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Gravid Students: Characteristics of Nongravid Classmates Who React With Positive and Negative Feelings About Conception

Gravid Students: Characteristics of Nongravid Classmates Who React With Positive and Negative... Abstract Objective: To determine whether gravid classmates affect nongravid students' feelings about conception. Method: Cross-sectional survey of a school-based clinic population. We asked 130 nulliparous high school students who were seeking routine health care at an urban school-based clinic to complete an anonymous questionnaire concerning risk factors for and attitudes about teen pregnancy. Results: The respondents were grouped according to the effect that contact with gravid classmates had on their desire for conception: increased desire (n=13), no change in desire (n=59), and decreased desire (n=49). The analysis disclosed no significant group differences for age (mean±SD, 16.3±1.2 years), sex (65% female), welfare use (20%), or living situation (85% lived with a parent). The increased-desire group had significantly more sociodemographic risk factors for teen pregnancy than did the groups with no change and decreased desire. The group with increased desire was significantly more likely than the other two groups to be failing in school (54% vs 44% and 12.2%; P<.001), to have low education goals (15.4% vs 3.4% and 0%; P=.02), to be unhappy with their family support (69.2% vs 27.1% and 29.8%; P=.01), to be concerned about sterility (30.8% vs 8.6% and 6.1%; P=.03), not to be using contraceptives (77% vs 35.6% and 30.6%; P<.01), to want a pregnancy within 2 years (61.5% vs 25.4% and 12.2%; P<.001), and to have a sexual partner who wanted a pregnancy within 2 years (61.5% vs 13.6% and 8.2%; P<.0001). Conclusions: Our findings support the study hypothesis that that never-pregnant students in the increased-desire group had more sociodemographic risk factors for teen pregnancy than did students in the groups with no change or decreased desire. The results of this study may help to ally concerns about the adverse effect that the increased prevalence of gravid students in American schools might have on the childbearing attitudes of never-pregnant students.(Arch Pediatr Adolesc Med. 1995;149:272-275) References 1. Stevens-Simon C, Beach RK. School-based prenatal and postpartum care: startegies for meeting the unique medical and educational needs of pregnant and parenting students . J School Health . 1992;62:304-309.Crossref 2. Stout JW, Rivara FP. Schools and sex education: does it work? Pediatrics . 1989;83:375-379. 3. Zellman GL. Public school programs for adolescent pregnancy and parent-hood: an assessment . Fam Plan Perspect . 1982;14:15-21.Crossref 4. Wolk LI, Kaplan DW. Frequent school-based clinic utilization: a comparative profile of problems and service needs . J Adolesc Health . 1993;14:458-463.Crossref 5. McAnarney ER, Hendee WR. The prevention of adolescent pregnancy . JAMA . 1989;262:78-82.Crossref 6. Stevens-Simon C, White M. Adolescent pregnancy . Pediatr Ann . 1991;20:322-331.Crossref 7. Elster AB, Ketterlinus R, Lamb ME. Association between parenthood and problem behavior in a national sample of adolescents . Pediatrics . 1990;85:1044-1050. 8. Abrahamse AF, Morrison PA, Waite LJ. Teenagers willing to consider single parenthood: who is at greatest risk? Fam Plan Perspect . 1988;20:13-18.Crossref 9. Rainey D, Stevens-Simon C, Kaplan DW. Self-perception of infertility among female adolescents . AJDC . 1993;147:1053-1056. 10. Zabin LS, Astone NM, Emerson MR. Do adolescents want babies? The relationship between attitudes and behavior . J Res Adolesc . 1993;3:67-86.Crossref 11. Stevens-Simon C, Beach R, Eagar R. Contraception after a negative pregnancy test during adolescence . Adolesc Pediatr Gynecol . 1993;6:83-85.Crossref 12. Klerman LV. Adolescent pregnancy and parenting controversies of the past and lessons for the future . J Adolesc Health . 1993;14:553-561.Crossref 13. Stevens-Simon C, Reichert S. Sexual abuse, adolescent pregnancy, and child abuse . Arch Pediatr Adolesc Med . 1994;148:23-27.Crossref 14. Norusis MJ. Statistical Package for the Social Sciences (SPSS/PC+) . Chicago, III: SPSS Inc; 1990. 15. Jones EF, Forrest JD, Goldman N, et al. Teenage pregnancy in developed countries: determinants and policy implications . Fam Plan Perspect . 1985;17:53-63.Crossref 16. Kirby D. School-based programs to reduce sexual risk-taking behavior . J School Health . 1992;62:280-287.Crossref 17. Howard M, McCabe JB. Helping teenagers postpone sexual involvement . Fam Plan Perspect. 1990;22:21-26.Crossref 18. Stevens-Simon C. Working with the personal fable . J Adolesc Health . 1993; 14:349.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Gravid Students: Characteristics of Nongravid Classmates Who React With Positive and Negative Feelings About Conception

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.1995.02170150052009
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: To determine whether gravid classmates affect nongravid students' feelings about conception. Method: Cross-sectional survey of a school-based clinic population. We asked 130 nulliparous high school students who were seeking routine health care at an urban school-based clinic to complete an anonymous questionnaire concerning risk factors for and attitudes about teen pregnancy. Results: The respondents were grouped according to the effect that contact with gravid classmates had on their desire for conception: increased desire (n=13), no change in desire (n=59), and decreased desire (n=49). The analysis disclosed no significant group differences for age (mean±SD, 16.3±1.2 years), sex (65% female), welfare use (20%), or living situation (85% lived with a parent). The increased-desire group had significantly more sociodemographic risk factors for teen pregnancy than did the groups with no change and decreased desire. The group with increased desire was significantly more likely than the other two groups to be failing in school (54% vs 44% and 12.2%; P<.001), to have low education goals (15.4% vs 3.4% and 0%; P=.02), to be unhappy with their family support (69.2% vs 27.1% and 29.8%; P=.01), to be concerned about sterility (30.8% vs 8.6% and 6.1%; P=.03), not to be using contraceptives (77% vs 35.6% and 30.6%; P<.01), to want a pregnancy within 2 years (61.5% vs 25.4% and 12.2%; P<.001), and to have a sexual partner who wanted a pregnancy within 2 years (61.5% vs 13.6% and 8.2%; P<.0001). Conclusions: Our findings support the study hypothesis that that never-pregnant students in the increased-desire group had more sociodemographic risk factors for teen pregnancy than did students in the groups with no change or decreased desire. The results of this study may help to ally concerns about the adverse effect that the increased prevalence of gravid students in American schools might have on the childbearing attitudes of never-pregnant students.(Arch Pediatr Adolesc Med. 1995;149:272-275) References 1. Stevens-Simon C, Beach RK. School-based prenatal and postpartum care: startegies for meeting the unique medical and educational needs of pregnant and parenting students . J School Health . 1992;62:304-309.Crossref 2. Stout JW, Rivara FP. Schools and sex education: does it work? Pediatrics . 1989;83:375-379. 3. Zellman GL. Public school programs for adolescent pregnancy and parent-hood: an assessment . Fam Plan Perspect . 1982;14:15-21.Crossref 4. Wolk LI, Kaplan DW. Frequent school-based clinic utilization: a comparative profile of problems and service needs . J Adolesc Health . 1993;14:458-463.Crossref 5. McAnarney ER, Hendee WR. The prevention of adolescent pregnancy . JAMA . 1989;262:78-82.Crossref 6. Stevens-Simon C, White M. Adolescent pregnancy . Pediatr Ann . 1991;20:322-331.Crossref 7. Elster AB, Ketterlinus R, Lamb ME. Association between parenthood and problem behavior in a national sample of adolescents . Pediatrics . 1990;85:1044-1050. 8. Abrahamse AF, Morrison PA, Waite LJ. Teenagers willing to consider single parenthood: who is at greatest risk? Fam Plan Perspect . 1988;20:13-18.Crossref 9. Rainey D, Stevens-Simon C, Kaplan DW. Self-perception of infertility among female adolescents . AJDC . 1993;147:1053-1056. 10. Zabin LS, Astone NM, Emerson MR. Do adolescents want babies? The relationship between attitudes and behavior . J Res Adolesc . 1993;3:67-86.Crossref 11. Stevens-Simon C, Beach R, Eagar R. Contraception after a negative pregnancy test during adolescence . Adolesc Pediatr Gynecol . 1993;6:83-85.Crossref 12. Klerman LV. Adolescent pregnancy and parenting controversies of the past and lessons for the future . J Adolesc Health . 1993;14:553-561.Crossref 13. Stevens-Simon C, Reichert S. Sexual abuse, adolescent pregnancy, and child abuse . Arch Pediatr Adolesc Med . 1994;148:23-27.Crossref 14. Norusis MJ. Statistical Package for the Social Sciences (SPSS/PC+) . Chicago, III: SPSS Inc; 1990. 15. Jones EF, Forrest JD, Goldman N, et al. Teenage pregnancy in developed countries: determinants and policy implications . Fam Plan Perspect . 1985;17:53-63.Crossref 16. Kirby D. School-based programs to reduce sexual risk-taking behavior . J School Health . 1992;62:280-287.Crossref 17. Howard M, McCabe JB. Helping teenagers postpone sexual involvement . Fam Plan Perspect. 1990;22:21-26.Crossref 18. Stevens-Simon C. Working with the personal fable . J Adolesc Health . 1993; 14:349.Crossref

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Mar 1, 1995

References