Pregnancy Outcomes Among Girls Impacted by Commercial Sexual Exploitation
Pregnancy Outcomes Among Girls Impacted by Commercial Sexual Exploitation
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DOI：
10.1016/j.acap.2019.12.005
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发表时间：
2020-05-01
影响因子：
3.1
通讯作者：
Bath, Eraka P.
中科院分区：
文献类型：
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作者：
Barnert, Elizabeth S.;Godoy, Sarah M.;Bath, Eraka P.
目的：我们测量了有商业性剥削（CSE）历史的女孩的怀孕率和怀孕结果，然后量化了怀孕结果与以下因素之间的关联：a）女孩童年时期的逆境，B）她们的行为健康。这是最大的研究怀孕的结果和相关因素之间的女孩受CSE在UnitedStates.METHODS影响：我们审查了法庭文件的参与者在青少年专业法院的青少年受CSE影响，2012年和2016年之间。我们收集了有关怀孕、健康和社会因素的数据。数据更新至2018年，并计算了描述性统计量。两个样本的比例平等的测试探索怀孕与不良的童年经历和女孩的行为健康profiles.RESULTS之间的关联：在360个生物女性，31%曾经怀孕。在曾经怀孕的女孩中，18%的人是多胎妊娠。130例报告的妊娠结局为：76%活产; 13%治疗性流产; 5%流产或死产; 6%的妊娠在病例结束时仍在进行。父母的监禁和母亲的药物滥用的历史都与pregnancy.CONCLUSIONS：高怀孕率的女孩与CSE的历史表明，应用生殖正义的方法，提供生殖教育，计划生育服务，产前护理和育儿支持受CSE影响的女孩的重要性。
OBJECTIVE: We measured pregnancy rates and pregnancy outcomes among girls with histories of commercial sexual exploitation (CSE), and then quantified the associations between the outcome of pregnancy with: a) girls' exposure to childhood adversity, and b) their behavioral health. This is the largest study of pregnancy outcomes and associated factors among girls impacted by CSE in the United States.METHODS: We reviewed court files of participants in a juvenile specialty court for youth impacted by CSE, between 2012 and 2016. We collected data on pregnancy, health, and social factors. Data were updated through 2018 and descriptive statistics were calculated. Two-sample tests for equality of proportions explored associations between pregnancy with adverse childhood experiences and the girls' behavioral health profiles.RESULTS: Among the 360 biological females, 31% had ever been pregnant. Of the girls ever pregnant, 18% had multiple pregnancies. Outcomes for the 130 reported pregnancies were: 76% live births; 13% therapeutic abortions; 5% miscarriages or stillbirths; and 6% of pregnancies were ongoing at case closure. Parental incarceration and histories of maternal substance abuse were both associated with pregnancy.CONCLUSIONS: High pregnancy rates among girls with histories of CSE suggest the importance of applying a reproductive justice approach to deliver reproductive education, family planning services, prenatal care, and parenting support to girls impacted by CSE.