Practitioners' Perspectives on Effective Practices For Hispanic Teenage Pregnancy Prevention

Russell, Stephen T.; Lee, Faye C. H.

doi:10.1363/3614204

Cited by 42 publications

(31 citation statements)

References 21 publications

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“…One commonly mentioned hypothesis is that less acculturated teens have higher levels of teenage childbearing because they are more affected by value systems from their countries of origin that support early fertility [14–16]. This theory is not well supported by current evidence.…”

Section: Introductionmentioning

confidence: 91%

Sociocultural Determinants of Teenage Childbearing Among Latinas in California

Dehlendorf

Marchi

Vittinghoff

et al. 2009

Matern Child Health J

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Objectives U.S. Latinas have a persistently high rate of teenage childbearing, which is associated with adverse outcomes for both mother and child. This study was designed to investigate the roles of socioeconomic factors and acculturation in teenage childbearing in this population. Methods Logistic regression was used to analyze the association of measures of acculturation (language spoken at home, nativity, and age at immigration) and respondents’ parents’ education with age at first birth in a stratified sample of post-partum women in California. Results The unadjusted odds ratio for teenage birth for Latinas versus non-Latina Whites was 5.2 (95% CI 4.1–6.6). Nativity was not significantly associated with teen birth, but speaking Spanish at home was positively associated and immigrating at a later age was negatively associated with teen birth. Overall, these measures of acculturation accounted for 17% (95% CI 8–28%) of the difference in odds of teen birth between Latinas and non-Latina Whites. Higher levels of education among respondents’ parents had differentially protective effects across the racial/ethnic groups. Controlling for disparities in respondents’ parents’ education without changing its differential effects across racial/ethnic groups reduced the odds ratio for Latinas compared to non-Latina Whites by 30% (95% CI 14–60%). Conclusion These findings call into question common assumptions about the protective effect of acculturation on teen fertility and suggest that improving childhood socioeconomic factors among Latinas may decrease teen childbearing.

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Section: Introductionmentioning

confidence: 91%

Sociocultural Determinants of Teenage Childbearing Among Latinas in California

Dehlendorf

Marchi

Vittinghoff

et al. 2009

Matern Child Health J

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show abstract

“…12 This may reflect a cultural difference in pregnancy desire 23 or could simply reflect a lack of appropriate interventions specific to the Hispanic population. 24 In addition, those who received their previous healthcare elsewhere were less likely to report using contra-ception than those who began their health care at this clinic. These results suggest that all health care does not impact the desire to use contraception equally.…”

Section: Discussionmentioning

confidence: 97%

Differences in Contraceptive Choice Among Female Adolescents at a State‐Funded Family Planning Clinic

Heavey

Moysich

Hyland

et al. 2008

J Midwife Womens Health

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Our objective was to examine differences in contraceptive choice among female adolescents from low socioeconomic backgrounds both before and after an appointment for reproductive health care at a community-based, state-funded, family planning clinic. This study utilized data collected from 4237 charts from young women attending a family planning clinic. Logistic regression was utilized to examine variables associated with the following main questions: (1) the selection of use or nonuse of contraception; (2) the selection of barrier versus hormonal contraception; and (3) within those who selected hormonal contraception, the preference for injectable versus oral hormonal methods. We found that race, age, school status, and type of health insurance were all associated with contraceptive decision-making among female adolescents. Some but not all of these associations remained after the clinic visit, which included no-cost contraception.

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“…In 1992, the National Council of La Raza, the largest national constituency‐based Latino organization in the United States, made recommendations for effective Latino teenage pregnancy prevention programs (Pérez & Duany, 1992). A recent study found that many teen pregnancy prevention and parenting programs for Latino youth employed strategies consistent with the La Raza recommendations, although practitioners faced multiple challenges with putting the recommendations into action (Russell, Lee, & the Latina/o Teen Pregnancy Prevention Workgroup, 2004). Practitioners are instructed to be culturally sensitive, but there have been few resources that identify specific strategies for working with diverse clientele (Welch, 2000).…”

Section: Cultural Sensitivity In the Program Contextmentioning

confidence: 99%

“…Practitioners are instructed to be culturally sensitive, but there have been few resources that identify specific strategies for working with diverse clientele (Welch, 2000). It is noteworthy that most existing work in the health care arena is not directly informed by the perspectives of practitioners; in spite of their field‐based expertise, practitioners remain remarkably understudied (Russell et al, 2004). In the current study, we focused on practitioners’ understandings of cultural sensitivity, the barriers that they experienced when trying to be culturally sensitive, and the strategies they used to create culturally sensitive programs.…”

Section: Cultural Sensitivity In the Program Contextmentioning

confidence: 99%

Practitioners’ Perspectives on Cultural Sensitivity in Latina/o Teen Pregnancy Prevention*

Wilkinson-Lee¹,

Russell²,

Lee

2006

Family Relations

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This study examined practitioners' understandings of cultural sensitivity in the context of pregnancy prevention programs for Latina teens. Fifty-eight practitioners from teen pregnancy prevention programs in California were interviewed in a guided conversation format. Three themes emerged in our analysis. First, practitioners' definitions of cultural sensitivity were consistent with existing models in the published research literature and focused largely on reinforcing the cultural strengths of Latino youth and families. Second, strategies for cultural sensitivity were complicated by tension between traditional Latino culture and the culture of pregnancy prevention programs. Third, practitioners identified a blend of personal and professional characteristics associated with cultural sensitivity among staff. We discussed policy and practice implications for Latino pregnancy prevention.

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Practitioners' Perspectives on Effective Practices For Hispanic Teenage Pregnancy Prevention

Abstract: Practitioners have valuable insight into the reality of implementing culturally sensitive programs. Programs need to balance the often competing values and goals of prevention programs with those of Hispanic youth culture and experiences.

Cited by 42 publications

References 21 publications

Sociocultural Determinants of Teenage Childbearing Among Latinas in California

Sociocultural Determinants of Teenage Childbearing Among Latinas in California

Differences in Contraceptive Choice Among Female Adolescents at a State‐Funded Family Planning Clinic

Practitioners’ Perspectives on Cultural Sensitivity in Latina/o Teen Pregnancy Prevention*

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