Factors which affect reproductive decision-making among female adolescents living in low socioeconomic environments
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Objective . To examine factors which impact reproductive decision-making among female adolescents living in low-socioeconomic environments. Methods . Two sources of cross-sectional data were utilized, including data collected for a family planning program and additional data collected by researcher interview of young women between 12 and 19 years. Demographic and interview information was collected including sexual history, obstetrical history, contraceptive history, pregnancy desire and perceptions of male partners' pregnancy desire. Logistic regression was utilized to examine racial differences in contraception preferences and pregnancy desire. McNemar's test and logistic regression was utilized to examine the impact of male partners. Results . Significant racial differences were present in contraception preference, although some of these differences were eliminated after the clinic visit. In addition, Hispanic adolescents and those who were not in school were more likely to desire pregnancy as were those who reported a male partner who felt positively about pregnancy. Conclusions . There are significant racial disparities in pregnancy desire and contraception preferences. Developing culturally appropriate interventions and assessing the role of male partners is a critical aspect of providing holistic and effective patient centered care.