Predicting Unprotected Sex and Unplanned Pregnancy among Urban African-American Adolescent Girls Using the Theory of Gender and Power.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Journal titleJournal of urban health : bulletin of the New York Academy of Medicine
Publication Begin page493
Publication End page510
MetadataShow full item record
AbstractReproductive coercion has been hypothesized as a cause of unprotected sex and unplanned pregnancies, but research has focused on a narrow set of potential sources of reproductive coercion. We identified and evaluated eight potential sources of reproductive coercion from the Theory of Gender and Power including economic inequality between adolescent girls and their boyfriends, cohabitation, and age differences. The sample comprised sexually active African-American female adolescents, ages 15-21. At baseline (n = 715), 6 months (n = 607), and 12 months (n = 605), participants completed a 40-min interview and were tested for semen Y-chromosome with polymerase chain reaction from a self-administered vaginal swab. We predicted unprotected sex and pregnancy using multivariate regression controlling for demographics, economic factors, relationship attributes, and intervention status using a Poisson working model. Factors associated with unprotected sex included cohabitation (incidence risk ratio (IRR) 1.48, 95 % confidence interval (1.22, 1.81)), physical abuse (IRR 1.55 (1.21, 2.00)), emotional abuse (IRR 1.31 (1.06, 1.63)), and having a boyfriend as a primary source of spending money (IRR 1.18 (1.00, 1.39)). Factors associated with unplanned pregnancy 6 months later included being at least 4 years younger than the boyfriend (IRR 1.68 (1.14, 2.49)) and cohabitation (2.19 (1.35, 3.56)). Among minors, cohabitation predicted even larger risks of unprotected sex (IRR 1.93 (1.23, 3.03)) and unplanned pregnancy (3.84 (1.47, 10.0)). Adolescent cohabitation is a marker for unprotected sex and unplanned pregnancy, especially among minors. Cohabitation may have stemmed from greater commitment, but the shortage of affordable housing in urban areas could induce women to stay in relationships for housing. Pregnancy prevention interventions should attempt to delay cohabitation until adulthood and help cohabiting adolescents to find affordable housing.
CitationRosenbaum JE, Zenilman J, Rose E, Wingood G, DiClemente R. Predicting Unprotected Sex and Unplanned Pregnancy among Urban African-American Adolescent Girls Using the Theory of Gender and Power. J Urban Health. 2016 Jun;93(3):493-510. doi: 10.1007/s11524-016-0047-8. PMID: 27188460; PMCID: PMC4899331.
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
- Risk factors for unplanned and unwanted teenage pregnancies occurring over two years of follow-up among a cohort of young South African women.
- Authors: Christofides NJ, Jewkes RK, Dunkle KL, McCarty F, Jama Shai N, Nduna M, Sterk C
- Issue date: 2014
- Reproductive Coercion in High School-Aged Girls: Associations with Reproductive Health Risk and Intimate Partner Violence.
- Authors: Northridge JL, Silver EJ, Talib HJ, Coupey SM
- Issue date: 2017 Dec
- Cash, cars, and condoms: economic factors in disadvantaged adolescent women's condom use.
- Authors: Rosenbaum J, Zenilman J, Rose E, Wingood G, DiClemente R
- Issue date: 2012 Sep
- Predictors of African American adolescents' condom use and HIV risk behavior.
- Authors: Reitman D, St Lawrence JS, Jefferson KW, Alleyne E, Brasfield TL, Shirley A
- Issue date: 1996 Dec
- Racial Differences in Pregnancy Intention, Reproductive Coercion, and Partner Violence among Family Planning Clients: A Qualitative Exploration.
- Authors: Holliday CN, Miller E, Decker MR, Burke JG, Documet PI, Borrero SB, Silverman JG, Tancredi DJ, Ricci E, McCauley HL
- Issue date: 2018 May-Jun