Concepts of the Advantages and Disadvantages of Teenage Childbearing Among Pregnant Adolescents: A Qualitative Analysis

Brown University, Providence, Rhode Island, United States
PEDIATRICS (Impact Factor: 5.47). 09/2006; 118(2):503-10. DOI: 10.1542/peds.2005-3058
Source: PubMed


We sought to enhance our understanding of pregnant adolescents' concepts of the advantages and disadvantages of teen pregnancy and childbearing.
This is a qualitative study of 247 pregnant adolescents recruited during their first prenatal health care visit to a women's primary care clinic in Providence, Rhode Island. Participants responded in writing to open-ended questions assessing their ideas about what was advantageous and disadvantageous about having an infant during their teen years rather than waiting until they were older. Themes and patterns in responding were coded, and subgroup differences based on age, ethnicity, intendedness of current pregnancy, and pregnancy/parenting history were assessed.
Themes related to advantages of teen pregnancy included enhancing connections, positive changes/benefits, and practical considerations. Themes related to disadvantages included lack of preparedness, changes/interference, and others' perceptions. Differences among groups based on age, ethnicity, intendedness of the current pregnancy, and pregnancy/parenting history were examined and noted.
Pregnant adolescents do not represent a homogeneous group. Considering differences in how pregnancy and childbearing are conceptualized along developmental, cultural, attitudinal, and experiential lines will strengthen our ability to tailor pregnancy-prevention messages.

    • "nant / parenting adolescents . Previ - ous qualitative studies among pregnant / parenting adolescents include explorations of intentionality and contraception ( Kendall et al . , 2005 ) , sources of support ( De Jonge , 2001 ; Ste - venson et al . , 1999 ) and perceived advantages and disadvantages of adolescent pregnancy ( Lesser et al . , 1998 ; Rosengard et al . , 2006 ; Spear , 2004 ) , among other topics . A meta - analysis of qualitative data by Spear and Lock ( 2003 ) identified four main themes consistent throughout the 22 included studies : ( a ) factors influencing pregnancy , ( b ) pregnancy resolu - tion , ( c ) meaning of pregnancy / life transition , and ( d ) parenting / motherhood . These"
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    ABSTRACT: Adolescent childbearing has been viewed as a social, political, and public health priority since the 1970s. Research has primarily focused on the negative consequences of teen pregnancy; less research has explored factors associated with healthy pregnancy and birth experiences in this population. Using open-ended and qualitative techniques, researchers performed individual interviews with 15 adolescent mothers (15 to 19 years of age) recruited from a Women's and Children's Clinic in Southern Louisiana, who had experienced a healthy pregnancy and bore a full-term, normal birth weight infant. We used a resiliency framework to identify factors that may have supported positive health outcomes despite risks associated with low-income and/or marginalized minority status. A total of 15 mothers of multiple racial/ethnic identities were included in the analysis. Mothers discussed potential protective factors that we classified as either assets (internal factors) or resources (external factors). Mothers demonstrated strong assets including self-efficacy and self-acceptance and important resources including familial support and partner support during pregnancy which may have contributed to their resiliency. Ensuring access to social and structural supports as well as supporting adolescent-friendly health and social policies may be key to promoting healthy maternal and infant outcomes among young women who become pregnant. (PsycINFO Database Record (c) 2015 APA, all rights reserved).
    No preview · Article · Aug 2015 · Families Systems & Health
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    • "Adolescents with positive views of adolescent parenting often state that having a baby will give them purpose in life, someone to love who reciprocates that love, and maturity [19]. They note the disadvantages of adolescent parenting as having insufficient financial resources to support the child, not having their " life together " enough to raise the child, and social isolation [19]. Adolescents' ambivalence toward pregnancy has been shown in several studies [18] [20] and is often attributed to inconsistent or lack of contraceptive use [21] [22], even among those who have access to contraception [22]. "
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    ABSTRACT: Purpose: To examine, from a youth's perspective, adolescent pregnancy and parenting in Baltimore, Maryland, a city with high rates of adolescent pregnancy. Methods: Six gender-stratified focus groups with 13- to 19-year-olds (4 female and 2 male groups; n = 47). We recorded focus groups, transcribed them verbatim, and analyzed them using the constant comparison method. Participants completed questionnaires to collect demographic and behavioral information. Results: Results fit into a social-ecological framework. Individual (e.g., contraceptive use behaviors, religion), interpersonal (e.g., peer norms, maintaining male partners), and community (e.g., clinic factors, perceptions of community) level influences on adolescent pregnancy emerged. Participants discussed contradictory messages that were often gendered in their expectations; for instance, women were responsible for not getting pregnant and raising children. Adolescents expressed beliefs both against (e.g., challenging to complete school) and supporting early childrearing (e.g., religion). Recommendations for addressing the different influences included mentors, education, and community resources. Conclusions: Adolescents' perspectives and values regarding pregnancy and parenting may not mirror traditional and expected norms for pregnancy and requirements for raising a child. These findings challenge the framing of existing interventions as they may not accurately reflect adolescents' values regarding pregnancy and parenting, and thus may need to be modified to highlight positive attitudes toward contraception and postponing pregnancy.
    Full-text · Article · Mar 2013 · Journal of Adolescent Health

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