Community member perceptions of influences on teenage pregnancies

This exploratory qualitative study aimed to provide insight into the factors contributing to the high prevalence rate of teenage pregnancy in South African communities. Focus group were conducted with 193 community members (females = 44.6%; adults = 50.8%, teenagers/youth = 44.0%) and followed by thematic content analysis to interpret the data. Several overarching themes regarding the increasingly common occurrence of teenage pregnancy emerged from the data. These included: (1) the increased acceptability of teenage pregnancy to families and communities for economic and material gain; (2) the influence of social pressure; and (3) the lack of sexual knowledge and provision of sex education. Community members perceived teenage pregnancy as an increasingly common occurrence in their communities. Community members perceived teenage pregnancy to be driven by multiple factors and to require holistic interventions at the individual, family and community level.     

Young Rural Males in South Africa Speak on Teenage Pregnancy: “It's Really Her Problem”

The aim of this study was to explore the attitudes, beliefs and behaviours of school-going rural males in KwaZulu-Natal, South Africa on teenage pregnancy. Two methods of data collection were used, namely, a quantitative survey with a sample of 294 male youth from 10 schools. This was followed by focus group interviews with three groups, each comprising ten males, from three of the schools. Quantitative data examined self reported knowledge, behaviours, beliefs and attitudes of participants relating to teenage pregnancy. Qualitative data from the focus groups generated both an individual and ‘group think and provided insights into the relational construction of these beliefs and behaviours. Although the analysis revealed some mixed reactions, the majority response pointed to ‘dominant male-submissive female’ views of sexual relationships. Most participants supported the notion that the burden of pregnancy fell on the female, with males frequently denying paternity and criticizing females for careless sexual behaviour. Attributions for teenage pregnancy by boys are important for intervention to curtail impact on survivor girls.     

Early sexual experiences among pregnant and parenting adolescents.

One hundred sixty-six pregnant or parenting adolescent females completed a survey regarding early sexual experiences (wanted and unwanted), family dysfunction and violence, and health-risky behaviors occurring prior to age 18. Fifty-three percent had at least one unwanted sexual experience. Younger age at first unwanted sexual experience was associated with younger age at first wanted sexual experience. Adolescent females with an unwanted sexual experience, as compared to those without, were more likely to be victims of physical violence, to have run away, to be substance abusers, and to have family members with drug or alcohol problems. Four factors explained 39% of the variance in age at first pregnancy: presence of a family member with a drinking problem, age first got hit with a belt or other object by a family member, age first got drunk, and age at first wanted sexual experience. It was concluded that the prevention of teenage pregnancy entails a multifaceted approach that addresses family life, early sexual experiences, and health-risky behaviors.     

The effects of different forms of two- and single-parent families on the well-being of their children in Dutch secondary education

The aim of this article is to compare the well-being of Dutch children living in different forms of single-parent families and different forms of two-parent families. We found that living in a mother-headed family caused by divorce has a negative influence on children's well-being. However, the effects we found were very small compared to the much larger effects of some other control variables, like parental education. Living in single-parent families or step-families caused by death have less negative effects on children than living in single-parent families or step-families caused by divorce. Our results give some support to the weak social position of the mother as an explanation for the negative effect of single parenthood, while the negative effects of living in a mother-headed family caused by death are larger than those of living in a father-headed family caused by death. Living in a single-parent family does not harm the well-being of boys more or less than that of girls living in the same family form. The negative effects of living in a single-mother family are not strengthened by the low educational level of the mother, nor are they neutralized by the high educational level of the mother. The effects we found in this continental European study are substantially smaller than those found in studies in the U.S.A.     

Sibling Teenage Pregnancy and Clinic-Referred Girls’ Condom Use: The Protective Role of Maternal Monitoring

Younger sisters of teenage parents have elevated rates of engaging in unprotected sex. This may result from changes in parenting behavior after a sibling becomes pregnant or impregnates a partner, and be particularly pronounced for girls seeking mental health treatment. The current study examines condom use over time in 211 African-American girls recruited from outpatient psychiatric clinics. Findings indicate that having a sibling with a teenage pregnancy history predicts less consistent condom use 2 years later. After accounting for earlier condom use and mental health problems, maternal monitoring moderates condom use such that for girls with a sibling with a pregnancy history, more vigilant maternal monitoring is associated with increased condom use, while for girls with no sibling pregnancy history, maternal monitoring is unrelated to adolescents’ condom use 2 years later. Findings suggest that targeted interventions to increase maternal monitoring of high-risk teens may be beneficial for girls with a sibling history of teenage pregnancy.     

