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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Karen Taylor Valverde, MA1, Linda Wright-De Agüero, PhD MPH1, Ping Hu Johnson, MD, PhD, CHES2, Kate Curtis, PhD3, Barbara Cohen, BA4, Meredith Reynolds, PhD3, Craig W. Thomas, MA1, and Susan Scrimshaw5. (1) Epidemiology Program Office, Division of Prevention Research and Analytic Methods, Community Guide Branch, Centers for Disease Control and Prevention, 4770 Buford Highway, Mailstop K73, Atlanta, GA 30341-3717, (770) 488-8236, kbv5@cdc.gov, (2) Health, Physical Education and Sports Science, Kennesaw State University, 1000 Chastain Road, Kennesaw, GA 30314, (3) National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Mailstop K34, Atlanta, GA 30341, (4) Office of Public Health and Science, U.S. Department of Health and Human Services, 4350 East West Highway, Suite 200 West, Bethesda, MD 20814, (5) School of Public Health, University of Illinois, Chicago, 2121 West Taylor Street, Chicago, IL 60612
Background: As part of the systematic reviews conducted for the Task Force on Community Preventive Services (TF), we examined the effectiveness of population-based interventions that promote the personal development and parenting skills of new and expectant, socially disadvantaged (primarily adolescent) mothers in reducing repeat pregnancy and increasing contraception. We will also summarize other social effects of this intervention on the mother and child. Methods: We searched for interventions published from 1980-2000 reporting both a comparison group and predetermined health (e.g. pregnancy) or behavioral (e.g. contraceptive use) outcomes. By using a standardized protocol, studies were evaluated on suitability of design and quality of execution. Studies were summarized descriptively and effect measures were synthesized across studies. Results: We identified 20 studies; 10 were excluded from summarization because of limited quality of execution. Of the 10 included interventions, 80% (n=8) targeted only adolescents (aged £19 years) and 20% (n=2) included ~50% adolescents; 60% (n=6) were conducted among predominantly minorities (>70% nonwhite). Studies reporting on contraception (including return to abstinence) (n=2) reported nonsignificant, conflicting changes. Studies reporting on pregnancy (n=6) showed a nonsignificant reduction in repeat pregnancy (mean log risk ratio (antilog)=0.79, p=0.16). Conclusions: Insufficient evidence exists to determine the effectiveness of personal development and parenting skills programs for reducing repeat pregnancy among young, socially disadvantaged mothers. Given the number of excluded studies, improved evaluation methods are needed to determine effectiveness. New intervention strategies may yield different or more robust results.
Learning Objectives:
Keywords: Adolescents, Pregnancy
Related Web page: www.thecommunityguide.org
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.