Teen pregnancy in Chicago: Who is at risk?


Journal

Public health nursing (Boston, Mass.)
ISSN: 1525-1446
Titre abrégé: Public Health Nurs
Pays: United States
ID NLM: 8501498

Informations de publication

Date de publication:
05 2020
Historique:
received: 08 07 2019
revised: 27 02 2020
accepted: 28 02 2020
pubmed: 21 3 2020
medline: 10 2 2021
entrez: 21 3 2020
Statut: ppublish

Résumé

Teenage pregnancy, with its associated health and social consequences for young people and society as a whole, is one of the nation's most important public health issues. The purpose of this study was to use Youth Risk Behavior Survey (YRBS) data describe self-reported, pregnancy experiences in 9-12th grade Chicago Public Schools (CPS) students and identify teens at highest risk based on gender, grade-level, race, ethnicity, and sexual orientation. Secondary data analysis of the 2017 CPS high school Youth Risk Behavior Survey was conducted. The survey response rate was 73% (n = 1,883). 4.9% (n = 91) of CPS students in grades 9 - 12 reported a pregnancy experience, and 1.9% (n = 34) reported being "unsure" of a pregnancy experience. Statistically significant differences in the likelihood of self-reporting a pregnancy experience were found based on grade level (p = .000), race (p = .023), and sexual orientation (p = .000). While risk for a teen pregnancy experience varies across all groups, public health nurses can use YRBS data to better understand pregnancy risk in the populations they serve and can leverage core competencies, and robust community relationships to adapt, implement and evaluate evidence-based teen pregnancy prevention programs for maximum impact on teens at greatest risk.

Sections du résumé

BACKGROUND
Teenage pregnancy, with its associated health and social consequences for young people and society as a whole, is one of the nation's most important public health issues. The purpose of this study was to use Youth Risk Behavior Survey (YRBS) data describe self-reported, pregnancy experiences in 9-12th grade Chicago Public Schools (CPS) students and identify teens at highest risk based on gender, grade-level, race, ethnicity, and sexual orientation.
METHODS
Secondary data analysis of the 2017 CPS high school Youth Risk Behavior Survey was conducted.
RESULTS
The survey response rate was 73% (n = 1,883). 4.9% (n = 91) of CPS students in grades 9 - 12 reported a pregnancy experience, and 1.9% (n = 34) reported being "unsure" of a pregnancy experience. Statistically significant differences in the likelihood of self-reporting a pregnancy experience were found based on grade level (p = .000), race (p = .023), and sexual orientation (p = .000).
CONCLUSION
While risk for a teen pregnancy experience varies across all groups, public health nurses can use YRBS data to better understand pregnancy risk in the populations they serve and can leverage core competencies, and robust community relationships to adapt, implement and evaluate evidence-based teen pregnancy prevention programs for maximum impact on teens at greatest risk.

Identifiants

pubmed: 32196754
doi: 10.1111/phn.12726
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

353-362

Informations de copyright

© 2020 Wiley Periodicals, Inc.

