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Adolescent Mothers (adolescent + mother)
Selected AbstractsMediating Pathways Explaining Psychosocial Functioning and Revictimization as Sequelae of Parental Violence Among Adolescent MothersAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2009Taryn Lindhorst PhD Adolescent mothers are at high risk for negative life events, such as previous childhood physical abuse, impaired psychosocial functioning, and young adulthood revictimization. However, little is known about the potential pathways in these events; hence, little is known about opportunities for intervention. This study used structural equation modeling to investigate mediators of the effects of parental child abuse on later psychosocial functioning and revictimization (in the form of intimate partner violence and sexual violence) among adolescent mothers, with longitudinal data spanning 2.4 years. On psychological distress in the final time period, parental physical child abuse had an early and then maintained effect but also effects mediated by earlier psychological distress and revictimization. Psychological distress rather than substance use appeared as the primary psychosocial factor mediating the effects of parental violence on both future distress and revictimization. For prevention of further psychosocial impairment and revictimization, these findings indicate the need for early intervention with adolescent mothers who come from abusive families and who display higher levels of psychological distress. [source] Prebirth Psychosocial Factors as Predictors of Consistency in Contraceptive Use Among Taiwanese Adolescent Mothers at 6 Months PostpartumPUBLIC HEALTH NURSING, Issue 4 2005Ruey-Hsia Wang Abstract,Objective: To assess contraceptive behavior and whether pre-birth psychosocial factors could predict consistency in contraceptive use among adolescent mothers at six-month postpartum. Design: Prospective study. Sample: 104 Taiwanese adolescent mothers. Measurements: Participants completed a contraception questionnaire in their third trimester and a postpartum contraception questionnaire at six-month postpartum. Results: Prior to giving birth, the adolescent mothers most commonly answered that condom use (39.8%) was the contraceptive method they planned to use after delivery. It was also more commonly reported in the postpartum to be the method they actually were using (54.3%). Stepwise logistic regression analysis further showed that a more positive contraceptive attitude (odds ratio = 1.104) and a higher self-efficacy (odds ratio = 1.068) in contraceptive use in the pre-birth period increased the probability that a participant would report that she always used contraceptives in the postpartum period. Nevertheless, a higher score in the pre-birth period in the area of subjective contraceptive norms (odds ratio = 0.978) decreased this probability. The final regression model could correctly classify 81.7% of the participants. Conclusions: Health care professionals should provide adolescent mothers with the information they need to improve their attitude and self-efficacy toward contraception before they enter the postpartum period. [source] Mediating Pathways Explaining Psychosocial Functioning and Revictimization as Sequelae of Parental Violence Among Adolescent MothersAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2009Taryn Lindhorst PhD Adolescent mothers are at high risk for negative life events, such as previous childhood physical abuse, impaired psychosocial functioning, and young adulthood revictimization. However, little is known about the potential pathways in these events; hence, little is known about opportunities for intervention. This study used structural equation modeling to investigate mediators of the effects of parental child abuse on later psychosocial functioning and revictimization (in the form of intimate partner violence and sexual violence) among adolescent mothers, with longitudinal data spanning 2.4 years. On psychological distress in the final time period, parental physical child abuse had an early and then maintained effect but also effects mediated by earlier psychological distress and revictimization. Psychological distress rather than substance use appeared as the primary psychosocial factor mediating the effects of parental violence on both future distress and revictimization. For prevention of further psychosocial impairment and revictimization, these findings indicate the need for early intervention with adolescent mothers who come from abusive families and who display higher levels of psychological distress. [source] Health and nutritional status of children of adolescent