Factors Associated with Pregnancy among Incarcerated African American Adolescent Girls.
The purpose of this study was to examine the social and behavioral factors associated with pregnancy history among a sample of African American adolescent girls recruited from a short-term juvenile detention center in order to better understand the needs of this vulnerable population. Data were collected from a sample of 188 detained African American, 13-17-year-old girls in Atlanta, Georgia, who participated in a larger HIV prevention study. An audio computer-assisted self-interviewing survey was completed by participants to obtain information on socioecological factors to include individual, parental/familial, sexual risk, psychosocial, and substance use factors. Among the 188 participants, 25.5 % reported a history of pregnancy. A multivariable logistic regression model showed that girls with a history of pregnancy were more likely to live in a household receiving government aid, use hormonal contraceptives at last sex, participate in sex trading, have casual sex partners, have condomless sex in the past 90 days, and have a history of physical abuse. Girls with no history of pregnancy were more likely to have been incarcerated at least twice and to have previously used alcohol. Detention-based interventions and pregnancy prevention programs for this vulnerable population may benefit by addressing factors related to sexual behavior and development, substance use, individual background, and psychosocial health.
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA. simonegray@cdc.gov.|Quantitative Sciences and Data Management Branch, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop E-48, Atlanta, GA, 30333, USA. simonegray@cdc.gov.
Simone C
SC
Gray
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Kristin
K
Holmes
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Denise R
DR
Bradford
D000293:Adolescent; D000294:Adolescent Behavior; D001741:Black or African American; D005260:Female; D005845:Georgia; D006801:Humans; D011247:Pregnancy; D011329:Prisoners; D018570:Risk Assessment; D057566:Self Report; D012725:Sexual Behavior
Adolescent pregnancy; African American; Detention; Risk factors; Sexual behaviors