy among low-income African-American adolescent females: a prospective analysis.

Abstract：

OBJECTIVE:To prospectively identify psychosocial predictors of pregnancy among African-American adolescent females. METHODS:African-American females, 14-18 yrs old, were recruited from schools and health clinics in low-income neighborhoods. Adolescents completed an in-depth survey and provided urine specimens for pregnancy testing at baseline and 6-month intervals for 1.5 years. Selected problem behaviors, demographic, and psychosocial variables were tested for bivariate and multivariate significance relative to biologically confirmed pregnancy during the follow-up period. Only adolescents who initially tested negative for pregnancy were included (n = 241). RESULTS:About 26% (n = 63) of the adolescents became pregnant over the follow-up period. Although a broad spectrum of variables achieved bivariate significance, few retained significance in the multivariate model. Multivariate predictors of pregnancy were biologically confirmed marijuana use (adjusted odds ratios [AOR] = 12.4, P = 0.0003) and perceiving that the sex partner desired pregnancy (AOR = 1.27, P = 0.01). A protective effect was observed for adolescents who reported that a family member received welfare benefits; these adolescents were about 60% less likely to become pregnant (AOR = 0.38, P = 0.04). CONCLUSIONS:Pediatricians and other health professionals who participate in community efforts to prevent first and subsequent adolescent pregnancies may benefit from recognizing that marijuana use and pregnancy may be co-occurring problems. Adolescents' perceptions of their boyfriends' level of desire for conception may also be an important predictor of pregnancy risk. The findings also suggest a possible protective effect of receiving TANF (Temporary Assistance to Needy Families) benefits; adolescent recipients of these programs may be more vigilant in their pregnancy prevention practices than those who are not recipients.

journal_name

J Pediatr Adolesc Gynecol

journal_title

Journal of pediatric and adolescent gynecology

authors

Crosby RA,DiClemente RJ,Wingood GM,Harrington K,Davies S,Hook EW 3rd,Oh MK

doi

10.1016/s1083-3188(02)00195-x

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

293-9

issue

eissn

1083-3188

issn

1873-4332

pii

S108331880200195X

journal_volume

pub_type

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Psychosocial predictors of pregnancy among low-income African-American adolescent females: a prospective analysis.