mothers: experience from a diarrhoeal disease hospital in BangladeshACTA PAEDIATRICA, Issue 3 2007Kawsari Abdullah Abstract Aim: The study aimed at assessing clinical and nutritional features and socioeconomic characteristics of the first birth-order children (1,48 months) of adolescent mothers. Methods: Five hundred and thirty-nine first birth-order children of both sexes, aged 1,48 month(s) were studied. All study children had adolescent mothers aged ,19 years (when attending hospital), who attended (as a patient) the Dhaka hospital of ICDDR, B during 2000,2005. A similar group of children (n = 540) of mothers aged 25,29 years (when attending hospital) constituted the comparison group. Results: Malnutrition indicated by underweight [OR 2.3, 95% CI 1.7,3.1, p < 0.001], stunting [OR 2.1, 95% CI 1.5,2.8, p < 0.001], wasting [OR 1.8, 95% CI 1.3,2.7, p = 0.001], infancy (<12 months old) [OR 2.8, 95% CI 2.1,3.9, p < 0.001], duration of hospitalization (,48 h) [OR 1.6, 95% CI 1.2,2.2, p = 0.001], DPT immunization [OR 1.8, 95% CI 1.3,2.5, p = 0.001] and maternal illiteracy (no formal schooling) [OR 1.5, 95% CI 1.1,2.0, p = 0.007] were significantly associated with children of adolescent mothers, after adjusting for co-variates in the logistic regression analysis. Similar results were also observed when different indices of malnutrition (stunting, underweight or wasting) were added separately to the different models. Conclusion: Children of adolescent mothers are likely to be more malnourished, have lesser opportunities for DPT immunization and have longer duration of hospitalization. Adolescent mothers were also more likely to be illiterate. Therefore, the development of preventive and therapeutic strategies will be required to reduce morbidity and improve the health and nutrition status of both children and their adolescent mothers. [source] Effectiveness of teaching an early parenting approach within a community-based support service for adolescent mothersRESEARCH IN NURSING & HEALTH, Issue 1 2008Jane E. Drummond Abstract A single blind, pre-test, post-test design was used to test the effectiveness of the Keys to Caregiving Program in enhancing adolescent mother,infant interactions. Participants were sequentially allocated to groups in order of referral. The outcome was the enhancement of maternal and infant behaviors that exhibited mutual responsiveness as measured by the Nursing Child Assessment Teaching Scale. Issues with recruitment and collaboration with the community agencies made achieving a desirable sample size difficult. Pre-tests and post-tests were completed for 13 participants. While the sample size was insufficient to confidently establish whether or not the Keys to Caregiving produced a between groups treatment effect, mothers within the treatment group evidenced significantly greater contingent responsiveness over time than those within the control group. © 2007 Wiley Periodicals, Inc. Res Nurs Health 31:12,22, 2008 [source] Spaces of Encounter: Public Bureaucracy and the Making of Client IdentitiesETHOS, Issue 3 2010Lauren J. Silver I emphasize the material deficits, spatial barriers, and bureaucratic procedures that restrict the storylines clients and officials use to make sense of one another. This article is drawn from a two-year ethnographic study with African American young mothers (ages 16,20) under the custody of the child welfare system. I focus here on the experiences of one young mother and explore several scenarios in her struggle to obtain public housing. I argue that service deficits can be explained not by the commonly articulated narratives of client "shortcomings" but, rather, by the nature of the organizational and material conditions guiding exchanges between public service gatekeepers and young mothers. I suggest that this work advances narrative approaches to psychological anthropology by attending to the roles of social and material boundaries in framing the stories people can tell each other. [identity, adolescent mothers, public bureaucracy, service negotiation, narrative] [source] Predictors of representational aggression in preschool children of low-income urban African American adolescent mothers,INFANT MENTAL HEALTH JOURNAL, Issue 1 2010Geoff Goodman Responses to five doll-story stems thematically related to attachment experiences with the mother were videotaped in the home and used to evaluate child, maternal, and environmental predictors of representational aggression in 93 preschool children of African American women receiving public assistance who had become pregnant as teenagers. Significant correlations were found between representational aggression and child's gender (male), birth