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Systematic review of sexual risk among pregnant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy

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  • Meade, Christina S.
  • Ickovics, Jeannette R.

Abstract

Behaviors that lead to teen pregnancy also place young women at risk for STDs and repeat pregnancy. Compared to the broad literature on adolescent sexual risk behavior, our understanding of sexual risk in pregnant/mothering teens lags far behind. Primary objectives of this systematic review (1981-2003) of pregnant/mothering teens were to: (1) document rates of STD, repeat pregnancy, condom use, and contraception; (2) identify correlates of these biological and behavioral outcomes; (3) review sexual risk reduction interventions; and (4) discuss directions for future research and implications for clinical care. Fifty-one studies met inclusion criteria. Rates of STD and repeat pregnancy were high, with the majority of teens engaging in unprotected sex during and after pregnancy. An Ecological Model of Sexual Risk, based on Bronfenbrenner's (1989) Ecological Systems Theory, was proposed to organize findings on correlates of sexual risk. Improvements in research, including integration of outcomes and risk factors, stronger methodologies, and standardized assessments, are essential. Results suggest that teen pregnancy is a marker for future sexual risk behavior and adverse outcomes, and that pregnant/mothering teens need hybrid interventions promoting dual use of condoms and hormonal contraception. Pregnancy may provide a critical "window of opportunity" for sexual risk reduction.

Suggested Citation

  • Meade, Christina S. & Ickovics, Jeannette R., 2005. "Systematic review of sexual risk among pregnant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy," Social Science & Medicine, Elsevier, vol. 60(4), pages 661-678, February.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:4:p:661-678
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    References listed on IDEAS

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    1. Polit, D.F. & Kahn, J.R., 1986. "Early subsequent pregnancy among economically disadvantaged teenage mothers," American Journal of Public Health, American Public Health Association, vol. 76(2), pages 167-171.
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    Cited by:

    1. Colen, Cynthia G. & Geronimus, Arline T. & Phipps, Maureen G., 2006. "Getting a piece of the pie? The economic boom of the 1990s and declining teen birth rates in the United States," Social Science & Medicine, Elsevier, vol. 63(6), pages 1531-1545, September.
    2. Pablo A. Celhay & Emilio Depetris-Chauvin & Cristina Riquelme, 2023. "When a Strike Strikes Twice: Massive Student Mobilizations and Teenage Pregnancy in Chile," Working Papers 267, Red Nacional de Investigadores en Economía (RedNIE).
    3. Pablo Celhay & Emilio Depetris-Chauvin & María Cristina Riquelme, 2020. "When a Strike Streikes Twice: Massive Student Mobilizations and Teenage," Documentos de Trabajo 550, Instituto de Economia. Pontificia Universidad Católica de Chile..

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