Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children.
Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children.
复制标题
青少年家庭共同抚养计划的评估：青少年母亲及其子女的医疗之家。
DOI：
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发表时间：
2012
影响因子：
12.7
通讯作者：
S. Harris
中科院分区：
文献类型：
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作者：
J. Cox;M. Buman;E. Woods;Olatokunbo Famakinwa;S. Harris
目标
这项研究描述了针对青春期母亲及其孩子的医疗之家模式，以及她们的 1 年和 2 年预防性护理、重复妊娠和心理社会结果。
方法
在这个前瞻性单队列示范项目中，青少年母亲（14-18 岁）及其孩子在医疗之家接受护理。人口统计、医疗和社会过程以及结果数据均在入组时收集至 24 个月。分析了随时间的变化和重复妊娠的预测因素。
结果
共有 181 名青少年报名，其中 79.6% 参加了 2 年。 2岁时，90.2%的儿童已完全免疫。儿童和青少年母亲达到了医疗保健就诊标准，青少年安全套使用情况有所改善。 1年和2年累计重复妊娠率分别为14.7%和24.6%，就学率77.6%和68.7%，就业率分别为21.2%和32.3%。
结论
医疗护理和社会服务全面一体化的医疗之家模式，可以有效解决青少年父母及其子女的复杂需求。
OBJECTIVES
This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes.
METHODS
In this prospective, single cohort demonstration project, adolescent mothers (14-18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed.
RESULTS
A total of 181 adolescents enrolled, with 79.6% participating for 2 years. At 2 years, 90.2% of children were completely immunized. Children and adolescent mothers met standards for health care visits, and adolescent condom use improved. Rates of cumulative repeat pregnancy were 14.7% and 24.6%, school attendance 77.6% and 68.7%, and employment 21.2% and 32.3% at 1 and 2 years, respectively.
CONCLUSIONS
A medical home model with comprehensive and integrated medical care and social services can effectively address the complex needs of adolescent parents and their children.
一个村庄固然不错，但是……需要长效避孕药才能防止青少年再次怀孕。
影响因子：
5.5
作者：
Stevens-Simon,C;Kelly,L;Kulick,R
通讯作者：
Kulick,R