The role of the anterodorsal thalami nuclei in the regulation of adrenal medullary function, beta-adrenergic cardiac receptors and anxiety responses in maternally deprived rats under stressful conditions

Maternal separation can interfere with growth and development of the brain and represents a significant risk factor for adult psychopathology. In rodents, prolonged separation from the mother affects the behavioral and endocrine responses to stress for the lifetime of the animal. Limbic structures such as the anterodorsal thalamic nuclei (ADTN) play an important role in the control of neuroendocrine and sympathetic-adrenal function. In view of these findings we hypothesized that the function of the ADTN may be affected in an animal model of maternal deprivation. To test this hypothesis female rats were isolated 4.5 h daily, during the first 3 weeks of life and tested as adults. We evaluated plasma epinephrine (E) and norepinephrine (NE), cardiac adrenoreceptors and anxiety responses after maternal deprivation and variable chronic stress (VCS) in ADTN-lesioned rats. Thirty days after ADTN lesion, in non-maternally deprived rats basal plasma NE concentration was greater and cardiac beta-adrenoreceptor density was lower than that in the sham-lesioned group. Maternal deprivation induced a significant increase in basal plasma NE concentration, which was greater in lesioned rats, and cardiac beta-adrenoreceptor density was decreased in lesioned rats. After VCS plasma catecholamine concentration was much greater in non-maternally deprived rats than in maternally-deprived rats; cardiac beta-adrenoreceptor density was decreased by VCS in both maternally-deprived and non-deprived rats, but more so in non-deprived rats, and further decreased by the ADTN lesion. In the plus maze test, the number of open arm entries was greater in the maternally deprived and in the stressed rats. Thus, sympathetic-adrenal medullary activation produced by VCS was much greater in non-deprived rats, and was linked to a down regulation of myocardial beta-adrenoceptors. The ADTN are not responsible for the reduced catecholamine responses to stress in maternally-deprived rats. Maternal deprivation or chronic stress also induced a long term anxiolytic effect, which was also not affected by ADTN lesion.     

Attitudes toward premarital sex and family planning for single-never-pregnant teenage girls

Black AFDC clients who attended a family planning day at a rural Georgia county public health department were polled on their attitudes toward premarital sex, family planning for single-never-married teenage girls, and illegitimacy. The sample was only 50 women and the poll has the limitations of a small sampling. Younger and unmarried or separated women tended to approve of premarital sex more than older and married women. Dichotomized by age and by marital status, the differences were statistically significant at the p less than .001 level. None of the respondents approved of illegitimate pregnnacy, and 92% favored providing contraceptives for never-pregnant teenage girls who engage in sexual relations. There was no correlation with age or marital status in the approval of providing contraception. Results of this poll indicate that if family planning advice is supplied, the rate of illegitimate pregnancy among teenagers in this group of the population (black and low-income) will fall.     

Brief Cognitive Behavioral Family Therapy Following a Child's Coming Out: A Case Report

Few interventions have been proposed for the treatment of families following a child's disclosure of nonheterosexuality. To address this gap in the literature, the current paper outlines a brief cognitive behavioral family treatment (CBFT) for families negotiating the coming-out process and illustrates this approach with a case example. Parents' attributions, beliefs, and expectations are explored and challenged. The family is exposed to increasingly salient topics and directed to increase the frequency of positive family experiences. Lastly, the family is taught specific listening and problem-solving skills to bolster adaptive family communication. This paper is among the first to apply an empirically supported therapeutic framework to support family adjustment following a child's disclosure of sexual orientation. The potential usefulness and limitations of this CBFT application are discussed.     

Botswana school child parents: their personal and community relationships contexts for counselling

The study determined personal-socio-contextual influences that predicted the perceived quality of relationships with Batswana early teenage mothers. The participants were 86 Botswana high school students (mean age 18.97, SD = 1.76) with motherhood. They completed a numerical measure of adjustment to teenage motherhood in the context of family, school and community and also culture and social policy. A proportion of the teenagers (10%) participated in focus group discussion on the same aspects. The quantitative data were analysed to predict family, interpersonal, school and community interpersonal relationships from the teenage mothers' age, age of parents and living arrangements. The qualitative focus group discussion data were thematically analysed. Findings suggest that supportive living arrangements were instrumental to perceived quality of interpersonal relationships in the family and the school and community relationships. Gendered roles of the parents were social capital for family and school and community relationships with teenage-hood. Living arrangements and parental social discounting qualities reliably predicted teen mothers' social outcomes important for early parenthood counselling.     

