Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #111298

Elizabeth Calhoun, PhD, School of Public Health, Department of Health Policy & Administration, University of Illinois, Chicago, 1603 West Taylor Street, Room 758, Chicago, IL 60611, 312-355-1572, ecalhoun@uic.edu, Emily E. Welshman, MSW, Institute for Health Services Research and Policy Studies, Northwestern University, 339 E. Chicago Avenue, Room 717, Chicago, IL 60611, and William A. Grobman, MD, MBA, Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Prentice Women's Hospital, 333 E. Superior St., Chicago, IL 60611.

Objectives: CHAPP is a comprehensive, coordinated system of care for pregnant adolescents and their families. CHAPP provides individualized, intensive teen-focused case management services, board-certified obstetric and primary medical care, culturally appropriate prenatal and parenting education focused on adolescents, and peer-led support and education groups, all within a community health care setting. CHAPP has been successful in increasing contraceptive use among teens, reducing subsequent pregnancy rates, and increasing adequate prenatal care rates among enrolled teens. Methods: 296 teens completed survey questions over the course of pregnancy and for one year postpartum. Similar information is being collected on a control group of pregnant teens receiving the standard of care. Results: Among teens enrolled in CHAPP, there was a significant reduction in subsequent pregnancies, a significant increase in contraceptive use, and a significant increase in prenatal care utilization. Just nine percent (n=16) of CHAPP participants had a subsequent pregnancy in the three years since CHAPP was implemented, compared with the 28-36% subsequent pregnancy rate at control clinics, receiving the standard of care. There was an increase in contraceptive use among the girls involved in CHAPP, when compared with their rate of contraceptive use prior to involvement in CHAPP (p=.049*). There was a significant reduction (p=.041*) in the number of teens, 36.4%, who reported no birth control use at intake when compared with 14.3% reporting no birth control use postpartum. The majority of CHAPP participants (88%) received adequate prenatal care as measured by the Adequacy of Prenatal Care Utilization Index (Kotelchuck, M, 1994).

Learning Objectives:

• Identify key components of a community health clinic-based program to reduce subsequent pregnancies among adolescents.
• Describe program components effective in increasing utilization of prenatal care among pregnant adolescents.

Keywords: Adolescent Health, Community Health Programs

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.