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Adolescent pregnancy: do expectations affect intentions?

Catherine Stevens-Simon1, Jeanelle Sheeder, Roberta Beach

  • 1Division of Adolescent Medicine, Department of Pediatrics, University of Colorado Health Sciences Center, Denver, Colorado 80218, USA. stevens-simon.catherine@tchden.org

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|August 20, 2005
PubMed
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Teenage girls

Area of Science:

  • Reproductive Health
  • Adolescent Psychology

Background:

  • Adolescent pregnancy remains a significant public health concern.
  • Understanding factors influencing contraceptive use and pregnancy risk is crucial.

Purpose of the Study:

  • To examine the link between expectations about childbearing and the desire to avoid pregnancy in adolescents.
  • To test the hypothesis that fewer negative childbearing expectations increase conception risk in sexually active teens.

Main Methods:

  • Studied 351 racially and ethnically diverse, nulligravid, inadequately contracepting teenagers.
  • Administered a 60-item questionnaire on childbearing expectations.
  • Analyzed factorial structure and relationship to cognitive susceptibility to conception.

Main Results:

Related Experiment Videos

  • Identified a 9-factor structure for childbearing expectations, all reliably associated with the desire to remain nonpregnant.
  • Childbearing expectations regarding future plans, self-esteem, and relationships significantly predicted the desire to avoid pregnancy, explaining 56% of variance.
  • Developed and validated an 8-item screening tool.

Conclusions:

  • Adolescent childbearing expectations are distinct and significantly influence the desire to avoid pregnancy.
  • The validated 8-item tool can help identify teens at risk for unintended pregnancy despite stating a desire to avoid it.