Demography, health, and contraceptive use of repeat teenage mothers

少龄妈妈的人口统计、健康状况和避孕药具使用情况

• 批准号: 9295558
• 负责人: Julie M Maslowsky
• 金额: $ 12.97万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-01 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9295558
• 关键词: 17 year old; 19 year old; Academy; Adolescent; Adolescent Development; Adopted; Age; American; American College of Obstetricians and Gynecologists; Appointment; Attitude; Award; Birth; Characteristics; Child; Clinic; Colorado; Complement; Contraceptive Agents; Contraceptive Usage; Contraceptive methods; Counseling; Data; Demography; Development; Drops; Education; First Births; Health; Health Care Costs; Health Professional; Health Promotion; Health behavior; Hospitals; Implant; Incidence; Individual; Infant; Infant Mortality; Interview; Intrauterine Devices; Knowledge; Lead; Literature; Low Birth Weight Infant; Medicaid; Mental Health; Mentorship; Methodology; Methods; Missouri; Monitor; Mothers; Outcome; Pattern; Pediatrics; Policies; Population; Postpartum Period; Pregnancy; Pregnancy Trimesters; Premature Birth; Prenatal care; Prevention; Process; Prospective Studies; Psychologist; Qualitative Research; Reproductive Health; Research; Research Methodology; Research Personnel; Risk Assessment; Scientist; Sex Behavior; Surveys; System; Teenagers; Texas; Time; Traction; Training; Universities; Vital Statistics; austin; cost; design; economic cost; experience; high risk; high risk population; high school; insight; novel; population health; postpartum contraception; pregnant teen; prenatal; prevent; programs; reproductive health of adolescents; reversible contraceptive; skills; teen birth; teenage mother; uptake

Project Summary Nearly 1/5 of the 230,000 annual births to teen mothers in the US are repeat births (births to a teen mother who already has one or more children), the large majority of which are unintended. Repeat teen mothers are a high-risk group of adolescents; they are more likely to drop out of high school, are less likely to be employed, and more likely to have mental health problems, and start prenatal care later or receive no prenatal care more frequently compared to first-time teen and older mothers. They also experience higher incidence of preterm birth, low infant birth weight, and infant mortality compared to both first time teen mothers and older mothers. Despite the vulnerability of these mothers and their children, they have been notably understudied compared to first-time teen mothers. The demographic composition of this population, their health profile, their knowledge and attitudes toward contraceptive are not well documented. We also lack understanding of the processes by which teens choose their contraception, knowledge that is necessary to inform appropriate education and facilitate uptake of effective contraception among teen mothers wishing to prevent a repeat birth. The proposed research has 3 aims: 1. Characterize the US repeat teenage mother population with regards to demographic characteristics, reproductive health, and contraceptive use and compare this population to first time teen mothers and older mothers (ages 20-25). 2. Identify individual factors that influence teens' desire to use long acting reversible contraceptives (LARCs) in high- and low-access states, Colorado and Texas. 3. Identify knowledge, attitudes, intentions, and perceived accessibility regarding postpartum contraception, particularly LARCs, among teens. This award will provide training and mentorship to Dr. Julie Maslowsky, a developmental psychologist and population health scientist at the University of Texas at Austin, in demography, adolescent reproductive health and sexual behavior, and qualitative research methods to complement her existing expertise in adolescent development, population health, and quantitative methods. The training and research experience will prepare Dr. Maslowsky to be an independent scientist producing a program of novel, high- impact research on adolescent reproductive health. The results of the proposed research will yield novel insights into the population composition of repeat teen mothers, their health profile, and their knowledge, attitudes, and experiences regarding contraception. Such insights are a necessary first step to fill the current gap in policy and practice around repeat births to teen mothers. Ultimately, this research will inform successful provision of effective contraception to teen mothers who desire it in order to reduce the number of unintended repeat teenage births and ultimately lead to healthier mothers and babies across the nation.

项目摘要 在美国，每年23万名未成年母亲的新生儿中有近五分之一是重复生育（未成年母亲的生育 已经有一个或多个孩子的人），其中绝大多数是无意的。重复青少年母亲是一个 青少年高风险群体;他们更有可能从高中辍学，不太可能就业， 更有可能有心理健康问题，更晚开始产前护理或更多地没有接受产前护理 经常与初为人母的青少年和大龄母亲相比。他们也经历了更高的早产发生率 与首次生育的青少年母亲和大龄母亲相比，新生儿出生体重低，婴儿死亡率高。 尽管这些母亲和她们的孩子很容易受到伤害，但与 初为人母的少女这些人的人口构成，他们的健康状况， 对避孕的态度没有很好的记录。我们也缺乏对这些过程的理解， 哪些青少年选择他们的避孕，知识是必要的，以告知适当的教育， 促进希望防止重复生育的少女母亲采取有效的避孕措施。拟议 研究有三个目的：1。描述美国重复青少年母亲人口的人口统计学特征 特征、生殖健康和避孕药具的使用，并将该人群与首次青少年进行比较 母亲和大龄母亲（20-25岁）。2.确定影响青少年长期使用的个人因素 在普及率高和普及率低的州，科罗拉多和得克萨斯，3.识别 关于产后避孕的知识、态度、意图和可获得性， 青少年中的LARC该奖项将为朱莉·马斯洛斯基博士提供培训和指导， 德克萨斯大学奥斯汀分校的心理学家和人口健康科学家，在人口统计学，青少年 生殖健康和性行为，以及定性研究方法，以补充她现有的 在青少年发展，人口健康和定量方法的专业知识。培训和研究 经验将准备博士Maslowsky是一个独立的科学家生产的新颖，高- 对青少年生殖健康影响研究。该研究的结果将产生新的 深入了解青少年重复母亲的人口构成、她们的健康状况和知识， 关于避孕的态度和经验。这样的见解是填补目前的必要的第一步 关于少女母亲重复生育的政策和做法存在差距。最终，这项研究将为成功的 * 向希望避孕的少女母亲提供有效的避孕药具，以减少意外怀孕的人数; 重复青少年生育，并最终导致全国各地更健康的母亲和婴儿。