weight, maternal depressive affect, maternal educational attainment, recent employment, mother's historical residence with her own mother, and felt social support, accounting for 40% of the variance in representational aggression. A significant Felt Social Support × Gender interaction effect suggested that girls of mothers who perceive higher levels of felt social support are more likely to represent less aggression in their stories; felt social support was not associated with boys' representational aggression. A significant Felt Social Support × Employment interaction effect suggested that representational aggression is associated with lower levels of felt social support only among employed mothers. Findings suggest that different pathways exist for representational aggression in children of low-income adolescent mothers, which nevertheless share predictors associated with poverty. [source] Maternal unresolved attachment status impedes the effectiveness of interventions with adolescent mothersINFANT MENTAL HEALTH JOURNAL, Issue 3 2005Greg Moran Children of adolescent mothers are at risk for a variety of developmental difficulties. In the present study, the effectiveness of a brief intervention program designed to support adolescent mothers' sensitivity to their infants' attachment signals was evaluated. Participants were adolescent mothers and their infants who were observed at 6, 12, and 24 months of age. The intervention conducted by clinically trained home visitors consisted of eight home visits between 6 and 12 months in which mothers were provided feedback during the replay of videotaped play interactions. At 12 months, 57% of the mother,infant dyads in the intervention group and 38% of the comparison group dyads were classified as secure in the Strange Situation. Seventy-six percent of the mothers in the intervention group maintained sensitivity from 6 to 24 months compared with 54% of the comparison mothers. Further analyses indicated that the intervention was effective primarily for mothers who were not classified as Unresolved on the Adult Attachment Interview. [source] A life of ease and immorality: Health professionals' constructions of mothering on welfareJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 4 2009Mary Breheny Abstract Mothering on welfare is often discussed as perpetuating disadvantage and discouraging individuals from meaningful social activity defined as paid employment. This is understood in the context of increasing commitment to a neo-liberalist agenda, where people are viewed as autonomous individuals in a market economy, and unequal rewards within this economy are due to individual failings. The discourse analysis presented here examines how health professionals in New Zealand construct what it means to be a mother on welfare within the context of interviews on the health care needs of adolescent mothers. Mothering on welfare is predominantly described as transgressing social norms, where a life of ease is an indicator of immoral conduct and personal value is determined through education and employment. The welfare mother is also viewed as transgressing the norms of appropriate family structures and the sexual practices sanctioned within these structures. The legitimate work of mothering is absent in these accounts while the life of ease and plenty on welfare is made visible. These discourses draw attention to the ways in which welfare mothers are disqualified from neo-liberal definitions of citizenship, and demonstrate how motherhood on welfare is regarded as undermining rather than contributing to society. Copyright © 2008 John Wiley & Sons, Ltd. [source] Poor maternal mental health and trauma as risk factors for a short interpregnancy interval among adolescent mothersJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 4 2009L. PATCHEN cnm [source] Mediating Pathways Explaining Psychosocial Functioning and Revictimization as Sequelae of Parental Violence Among Adolescent MothersAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2009Taryn Lindhorst PhD Adolescent mothers are at high risk for negative life events, such as previous childhood physical abuse, impaired psychosocial functioning, and young adulthood revictimization. However, little is known about the potential pathways in these events; hence, little is known about opportunities for intervention. This study used structural equation modeling to investigate mediators of the effects of parental child abuse on later psychosocial functioning and revictimization (in the form of intimate partner violence and sexual violence) among adolescent mothers, with longitudinal data spanning 2.4 years. On psychological distress in the