Improving contraceptive use/practices among young women

描述（由申请人提供）：对青少年重复怀孕的原因了解有限。旨在预防少女怀孕的干预措施很少取得成功。这项研究的长期目标是减少低收入、非裔美国人和拉丁美洲少女随后怀孕的数量。该职业发展奖的目的是完成课程，并与计划生育、少数民族青少年健康、研究方法和调查设计等领域的专家合作。本建议的目的是进一步发展产后青少年避孕行为的指导框架。该框架将作为研究者未来进行妊娠预防研究的基础。具体目标：1。进一步制定一个关于低收入、非裔美国人和拉丁美洲少女产后避孕药具使用、怀孕风险和避免怀孕行为的拟议框架，其中包括生物、日常生活、心理社会/态度和生态变量。2.根据拟议框架制定一份研究文书。3.探讨所提出的变数与青少年母亲在怀孕后一年内的避孕、避免怀孕及怀孕风险行为的关系。研究设计和方法：将与有一次青春期怀孕史的青春期后期女孩和有一次以上青春期怀孕史的女孩举行重点小组会议。现有的文献和拟议的概念框架将指导焦点小组问题。然后将开发和预先测试研究工具。在过去三年中，将在产后非洲裔美国人和拉丁美洲少女中进行一项定性和定量的试点研究，以避免分娩后一年内第二次意外怀孕。

DESCRIPTION (provided by applicant): There is limited knowledge about the reasons for repeat pregnancies among teenagers. Few interventions designed to prevent subsequent teen pregnancies have been successful. The long-term objective of this investigator is to reduce the number of subsequent pregnancies among low-income, African American and Latino teenage girls. The purpose of this career development award (CDA) is to complete coursework and work with experts in the fields of family planning, minority adolescent health, research methods and survey design. The purpose of this proposal is to further develop an orienting framework for postpartum adolescent contraceptive behavior. This framework will serve as the foundation of future subsequent pregnancy prevention studies by the investigator. Specific Aims: 1. To further develop a proposed framework of postpartum contraceptive use, pregnancy risk and pregnancy avoidance behaviors of low-income, African American and Latino adolescent girls that incorporates biological, daily life, psychosocial/attitudinal, and ecological variables. 2 To develop a study instrument in accordance with the proposed framework. 3. To examine how the proposed variables relate to adolescent mothers' contraceptive, pregnancy avoidance and pregnancy risk behaviors in the year following pregnancy. Research Design and Methods: Focus groups will be held with late adolescent girls who have a history of a single adolescent pregnancy and with those who have a history of more than one adolescent pregnancy. Existing literature and the proposed conceptual framework will guide focus group questions. A study instrument will then be developed and pre-tested. During the last three years, a qualitative and quantitative pilot study will be conducted among postpartum African American and Latino adolescent girls seeking to avoid a second unintended pregnancy in the year following delivery.