Journal article
A Primary Care Intervention to Prevent Repeat Pregnancy Among Teen Mothers
American journal of preventive medicine, v 56(3), pp 404-410
01 Mar 2019
PMID: 30777159
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: The purpose of this study is to determine the effectiveness of a patient-centered medical home intervention for teen parent families in reducing rates of unintended repeat pregnancy in the first 2 years postpartum.
Methods: A prospective quasi-experimental evaluation was conducted with 98 African American, low-income, teen mother (aged <20 years) participants who received either the intervention or standard pediatric primary care. All participants completed structured interviews at baseline (child aged 2 months) and at follow-ups 12 and 24 months later. Data were collected from 2011 to 2015. Participants reported number of pregnancies, contraception used at last intercourse, depressive symptoms, and romantic status of the relationship with the baby's father. Analyses were conducted from 2015 to 2017.
Results: Logistic regression showed that mothers in the intervention group were half as likely as mothers who received standard pediatric primary care to have a repeat pregnancy within 2 years (OR=0.55, p=0.16). The main effect of the intervention on lower rates of repeat pregnancy was mediated by higher rates of contraceptive use. Depression was associated with higher odds of repeat pregnancy, but did not appear to mediate the intervention effect.
Conclusions: This comprehensive and integrated model of care for teen parents may be an effective method to prevent rapid repeat pregnancies in this vulnerable population. (C) 2018 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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Details
- Title
- A Primary Care Intervention to Prevent Repeat Pregnancy Among Teen Mothers
- Creators
- Amy Lewin - University of Maryland, College ParkStephanie J. Mitchell - Independent Research Consultant, Nashville, Tennessee.Deirdre A. Quinn - University of Maryland, College ParkTowanda M. Street - University of Maryland, College ParkKristine Schmitz - St. Christopher's Hospital for ChildrenLee S. Beers - Children’s National Health System
- Publication Details
- American journal of preventive medicine, v 56(3), pp 404-410
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- R40 MC 21512 / Health Resources and Services Administration Maternal and Child Health Bureau; United States Department of Health & Human Services; United States Health Resources & Service Administration (HRSA) HRD-1008117 / ADVANCE Program for Inclusive Excellence University of Maryland Graduate School National Science Foundation; National Science Foundation (NSF) University of Maryland, College Park
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000458728200013
- Scopus ID
- 2-s2.0-85061030978
- Other Identifier
- 991019168155304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health