Repeat Teenage Pregnancy in Georgia: Are we missing intervention opportunities? Público

Abstract

Purpose: To determine the effect of family planning visits after an adolescent mother's delivery of her first child on her likelihood of having a rapid repeat birth (RRB), defined as a second birth within 24 months of the first.

Method: Using data from the Georgia Department of Public Heath, we used logistic regression to estimate the odds of having at least one family planning visit for adolescent mothers dependent upon whether or not the adolescent mother had an RRB.

Results: After controlling for other factors including age, race, and Medicaid receipt, the occurrence of a family planning visit for teen mothers was determined to be protective against having an RRB (OR = .710)(p=.0003).

Conclusion: As family planning visits for adolescent mothers can be protective against having a RRB, it is important that public health departments focus on increasing the proportion of adolescent mothers visiting family planning clinics after their first birth. Furthermore, it is important that public health policies begin to focus on changing the upstream factors that result in adolescent pregnancy, and not penalize the pregnancy itself.

Table of Contents

Table of Contents

CHAPTER I 1

Background. 1

Consequences of Teen Pregnancy. 2

Motivations. 10

Risk Factors. 16

Interventions. 18

CHAPTER II 24

Hypothesis 24

Methods. 24

Data. 25

Results. 29

Initial Model: 32

Intermediate Model 1: 32

Intermediate Model 2: 33

Final Model: 33

Discussion. 34

REFERENCES.. 37

TABLES.. 46

Table I. Distribution of Covariate Percentages Across Categories of the Outcome and Exposure. 46

Table II. Marital Status by Race / Ethnicity. 47

Table III. Descriptive Statistics for Selected Covariates. 48

Table IV. Bivariate Logistic Regressions between RRB and Covariates. 49

Table V. Bivariate Logistic Regression Between Family Planning Visit(s) and Covariates. 50

Table VI. Effect Measure of Individual Covariates on Rapid Repeat Birth in Final Model 51

CHAPTER III 52

APPENDICES.. 61

APPENDIX A. Tabulated Literature Review.. 61

About this Master's Thesis

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School	Rollins School of Public Health
Department	Epidemiology
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Epidemiology
Palavra-chave	repeat birth teen repeat pregnancy
Committee Chair / Thesis Advisor	Hogue, Carol J, Emory University
Committee Members	Raskind-Hood, Cheryl, Emory University
Partnering Agencies	Georgia state or local health department

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