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Hispanic adolescent pregnancy testers: a comparative analysis of negative testers, childbearers and aborters.

Fifty-six Hispanic adolescents who requested a pregnancy determination at a municipal outpatient adolescent clinic participated in a comparative study of negative testers, childbearers, and aborters. The study's purposes were to assess differences between negative and positive pregnancy testers and to evaluate the pregnancy resolution decision-making process of positive testers. Data were collected using a two-part structured interview administered prior to and following knowledge of pregnancy test results. Results indicated that negative and positive pregnancy testers were similar in all areas evaluated. However, positive testers were slightly older and had higher self-esteem than negative testers. Of the 36 positive testers, 29 chose to deliver and keep the baby. None of the adolescents chose adoption. Adolescents were consistent in their pregnancy resolution decision before and after knowledge of pregnancy test results. The pregnant adolescents considered themselves to be the most influential person in the decision-making process. There were no significant differences between the childbearers and the aborters, although the former demonstrated higher self-esteem and greater religiosity. Most of the teenagers were at risk for unintended pregnancy; therefore, subsequent family planning counseling efforts should be directed at this population.

Abortion, Induced↗

AIDS knowledge and risk behaviors among culturally diverse women.

This article reports results from a survey of women at risk for HIV infection. The sample (n = 620) included black (50.6%), white (28.7%), Hispanic (13.4%), and Haitian (5.0%) adult women from south Florida. Data concerning their AIDS knowledge, prevalence of risk behaviors, and perceived vulnerability are presented. Results indicate differences in certain knowledge areas and risk behaviors by race/ethnicity and a consistent incidence of unprotected sex with their main partners across all racial/ethnic groups.

Acquired Immunodeficiency Syndrome↗

Nurses, midwives and health research.

Despite the wealth of researchable topics in maternal and child health, it is rare for studies in this field to be carried out by nurse-midwives. This article explores the historical origins of nursing, its educational characteristics and its dominance by women, identifying obstacles to independent research and pointing to ways of overcoming them.

Attitude of Health Personnel↗

Parental responsibility of African-American unwed adolescent fathers.

This study investigated factors related to adolescent fathers' willingness to take parental responsibility for their children. Data were collected on a convenience sample of 43 African-American unwed adolescent fathers. Demographic information was gathered, and self-image was measured using the Offer Self-Image Questionnaire. An author-developed questionnaire measured father's parental responsibility, his own role expectations, and the perceived role expectations of his partner and parents. The findings indicated that father's parental responsibility was influenced by his own role expectations and self-image. The perceived role expectations of his partner and parents were not related to his willingness to take parental responsibility. This study helps adolescent care providers in various settings to become familiar with some of the issues related to teenage fathers, and assists them in determining appropriate interventions.

Adolescent↗

Coming of age in the era of AIDS: puberty, sexuality, and contraception.

The existing discrepancies between adolescent and societal constructions of teenage sexuality in America are further exacerbated by AIDS. Male and female teenagers receive different and often conflicting messages about sexuality from diverse sources; their parents' lack of frankness about sexual intercourse contrasts sharply with the media's emphasis on sex and with highly rationalistic discussions about sexuality in schools, complicating adolescents' decisions about entering and continuing sexual relationships. Survey research indicates that not all teenagers engaging in sexual intercourse reduce risks of HIV infection as much as they might. While AIDS has prompted many teenagers to change their sexual behavior, serious questions remain about adolescents' conceptions of the dangers of unprotected sex.

Acquired Immunodeficiency Syndrome↗

The relationship of self-esteem, maternal employment, and work-family plans to sex role orientations of late adolescents.

Self-esteem, maternal employment, and work-family plans are examined in relation to sex role orientations of late adolescents. Data are analyzed from questionnaires administered to 387 males and females. It was found that future work-family plans were closely tied to sex role orientations of adolescents of both sexes. However, self-esteem, evaluation of the relative difficulty of male-female sex roles, and projected childlessness were salient to sex role attitudes of females but not of males. Positive evaluations of self were related to non-traditional sex role orientations among females. Maternal employment differentially affected male and female children. Sons of women in high-status occupations were reluctant to get involved in a two-career family with children. Mothers' occupational status had little influence on the plans or sex role attitudes of daughters. The results indicate that future research should investigate whether maternal employment in high-status occupations, while providing a wider range of acceptable models for girls, may serve as a negative model for boys.

Adolescent↗

The role of sexual self-concept in the use of contraceptives.

