Adolescent Pregnancy Prevention in a Rural Native American Community

Nationally, the United States has a higher rate of teen pregnancy than any other industrialized nation. Native American youth have a higher birth rate than the national rate. A full-year healthy relationship program, based on Native American teachings, traditions, and cultural norms, was delivered to all eighth-grade students at a rural tribal school and a new group of eighth graders every year for 5 years, to teach healthy relationships and encourage abstinence. This article summarizes the Discovery Dating curriculum and compares the participants in the healthy relationship program to the comparison group, at the end of 5 years, in regards of the number of pregnancies as well as self-reported sexual behavior. The comparison group comprises students in the same community who attended a public middle school, rather than the tribal middle school, but the same public high school. All students had a similar age, socioeconomic status, culture, and ethnicity. Students who received the healthy relationship program (treatment group) had fewer pregnancies than the students who did not receive the healthy relationship program (comparison group). Of those who reported that they were sexually active, the students who received the healthy relationship program (treatment group) reported higher condom use than the students who did not receive the healthy relationship program (comparison group).     

A Participant-Informed Model for Preventing Teen Pregnancy in a Rural Latino Community

Recognizing the need for health prevention efforts that are tailored to the needs of Latinos in rural communities, the researchers utilized focus groups to ascertain the perspectives of Latino children and their parents who participated in a teen pregnancy prevention program. This article presents a Latino-driven conceptual design of an evidence-informed comprehensive, community-based, and culturally sensitive teen-pregnancy prevention program. The new model, called the Family-Festival Prevention Model, (1) used culturally relevant and experiential learning activities, (2) promoted community connections, (3) incorporated strategies that engaged fathers, and (4) engaged important faith-based and community stakeholders to involve the whole community in prevention efforts.     

“I Felt Like I Was Being Abused All Over Again”: How Survivors of Child Sexual Abuse Make Sense of the Perinatal Period Through Their Narratives

ABSTRACT

Sequelae following child sexual abuse pervade the lives of adult survivors, significantly impacting on pregnancy and childbirth. Symptoms of this distress are recognized, but meanings for women are less understood. This research aimed to examine the meaning for women themselves of the impact of child sexual abuse on experiences of pregnancy, childbirth, and the postnatal period. Taking a critical feminist perspective, three open-ended interviews with three survivors enabled women’s narratives of pregnancy and childbirth to be heard, explored the structure of these narratives, including how experiences were connected, and identified key themes and how selves and others were positioned. Women themselves contributed to the analysis of their own narratives. The different struggles of each woman occurred within three domains of experience: identity, embodiment, and parenting. They were underpinned by a fluctuation between empowerment and disempowerment. These findings, although based on detailed analysis of the experiences of only three women, dovetail with, integrate, and extend the existent literature, offering a framework for understanding the complexity of meaning making for women. Further research might develop this. The framework may facilitate clinicians’ understandings of what it is like for some women having children who have experienced child sexual abuse.     

Child Welfare Services

Abstract

This paper highlights the problem of children being at risk for placement by public child welfare systems into substitute care. It focuses on one state, Illinois, which has had considerable success in reducing its caseload. Risk factors are hypothesized. It presents research involving regression analysis of data for the city of Chicago. A cross-sectional design is utilized for a division of the city into nine regions. Results indicate that children being wards of the state is impacted significantly by demographics (being African-American) and teen-age pregnancy. The effects of poverty were not as hypothesized. Further research is required.     

Adoption in the Media

Abstract

This is a review of three articles that appeared in the popular print media in 1996. All cover the subject of teen pregnancy. Two are written by or about birth parents and their decision to plan adoption. The other article focuses on the life of two teenagers who will parent their children.     

Evaluation of the Infant Adoption Awareness Trainings: Transforming Training Knowledge to Adoption Practice

Mixed methods were used to evaluate the effectiveness of the infant adoption awareness trainings. Quantitative data were collected through a pre-test/post-test design (n = 2797) that measured trainees’ level of knowledge gained from the trainings. Qualitative data were collected through a follow-up survey (n = 304) and telephone interviews (n = 82) with trainees to assess whether the learning that occurred at the trainings has been applied to adoption-related practices. Findings suggest that trainees felt more comfortable discussing adoption as an option and were better prepared to use correct adoption terminology. Implications for practice, policy advocacy, and future research are discussed.     

Silent witness : detection,femininity, and the post-mortem body

The interactive personality quiz regularly featured in teenage girls' magazines is a unique feature of the monthly publications. Using Hall's model of communication, I examine the ways in which the magazines encode information within the texts of the quizzes, paying special attention to the connotations that emerge from the structure of the quiz text, and the ways the quizzes operate to ensure the same disciplinary messages are presented to all readers.     

Midlife Women Online: Evaluation of an Internet-Based Program to Prevent Unintended Pregnancy & STIs

Background: Midlife women are an underserved population in the areas of unintended pregnancy and STI prevention yet remain at risk for both health conditions. Methods: A randomized controlled trial of an Internet-based multimedia program to reduce risk of unintended pregnancy and STIs among midlife women was conducted with 164 women ages 40–55 years of age. Results: Women in the treatment condition compared to the control condition reported significant gains in attitudes, self-efficacy, and behavioral intentions at posttest. Conclusion: Interventions specifically targeted to midlife women can impact constructs known to reduce risk. Implications for future research and intervention development are presented.     

More Nuanced Universal Services for New Parents: Avoiding Assumptions of Homogeneity

Abstract

Universal services focus on prevention and providing the support to parents that will help them meet the challenges of parenthood and deal with problems before they become entrenched. Many countries now have good universal services available for new families, and significant advances have been made in recent years to recognize the importance of the early years in the optimal development of the child. This article is based on a qualitative study of transition to parenthood. The study explored the experience of 25 first-time mothers in socioeconomically diverse circumstances in New Zealand. Eleven partners of these women also participated. Mothers were interviewed three times, first in late pregnancy, then 3 and 12?months after giving birth. Partners were interviewed once, mid-way through the baby’s first year. The article focuses on how participants experienced service support. It illustrates some of the diverse needs of new parents, and explains ways in which prevention services might become more responsive to parents’ expressed needs. The authors offer a case for stronger interplay between universal services and informal systems of support, and the development of a new generation of universal services that act as enablers of natural support hubs for new families within their own communities.     

Pathways to Intergenerational Adolescent Childbearing in a High‐Risk Sample

Previous research indicates that children of adolescent mothers are more likely to experience an adolescent birth than are children of older mothers. Using a longitudinal sample of 293 high‐risk mothers and their 19‐year‐old children, we investigated mediators of the intergenerational pattern of adolescent childbearing. Results from multigroup path models indicate that the intergenerational effect is (a) significant for children of unmarried mothers above and beyond mother’s prebirth socioeconomic status and education level, (b) fully mediated through early sexual intercourse related to presence of a father figure and early home environment for girls, and (c) partially mediated by early physical development for boys. Relation of findings to current models of early sexual behavior and childbearing is discussed.