Health care access and utilization among pregnant adolescents
Delivery of Health Care; Female; Humans; United States; Pregnancy; Adult; Age Factors; New York; Risk Factors; North America; adolescent; Adolescent Transitions; Health; Pregnancy in Adolescence; Adolescent Health Services/utilization; Adolescents; Primary Health Care/utilization; Developed Countries; Americas; Demographic Factors; Health Services Accessibility/statistics & numerical data; Northern America; Population; Population Characteristics; Pregnant Women; Prenatal Care/utilization; Reproductive Health; Research Report; Youth
PURPOSE: To assess access to and use of health care by adolescents prior to their becoming pregnant. METHODS: An interviewer-administered questionnaire was completed by all pregnant adolescents (n = 65) entering the Rochester Adolescent Maternity Program (RAMP) between January and June 1994. Questions addressed access and utilization issues including routine care and other services used, and existence of a regular source of care prior to pregnancy. RESULTS: Sixty-one adolescents (94%) completed questionnaires. Almost all (93%) had made a doctor or clinic visit, and 77% had had a checkup in the prior year. Most had Medicaid (85%) or private insurance (13%). The median number of visits to a regular source of care was 2.0 (range 0-10). Most frequently reported sources of regular care were hospital clinics (43%), community health centers (26%), and private physician offices (15%). Two-thirds (66%) reported having used multiple sources of care. Of those who used other sources in addition to a primary care source, 40% used reproductive health clinics. Adolescents whose primary care source was a traditional physician's office were more likely to also use reproductive health clinics than those who reported using more comprehensive primary care sources. CONCLUSIONS: Most pregnant adolescents in this sample had previously used routine primary care, usually in hospital clinics or health centers. Many of those adolescents also use multiple sources of care, most often for reproductive services. Access to reproductive health services does not seem to have been a problem for these adolescents prior to their pregnancies.; PIP: An interviewer-administered questionnaire was administered to all 65 pregnant adolescents entering the Rochester Adolescent Maternity Program (RAMP) between January and June 1994 as part of a study to measure access to and the use of health care by respondents before they became pregnant. 61 (94%) young women completed the questionnaires. 93% had made a doctor or clinic visit and 77% had had a checkup in the prior year. 85% had Medicaid and 13% had private insurance. The median number of visits to a regular source of care was 2.0 in the range of 0-10. 43% reported receiving regular care from hospital clinics, 26% from community health centers, and 15% from private physician offices. 66% reported having used multiple sources of care. 40% of those who used other sources in addition to a primary care source used reproductive health clinics. Adolescents whose source of primary care was a traditional physician's office were more likely to also use reproductive health clinics than those who reported using more comprehensive primary care sources.
1997
Galbraith AA; Stevens J; Klein JD
The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine
1997
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1016/S1054-139X(97)00124-9" target="_blank" rel="noreferrer">10.1016/S1054-139X(97)00124-9</a>
Empowerment through photo novella: portraits of participation
Child; Female; Humans; Male; Adult; Communication; Socioeconomic Factors; Cross-Cultural Comparison; China; Health Education; Power (Psychology); Preschool; Non-U.S. Gov't; Research Support; infant; Comparative Study; Developing Countries; Health Policy/trends; Life Style; Demographic Factors; Population; Population Characteristics; Photography; Asia; Community Participation; Eastern Asia; Economic Factors; Films; Health Services Needs and Demand/trends; Mass Media; Organization And Administration; Rural Health/trends; Rural Population--women; Summary Report; Women's Health Services/trends; Women's Status
Photo novella does not entrust cameras to health specialists, policymakers, or professional photographers, but puts them in the hands of children, rural women, grassroots workers, and other constituents with little access to those who make decisions over their lives. Promoting what Brazilian educator Paulo Freire has termed "education for critical consciousness," photo novella allows people to document and discuss their life conditions as they see them. This process of empowerment education also enables community members with little money, power, or status to communicate to policymakers where change must occur. This paper describes photo novella's underpinnings: empowerment education, feminist theory, and documentary photography. It draws on our experience implementing the process among 62 rural Chinese women, and shows that two major implications of photo novella are its contributions to changes in consciousness and informing policy.; PIP: Contrary to the traditional approach of relying upon photographic images taken by health specialists, policymakers, and professional photographers to document what transpires in a particular community or subpopulation, photo novella encourages children, rural women, grassroots workers, and other constituents with little access to decision-makers to take their own photographs of life as they see it. This process of empowerment education enables community members with little money, power, or status to communicate to policymakers where change must occur. This paper describes photo novella's foundation in empowerment education, feminist theory, and documentary photography. It draws upon experience implementing the process among 62 rural Chinese women, highlighting the ability of photo novella to change consciousness and inform policy.
1994
Wang C; Burris MA
Health Education Quarterly
1994
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1177/109019819402100204" target="_blank" rel="noreferrer">10.1177/109019819402100204</a>