More than 1 million teenage girls in the United States become pregnant each year; nearly half give birth. Why do these young people, who are hardly more than children themselves, become parents? This volume reviews in detail the trends in and consequences of teenage sexual behavior and offers thoughtful insights on the issues of sexual initiation, contraception, pregnancy, abortion, adoption, and the well-being of adolescent families. It provides a systematic assessment of the impact of various programmatic approaches, both preventive and ameliorative, in light of the growing scientific understanding of the topic.
Three decades into the HIV pandemic, the goals remain clear: reduce the number of infections,improve the health outcomes of those who are infected, and eliminate disparities in care. And one observation continues to gain credence: families are a powerful resource in preventing, adapting to, and coping with HIV. Recognizing their complex role as educators, mentors, and caregivers, Family and HIV/AIDS assembles a wealth of findings from successful prevention and intervention strategies and provides models for translating evidence into effective real-world practice. Chapters spotlight the differing roles of mothers and fathers in prevention efforts, clarify the need for family/community collaborations, and examine core issues of culture,ethnicity, gender, and diagnosis (e.g., minority families, adolescents with psychological disorders). Throughout, risk reduction and health promotion are shown as a viable public health strategy A reference with considerable utility across the health, mental health, and related disciplines,Family and HIV/AIDS will be a go-to resource for practitioners working with families, researchers studying at-risk populations, administrators seeking to create new (or evaluate existing)prevention and care programs, and policymakers involved in funding such programs.
This book investigates the challenges facing the African family and their multiple effects from an extremely broad perspective. The contributors explore the nature of available data on which current policies are premised, marriage patterns, the role of the family in agriculture, the changing roles and status of women, the transformations generated by mass migration, the strains and tensions wrought by structural adjustment programmes and the functioning of family law. Throughout, the book makes clear the importance of the family to the development process. The contributors call on development strategists to see the family as a dynamic source of change as much as the recipient of it; as such this book is essential reading for students, academics and activists in development studies.
The definition of the risks of adolescent childbearing has received considerable investigative attention during the last decade. We have gradually moved away from simplistically studying young maternal age as the sole determinant of biologie and psychosocial outcome, even though we recognize it is one of several factors which warrant consideration. We now recognize that if adolescents receive adequate and consistent pre natal care, they and their infants should do nearly as weIl as adult women and their infants of similar backgrounds. Thus, the major morbidities for adolescent mothers, adolescent fathers, and their infants are psychosocial: lack of educational and voca tional futures, failed marriages, and dependence on government aid for support. The adequacy of the parenting of adolescent mothers and fathers and the long-term developmental and physical outcomes of their children are largely unstudied. This book, edited by Dr. Max Sugar, a recognized authority on adolescence, focuses on the important topic of adolescent parenthood. The authors of this timely contribution approach the topic of adolescent parenthood in a unique fashion, utilizing a combination of several approaches: consideration of fictional characters in history , astute and carefully conceptual ized clinical observations, reviews of the literature, and their own investigation. lt will be through the use of such a creative approach that we shall define the important quest ions which should be addressed about adolescents as parents and the outcome for their children.
By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.
The volume's topic was chosen in part because of the rapidly growing salience of dyadic research perspectives in developmental psychology, but also in social psychology and in fields such as communication and family studies. It provides the most complete representation now available on current theory and research on the significance of personal relationships in child and adolescent development. This volume addresses the ways in which the study of social development has been altered by an emphasis on research questions and techniques for studying children and adolescents in the context of their significant dyadic relationships. Leading scholars--many of them pioneers in the concepts and methods of dyadic research--have contributed chapters in which they both report findings from recent research and reflect on the implications for developmental psychology. Their work encompasses studies of relationships with parents, siblings, friends, and romantic partners. Opening chapters set the stage by describing the key characteristics of social-development research from a dyadic perspective and outlining key themes and contemporary issues in the field. It concludes with commentaries from distinguished senior scholars identifying important directions for future research.
This report is the first major presentation of the international data from the 2001/2002 HBSC survey. The survey covered the physical, emotional and psychological aspects of health, and the influences of the family, schools and peers on young people aged 11, 13 and 15 years in 35 countries and regions in the WHO European Region and North America. The main body of the report gives comprehensive cross-national data on health and well-being, smoking, alcohol consumption, physical activity and sedentary behaviour, eating habits and body image, oral health, bullying and fighting, injuries and, for the first time, cannabis use and sexual health. Other chapters describe the contexts of young peoples health - socioeconomic inequality, puberty, relationships with family, peers, and schools - and discuss the implications of the surveys main findings for the future development of policies and programmes.
Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May
Adolescence is a time when youth make decisions, both good and bad, that have consequences for the rest of their lives. Some of these decisions put them at risk of lifelong health problems, injury, or death. The Institute of Medicine held three public workshops between 2008 and 2009 to provide a venue for researchers, health care providers, and community leaders to discuss strategies to improve adolescent health.