Preoedipal fixation: Its contribution to pregnancy in early adolescence

The authors studied 50 girls, 15 years old and younger, to determine whether early problems in the relationship with their mothers are a significant component of their becoming pregnant. A pattern of deprivation and inconstancy was found, both in their early care by their teenage mothers and in the care that they were giving to their own infants. This pattern is consistent with Blos's theory that preoedipal fixation can contribute to early pregnancy. The girls' inconsistent care of their children, which perhaps is causing preoedipal fixations, may be laying the groundwork for the continuation of the adolescent pregnancy cycle.     

Reactions to perceived deprivation in ingroup and outgroup: a cross-cultural comparison

An experiment is reported in which the reactions of observers to the relative and absolute deprivation of others are assessed. Eighty German and 80 Italian subjects made decisions about ingroup (own nationality) or outgroup (foreign) protagonists suffering high or low relative and absolute deprivation. Results showed that subjects were more likely to take social action that violated some rule when the protagonist was in high rather than low absolute deprivation. Racist subjects were somewhat more likely to satisfy the request of a deprived ingroup protagonist whereas non-racist subjects favoured the deprived outgroup. No differences emerged for non-deprived protagonists. Overall, Germans tended to take social action only when the protagonist suffered high absolute deprivation whereas Italians took action regardless of degree of absolute deprivation. © 1998 John Wiley & Sons, Ltd.     

Women to women: facilitating decision-making about contraception

A group of women social scientists and mental health practitioners formed the nucleus of a research project designed to address unacceptably high levels of adolescent pregnancy in Chicago. A central concern was the dilemma teenagers face in contraceptive decision making of balancing self-interests with the need for acceptance by others. To increase teenagers' sense of control over their lives, the group designed a program of 12 weekly meetings for groups of 10-20 adolescent girls. The groups were led by 2-4 peer leaders assisted by 1 professional adult. Each session was organized around a specific topic (e.g., birth control, abortion, teen pregnancy, teenage parenting) and utilized exercises that reinforced appropriate decision making and self-care. Also utilized were techniques for fostering a cost-benefit analysis of the decision to be sexually active. Group leaders supported reserving sexual activity for meaningful relationships and using contraception to delay childbearing until adulthood, but acknowledged the positive and negative consequences of these positions. Peer leaders were invaluable in embodying the message that adolescent girls can think, share ideas, and responsibly function in the sphere of sexual activity. Focused interviews with these peer leaders, conducted 6-12 months after the intervention, indicated they were helped by training sessions, pregroup consultations with the staff, the presence of a professional in the group, and the session outlines. The group's emphasis on control and responsibility for one's decisions seemed to be far more effective than more manipulative interventions that simply tell girls not to be sexually active.     

Mothers', fathers' and children's perceptions of parents' expectations about children's family obligations in nine countries

Children's family obligations involve assistance and respect that children are expected to provide to immediate and extended family members and reflect beliefs related to family life that may differ across cultural groups. Mothers, fathers and children (N = 1432 families) in 13 cultural groups in 9 countries (China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand and United States) reported on their expectations regarding children's family obligations and parenting attitudes and behaviours. Within families, mothers and fathers had more concordant expectations regarding children's family obligations than did parents and children. Parenting behaviours that were warmer, less neglectful and more controlling as well as parenting attitudes that were more authoritarian were related to higher expectations regarding children's family obligations between families within cultures as well as between cultures. These international findings advance understanding of children's family obligations by contextualising them both within families and across a number of diverse cultural groups in 9 countries.     

Teenage parenting in different cultures,family constellations,and caregiving environments: Effects on infant development

Teenage parenting was investigated in different ethnic groups (Cuban and American Black), family constellations (single-parent, nuclear, and extended families), and primary caregiving arrangements (mother versus other). One hundred sixty-four infants born to a representative sample of teenage mothers were observed during interactions with their mothers and were given developmental assessments when they were 12, 18, and 24 months of age. Being a Cuban mother, living in a nuclear family, and being a secondary caregiver were each associated independently with stronger social support systems and more positive child-rearing attitudes and mother-infant play interactions. Despite these early advantages, maternal stimulation and infant performance decreased over the second year of life irrespective of ethnic group, family constellation, and caregiving arrangements.     

Demographic correlates of normative beliefs about aggression among adolescents from low income communities in South Africa

The present study investigated the association of age, gender, and family size with normative beliefs about aggression among South African adolescents from low-income areas. Adolescents (n = 229; mean age = 16 years; female = 61%) completed the Normative Beliefs about Aggression Scale. Step-wise regression analyses were conducted with age, gender, and family size as predictors of normative beliefs about aggression. Boys demonstrated greater endorsement of physical, non-physical, and relational aggression; as compared to girls. Living in an extended family was associated with less approval of aggression. Aggression reduction interventions with children from disadvantaged areas need to consider the role of gender and family-related factors.     

