Reduced School Dropout Rates Among Adolescent Mothers Receiving School-Based Prenatal Care

Barnet, Beth; Arroyo, Carmen M.; DeVoe, Margo; Duggan, Anne K.

doi:10.1001/archpedi.158.3.262

Cited by 77 publications

(59 citation statements)

References 36 publications

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“…A evasão associada à gestação precoce traz graves conseqüências para a adolescente e seu filho e para a sociedade em geral, principalmente porque, nessa faixa etá-ria, uma das poucas opções de inserção social e de ascensão econômica se dá por intermédio do sistema educacional. A relação entre gravidez precoce e suas repercussões na escolaridade tem sido destacada na literatura especializada 11 , e experiências internacionais relatam programas preventivos desenvolvidos com base nesse tema, como a apresentada por Barnet et al 11 para a cidade de Baltimore.…”

Section: Discussionunclassified

“…Singh 10 , de maneira semelhante, concluiu, em seu artigo, que níveis educacionais mais altos estão associados a menores índices de gestação na adolescência. Barnet et al 11 relataram que gravidez na adolescência estava associada com o aumento na taxa de evasão escolar e que isso aumentaria a probabilidade de persistirem as diferenças econômicas e sociais.…”

Section: Introductionunclassified

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Gravidez na adolescência: perfil sócio-demográfico e comportamental de uma população da periferia de São Paulo, Brasil

et al. 2007

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Com objetivo de identificar o perfil sócio-demográfico e comportamental de gestantes adolescentes, foram entrevistadas mil adolescentes, admitidas entre 24 de julho de 2001 e 27 de novembro de 2002, em um hospital municipal de São Paulo, Brasil, correspondendo a 24,3% das internações para resolução da gestação. Setenta (7%) adolescentes foram admitidas para curetagem pós-abortamento e 930 (93%), para parturição, com idade média de 17 ± 1,5 anos. A maioria (72,4%) residia próximo ao hospital e 93% pertenciam às classes econômicas C, D e E. Na época da parturição, 627 (67,3%) adolescentes não estudavam. Apenas 23,7% das adolescentes faziam uso de método contraceptivo, 81,2% não tinham planejado a gestação e 80,1% eram primigestas. Dos partos, 67,4% foram vaginais. Dos bebês, 13,3% foram pré-termo e 15, 9%, baixo peso. Durante a gestação, o consumo referido de tabaco, de álcool e de drogas ilícitas foi, respectivamente de 17,3%, 2,8% e 1,7%. Conclui-se que gravidez na adolescência é um fenômeno complexo, associado a fatores econômicos, educacionais e comportamentais, precipitando problemas decorrentes da maternidade precoce. O presente estudo fornece subsídios para políticas públicas de saúde, visando a prevenir a gravidez na adolescência.

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Section: Discussionunclassified

Section: Introductionunclassified

Gravidez na adolescência: perfil sócio-demográfico e comportamental de uma população da periferia de São Paulo, Brasil

et al. 2007

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“…A dolescent mothers experience rapid repeat pregnancy in the short term, 1 depression, 2 and school dropout, 3,4 as well as a reduced probability of future economic independence. 5 Compared with their adult counterparts, teenage mothers may interact with their children less positively and have unrealistic expectations of child behavior that increase the risk of abuse and neglect.…”

Section: Introductionmentioning

confidence: 99%

Home Visiting for Adolescent Mothers: Effects on Parenting, Maternal Life Course, and Primary Care Linkage