Références

American Association of Colleges of Nursing (AACN). (2019). Guiding principles to academic-practice partnerships. Retrieved from https://www.aacnnursing.org/Academic-Practice-Partnerships/The-Guiding-Principles
Barrett, D. E., Katsiyannis, A., Zhang, D., & Kingree, J. B. (2014). Predictors of teen childbearing among delinquent and non-delinquent females. Journal of Family and Child Studies, 24(4), 970-978. https://doi.org/10.1007/s10826-014-9907-6
Brener, N. D., Collins, J. L., Kann, L., Warren, C. W., & Williams, B. I. (1995). Reliability of youth risk behavior survey questionnaire. American Journal of Epidemiology, 141(6), 575-580. https://doi.org/10.1093/oxfordjournals.aje.a117473
Brener, N. D., Kann, L., McManus, T., Kinchen, S. A., Sundberg, E. C., & Ross, J. G. (2002). Reliability of the 1999 youth risk behavior survey questionnaire. Journal of Adolescent Health, 31, 336-342. https://doi.org/10.1016/S1054-139X(02)00339-7
Cabanas-Sánchez, V., Martínez-Gómez, D., Esteban-Cornejo, I., Castro-Piñero, J., Conde- Caved, J., & Veiga, O. L. (2018). Reliability and validity of the Youth Leisure-time Sedentary Behavior Questionnaire (YLSBQ). Journal of Science and Medicine in Sport, 21(1), 69-74. https://doi.org/10.1016/j.jsams.2017.10.031
Centers for Disease Control and Prevention (CDC). (2013). Methodology of the Youth Risk Behavior Surveillance System-2013. MMWR, 62(No.1). Retrieved from https://www.cdc.gov/mmwr/pdf/rr/rr6201.pdf
Centers for Disease Control and Prevention (CDC). (2018a). Youth risk behavior surveillance system. Retrieved from https://www.cdc.gov/healthyyouth/data/yrbs/index.htm
Centers for Disease Control and Prevention (CDC). (2018b). Adolescent and school health: Overview. Retrieved from https://www.cdc.gov/healthyyouth/data/yrbs/overview.htm
Centers for Disease Control and Prevention (CDC). (2018c). Effectiveness of teen pregnancy prevention programs designed specifically for young males. Retrieved from https://www.cdc.gov/teenpregnancy/projects-initiatives/engaging-young-males.html
Centers for Disease Control and Prevention (CDC). (2019). Social determinants and eliminating disparities in teen pregnancy. Retrieved from https://www.cdc.gov/teenpregnancy/about/social-determinants-disparities-teen-pregnancy.htm
Charlton, B. M., Corliss, H. L., Missmer, S. A., Frazier, A. L., Rosario, M., Kahn, J. K., & Austin, S. B. (2011). Reproductive health screening disparities and sexual orientation in a cohort study of U.S. adolescent and young adult females. Journal of Adolescent Health, 49(5), 505-510. https://doi.org/10.1016/j.jadohealth.2011.03.013
Charlton, B. M., Roberts, A. L., Rosario, M., Katz-Wise, S. L., Calzo, J. P., Spiegelman, D., & Austin, S. B. (2018). Teen pregnancy risk factors among young women of diverse sexual orientations. Pediatrics, 141(4).
Chicago Health Atlas. (2018). Teen Birth Rate. Retrieved from https://www.chicagohealthatlas.org/indicators/teen-birth-rate
Chicago Public Schools. (2019a). CPS stats and facts. Retrieved from https://www.cps.edu/About_CPS/At-a-glance/Pages/Stats_and_facts.aspx
Chicago Public Schools. (2019b). School data. Retrieved from https://cps.edu/SchoolData/Pages/SchoolData.aspx
Coble, C. A., Silver, E. J., & Chhabra, R. (2017). Description of sexual orientation and sexual behaviors among high school girls in New York City. Journal of Pediatric and Adolescent Gynecology, 30(4), 460-465. https://doi.org/10.1016/j.jpag.2017.02.007
Cygan, H., McNaughton, D., Reising, V., & Reid, B. (2018). An academic practice partnership: Building capacity to meet sexual health education policy requirements of a public school system. Public Health Nursing, 35(5), 414-419. https://doi.org/10.1111/phn.12527
Dawson, R. (2018). Adolescent sexual health and education: Where does the pediatrician's responsibility fall? Pediatric Annals, 47(4), e136-e139. https://doi.org/10.3928/19382359-20180321-01
Demissie, Z., Clayton, H. B., & Dunville, R. L. (2019). Association between receipt of school- based HIV education and contraceptive use among sexually active high school students-United States, 2011-2013. Sex Education, 19(2), 237-246. https://doi.org/10.1080/14681811.2018.1501358
Drescher, C. F., Eldridge, E. D., Wood, E., Rossi, A. L., & Stepleman, L. (2018). Implementing an LGBQ training for teen pregnancy prevention facilitators. Georgia Educational Researcher, 15(1), Article 4. https://doi.org/10.20429/ger.2018.15104
Dupéré, V., Leventhal, T., Dion, E., Crosnoe, R., Archambault, I., & Janosz, M. (2015). Stressors and turning points in high school and dropout: A stress process, life course framework. Review of Educational Research, 85, 591-629. https://doi.org/10.3102/0034654314559845
Fisher, C. B., & Mustanski, B. (2014). Reducing health disparities and enhancing the responsible conduct of research involving LGBT youth. Hastings Center Report, 44, S28-S31. https://doi.org/10.1002/hast.367
Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., … Mori, R. (2014). Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. British Journal of Obstetrics and Gynaecology, 121(Suppl 1), 40-48. https://doi.org/10.1111/1471-0528.12630
Goldberg, S. K., Reese, B. M., & Halpern, C. T. (2016). Teen pregnancy among sexual minority women: Results from the national longitudinal study of adolescent to adult health. Journal of Adolescent Health, 59(4), 429-437. https://doi.org/10.1016/j.jadohealth.2016.05.009
Hahn, S. L., Borton, K. A., & Sonneville, K. D. (2018). Cross-sectional associations between weight-related health behaviors and weight misperception among U.S. adolescents with overweight/obesity. BMC Public Health. Retrieved from, https://doi.org/10.1186/s12889-018-5394-9
Harper, C. R., Clayton, H. B., Andrzejewski, J., & Johns, M. M. (2018). Health risks among discordant heterosexual high school students. Journal of LGTB Youth, 15(3), 149-161. https://doi.org/10.1080/19361653.2018.1451802
Hassouneh, D., Alcala-Moss, A., & McNeff, E. (2011). Practical strategies for promoting full inclusion of individuals with disabilities in community-based participatory intervention research. Research in Nursing and Health, 34, 253-265.
Hogan, J. (2018). Condom access for high school students: The journey from data to policy. Journal of School Nursing, 33(5), 284-287. https://doi.org/10.1177/1942602X18768075
Institute of Medicine. (2010). The future of nursing: leading change, advancing health. Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page=R1
Jeong, H., Yim, H. W., Lee, S., Lee, H. K., Potenza, M. N., Kwon, J., … Choi, J. (2018). Discordance between self-report and clinical diagnosis of Internet gaming disorder adolescents. Scientific Reports, 8, 10084.
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Queen, B., … Ethier, K. A. (2018). Youth risk behavior surveillance -United States, 2017. MMWR. Morbidity and Mortality Weekly Report, 67(8), 1-114. https://doi.org/10.15585/mmwr.ss6708a1
King, B. M., Marino, L. E., & Barry, K. R. (2018). Does the Centers for Disease Control and Prevention's Youth Risk Behavior Survey underreport risky sexual behavior? Sexually Transmitted Diseases, 45(3), e10-e11.
Kost, K., Maddow-Zimet, I., & Arpaia, A. (2017). Pregnancies, births and abortions among adolescents and young women in the United States, 2013: National and state trends by age, race and ethnicity, New York: Guttmacher Institute, 2017. Retrieved from https://www.guttmacher.org/report/us-adolescent-pregnancy-trends-2013
Kulbok, P. A., Thatcher, E., Park, E., & Meszaros, P. S. (2012). Evolving public health nursing roles: Focus on community participatory health promotion and prevention. The Online Journal of Issues in Nursing, 17, 2. https://doi.org/10.3912/OJIN.Vol17No02Man01
Lindley, L. L., & Walsemann, K. M. (2015). Sexual orientation and risk of pregnancy among New York City high-school students. American Journal of Public Health, 105(7), 1379-1386. https://doi.org/10.2105/AJPH.2015.302553
Lopez-Turley, R. N., & Stevens, C. (2015). Lessons from a school district-university research partnership: The Houston education research consortium. Educational Evaluation and Policy Analysis, 37(1S), 6S-15S. https://doi.org/10.3102/0162373715576074
Lugo-Gil, J., Lee, A., Vohra, D., Harding, J., Ochoa, L., & Goesling, B. (2018). Updated findings from the HHS Teen Pregnancy Prevention Evidence Review: August 2015 through October 2016. Retrieved from https://tppevidencereview.aspe.hhs.gov/pdfs/Summary_of_findings_2016-2017.pdf
Mainella, A. (2015). Public policy and sexuality education for youth with disabilities: Impact on sexual behavior and outcomes. International Journal of Social, Behavioral, Educational, Economic, Business and Industrial Engineering, 9(2), 458-463.
Malabarey, O. T., Balayla, J., Klam, S. L., Shrim, A., & Abenhaim, H. A. (2012). Pregnancies in young adolescent mothers: A population-based study on 37 million births. Journal of Pediatric and Adolescent Gynecology, 25(2), 98-102. https://doi.org/10.1016/j.jpag.2011.09.004
Manlove, J., & Lantos, H. (2018). Data point: Half of 20- to 29-year-old women who gave birth in their teens have a high school diploma. Child Trends. Retrieved from https://www.childtrends.org/half-20-29-year-old-women-gave-birth-teens-high-school-diploma
Maravilla, J. C., Betts, K. S., Cruz, C. C., & Alati, R. (2017). Factors influencing repeated teenage pregnancy: A review and meta-analysis. American Journal of Obstetrics and Gynecology, 217(5), 527-545. https://doi.org/10.1016/j.ajog.2017.04.021
Marseille, E., Mirzazadeh, A., Biggs, M. A., Miller, A. P., Horvath, H., Lightfoot, M., … Kahn, J. G. (2018). Effectiveness of school-based teen pregnancy prevention programs in the USA: A systematic review and meta-analysis. Prevention Science, 19(4), 468-489. https://doi.org/10.1007/s11121-017-0861-6
