An evaluation of California's adolescent sibling pregnancy prevention program

An evaluation of California's adolescent sibling pregnancy prevention program
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DOI:
10.1111/j.1931-2393.2003.tb00107.x
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发表时间:
2003-03-01
影响因子:
5.8
通讯作者:
Chávez, G
Chávez, G
中科院分区:
医学2区
文献类型:
--
作者:
East, P;Kiernan, E;Chávez, G

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上下文怀孕少女的兄弟姐妹或父母的少女怀孕和生育率过高。加州的青少年兄弟姐妹怀孕预防计划是针对这些高危youths.METHODS:在1997年至1999年进行了评估,1176主要是西班牙裔11-17岁的孩子谁至少有一个兄弟姐妹谁是青少年父母或已怀孕-731青少年谁是程序的客户和445青少年谁没有收到系统的服务。所有评估参与者在注册时完成了采访和问卷,并在九个月后再次完成。结果:在评估期间,女性项目客户的怀孕率显着低于对照女性(4%比796),而且性行为发生率也较低(7%比1696)。他们也显着降低了逃学的频率,而这种结果增加了比较女性,程序女性有显着更明确的意图,在后测保持禁欲比比较女性。随着时间的推移,避孕药具使用的一致性在该计划的男性中增加,而在比较男性中减少。提供组服务与延迟发病的男性之间的性交,并收到相关的社会心理技能的服务与更大的避孕药具使用在失去性行为之间的所有性经验丰富的youth.CONCLUSIONS:这一新的Wistrom,它服务于人口已知击败非常高的风险早孕,似乎是有效的,在降低怀孕率和改善几个怀孕相关的风险行为。
CONTEXT. The siblings of adolescents who have been pregnant or ore parents have disproportionately high rates of teenage pregnancies and births. California's Adolescent Sibling Pregnancy Prevention Program is targeted at these high-risk youths.METHODS:An evaluation of the progrom was conducted in 1997-1999 with 1, 176 predominantly Hispanic 11-17-year-olds who had at least one sibling who was an adolescent parent or had been pregnant-731 youths who were program clients and 445 youths who received no systematic services. All evaluation participants completed an interview and questionnaire at enrollment and again nine months later.RESULTS: Female program clients had a significantly lower pregnancy rote than comparison females over the evaluation period (4% vs. 796), as well as a lower rate of sexual initiation (7% vs. 1696). They also significantly decreased their frequency of school truancy, whereas this outcome increased among comparison females; program females had significantly more definite intentions of remaining abstinent at posttest than comparison females. Consistency of contraceptive use increased over time among males in the program and decreased among comparison males. Delivery of group services was correlated with delayed onset of intercourse among males, and the receipt of services related to psychosocial skills was correlated with greater contraceptive use at lost sex among all sexually experienced youth.CONCLUSIONS: This new progrom, which serves a population known to beat very high risk for early pregnancy, appears to be effective at reducing rates of pregnancy and improving several pregnancy-related risk behaviors.