Barnet¹,

Liu²,

DeVoe³

et al. 2007

The Annals of Family Medicine

108

114

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PURPOSE Adolescent mothers are at risk for rapidly becoming pregnant again and for depression, school dropout, and poor parenting. We evaluated the impact of a community-based home-visiting program on these outcomes and on linking the adolescents with primary care.METHODS Pregnant adolescents aged 12 to 18 years, predominantly with low incomes and of African American race, were recruited from urban prenatal care sites and randomly assigned to home visiting or usual care. Trained home visitors, recruited from local communities, were paired with each adolescent and provided services through the child's second birthday. They delivered a parenting curriculum, encouraged contraceptive use, connected the teen with primary care, and promoted school continuation. Research assistants collected data via structured interviews at baseline and at 1 and 2 years of follow-up using validated instruments to measure parenting (Adult-Adolescent Parenting Inventory) and depression (Center for Epidemiologic Studies Depression). School status and repeat pregnancy were self-reported. We measured program impact over time with intention-to-treat analyses using generalized estimating equations (GEE). RESULTSOf 122 eligible pregnant adolescents, 84 consented, completed baseline assessments, and were randomized to a home-visited group (n = 44) or a control group (n = 40). Eighty-three percent completed year 1 or year 2 follow-up assessments, or both. With GEE, controlling for baseline differences, follow-up parenting scores for home-visited teens were 5.5 points higher than those for control teens (95% confi dence interval, 0.5-10.4 points; P = .03) and their adjusted odds of school continuation were 3.5 times greater (95% confi dence interval, 1.1-11.8; P <.05). The program did not have any impact on repeat pregnancy, depression, or linkage with primary care. CONCLUSIONS This community-based home-visiting program improved adolescent mothers' parenting attitudes and school continuation, but it did not reduce their odds of repeat pregnancy or depression or achieve coordination with primary care. Coordinated care may require explicit mechanisms to promote communication between the community program and primary care. INTRODUCTIONA dolescent mothers experience rapid repeat pregnancy in the short term, 1 depression, 2 and school dropout, 3,4 as well as a reduced probability of future economic independence. 5 Compared with their adult counterparts, teenage mothers may interact with their children less positively and have unrealistic expectations of child behavior that increase the risk of abuse and neglect. 6,7 Adolescent mothers and children growing up in disadvantaged communities affl icted by drugs, violence, and inadequate supports may be particularly vulnerable. 225 HO ME VISI T ING F OR AD OL ESCENT MOT HER SFamily physicians provide most of the adolescent medical care in the United States, 9 but the typical offi ce may fi nd it challenging to address the multifaceted needs of pregnant and parenting teenagers. Primary care clinic...

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“…Much research has been done on the consequences of adolescent pregnancy: for example, increased school dropout rates prior to and following pregnancy (Barnet, Arroyo, Devoe, & Duggan, 2004); negative interactions with their toddlers and subsequent behavior problems in the child (Trautmann-Villalba, Gerhold, Laucht, & Schmidt, 2004); improving outcomes (Philliber, Brooks, Lehrer, Oakley, & Waggoner, 2003) and developing interventions to prevent adolescent pregnancy (e.g., assessing the effectiveness of abstinence-only education; Perrin & DeJoy, 2003); determining factors related to adolescent pregnancy (Kelly, Sheeder, & Stevens-Simon, 2004); and preventing second teen pregnancies with tailored clinics (Amin & Sato, 2004). However, few research studies have focused on the experience of pregnancy from the adolescent's perspective.…”

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confidence: 99%

Planned Adolescent Pregnancy: Themes Related to the Pregnancy

Montgomery

2004

jpe

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Health-care providers need to recognize that not all adolescent pregnancies occur as a result of error. A small subset of adolescents intentionally plan their pregnancy. The purpose of this phenomenological study was to describe the experiences of 14-to 17-year-old pregnant females who had planned their pregnancies. Participants were recruited from one prenatal clinic at a large tertiary medical center in the eastern region of the United States. Three themes emerged from participant interviews that were related to the adolescents' pregnancies. Themes included living environment issues, adjustment to the pregnancy, and an increased motivation to do well in school and work to provide a good life for their infants. Understanding the phenomena of planned adolescent pregnancy can provide a basis for health-care providers to provide support to adolescent females in this life transition. Understanding the common experience of these adolescents can assist health-care providers to develop individualized interventions to best meet these young women's needs and to improve birth outcomes among this population.Journal of Perinatal Education, 13(4), 27e35; adolescent pregnancy, planned pregnancy.

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Reduced School Dropout Rates Among Adolescent Mothers Receiving School-Based Prenatal Care

Cited by 77 publications

References 36 publications

Gravidez na adolescência: perfil sócio-demográfico e comportamental de uma população da periferia de São Paulo, Brasil

Gravidez na adolescência: perfil sócio-demográfico e comportamental de uma população da periferia de São Paulo, Brasil

Home Visiting for Adolescent Mothers: Effects on Parenting, Maternal Life Course, and Primary Care Linkage

Planned Adolescent Pregnancy: Themes Related to the Pregnancy

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