The Role of Mental Health Factors, Behavioral Factors, and Past Experiences in the Prediction of Rapid Repeat Pregnancy in Adolescence

The Role of Mental Health Factors, Behavioral Factors, and Past Experiences in the Prediction of Rapid Repeat Pregnancy in Adolescence
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DOI:
10.1016/j.jadohealth.2008.06.003
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发表时间:
2009-01-01
影响因子:
7.6
通讯作者:
Olds, David L.
Olds, David L.
中科院分区:
医学2区
文献类型:
--
作者:
Crittenden, Colleen P.;Boris, Neil W.;Olds, David L.

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目的:本研究探讨了预测快速重复怀孕(随后怀孕24个月内以前的怀孕结果)在城市adolescents.Methods的样本:青少年年龄在12-19岁(N = 354),主要是非洲裔美国人(94.1%)在怀孕期间和产后24个月完成个人访谈。结果:147名青少年中,42%(n = 147)的青少年报告过快速重复妊娠。初潮年龄晚(12.43 vs. 11.91; p = 0.003)的基线报告和更大的攻击可能性与24个月内快速重复妊娠显著相关。初潮年龄和自我报告的侵略独立的预测,它紧密间隔的第二次怀孕(p < .05)。结论:建议青春期的开始和个人的心理健康,因为它涉及到的措施,侵略时,应考虑制定计划,针对青少年在快速重复怀孕的最高风险。(c)2009年,为青少年医学。All rights reserved.
Purpose: This study investigates the predictors of rapid repeat pregnancy (subsequent pregnancy within 24 months of previous pregnancy outcome) in a sample of urban adolescents.Methods: Adolescents aged 12-19 years (N = 354) who were predominantly African-American (94.1%) completed individual interviews during pregnancy and at 24 months postpartum. Logistic regression was used to determine the relationship among mental health factors, behavioral factors, and negative life experiences in the prediction of rapid repeat pregnancy.Results: Of the adolescents, 42% (n = 147) of adolescents reported it rapid repeat pregnancy. Baseline reports of later age at menarche (12.43 vs. 11.91; p = .003) and it greater likelihood of aggression were significantly associated with having a rapid repeat pregnancy within 24 months. Age at menarche and self-reported aggression contributed independently to the prediction of it closely spaced second pregnancy (p < .05).Conclusions: It is suggested that pubertal onset and individual mental health as it relates to measures of aggression should be considered when developing programs targeting adolescents at highest risk for rapid repeat pregnancy. (c) 2009 Society for Adolescent Medicine. All rights reserved.