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Evaluation of raising adolescent families together program: A medical home for adolescent mothers and their children

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  • Cox, J.E.
  • Buman, M.P.
  • Woods, E.R.
  • Famakinwa, O.
  • Harris, S.K.

Abstract

Objectives. This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes. Methods. In this prospective, single cohort demonstration project, adolescent mothers (14-18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed. Results. A total of 181 adolescents enrolled, with 79.6% participating for 2 years. At 2 years, 90.2% of children were completely immunized. Children and adolescent mothers met standards for health care visits, and adolescent condom use improved. Rates of cumulative repeat pregnancy were 14.7% and 24.6%, school attendance 77.6% and 68.7%, and employment 21.2% and 32.3% at 1 and 2 years, respectively. Conclusions. A medical home model with comprehensive and integrated medical care and social services can effectively address the complex needs of adolescent parents and their children.

Suggested Citation

  • Cox, J.E. & Buman, M.P. & Woods, E.R. & Famakinwa, O. & Harris, S.K., 2012. "Evaluation of raising adolescent families together program: A medical home for adolescent mothers and their children," American Journal of Public Health, American Public Health Association, vol. 102(10), pages 1879-1885.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300766_0
    DOI: 10.2105/AJPH.2012.300766
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