The association between prepregnancy parental support and control and adolescent girls' pregnancy resolution decisions.
The association between prepregnancy parental support and control and adolescent girls' pregnancy resolution decisions.
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怀孕前父母的支持和控制与青春期女孩怀孕解决决定之间的关联。
DOI：
10.1016/j.jadohealth.2013.04.016
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Harville,EmilyW
中科院分区：
文献类型：
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作者：
Madkour,AubreySpriggs;Xie,Yiqiong;Harville,EmilyW
PurposeTo探讨孕前父母的支持和控制对青春期女孩的怀孕决议decisions.MethodsData从全国青少年健康纵向研究进行了分析。纳入了在第IV波中报告的首次妊娠发生在第I波之后和20岁之前的女孩（n = 1，107）。参与者自我报告每次妊娠的妊娠处置（流产、异位妊娠或输卵管妊娠、流产、死产、活产）;将反应分为流产与其他。女孩对父母支持和控制的感知在第一波进行测量。对照包括I波年龄、妊娠年龄、妊娠结束年份、种族/民族和父母特征（即，教育、宗教信仰、初婚年龄和教育期望）。加权多变量Logistic回归models. ResultsAbout 18%的女孩报告一个少女怀孕报告流产。在粗略分析中，父母支持与流产呈轻微负相关（比值比[OR] =.83，p = .06），父母控制与流产呈显著负相关（OR =.78，p = .02）。在多变量分析中，较高的父母控制与流产和其他妊娠结局显著负相关（校正OR .80，95%置信区间.66-.98）。感知父母的支持是无关的怀孕决议的决定。唯一的其他因素与堕胎的决定是父母的教育：选择堕胎与其他怀孕结果的几率显着较高的青春期女孩的父母有一个学士学位或更高的学历较低的academic.ConclusionsPregnant青少年教育程度较低的父母或父母行使更大的控制不太可能有一个流产。
PurposeTo examine the influence of prepregnancy parental support and control on adolescent girls' pregnancy resolution decisions.MethodsData from the National Longitudinal Study of Adolescent Health were analyzed. Girls whose first pregnancy reported in wave IV occurred after wave I and before age 20 were included (n = 1,107). Participants self-reported pregnancy disposition (abortion, ectopic or tubal pregnancy, miscarriage, stillbirth, live birth) for each pregnancy; responses were dichotomized as abortion versus other. Girls' perceptions of parental support and control were measured at wave I. Controls were included for wave I age, age at pregnancy, year at the end of pregnancy, race/ethnicity, and parent characteristics (i.e., education, religious affiliation, age at first marriage, and educational expectations). Weighted multivariable logistic regression models were performed.ResultsApproximately 18% of girls reporting a teen pregnancy reported having an abortion. In crude analyses, parental support was marginally negatively related to abortion (odds ratio [OR] = .83,p= .06) and parental control was significantly negatively related to abortion (OR = .78,p= .02). In multivariable analyses, higher parental control was significantly negatively related to abortion versus other pregnancy outcomes (adjusted OR .80, 95% confidence interval .66–.98). Perceived parental support was unassociated with pregnancy resolution decisions. The only other factor associated with abortion decisions was parent education: odds of choosing abortion versus other pregnancy outcomes were significantly higher for adolescent girls whose parents had a bachelor's degree or greater versus those with lower educational attainment.ConclusionsPregnant adolescents with less educated parents or parents exercising greater control were less likely to have an abortion.