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Pregnancy and other risk behaviors among adolescent girls in Ohio.
J Adolesc Health 1998; 22(1):50-5JA

Abstract

PURPOSE

The purpose of this study was to determine whether teenage girls who had been pregnant were more likely to engage in other risk or problem behaviors than girls who had had sexual intercourse without becoming pregnant.

METHODS

The 1993 Ohio Youth Risk Behavior Survey was administered to a random sample of 2461 high school students. A subset of 592 girls (mean age 16.1 +/- 1.1 years, 69.2% Caucasian, 24.1% African-American, 2.4% Hispanic, 4.3% other) reported sexual activity (SA) on the anonymous survey. Demographic factors plus risk and problem behaviors were compared between 98 girls who had been pregnant and 494 girls who had never been pregnant using Chi-square analysis. Risk and problem behaviors were classified into four distinct groups: recent risk behaviors, age of onset of behavior, lifetime behavior, and general behavior. Variables which were univariately significant at p < 0.15 were considered in one of four stepwise multiple logistic regression models based on behavior type, with demographic factors considered in all four models. The final logistic regression model was developed using variables which were significant at p < 0.01. Variables which were significantly associated with pregnancy were summarized as odds ratios (OR) and 99% confidence intervals (CI); these ORs were adjusted for the effects of the other variables in the model.

RESULTS

Pregnancy was more common in girls of color than in Caucasian girls (OR 99% and CI, 2.09, 1.06-4.11) and in older girls than in younger girls (1.52, 1.12-2.08). Among SA girls, weapon carrying in the past 30 days (4.06, 1.75-9.42) was significantly associated with pregnancy, whereas alcohol use in the past 30 days (0.37, 0.18-0.76) was less likely to be associated with pregnancy. The risk of pregnancy increased 1.75 times (1.26-2.43) for each additional sexual partner. Girls who had tried cocaine were 4.88 times (1.40-16.95) more likely to have been pregnant, and the risk of having been pregnant increased 1.43 times (1.14-1.80) for each additional year of SA. Past history of sexually transmitted disease (3.50, 1.28-9.55) was associated with increased pregnancy risk.

CONCLUSIONS

Girls who had been pregnant also had engaged in other risk behaviors, including recent weapon carrying and cocaine use. A history of previous sexually transmitted diseases plus increasing numbers of partners add to the risk of pregnancy. Counseling and educational efforts should continue to identify teens at risk both to prevent pregnancy and to decrease associated risks.

Authors+Show Affiliations

Department of Pediatrics and Adolescent Medicine, Cleveland Clinic Foundation, Ohio 44195, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

9436067

Citation

Rome, E S., et al. "Pregnancy and Other Risk Behaviors Among Adolescent Girls in Ohio." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 22, no. 1, 1998, pp. 50-5.
Rome ES, Rybicki LA, Durant RH. Pregnancy and other risk behaviors among adolescent girls in Ohio. J Adolesc Health. 1998;22(1):50-5.
Rome, E. S., Rybicki, L. A., & Durant, R. H. (1998). Pregnancy and other risk behaviors among adolescent girls in Ohio. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 22(1), pp. 50-5.
Rome ES, Rybicki LA, Durant RH. Pregnancy and Other Risk Behaviors Among Adolescent Girls in Ohio. J Adolesc Health. 1998;22(1):50-5. PubMed PMID: 9436067.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pregnancy and other risk behaviors among adolescent girls in Ohio. AU - Rome,E S, AU - Rybicki,L A, AU - Durant,R H, PY - 1998/1/22/pubmed PY - 1998/1/22/medline PY - 1998/1/22/entrez KW - Adolescent Pregnancy KW - Adolescents KW - Adolescents, Female KW - Age Factors KW - Americas KW - Behavior KW - Biology KW - Cross Sectional Analysis KW - Demographic Factors KW - Developed Countries KW - Diseases KW - Fertility KW - Infections KW - North America KW - Northern America KW - Ohio KW - Population KW - Population Characteristics KW - Population Dynamics KW - Premarital Sex Behavior KW - Reproductive Behavior KW - Reproductive Tract Infections KW - Research Methodology KW - Research Report KW - Risk Factors KW - Sex Behavior KW - Sexually Transmitted Diseases KW - Social Problems KW - Substance Addiction KW - United States KW - Youth SP - 50 EP - 5 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 22 IS - 1 N2 - PURPOSE: The purpose of this study was to determine whether teenage girls who had been pregnant were more likely to engage in other risk or problem behaviors than girls who had had sexual intercourse without becoming pregnant. METHODS: The 1993 Ohio Youth Risk Behavior Survey was administered to a random sample of 2461 high school students. A subset of 592 girls (mean age 16.1 +/- 1.1 years, 69.2% Caucasian, 24.1% African-American, 2.4% Hispanic, 4.3% other) reported sexual activity (SA) on the anonymous survey. Demographic factors plus risk and problem behaviors were compared between 98 girls who had been pregnant and 494 girls who had never been pregnant using Chi-square analysis. Risk and problem behaviors were classified into four distinct groups: recent risk behaviors, age of onset of behavior, lifetime behavior, and general behavior. Variables which were univariately significant at p < 0.15 were considered in one of four stepwise multiple logistic regression models based on behavior type, with demographic factors considered in all four models. The final logistic regression model was developed using variables which were significant at p < 0.01. Variables which were significantly associated with pregnancy were summarized as odds ratios (OR) and 99% confidence intervals (CI); these ORs were adjusted for the effects of the other variables in the model. RESULTS: Pregnancy was more common in girls of color than in Caucasian girls (OR 99% and CI, 2.09, 1.06-4.11) and in older girls than in younger girls (1.52, 1.12-2.08). Among SA girls, weapon carrying in the past 30 days (4.06, 1.75-9.42) was significantly associated with pregnancy, whereas alcohol use in the past 30 days (0.37, 0.18-0.76) was less likely to be associated with pregnancy. The risk of pregnancy increased 1.75 times (1.26-2.43) for each additional sexual partner. Girls who had tried cocaine were 4.88 times (1.40-16.95) more likely to have been pregnant, and the risk of having been pregnant increased 1.43 times (1.14-1.80) for each additional year of SA. Past history of sexually transmitted disease (3.50, 1.28-9.55) was associated with increased pregnancy risk. CONCLUSIONS: Girls who had been pregnant also had engaged in other risk behaviors, including recent weapon carrying and cocaine use. A history of previous sexually transmitted diseases plus increasing numbers of partners add to the risk of pregnancy. Counseling and educational efforts should continue to identify teens at risk both to prevent pregnancy and to decrease associated risks. SN - 1054-139X UR - https://www.unboundmedicine.com/medline/citation/9436067/Pregnancy_and_other_risk_behaviors_among_adolescent_girls_in_Ohio_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(97)00160-2 DB - PRIME DP - Unbound Medicine ER -