title: Psychosocial factors associated with failure to use contraception among adolescents with repeat pregnancies in Puerto Rico.
abstract: Social, medical, psychological and economic problems are often associated to teen pregnancy. This is a reality worldwide; Puerto Rico is not an exception, documented in statistics and previous research projects. There are many risks associated with pregnancies among adolescents, including increased maternal morbidity and infant morbidity. In Puerto Rico, the adolescent repeat births reed are 22% for a second child and 6% for a third child. Repeated teen pregnancy has a higher than expected incidence; therefore the investigation of psychosocial factors associated with failure to use contraception is needed,especially to address the intervention at clinics with this population of different needs, mainly when these patients with repeated teen pregnancies have been through the health care system already.
  
  
  METHODS
  The project is a cross sectional survey study, seventy articipants between 12-19 years of age who attended obstetrics or postpartum clinics at an adult University Hospital. A self-administered questionnaire included some psychosocial factors that have been associated withthe failure to use contraceptives as well as demographics tion, education, socioeconomic status and support system.
  
  
  RESULTS
  Their partner's age ranged from 15 to 38 years of age. Most participants lived with their partner. Their main activity at the time of the study was housework. Most had left school beforebecoming pregnant and received government help. Of all participants, a small number was legally married. The lack of use of contraceptive was found to be significantly associated to partner (p < 0.05).
  
  
  CONCLUSIONS
  The lack of contraceptive use is a key factor in adolescent pregnancy. It is expected that this data can be helpful for documentation and intervention measurements something canbe done at an educational level, family planning and medical care.
authors.forename: Malieri
authors.initials: M
authors.lastname: Colón
authors.forename: Rosa
authors.initials: R
authors.lastname: Martínez
authors.forename: Michelle
authors.initials: M
authors.lastname: Tulla
authors.forename: José
authors.initials: J
authors.lastname: Pérez
authors.forename: Yadiris
authors.initials: Y
authors.lastname: Santaella
authors.forename: Linda
authors.initials: L
authors.lastname: Laras
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D001294:Attitude to Health; D002648:Child; D002652:Child Behavior; D003268:Contraception Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D007253:Information Centers / Q000706:statistics & numerical data; D008393:Marriage; D009042:Motivation; D009790:Occupations; D010298:Parity; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control / Q000523:psychology* / Q000706:statistics & numerical data; D049168:Pregnancy, Unplanned / Q000523:psychology; D011275:Pregnancy, Unwanted / Q000523:psychology; D011584:Psychology; D011647:Puerto Rico; D012736:Sex Education; D012747:Sexual Partners / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult