Adolescents' pregnancy intentions: relations to life situations and caretaking behaviors prenatally and 2 years postpartum.
Adolescents' pregnancy intentions: relations to life situations and caretaking behaviors prenatally and 2 years postpartum.
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青少年怀孕意向：与产前和产后两年的生活状况和照顾行为的关系。
DOI：
10.1016/s1054-139x(98)00082-2
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
East,PL
中科院分区：
文献类型：
--
作者：
Rubin,V;East,PL
目的本研究探讨青少年的怀孕意愿是否以及如何与产前和产后 2 年内的生活状况和健康相关行为相关。方法将报告自己“想要孩子”作为怀孕原因的青春期女孩 (n = 75) 与报告怀孕“刚刚发生”的女孩 (n = 79) 在四个不同的时间段进行比较：产前、产后 6 个月和 24 个月以及产后 18 个月研究结果表明，那些表示想要孩子的青少年更有可能是西班牙裔、已婚者和在怀孕前辍学的人。与那些声称自己刚刚怀孕的青少年相比，他们过去不太可能以福利作为主要的支持手段，也不太可能离家出走。自我报告的怀孕原因与产后 18 个月再次怀孕无关，但那些想要研究婴儿的人不太可能选择终止随后的妊娠，也不太可能由不同的伴侣怀孕。这些群体在产后 24 个月出现分歧，此时那些想要孩子的人更有可能与孩子的父亲结婚、得到他的经济支持、接受他的儿童保育援助，并尝试或成功地母乳喂养研究的孩子。结论自我报告的怀孕原因揭示了怀孕青少年在怀孕时和产后 2 年内的许多重要特征。在这项研究中，报告有意怀孕的年轻女性在经济状况以及与婴儿父亲的关系方面似乎表现更好。
PurposeThis study explores if and how adolescents’ pregnancy intentions relate to life situations and health-related behaviors prenatally and up to 2 years postpartum.MethodsAdolescent girls who reported that they had “wanted a baby” (n = 75) as their reason for pregnancy were compared with those who reported that the pregnancy “just happened” (n = 79) at four separate time periods: prenatally, at 6 and 24 months postpartum, and at 18 months postpartum for teens who became pregnant again subsequent to the study pregnancy.ResultsThose who stated that they wanted a baby were more likely to be Hispanic, married, and out of school before becoming pregnant. They were less likely to receive welfare as their primary means of support and to have run away from home in the past than teens who stated that their pregnancy just happened. Self-reported reason for pregnancy was unrelated to repeat pregnancy by 18 months postpartum, but those who had wanted the study baby were less likely to undergo elective termination of a subsequent pregnancy and less likely to become pregnant by a different partner. The groups diverged at 24 months postpartum when those who wanted a baby were more likely to be married to the father of the baby, be financially supported by him, receive child care assistance from him, and have attempted or succeeded at breastfeeding the study child.ConclusionSelf-reported reason for pregnancy reveals many important characteristics of pregnant adolescents both at the time of presentation and up to 2 years postpartum. Young women in this study who reported intentional pregnancy seem to fare better with regard to their financial status and their relationship with the father of the baby.