Availability of Reproductive Health Care Services at Schools and Subsequent Birth Outcomes among Adolescent Mothers

Autor/inn/en	Madkour, Aubrey S.; Xie, Yiqiong; Harville, Emily W.
Titel	Availability of Reproductive Health Care Services at Schools and Subsequent Birth Outcomes among Adolescent Mothers
Quelle	In: Journal of School Health, 86 (2016) 7, S.488-494 (7 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12399
Schlagwörter	Health Services; Birth; Adolescents; Mothers; Longitudinal Studies; Females; Family Planning; Pregnant Students; Pregnancy; Screening Tests; Hierarchical Linear Modeling; Adults; Infants; Administrators; Counseling; Body Weight; Sexually Transmitted Diseases; Gynecology; Obstetrics; National Longitudinal Study of Adolescent Health + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Geburt; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Mother; Mutter; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Weibliches Geschlecht; Familienplanung; Studium mit Kind; Schwangerschaft; Screening-Verfahren; Infant; Toddler; Toddlers; Kleinkind; Counselling; Beratung; Körpergewicht; Sexual transmitted disease; Geschlechtskrankheit; Gynäkologie; Geburtshilfe
Abstract	Background: Adverse birth outcomes are more common among adolescent versus adult mothers, but little is known about school-based services that may improve birth outcomes in this group. Methods: Data from Waves I and IV of the National Longitudinal Study of Adolescent Health were analyzed. Girls and women who gave birth to singleton live infants after Wave I and before age 20, were still in secondary school while pregnant, and had complete data (N = 402) were included. Mothers reported infants' birthweight and gestational age. School administrators reported whether family planning counseling, diagnostic screening (including sexually transmitted diseases [STDs]), STD treatment, and prenatal/postpartum health care were provided on-site at school at Wave I. Multilevel models adjusted for individual and school characteristics were conducted. Results: Few schools offered reproductive health care services on-site. In multilevel analyses, availability of family planning counseling (Est. ß = 0.21, 95% confidence interval [CI] 0.04-0.38 p < 0.05) and prenatal/postpartum health care (Est. ß = 0.21, 95% CI 0.02-0.40 p < 0.05) were significantly associated with increased infant birthweight. No services examined were significantly associated with increased gestational age. Conclusions: Some school-based reproductive health services may improve subsequent birth outcomes among adolescent mothers. Future analyses should examine the mechanisms by which services impact birth outcomes. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01