TITLE

Pregnancy Risk among Black, White, and Hispanic Teen Girls in New York City Public Schools

AUTHOR(S)
Waddell, Elizabeth; Orr, Mark G.; Sackoff, Judith; Santelli, John S.
PUB. DATE
May 2010
SOURCE
Journal of Urban Health;May2010, Vol. 87 Issue 3, p426
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Disparities in teen pregnancy rates are explained by different rates of sexual activity and contraceptive use. Identifying other components of risk such as race/ethnicity and neighborhood can inform strategies for teen pregnancy prevention. Data from the 2005 and 2007 New York City Youth Risk Behavior Surveys were used to model demographic differences in odds of recent sexual activity and birth control use among black, white, and Hispanic public high school girls. Overall pregnancy risk was calculated using pregnancy risk index (PRI) methodology, which estimates probability of pregnancy based on current sexual activity and birth control method at last intercourse. Factors of race/ethnicity, grade level, age, borough, and school neighborhood were assessed. Whites reported lower rates of current sexual activity (23.4%) than blacks (35.4%) or Hispanics (32.7%), and had lower predicted pregnancy risk (PRI = 5.4% vs. 9.0% and 10.5%, respectively). Among sexually active females, hormonal contraception use rates were low in all groups (11.6% among whites, 7.8% among blacks, and 7.5% among Hispanics). Compared to white teens, much of the difference in PRI was attributable to poorer contraceptive use (19% among blacks and 50% among Hispanics). Significant differences in contraceptive use were also observed by school neighborhood after adjusting for age group and race/ethnicity. Interventions to reduce teen pregnancy among diverse populations should include messages promoting delayed sexual activity, condom use and use of highly effective birth control methods. Access to long-acting contraceptive methods must be expanded for all sexually active high school students.
ACCESSION #
50498481

 

Related Articles

  • Sexarca, informação e uso de métodos contraceptivos: comparação entre adolescentes. Patias, Naiana Dapieve; Garcia Dias, Ana Cristina // Psico-USF;Jan-Apr2014, Vol. 19 Issue 1, p13 

    This study aimed to compare the age at first sexual intercourse, information about contraceptive methods, besides its use with the occurrence of adolescent pregnancy in two groups (50 pregnant and 50 nonpregnant). The questionnaire developed for the study investigated these variables. It was...

  • Emergency contraception what's new? Gupta, Sunanda // Update;7/10/2003, Vol. 67 Issue 3, p176 

    Choices in emergency contraception are currently fairly limited, but new options are currently under investigation. Teenage pregnancy is an important public and social health issue in England and Wales. Emergency contraception remains a highly effective method of reducing teenage pregnancy rates...

  • The Relationship Context of Contraceptive Use At First Intercourse. Manning, Wendy D.; Longmore, Monica A.; Giordano, Peggy C. // Family Planning Perspectives;May/Jun2000, Vol. 32 Issue 3, p104 

    Context: Despite widespread efforts to increase contraceptive use to prevent both pregnancy and sexually transmitted diseases among sexually active adolescents, most prior work examining adolescent contraceptive use does not explicitly recognize that sexual decision-making inherently involves...

  • Adolescent Drug Users More Likely to Become Pregnant, Elect Abortion. Remez, L. // Family Planning Perspectives;Nov/Dec92, Vol. 24 Issue 6, p281 

    The article presents a study of adolescent drug users who are more likely to become pregnant and elect abortion. Researchers utilized data from the National Longitudinal Survey of Youth, a multistage probability sample of young people born in 1957-1964 who have been interviewed annually since...

  • Young Women's Degree of Control over First Intercourse: An Exploratory Analysis. Abma, Joyce; Driscoll, Anne; Moore, Kristin // Family Planning Perspectives;Jan/Feb98, Vol. 30 Issue 1, p12 

    Context: While policymakers and researchers alike often seem to believe that young women's decision to initiate sexual intercourse is conscious and free of ambiguity, the actual degree of control that such young women exert over first intercourse has rarely been explicitly examined. Methods: The...

  • Intergenerational Transmission Of School-Age Parenthood. Horwitz, Sarah McCue; Klerman, Lorraine V.; Kuo, H. Sung; Jekel, James F. // Family Planning Perspectives;Jul/Aug91, Vol. 23 Issue 4, p168 

    The article reports on a long-term follow-up of a group of black women who were young mothers in the late 1960s and the majority of their offspring had not become parents by the age of 19. Teenage pregnancy in the U.S. continues to be a significant social issue. Teenage parents are likely to...

  • Imparting Knowledge Of Emergency Contraception To Female College Students: Is It Dangerous? Puri, Sonia; Sehgal, Alka; Mangat, Chetna; Singh, Amarjeet; Kaur, Amritpal // Internet Journal of Epidemiology;2008, Vol. 6 Issue 1, p3 

    Globally, unplanned pregnancy in adolescents is a major public health problem with psychosocial and economic repercussions for the unprepared young individual. The problem is more grave in developing countries where 1/3rd of women are mothers before 20 yrs of age [1] . Even though sexarche (age...

  • Hormonal Contraception in Adolescents: Special Considerations. Ornstein, Rollyn M.; Fisher, Martin M. // Pediatric Drugs;2006, Vol. 8 Issue 1, p25 

    With the rates of unintended pregnancies in teenagers remaining high, it is crucial to present adolescents with all of the contraceptive options available to them. While barrier methods, for example, male condoms, are easily accessible and do not have adverse effects, their use must be...

  • Age at Menarche and First Pregnancy Among Psychosocially At-Risk Adolescents. Dunbar, Jessica; Sheeder, Jeanelle; Lezotte, Dennis; Dabelea, Dana; Stevens-Simon, Catherine // American Journal of Public Health;Oct2008, Vol. 98 Issue 10, p1822 

    We sought to determine which factors influence the association between menarche and conception among adolescent study participants (n = 1030), who demonstrated an earlier age of menarche than did national samples. Age at first sexual intercourse (coitarche) mediated the relationship between age...

  • Kids Having Kids Declines.  // State Legislatures;Oct/Nov2005, Vol. 31 Issue 9, p5 

    The article reports on the decline in the number of teen birth rate in 2003, according to the U.S. National Center for Health Statistics. The declines in teen births have been especially striking among young African American girls. Their overall rate dropped 45 percent since 1991, and the rate...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics