Elizabeth J. Heavey, CNM, PhD, is an epidemiologist specializing in maternal/child health and an assistant professor in the School of Nursing at SUNY Brockport. She is also completing a post-doctoral fellowship in Adolescent Medicine at the University of Rochester.
Differences in Pregnancy Desire Among Pregnant Female Adolescents at a State-Funded Family Planning Clinic
Article first published online: 24 DEC 2010
2008 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 53, Issue 2, pages 130–137, March-April 2008
How to Cite
Heavey, E. J., Moysich, K. B., Hyland, A., Druschel, C. M. and Sill, M. W. (2008), Differences in Pregnancy Desire Among Pregnant Female Adolescents at a State-Funded Family Planning Clinic. Journal of Midwifery & Womens Health, 53: 130–137. doi: 10.1016/j.jmwh.2007.09.005
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- adolescent pregnancy;
- pregnancy desire;
- teen pregnancy
We wished to examine variables associated with pregnancy desire among pregnant adolescents from low socioeconomic backgrounds. This study analyzed 335 charts at a state-funded family planning clinic. Participants were adolescents who had a positive pregnancy test at the clinic on the day of the survey. Logistic regression was utilized to determine differences in pregnancy desire. We found that Hispanic teens were more than twice as likely to desire pregnancy as African American teens (adjusted odds ratio [AOR], 2.22; 95% confidence interval [CI], 1.22−3.65), and adolescents who were not in school were almost twice as likely as those who were in school full-time to desire pregnancy (AOR, 1.83; 95% CI, 1.08 −3.09). Hispanic teens who were not in school were 12 times more likely to desire pregnancy than African American teens who were in school full-time (odds ratio [OR], 11.47; 95% CI, 3.68 −35.75). Adolescent pregnancy desire is significantly associated with educational status and racial background. Developing culturally appropriate interventions to encourage continued education and asking about community and familial norms are essential steps in addressing this issue.