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  • Title: The impact of medical and social factors in teenage pregnancy.
    Author: Freeman EW, Rickels K, Sondheimer SJ.
    Journal: Am J Gynecol Health; 1988; 2(1):5-14. PubMed ID: 12315231.
    Abstract:
    This study assesses whether selected medical and psychosocial factors differ between 3 groups in a consecutive clinical sample of urban, low income black teenagers in the US: never-pregnant contraceptors (N = 110), aborters (N = 94) and deliverers (N = 137). The 3 age groups have the same backgound characteristics and are age-matched from 13-17 years. The sample was followed for 2 years with 95% retained at the 2-year follow-up. Deliverers are strongly discriminated from the aborters and the never-pregnant contraceptors by medical and psychosocial factors including never having used contraception, "wanting" a baby, having their mother's support for a baby, and not having support from mother or boyfriend for abortion. The aborters and never-pregnant groups differ only in the psychosocial variables. Teens who initially used contraception but subsequently gave birth during the study were predicted. Data collected before their pregnancies occurred showed they wanted pregnancy had a closer relationship with their boyfriends, and greater distance from their mothers. The majority of the never-pregnant group continued contraceptive use without a pregnancy for at least 3 years, demonstrating that effective contraceptive use by teenagers is possible.
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