Preventing Rapid Repeat Births Among Latina Adolescents: The Role of Parents
Alida Bouris and Kevin Cherry are with the School of Social Service Administration, University of Chicago, Chicago, IL. Vincent Guilamo-Ramos is with the Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, New York, NY. Patricia Dittus and Shannon Michael are with the Centers for Disease Control and Prevention, Atlanta, GA. Kari Gloppen is with the School of Social Work, University of Washington, Seattle.American Journal of Public Health (Impact Factor: 4.55). 08/2012; 102(10):1842-7. DOI: 10.2105/AJPH.2011.300578
Latina adolescent parents are at increased risk for rapid repeat births (second birth ≤ 24 months after the first), sexually transmitted infections, and negative educational and social outcomes. Although several effective parent-based interventions have been developed to prevent Latino youths' sexual risk taking, little research has explored the development of interventions to prevent repeat births that involve the parents of these adolescents. Existing preventative interventions involving parents suffer from important methodological limitations. Additional research is needed to advance theories of behavior, identify the causal pathways of parental influence, and specify appropriate behavioral targets. Future parent-based interventions to prevent repeat births should target pregnancy intentions, age of partners, contraceptive use, integrated prevention of pregnancies and sexually transmitted infections, educational attainment, and future orientations.
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ABSTRACT: Despite the declining rate of teen pregnancies in the United States, academic and public health experts have expressed concern over the still relatively high rate of rapid repeat pregnancies among adolescents, particularly among minority youth. Using a sample of over 300 African American female adolescents, the current study used insights from the prototype/willingness model of adolescent risk behavior to explore this risk. More specifically, it assessed the relationship between entry into unwed motherhood during mid-to-late adolescence and changes in prototypes of unmarried pregnant teens. Further, it explored the extent to which these changing prototypes accounted for young mothers' later contraceptive expectations. We tested the possibility that social images were affected not only by personal experience (the birth of a child) but also by the family and community context in which this experience took place. The findings show that the early entrance into teen motherhood was associated with a shift toward more favorable prototypes of unwed pregnant teens, but that this was only the case for young mothers in disadvantaged contexts. Given this, prototype changes helped to explain the link between teen motherhood and contraceptive expectations only for those in disadvantaged contexts. We discuss these findings in terms of their practical and theoretical implications.
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ABSTRACT: Despite efforts aimed at achieving health equity, Latino youth continue to experience significant health and mental health disparities. The purpose of this investigation was to explore the role of intrapersonal and ecodevelopmental factors, including family, peer, school, and community, in the lives of Latino alternative high school youth residing in the Southwest, United States. Five focus groups were implemented with a total of 19 participants. Study findings are indicative of an ecology characterized by multiple challenges that have a significant impact on the lives of Latino alternative high school youth. Findings from this study reinforce that there remains a great need to fully understand the scope and influence of intrapersonal and ecodevelopmental factors among Latino alternative high school youth to inform the development of culturally-responsive social work preventive intervention programs.
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