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Initiation of prenatal care by adolescents. Associations with social support, stress, and Hispanic ethnicity.

The purpose of this study was to determine the social factors associated with initiation of prenatal care by adolescents. Eighty-one postpartum adolescents aged 17 years and under were interviewed within 24 hours of delivery about background factors, living situation, experiences, and behaviors during pregnancy. Of the adolescents, 58 were of Hispanic (Mexican) origin; the remainder were non-Hispanic whites. The first prenatal visit occurred at a mean of 4.04 months' gestation for Hispanics and 4.39 months' gestation for the non-Hispanics, one month after the pregnancy test. Differences between the ethnic groups were not significant. Controlling for ethnicity, both age and social support from the partner and his family were associated with initiation of care (P less than .01). In a separate analysis, age and partner-family support were unaffected by the introduction of stress and parental support (P less than .01). These findings highlight the importance of the partner and his family as a source of support to pregnant adolescents. To whom and when the adolescent communicates about the pregnancy may be the key linking social support to initiation of prenatal care. Providers who work with sexually active adolescents should emphasize the importance of early communication with partners and with family members if a pregnancy is suspected.

Adolescent↗

Safer sex communication and unsafe sexual behavior among young men who have sex with men in California.

Our objective was to investigate sexual communication and risk-taking behaviors among young men who have sex with men (MSM). MSM aged 17 to 25 years were recruited from four areas throughout California. The construct Safer Sex Communication, assessed through principal-components analysis, was defined as perceived efficacy or experience in minimizing the risk of sexual HIV infection through communication with partners. In the 6 months prior to the survey, 35.6% of the MSM had participated in unprotected anal intercourse (UAI). Adjusted logistic regression analyses found low Safer Sex Communication to be predictive of UAI. In addition, negative attitudes toward safe sex, high perceived risk of HIV infection, 10 or more male sex partners during the previous 6 months, and use of cocaine in the past 6 months were also independently related to UAI. Safer Sex Communication skills should be an outcome of interventions designed to prevent HIV transmission among young MSM.

Adolescent↗

The impact of a family planning multimedia campaign in Bamako, Mali.

An integrated multimedia campaign featuring family planning messages saturated the 900,000-person city of Bamako, Mali, for three months during the spring of 1993. With traditional theater and music, family planning messages were repeatedly broadcast on radio and television that conveyed information about modern contraceptive methods, the need for male sexual responsibility, the health and economic advantages of family planning, the need for communication between spouses, and that Islam, the predominant faith of Mali, does not oppose family planning. A separate sample pretest-post-test quasi-experimental research design was used to evaluate the effects of the campaign and exposure to specific messages on changes in contraceptive knowledge, attitudes, and practice. Results indicate a high level of exposure to and agreement with the messages. A dramatic drop was found in the proportion of men and women who believe that Islam opposes family planning. Logistic regression results indicate that contraceptive knowledge and use and more favorable attitudes toward family planning are positively associated with intensity of exposure to the project interventions, after controlling for relevant variables.

Adolescent↗

Social and linguistic factors influencing adaptation in children's speech.

The ability to appropriately reciprocate or compensate a partner's communicative response represents an essential element of communicative competence. Previous research indicates that as children grow older, their speech levels reflect greater adaptation relative to their partner's speech. In this study, we argue that patterns of adaptation are related to specific linguistic and pragmatic abilities, such as verbal responsiveness, involvement in the interaction, and the production of relatively complex syntactic structures. Thirty-seven children (3-6 years of age) individually interacted with an adult for 20 to 30 minutes. Adaptation between child and adult was examined among conversational floortime, response latency, and speech rate. Three conclusions were drawn from the results of this investigation. First, by applying time-series analysis to the interactants' speech behaviors within each dyad, individual measures of the child's adaptations to the adult's speech can be generated. Second, consistent with findings in the adult domain, these children generally reciprocated changes in the adult's speech rate and response latency. Third, there were differences in degree and type of adaptation within specific dyads. Chronological age was not useful in accounting for this individual variation, but specific linguistic and social abilities were. Implications of these findings for the development of communicative competence and for the study of normal versus language-delayed speech were discussed.

Child↗

The pre- and poststerilization predictors of poststerilization regret in husbands and wives.

Husbands and wives from 141 tubal sterilization couples and 162 vasectomy couples were interviewed just prior to sterilization and then again 1 and 2 years later. We conducted linear regression analyses to determine the pre- and poststerilization predictors of poststerilization regret in each of the four gender x method groups (tubal husbands, tubal wives, vasectomy husbands, vasectomy wives). We confirmed a number of hypotheses based on the research literature and our own earlier work. Both individual and couple factors contributed to the development of regret, as did both pre- and poststerilization factors. An important finding was the degree to which regret among the nonsterilized respondents (tubal husbands, vasectomy wives) was affected by pre- and poststerilization interaction with their spouses.

Adult↗

The problems of a social survey in epidemiology: an experience from a Zambian rural community.

A socio-economic study of 1097 people was carried out between November and December 1979. Demographic data and other health characteristics were obtained by census of the entire study population. Interviews covered disease awareness, perceived morbidity, health-care utilization, knowledge, attitudes and practices; all adults aged 15 years and above were interviewed 2 weeks before physical examinations were made. Age and literacy level were found to have no effect on the people's health-seeking behaviour in Kabinga. The results of this social survey failed to reveal the real practices of the community's use of both ethno-medicine and biomedicine.

Adolescent↗

A report on voluntary sterilisation with special reference to minors and women who are intellectually disabled.

There are no specific legislative provisions regulating sterilisation in any State or Territory in Australia and there is a dearth of general case law on the subject. To determine the law relating to sterilisation, we need to consider both criminal and civil liability. In the absence of specific statutory provisions, it is necessary to examine the common law and the possible application of non-specific statutory provisions in both areas.

Adolescent↗