Affordable Access

Publisher Website

Pleased to be Pregnant? Positive Pregnancy Attitudes among Sexually Active Adolescent Females in the United States

Authors
Journal
Journal of Pediatric and Adolescent Gynecology
1083-3188
Publisher
Elsevier
Identifiers
DOI: 10.1016/j.jpag.2013.10.005
Keywords
  • Adolescent Pregnancy
  • Risk Factors
  • Attitudes
  • Secondary Database Analysis
Disciplines
  • Education
  • Medicine

Abstract

Abstract Study Objective To identify factors associated with a positive pregnancy attitude among sexually active US teen females. Design Secondary database analysis of the National Survey of Family Growth. Participants Adolescent females 15-19 years old. Setting Nationally representative sample. Methods Bivariate and multivariable analyses were performed of the 2002 and 2006-08 cycles to examine whether sociodemographic factors, contraceptive history, sexual education and behavior history, medical services history, and family and sexual attitudes were associated with a positive pregnancy attitude among sexually active teen females. Results Among the 975 sexually active US adolescent females surveyed, 15% reported a positive pregnancy attitude. Compared with adolescent females with a negative pregnancy attitude, those females with a positive pregnancy attitude were significantly (P < .05) more likely to have public insurance (43% vs 20%), to be poor (33% vs 10%), to have reached menarche at an earlier age (12 years old vs 13 years old), ever have HIV tested (35% vs 23%), but less likely to have ever been forced to have sex (1% vs 10%). In multivariable analyses, Latino race/ethnicity was associated with triple the odds, and African-American double the odds, of a positive pregnancy attitude. Older age of menarche and higher family income were associated with reduced odds of a positive pregnancy attitude. Conclusions One in 7 sexually active US adolescent females had a positive pregnancy attitude. Minority race/ethnicity was associated with greater odds of a positive pregnancy attitude, whereas older age of menarche and a higher family income were associated with lower odds of a positive pregnancy attitude. Assessing pregnancy attitudes for these groups of adolescent females might prove useful to decrease adolescent pregnancy rates.

There are no comments yet on this publication. Be the first to share your thoughts.