Three groups of adolescent girls ages 15-18 were compared regarding recent life stresses. Group I consisted of 50 girls pregnant for the first time. Group II consisted of 50 girls who never had been pregnant but were sexually experienced (defined as having engaged in sexual intercourse). Group III consisted of 50 girls who never engaged in sexual intercourse. All three groups were asked nine questions of demographic information and were administered the Recent Life Events Questionnaire. Subjects were asked to rate from 1-5 each event that had happened to them: for Group III the year before testing, for Group II the year before first engaging in sexual intercourse, and for Group I (who took the RLEQ twice) both the year before first intercourse and the year before first pregnancy. Results suggested that rating of events did not discriminate between groups, but the number of actual events that had occurred in their lives did. Significant differences also were noted among the three groups regarding adopted versus nonadopted status and the combined abuse index (index reflecting numbers of subjects who had been victims of either child abuse or sexual abuse at home). More girls in the pregnant group reported being adopted and being victims of abuse than would be expected in the general population. The study suggests a profile of girls at risk for adolescent pregnancy from stresses in their lives and without regard to their sexual behavior.

The purpose of this study was to discriminate between adolescent contraceptive users and nonusers on the basis of five variables; sexual self-concept, family life education, father communication, mother communication, and years of fathers' education. Included in the sample were 116 college freshmen men and women. The results revealed four out of the five variables were able to predict group membership. Adolescent contraceptive users had scores indicating higher sexual self-concepts and more open communication with their fathers, while noncontraceptive users had more months of family life education and had more open communication with their mothers. / Master of Science

This study investigated the influence of nutrition education services, measured by duration of participation and frequency of nutrition counseling, on maternal nutritional performance, and pregnancy outcome, in 100 pregnant teenagers enrolled in the WIC program in North Carolina. Data on prenatal weight gain, rate of weekly weight gain, gestational duration and birth weight of infants born to these teenagers was retrieved from medical records. Twenty-four hour recalls, conducted before and after counseling, were analyzed. for energy and nutrient content. Results indicated that initiation of prenatal care by trimester was earlier, and duration of participation was longer, than was reported in the literature. Mean weight gain and gestational lengths were found to be comparable to results from studies on similar populations. Rate of weekly gain was significantly higher than that recommended for adult pregnant women. Energy, protein and iron intakes showed significant improvement after counseling, and, were comparable to RDA values. However, calcium intake was found to be significantly lower than the RDA. Mean infant birth weight was found to be 47.2 gm heavier than the state average; this was not statistically significant. Although a strong correlation. between counseling and. pregnancy outcome was not evident, the incidence of low birth weight was substantially lower in this population, especially among the subgroup of black infants. A decreased incidence of poor outcome of pregnancy among underweight gravidas, was also indicative of the influence of nutrition education on this high risk group. Nutrition intervention appears to have been indirectly influential in optimizing fetal outcome through improved maternal weight gain, and an extended gestation. In addition, early and appropriate prenatal care measures, probably helped reduce the race specific, risk differential for adverse outcomes. The results from this study also indicated that a very small percentage of teens chose to breast feed. Further studies are, however, recommended to identify predictors of the feeding choice, to help increase incidence of breast feeding among teens. / Master of Science

Pregnant and parenting adolescents participated in a study examining their levels of anxiety, depression, self-esteem, self-worth, social support, and acculturation, as well as parenting stress and ratings of their children (for parenting adolescents). A total of 166 females (74 pregnant adolescents and 92 parenting adolescents) ranging in age from 13- to 19-years participated in this study. Results indicated that pregnant and parenting adolescent females reported nonclinical levels of emotional and behavioral functioning on average and did not differ in their ratings, except that parenting adolescents reported greater levels of anxiety than pregnant adolescents. In addition, parenting adolescents reported nonclinical levels of parenting stress but reported at-risk clinical functioning of their children in most age groups. Findings also indicated that social support correlated significantly and negatively with internalizing behavioral problems and externalizing behavioral problems for pregnant adolescents, whereas social support was not related to parenting distress, dysfunctional parent-child interaction, or difficult child temperament for parenting adolescents. These results suggested that interventions for parenting adolescents and their children may be helpful for improving their functioning.

No description available.

Correct and consistent condom use is an effective strategy for the reduction of adolescent pregnancy and sexually transmitted diseases. The purpose of this study was to describe the factors that contribute to unsafe sex practices among adolescents and to compare male and female sexual practices. Quantitative, descriptive research, namely a survey was conducted to determine these practices. Convenience sampling was used to select a sample (n=324) of respondents who were willing to participate in the study. Data were collected by using a self-administered structured questionnaire. The findings of the study revealed that adolescents indulged in unsafe sex practices for various reasons including the desire for self-satisfaction and the non-availability of condoms at the time. Based on the identified reasons, it is clear that strategies had to be developed to curb unsafe sex and its consequences. Formulating these strategies requires the concerted effort of all policy makers and stakeholders. / Health Studies / (M.A. (Public Health))