final time period, parental physical child abuse had an early and then maintained effect but also effects mediated by earlier psychological distress and revictimization. Psychological distress rather than substance use appeared as the primary psychosocial factor mediating the effects of parental violence on both future distress and revictimization. For prevention of further psychosocial impairment and revictimization, these findings indicate the need for early intervention with adolescent mothers who come from abusive families and who display higher levels of psychological distress. [source] Prebirth Psychosocial Factors as Predictors of Consistency in Contraceptive Use Among Taiwanese Adolescent Mothers at 6 Months PostpartumPUBLIC HEALTH NURSING, Issue 4 2005Ruey-Hsia Wang Abstract,Objective: To assess contraceptive behavior and whether pre-birth psychosocial factors could predict consistency in contraceptive use among adolescent mothers at six-month postpartum. Design: Prospective study. Sample: 104 Taiwanese adolescent mothers. Measurements: Participants completed a contraception questionnaire in their third trimester and a postpartum contraception questionnaire at six-month postpartum. Results: Prior to giving birth, the adolescent mothers most commonly answered that condom use (39.8%) was the contraceptive method they planned to use after delivery. It was also more commonly reported in the postpartum to be the method they actually were using (54.3%). Stepwise logistic regression analysis further showed that a more positive contraceptive attitude (odds ratio = 1.104) and a higher self-efficacy (odds ratio = 1.068) in contraceptive use in the pre-birth period increased the probability that a participant would report that she always used contraceptives in the postpartum period. Nevertheless, a higher score in the pre-birth period in the area of subjective contraceptive norms (odds ratio = 0.978) decreased this probability. The final regression model could correctly classify 81.7% of the participants. Conclusions: Health care professionals should provide adolescent mothers with the information they need to improve their attitude and self-efficacy toward contraception before they enter the postpartum period. [source] Effectiveness of teaching an early parenting approach within a community-based support service for adolescent mothersRESEARCH IN NURSING & HEALTH, Issue 1 2008Jane E. Drummond Abstract A single blind, pre-test, post-test design was used to test the effectiveness of the Keys to Caregiving Program in enhancing adolescent mother,infant interactions. Participants were sequentially allocated to groups in order of referral. The outcome was the enhancement of maternal and infant behaviors that exhibited mutual responsiveness as measured by the Nursing Child Assessment Teaching Scale. Issues with recruitment and collaboration with the community agencies made achieving a desirable sample size difficult. Pre-tests and post-tests were completed for 13 participants. While the sample size was insufficient to confidently establish whether or not the Keys to Caregiving produced a between groups treatment effect, mothers within the treatment group evidenced significantly greater contingent responsiveness over time than those within the control group. © 2007 Wiley Periodicals, Inc. Res Nurs Health 31:12,22, 2008 [source] Teen pregnancy, motherhood, and unprotected sexual activity,RESEARCH IN NURSING & HEALTH, Issue 1 2003Deborah Koniak-Griffin Abstract The sexual behaviors and attitudes toward condom use of adolescent mothers (N,=,572) from ethnic minority groups were examined. Constructs from social cognitive theory (SCT), the theory of reasoned action (TRA), and the theory of planned behavior (TPB; e.g., intentions to use condoms, self-efficacy, outcome expectancies) were measured with questionnaires. Measures of AIDS and condom-use knowledge and selected psychosocial, behavioral, and demographic variables were included. Many adolescents reported early onset of sexual activity, multiple lifetime sexual partners, substance use, and childhood sexual or physical abuse. Only 18% stated a condom was used at last intercourse. Using hierarchical regression analysis, 13% of the variance for factors associated with unprotected sex was accounted for by TRA constructs. Other variables contributed an additional 17% of the variance. Unprotected sex was associated with behavioral intentions to use condoms, pregnancy, having a steady partner, more frequent church service attendance, and ever having anal sex. Findings support the urgent need for broad-based HIV prevention efforts for adolescent mothers that build on theoretical concepts and