Trauma exposure and adolescent attitudes toward having a baby: An exploratory survey

Q2 Medicine Contraception: X Pub Date : 2021-01-01 DOI:10.1016/j.conx.2021.100058
Karina M. Shreffler, Stacy Tiemeyer, Ronald B. Cox Jr.
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Abstract

Objectives

To examine the association between childhood trauma exposure (i.e., extent of interpersonal trauma experienced in childhood) and attitudes toward teen parenthood.

Study design

We used a cross-sectional sample of 416 urban middle and high school male and female students from Tulsa, OK recruited through a local public school district mailing list. Multinomial logistic regression analyses were used to examine odds of reporting having a baby would make life worse, better, or cause no change according to childhood trauma score.

Results

Approximately 8% of students and their guardians responded to the mailed survey invitation. Among the students, 67% reported having a baby would make their lives worse; 17% reported it would not change their lives much, and 16% reported having a baby would make their lives better. Each increase in trauma score was associated with a 9% increase in reporting an indifferent attitude (p < 0.001) and a 15% increase in reporting a positive attitude toward having a baby (p < 0.01). After controlling for a wide range of sociodemographic, attitudinal, and sexual history variables, childhood trauma remained associated with a positive attitude toward having a baby (p<.01), but not an indifferent attitude toward having a baby.

Conclusions

Greater childhood trauma exposure is associated with indifferent and positive attitudes toward having a baby during adolescence.

Implications

Screening for childhood trauma and utilizing interventions designed to reduce the harmful effects of trauma exposure in childhood may offer a more targeted approach to adolescent pregnancy prevention strategies.

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创伤暴露与青少年生育态度:一项探索性调查
目的探讨童年创伤暴露(即童年经历的人际创伤程度)与青少年父母态度之间的关系。研究设计我们使用了一个横断面样本,416名城市初中和高中男女学生来自塔尔萨,OK,通过当地公立学区的邮件列表招募。使用多项逻辑回归分析来检查报告生孩子会使生活更糟、更好或根据儿童创伤评分没有改变的几率。结果约8%的学生及其监护人回应了邮寄的调查邀请。在学生中,67%的人表示生孩子会让他们的生活更糟;17%的人表示,生孩子不会给他们的生活带来太大改变,16%的人表示,生孩子会让他们的生活变得更好。创伤评分每增加一次,报告冷漠态度的人数增加9% (p <0.001),对生孩子持积极态度的人数增加了15% (p <0.01)。在控制了广泛的社会人口学、态度和性史变量后,童年创伤仍然与积极的生育态度相关(p< 0.01),但与冷漠的生育态度无关。结论童年创伤暴露程度高的青少年对生育持积极态度。对儿童创伤进行筛查,并利用旨在减少儿童创伤暴露有害影响的干预措施,可能为青少年怀孕预防策略提供更有针对性的方法。
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来源期刊
Contraception: X
Contraception: X Medicine-Obstetrics and Gynecology
CiteScore
5.10
自引率
0.00%
发文量
17
审稿时长
22 weeks
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