货币激励和同行支持小组对青少年重复怀孕的影响. 一个随机试验的美元一天计划
C Stevens-Simon1, J I Dolgan, L Kelly
1Division of Adolescent Medicine, University of Colorado Health Sciences Center, Denver 80218, USA.
JAMA
|March 26, 1997
概括
货币激励增加了青少年母亲参加同行支持小组的参与. 然而,这些群体并没有减少重复怀孕,这表明需要不同的干预措施来解决青少年怀孕预防问题.
科学领域:
- 生殖健康 生殖健康
- 青少年医学 青少年医学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 青少年母亲面临重复怀孕的高风险.
- 同行支持小组和货币激励是潜在的干预措施.
- 这些干预措施在预防重复怀孕方面的有效性需要研究.
研究的目的:
- 评估货币激励是否增强青少年母亲在同行支持小组中的参与.
- 为了确定同行支持小组的参与是否减少了青少年重复怀孕.
主要方法:
- 在科罗拉多州丹佛进行了一项为期两年的前性随机对照试验.
- 286名初婚的青少年母亲被随机分为四组:激励+同行支持,仅同行支持,仅激励,或没有干预.
- 测量的主要结果是干预参与率和重复怀孕率.
主要成果:
- 货币激励措施显著增加了同行支持小组的参与率 (58%与9%相比).
- 同行支持小组未能在分娩后6,12,18和24个月预防重复怀孕.
- 社会人口统计学因素影响了怀孕时间,但没有影响干预措施的采用.
结论:
- 货币激励可以有效地增加青少年母亲参与同行支持计划的参与.
- 目前的同行支持干预措施,即使有激励措施,也不能防止青少年重复怀孕.
- 未来的研究应该探索针对日常生活环境的干预措施,以减少高重复怀孕率.
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