address the realities of their lives. © 2003 Wiley Periodicals, Inc. Res Nurs Health 26:4,19, 2003 [source] A social support and social strain measure for minority adolescent mothers: a confirmatory factor analytic studyCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 1 2008C. B. Gee Abstract Purpose The purpose of this study is to examine the validity and structure of the Social Support Network Questionnaire (SSNQ), an interview for identifying the positive and negative aspects of individuals' social networks. Methods The sample consisted of 536 pregnant and parenting, African-American and Latina adolescents. Participants were recruited from an alternative school for pregnant and parenting adolescents in a large Midwestern city. Results Confirmatory Factor Analyses revealed the presence of three factors: perceived availability, satisfaction and social strain. All three factors demonstrated adequate internal consistency. Perceived availability and social strain were uncorrelated, implying that they are distinct dimensions. Social strain was the most consistent predictor of psychological well-being. Further, strain in relationships with the young women's male partners added unique variance to the prediction of both anxiety and depression. Conclusions The results of this study suggest that the SSNQ may be a useful tool in assessing both positive and negative aspects of pregnant and parenting adolescent mothers' social support networks. [source] Health and nutritional status of children of adolescent mothers: experience from a diarrhoeal disease hospital in BangladeshACTA PAEDIATRICA, Issue 3 2007Kawsari Abdullah Abstract Aim: The study aimed at assessing clinical and nutritional features and socioeconomic characteristics of the first birth-order children (1,48 months) of adolescent mothers. Methods: Five hundred and thirty-nine first birth-order children of both sexes, aged 1,48 month(s) were studied. All study children had adolescent mothers aged ,19 years (when attending hospital), who attended (as a patient) the Dhaka hospital of ICDDR, B during 2000,2005. A similar group of children (n = 540) of mothers aged 25,29 years (when attending hospital) constituted the comparison group. Results: Malnutrition indicated by underweight [OR 2.3, 95% CI 1.7,3.1, p < 0.001], stunting [OR 2.1, 95% CI 1.5,2.8, p < 0.001], wasting [OR 1.8, 95% CI 1.3,2.7, p = 0.001], infancy (<12 months old) [OR 2.8, 95% CI 2.1,3.9, p < 0.001], duration of hospitalization (,48 h) [OR 1.6, 95% CI 1.2,2.2, p = 0.001], DPT immunization [OR 1.8, 95% CI 1.3,2.5, p = 0.001] and maternal illiteracy (no formal schooling) [OR 1.5, 95% CI 1.1,2.0, p = 0.007] were significantly associated with children of adolescent mothers, after adjusting for co-variates in the logistic regression analysis. Similar results were also observed when different indices of malnutrition (stunting, underweight or wasting) were added separately to the different models. Conclusion: Children of adolescent mothers are likely to be more malnourished, have lesser opportunities for DPT immunization and have longer duration of hospitalization. Adolescent mothers were also more likely to be illiterate. Therefore, the development of preventive and therapeutic strategies will be required to reduce morbidity and improve the health and nutrition status of both children and their adolescent mothers. [source] Mother,infant behavioral interactions in teenage and adult mothers during the first six months postpartum: Relations with infant developmentINFANT MENTAL HEALTH JOURNAL, Issue 5 2003Andrée Pomerleau The purpose of this study was to compare adolescent mothers' (high-risk group), at-risk adult mothers' (moderate-risk group), and no-risk adult mothers' (low-risk group) behavioral interactions at one and six months postpartum, and to examine the relationships between maternal behaviors and infant developmental scores on the Bayley scales. Results indicated that high-risk teenage mothers and moderate-risk adult mothers vocalized less and had lower contingency rating scores compared to low-risk adult mothers. Also, infants in the high-risk and moderate-risk groups obtained lower mental scores at six months compared to the low-risk group. Moderate stability across time was found for maternal vocalizations and infant scores on the mental scale. Maternal vocalizations and behavioral contingency rating scores at one month were associated with infants' six-month performance on the Bayley scales. Specific intervention strategies were discussed with the aim of targeting and improving early maternal behavioral patterns in at-risk groups. ©2003 Michigan Association for Infant Mental Health. [source] | |||||||||||||