Sexual self-concept--defined as an individual's evaluation of his or her own sexual feelings and actions--is proposed as an important predictor of contraceptive behavior among teenagers, and a scale measuring the concept is described. In exploratory analyses among university students, sexual self-concept is found to be associated with frequency of contraceptive use and use at most recent intercourse. It is also associated with their choice of contraceptive--students who had used prescription methods at last coitus had significantly higher scores on the sexual self-concept scale than did those who had used nonprescription methods or no method. These findings, together with the finding from analysis among high school students that sexual self-concept appears to improve with age, suggest that younger teenagers may be poorer users of contraceptives because of a lower sexual self-concept. Counseling and sex education that address social and psychological issues may help improve adolescent contraceptive practice by addressing teenagers' views of their own sexuality.

Adolescent↗

Pregnant adolescents attending prenatal parent education classes: self-concept, anxiety and depression levels.

Past research has indicated that pregnant adolescents who attend parent education programs (PEP) are more likely to have better outcomes after delivery than those who leave school. This study compared pregnant adolescents who attended a PEP (PA), those who did not attend a PEP (PC), and nonpregnant adolescents (NP) for differences in personality characteristics--self-concept, anxiety, and depression--which might account for postdelivery outcomes. On pre- and posttests administered four to six weeks apart, the PA did not indicate any changes over time and the groups did not differ significantly in self-concept and state and trait anxiety levels. Although the PA group showed a significantly higher level of depression on the pretest than did the NP group, they did not differ significantly at posttesting. According to demographic variables, the number of persons in household was significantly higher for the NP group than for the PA and PC groups. These results, not always consistent with past research on teenagers' personality characteristics, suggest: that the groups did not differ in terms of these personality characteristics, and that for these subjects (88% black), the tendency toward higher depression and anxiety levels in adolescence may not be significantly different from that experienced during pregnancy. The drawbacks of research in this area and for this project are discussed.

Adolescent↗

Contrasts in the self-esteem of unwed teenage mothers.

The self-esteem of 93 unmarried females between the ages of fourteen and nineteen was measured upon entry into several state-sponsored training programs. Some significant differences were discovered concerning the impact of early motherhood on these individuals. The symbolic importance of motherhood, as a passage into adult status, and the intervening effects of normative group anchorage may mediate between individuals' cognitive ability and their level of self-esteem.

Adolescent↗

Differences in adolescent self-concept as a function of race, geographic location, and pregnancy.

This study compares the self-concept scores of pregnant African-American adolescents from urban and rural areas. It was conducted in alternative schools for pregnant adolescents using the Offer Self-Image Questionnaire (OSIQ) as a data collection instrument with 199 girls 13 to 19 years of age. It was hypothesized that the self-concept of pregnant, African-American adolescents would not be influenced by their age or geographic location. Results of the data analysis refuted the null hypotheses. The self-concept scores of both groups were not as high as those of a nonpregnant norm group of adolescents, but the scores of the pregnant adolescents were very similar regardless of age or geographic location.

Adolescent↗

Women's protective sexual behaviors: a test of the health belief model.

Heterosexual transmission of the human immunodeficiency virus (HIV) has become a significant health issue for women. The present study describes the extent to which a sample of women from an urban area report making efforts to protect themselves from becoming infected with HIV through several protective sexual behaviors. Secondly, we assess the extent to which adoption of these protective behaviors can be explained by health beliefs and previous HIV testing. Forty-nine percent of the sample reported having used a condom in the past year because of fear of AIDS and 48% reported having carried condoms. Women in this sample perceived themselves to be moderately susceptible to AIDS and they were well aware of the severity of the disease. Women tended to think that protecting themselves from AIDS would not be overly burdensome and that the recommended sexual protective behaviors were highly effective for preventing AIDS. Messages about the severity of AIDS and the effectiveness of protective sexual behaviors seem to be reaching women. Beliefs about personal susceptibility were consistently associated with the adoption of multiple protective behaviors, suggesting that messages emphasizing the ubiquity of risk, especially in demographically high-risk populations, may be particularly appropriate and effective.

Adult↗

The relation between self-esteem, sexual activity, and pregnancy.

This study examined self-esteem in relation to sexual behaviors which often result in teen pregnancy. A sample of 141 male and 172 female adolescents of racial diversity was surveyed to elicit levels of self-esteem, sexual activity, pregnancy and fatherhood status. The Coopersmith Self-Esteem Inventory was used as well to elicit qualitative data about self-esteem, demographics, and sexual activity. Analysis revealed no differences in the self-esteem of males vs. females. Further, sexual activity or virginity was not related to self-esteem in either males or females. Pregnant teens did not have different levels of self-esteem from the nonpregnant. However, males who had fathered a child had lower self-esteem than did nonfathers. The findings support a multifocused approach to sex education for pregnancy prevention and also emphasize a need to include males in both pregnancy prevention efforts as well as in further research on teen pregnancy.

Adolescent↗