A Family Therapist for Life: Observations and Options

“Life” is used here in the chronological sense of years spent as a family therapist and in the existential sense of experiencing “life” in terms of satisfaction, meaning, and vitality in one’s living. In the 1950s, there were few guidelines for professionals recognizing the need for working therapeutically with families. Becoming and being a family therapist are discussed, along with lifetime learning about family and tolerance for ambiguity in understanding family and marital relationships and dynamics; flexibility in implementing therapeutic interventions; functioning in ways that fit with one’s personality, beliefs, and principles; working where one functions best; and what works at what stage for the family therapist and relating these to establishing and maintaining “life” in one’s living.     

Reasons for Living: Mood Effects Revisited1

To explore the relationship between mood and cognitive restraints to suicide, 98 undergraduates experienced the Velten mood-induction procedure to induce an elated, depressed, or neutral (unchanged) mood. They then completed the Multiple Adjective Affect Checklist, the Coopersmith Self-Esteem Inventory, and the Reasons for Living Inventory. Surprisingly, compared to neutral students, depressed students reported more overall reasons for living, greater feelings of responsibility to family, and more moral objections to suicide, and elated students reported more feelings of responsibility to family. Most responsive depressed students also had higher fear of suicide than others, and most responsive elated students had higher survival and coping beliefs than others. Results suggest that a mildly depressed mood caused students' increased reliance on cognitive beliefs about not committing suicide, and may indicate that mildly depressed persons might benefit from and be particularly receptive to cognitive interventions stressing beliefs about family and religious commitments.     

The intergenerational cycle of teenage motherhood: an ecological approach

OBJECTIVE: Daughters of teenage mothers have increased risk for teenage childbearing, perpetuating intergenerational cycles. Using Ecological Systems Theory, this study prospectively examined risk factors for teenage childbearing among a national sample of adolescent girls. DESIGN: Data came from the National Longitudinal Survey of Youth 1997. Participants (N = 1,430) were recruited in early adolescence and interviewed yearly for 6 years. Survival analysis was used to examine the rate of childbirth across the teenage years by maternal age at first birth. Hierarchical Cox regression was used to identify multivariate predictors of teenage childbearing and to test whether risk factors differed between daughters of teenage versus older mothers. PRIMARY OUTCOME MEASURE: Age at first childbirth was based on cumulative information collected at yearly interviews. RESULTS: Daughters of teenage mothers were 66% more likely to become teenage mothers, after accounting for other risks. Individual (school performance), family (maternal education, marital status, number of children), peer (dating history), and environmental (race, enrichment) factors predicted teenage childbearing. Risks unique to daughters of teenage mothers were deviant peer norms, low parental monitoring, Hispanic race, and poverty. CONCLUSION: Results support multidimensional approaches to pregnancy prevention, and targeted interventions addressing unique risk factors among daughters of teenage mothers.     

Poverty and child outcomes: a focus on Jamaican youth

Compared with children from more affluent families, poor children face a higher risk of developmental delays and fare worse on various measures of developmental outcomes. This paper examines the relationship between poverty and child outcomes in the Jamaican context. Specifically, the paper focuses on the detrimental consequences for poor Jamaican children. The literature is reviewed on the effects of economic disadvantage on children and the short- and long-term implications for individuals and society is discussed. In addition, the modus operandi and implications for human development utilizing a theoretical model that hypothesizes the associations among economic deprivation and various aspects of child well-being is examined. Suggestions to policy makers for addressing the issues related to economically deprived families and children are offered.     

A theoretical framework for evaluation and treatment of the victims of child sexual assault by a nonfamily member

Thirty-seven families whose children were victims of sexual abuse by a nonfamily member were evaluated and treated during a nine-month period. The average age of the children was 5.36 years. The youngest children were boys, and all the adolescents were girls. A theoretical framework adapted from Ferreira's and Byng-Hall's work was developed to assess and treat child victims of sexual molestation and their families. The format consists of three concepts. First, the trauma from sexual abuse, being outside the realm of usual human experience, creates a breach in the family's adaptive and protective shield, including its shared values and beliefs. Second, the trauma has a "derailing" effect on the child's and family's predicted passage through their world. And third, issues that arise as a consequence of disclosure are intimately tied to preexisting family myths and beliefs. Evaluation, treatment, and short-term outcomes are discussed.