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Pregnancy intentions among expectant adolescent couples.
Amy Lewin1, Stephanie J Mitchell1, Stacy Hodgkinson2
1Center for Translational Science, Children's National Medical Center, Washington, DC.
Journal of Pediatric and Adolescent Gynecology
|March 18, 2014
Summary
Many teen mothers inaccurately perceive their male partners' pregnancy intentions, leading to inconsistent contraceptive use. Interventions should involve young fathers to improve teen pregnancy prevention.
Area of Science:
- Reproductive Health
- Adolescent Health
- Sociology
Background:
- Teen pregnancy remains a significant public health concern.
- Understanding parental involvement and intentions is crucial for prevention strategies.
Purpose of the Study:
- To assess male partners' self-reported pregnancy intentions.
- To evaluate adolescent mothers' accuracy in perceiving these intentions.
- To examine the agreement between mothers' and fathers' intentions.
Main Methods:
- Cross-sectional pilot study involving 35 expectant adolescent couples.
- Interviews conducted in participants' homes.
- Survey questions adapted from the CDC's Pregnancy Risk Assessment Monitoring System Questionnaire.
Main Results:
- 44% of fathers wanted the pregnancy; 15% were ambivalent.
- Mothers' perception of partners' intentions showed very low accuracy (kappa = 0.12).
- Low concordance between mothers' and fathers' intentions; ambivalent/wanting fathers were less likely to use consistent contraception.
Conclusions:
- Adolescent mothers often misperceive partners' intentions, impacting contraceptive control.
- Teen pregnancy prevention must engage young males alongside females.
- Open communication about pregnancy intentions is vital for sexually active adolescents.
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