Using South African and Zimbabwean Demographic and Health Surveys of 1998 and 1999 respectively, findings show that about 35% and 42% women between the ages 15-24 years had given birth at least once in South Africa and Zimbabwe respectively. Of these births, 26% and 32.2% occurred to South African and Zimbabwean women before they reached their 20th birthday respectively. In addition, these births among women between ages 15-24 account for 17% and 27% of the total births in South Africa and Zimbabwe. These are indeed high levels of early childbearing. It is because of these high levels of early childbearing that this dissertation aims to examine determinants contributing to early childbearing. To achieve this, two comparable data sources are analyzed, namely South African Demographic and Health Surveys (SADHS) of 1998 and Zimbabwean Demographic and Health Surveys (ZDHS) of 1999. The results from this dissertation show that major significant determinants contributing to early childbearing are the age of sexual debut; childhood place of residence; highest level of education attained; socio-economic status; and ethnicity and sex of household head. The results of this dissertation make an important contribution to the growing knowledge base of Sub-Saharan African early childbearing research. Its recommendations are based on the findings of the determinants contributing to high levels of childbearing, which can be used for planning and policy development towards adolescent fertility prevention. / Thesis (M.A.)-University of KwaZulu-Natal, Durban.

The purpose of this study was to explore the impact of teenage pregnancy on educators in the rural high schools at Thabo Mofutsanyane district in Eastern Free State. This study aimed to achieve four objectives which were to identify the impact of teenage pregnancy on educators; to identify the challenges that educators face when dealing with pregnant learners; to identify the form of training educators receive in preparing them to deal with teenage pregnancy; and lastly to identify the kind of support educators feel they are being given to help them deal with teenage pregnancy. Participants were eight Life Orientation educators from two high schools and two principals in the respective schools. Participants were identified using a purposive sampling method. Interviews and one focus group were conducted with educators and principals from the two schools. Interviews were tape recorded, transcribed and translated into English where necessary. The collected data was analysed using thematic analysis. The results of the study showed, firstly, that educators face a number of challenges including a lack of training and resources, poverty, lack of parental involvement, as well as a lack of policies and clear guidelines to be used when dealing with pregnant learners. Secondly, it showed that teenage pregnancy tends to have a negative impact on educators because they receive little support in dealing with pregnant learners. Thirdly, it showed that teenage pregnancy tends to have negative impact on educational performance because pregnant learners are distracting to the class and they are distracted themselves. This tends to affect the school’s overall performance which reflects negatively on educators. / Thesis (M.Ed.)-University of KwaZulu-Natal, Pietermaritzburg, 2013.

This qualitative study was conducted at Minenhle High School (pseudonym) in Mgugu, a deep rural area in Umbumbulu, KwaZulu-Natal. It explored the way in which six pregnant young women between ages of 16 and 17 talked about their pregnancies. All the young women emerged from a working class background. The purpose of this study was to investigate why these young women fell pregnant; and the gendered dimensions of pregnancy. Gender-power theory was used to show how male dominance reproduces female submissiveness and influences sexual negotiations and thus increasing vulnerability to unintended pregnancies among young African women. Focus groups and individual interviews were used to produce relevant data for this study. However, the same study finds that some young women see the need to challenge accepted gender norms which often promote and encourage female submissiveness and oppression. Socio-cultural influence emerges whereby these young women have failed to access and use contraceptives due to socially constructed myths regarding the effects of contraceptives and fear of going to the clinic to access contraceptive services since this will reveal to the parents that they (young women) are sexually active; hence viewing sex as secret and clinic as public. The findings of this study also show intergenerational silence on issues of sexuality between these pregnant young women and their parents or caregivers which encourages them to rely on their peers for support, information and advice. This study also found a decline in the value of ukuhlolwa kwezintombi (virginity testing) as a strategy for preserving young women’s virginity, discouraging unintended pregnancies and reducing the rate of HIV infections; due to socio-economic and religious reasons. Findings of this study were used to develop strategies that challenge cultural, gender power imbalances as well as breaking intergenerational silence thus encouraging a healthier and more positive sexuality among young people in Umbumbulu. / M. Ed. University of KwaZulu-Natal, Durban 2013.

Correct and consistent condom use is an effective strategy for the reduction of adolescent pregnancy and sexually transmitted diseases. The purpose of this study was to describe the factors that contribute to unsafe sex practices among adolescents and to compare male and female sexual practices. Quantitative, descriptive research, namely a survey was conducted to determine these practices. Convenience sampling was used to select a sample (n=324) of respondents who were willing to participate in the study. Data were collected by using a self-administered structured questionnaire. The findings of the study revealed that adolescents indulged in unsafe sex practices for various reasons including the desire for self-satisfaction and the non-availability of condoms at the time. Based on the identified reasons, it is clear that strategies had to be developed to curb unsafe sex and its consequences. Formulating these strategies requires the concerted effort of all policy makers and stakeholders. / Health Studies / (M.A. (Public Health))