2.50
Hdl Handle:
http://hdl.handle.net/10755/151495
Type:
Presentation
Title:
Pregnancy Attitudes and Outcomes in Black American Adolescent Women
Abstract:
Pregnancy Attitudes and Outcomes in Black American Adolescent Women
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Pessima, Olivia
P.I. Institution Name:Howard University
Co-Authors:Lois Sadler, PhD, APRN, BC, PNP
ABSTRACT Pregnancy Attitudes and Outcomes in Black-American Adolescent Women Olivia Pessima, Yale-Howard Scholar, Howard University Division of Nursing Lois Sadler, PhD, APRN, BC, PNP, Yale University School of Nursing Purpose: Examine Black adolescents' contraceptive behaviors and pregnancy outcomes as they relate to their attitudes about pregnancy at time of a negative pregnancy test (NPT). Conceptual Framework: Transtheoretical Model of Behavior Change (Prochaska, Diclemente & Norcross, 1992). Methods: Descriptive longitudinal study of teens enrolled at time of NPT and followed with medical record review 18 months later. Sample and Setting: 49 Black-American adolescents (17 +1.3 years) having NPT result and with signed consent were enrolled from a women's health center in an urban medical center. Instruments: Baseline interviews at time of NPT included demographic and health information. Attitudes about pregnancy were assessed with interview questions and with the revised Pregnancy Importance Questionnaire (Bloom & Hall, 1999). A record review abstraction form was used to review medical records at 18 months for subsequent pregnancies and contraceptive use patterns. Results: At baseline, 5.3% of teens reported feeling disappointed/very disappointed, 21.1% were ambivalent, and 73.7% were very glad/glad about their NPT results. Preliminary medical record review indicated intermittent use of combinations of contraceptive methods and by 18 months 24.4% of the participants experienced one or more pregnancies. There were mixed findings related to pregnancy attitudes and outcomes. 32% of women who were glad/very glad about their NPT at baseline became pregnant by 18 months. Implications: Findings suggest that 75.6% of the sample delayed pregnancy for 18 months with inconsistent use of contraceptive methods and condoms. Attitudes about pregnancy were complex; Clinicians need to assess each adolescent's attitudes about pregnancy and contraception, initially at the time of NPT and in an ongoing way in follow-up reproductive health visits. Consistent condom use needs to be reinforced.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePregnancy Attitudes and Outcomes in Black American Adolescent Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151495-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pregnancy Attitudes and Outcomes in Black American Adolescent Women</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pessima, Olivia</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Howard University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">opessima@howard.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lois Sadler, PhD, APRN, BC, PNP</td></tr><tr><td colspan="2" class="item-abstract">ABSTRACT Pregnancy Attitudes and Outcomes in Black-American Adolescent Women Olivia Pessima, Yale-Howard Scholar, Howard University Division of Nursing Lois Sadler, PhD, APRN, BC, PNP, Yale University School of Nursing Purpose: Examine Black adolescents' contraceptive behaviors and pregnancy outcomes as they relate to their attitudes about pregnancy at time of a negative pregnancy test (NPT). Conceptual Framework: Transtheoretical Model of Behavior Change (Prochaska, Diclemente &amp; Norcross, 1992). Methods: Descriptive longitudinal study of teens enrolled at time of NPT and followed with medical record review 18 months later. Sample and Setting: 49 Black-American adolescents (17 +1.3 years) having NPT result and with signed consent were enrolled from a women's health center in an urban medical center. Instruments: Baseline interviews at time of NPT included demographic and health information. Attitudes about pregnancy were assessed with interview questions and with the revised Pregnancy Importance Questionnaire (Bloom &amp; Hall, 1999). A record review abstraction form was used to review medical records at 18 months for subsequent pregnancies and contraceptive use patterns. Results: At baseline, 5.3% of teens reported feeling disappointed/very disappointed, 21.1% were ambivalent, and 73.7% were very glad/glad about their NPT results. Preliminary medical record review indicated intermittent use of combinations of contraceptive methods and by 18 months 24.4% of the participants experienced one or more pregnancies. There were mixed findings related to pregnancy attitudes and outcomes. 32% of women who were glad/very glad about their NPT at baseline became pregnant by 18 months. Implications: Findings suggest that 75.6% of the sample delayed pregnancy for 18 months with inconsistent use of contraceptive methods and condoms. Attitudes about pregnancy were complex; Clinicians need to assess each adolescent's attitudes about pregnancy and contraception, initially at the time of NPT and in an ongoing way in follow-up reproductive health visits. Consistent condom use needs to be reinforced.</td></tr></table>en_GB
dc.date.available2011-10-26T11:04:13Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:04:13Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.