Martin, J. A., Hamilton, B. E., Osterman, M. J. K., Driscoll, A. K., & Drake, P. (2018). Births: Final data for 2016. National Vital Statistics Reports, 67(1). Hyattsville, MD: National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_01.pdf
Meyer, I. H., Luo, F., Wilson, B., & Stone, D. M. (2019). Sexual orientation enumeration in state antibullying statutes in the United States: associations with bullying, suicidal ideation, and suicide attempts among youth. LGBT Health, 6(1), 9-14. https://doi.org/10.1089/lgbt.2018.0194
Office of Adolescent Health. (2017). Evidence- based teen pregnancy prevention programs at a glance. Retrieved from https://www.hhs.gov/ash/oah/sites/default/files/ebp-chart1.pdf
Office of Adolescent Health. (2019). Teen pregnancy and childbearing trends. Retrieved from https://www.hhs.gov/ash/oah/adolescent-development/reproductive-health-and-teen-pregnancy/teen-pregnancy-and-childbearing/trends/index.html
Penman-Aguilar, A., Carter, M., Snead, M. C., & Kourtis, A. P. (2013). Socioeconomic disadvantage as a social determinant of teen childbearing in the U.S. Public Health Reports, 128, S1.
Perper, K., Peterson, K., & Manlove, J. (2010). Diploma attainment among teen mothers. Child Trends, 2010-01. Retrieved from https://www.childtrends.org/wp-content/uploads/2010/01/child_trends-2010_01_22_FS_diplomaattainment.pdf
Quad Council Coalition Competency Review Task Force. (2018). Community/Public Health Nursing Competencies. Retrieved from http://www.quadcouncilphn.org/wp-content/uploads/2018/05/QCC-C-PHN-COMPETENCIES-Approved_2018.05.04_Final-002.pdf
Raghupathy, S., & Hahn-Smith, S. (2012). Reliability of the high school Youth Risk Behavior Survey when administered online. International Quarterly of Community Health Education, 32(2), 135-148. https://doi.org/10.2190/IQ.32.2.d
Rasberry, C. N., Lowry, R., Johns, M., Robin, L., Dunville, R., Pampati, S., … Balaji, A. (2018). Sexual risk behavior differences among sexual minority high school students - United States, 2015 and 2017. MMWR. Morbidity and Mortality Weekly Report, 67(36), 1007-1011. https://doi.org/10.15585/mmwr.mm6736a3
Santa Maria, D., Guilamo-Ramos, V., Jemmott, L. S., Derouin, A., & Villarruel, A. (2017). Nurses on the front lines: Improving adolescent sexual and reproductive health across health care settings: An evidence-based guide to delivering counseling and services to adolescents and parents. American Journal of Nursing, 117(1), 42-51. https://doi.org/10.1097/01.NAJ.0000511566.12446.45
Schaffer, M. A., Jost, R., Pederson, B. J., & Lair, M. (2008). Pregnancy-free club: A strategy to prevent repeat adolescent pregnancy. Public Health Nursing, 25(4), 304-311. https://doi.org/10.1111/j.1525-1446.2008.00710.x
Serowoky, M. L., George, N., & Yarandi, H. (2015). Using the program logic model to evaluate ¡Cu´ıdate!: A sexual health program for Latino adolescents in a school-based health center. Worldviews on Evidence-Based Nursing, 12(5), 297-305.
Shelby County Schools. (n.d.). Exceptional Children and Health Services. Retrieved from http://www.scsk12.org/exceptional/yrbs?PID=716
SmithBattle, L., & Freed, P. (2016). Teen mother's mental health. American Journal of Maternal/Child Nursing, 41(1), 31-36. https://doi.org/10.1097/NMC.0000000000000198
The National Campaign to Prevent Teen and Unplanned Pregnancy. (2020). Power to Decide: National Data. Retrieved from https://powertodecide.org/what-we-do/information/national-state-data/national
Vasilenko, S. A., Glassman, J. R., Kugler, K. C., Peskin, M. F., Shegog, R., Markham, C. S., … Coyle, K. K. (2019). Pregnancy prevention program by risk profiles: A more nuanced approach to program evaluation. Journal of Adolescent Health, e-pub, https://doi.org/10.1016/j.jadohealth.2018.12.003
Wood, S. M., Salas-Humara, C., & Dowshen, N. L. (2016). Human immunodeficiency virus, other sexually transmitted infections, and sexual and reproductive health in lesbian, gay, bisexual, transgender youth. Pediatric Clinics, 63, 1027-1055. https://doi.org/10.1016/j.pcl.2016.07.006

Auteurs

Heide R Cygan (HR)

Community, Systems and Mental Health Nursing, Rush University College of Nursing, Chicago, IL, USA.

Diane McNaughton (D)

Community, Systems and Mental Health Nursing, Rush University College of Nursing, Chicago, IL, USA.

Virginia Reising (V)

Department of Health Systems Science, University of Illinois at Chicago College of Nursing, Chicago, IL, USA.

Louis Fogg (L)

Community, Systems and Mental Health Nursing, Rush University College of Nursing, Chicago, IL, USA.

Booker Marshall (B)

Office of Student Health and Wellness, Chicago Public Schools, Chicago, IL, USA.

Jeremiah Simon (J)

Office of Student Health and Wellness, Chicago Public Schools, Chicago, IL, USA.

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