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Teenage pregnancy: the forgotten father.

Fathers involved with teenage pregnancies have been neglected by the medical profession and social service agencies. The birth of a child has a profound impact on most fathers. The father plays an important role at all stages of the child's development, as evidenced by the adverse effects of father absence. Teenage fathers often do have a close, meaningful relationship with the mother, but many have difficulty coping with the pregnancy and the change in lifestyle created by the birth of a child. Agencies dealing with the pregnant teenager must include the father. Attempts to strengthen the father-mother and father-child relationship should be encouraged. Prevention of teenage pregnancy and its adverse consequences must ultimately involve the male if these efforts are to succeed.

Adolescent↗

The development of attachment behaviors in pregnant adolescents.

The development of attachment behaviors over time in a group of pregnant adolescents, ages 12 to 19, was investigated with Rubin's theoretical framework. Seventy-nine low-income pregnant adolescents enrolled in the study in their first trimester. Follow-up data were collected in the second and third trimesters (n = 64 and 54, respectively) and after delivery (n = 47). Multivariate analysis, using profile analysis, indicated that maternal attachment in adolescents begins in pregnancy and increases over time, especially after quickening. Age-related differences were noted in the development of maternal-fetal attachment behaviors related to giving of self. Results showed a positive relationship between attachment in the third trimester and demonstration of affectionate behaviors toward the infant after birth. These findings are consistent with the theoretical framework.

Adolescent↗

Male adolescents involved in pregnancy: associated health risk and problem behaviors.

OBJECTIVE: Little is known about male high school students who have been involved in a pregnancy. This study was undertaken to determine whether male involvement with a pregnancy during adolescence is associated with other risk and problem behaviors. METHODS: The 1993 Massachusetts Youth Risk Behavior Survey was conducted on a random sample of 3054 9th- through 12th-grade students. The use of tobacco, alcohol, and other drugs, early and multiple sexual experiences, fighting resulting in injury, and demographic variables were compared between sexually active young men who reported being involved in pregnancy (n = 82) and their counterparts who reported not ever causing a pregnancy (n = 537). Associations were measured using chi 2 analyses and Kruskal-Wallis analysis of variance. Stepwise logistic regression was used to further analyze those variables significantly associated with involvement with a pregnancy. RESULTS: Based on logistic regression, older age and earlier ages of onset of cocaine use, initial sexual intercourse, and regular use of cigarettes were associated with being involved with a pregnancy. An increased lifetime frequency of cocaine use, lifetime frequency of alcohol use, and an increased number of lifetime sexual partners were also associated with having caused a pregnancy. Those who reported involvement with a pregnancy reported a higher frequency of being injured in a fight during the past year, drinking while driving, and having multiple sexual partners during the previous 30 days than those who had not gotten someone pregnant. CONCLUSIONS: A history of being involved with a pregnancy clustered with other health risk and problem behaviors to form a "risk behavior syndrome." These findings suggest that when risk behaviors are encountered during the routine comprehensive screening of male adolescents, strategies for pregnancy prevention among young men should also be emphasized.

Adolescent↗