Predictors of unprotected sex for teens at pregnancy testing
Review TypeNone: Degree-based Submission
Repository Posting Date2020-10-13T20:42:37Z
Author(s)Aruda, Mary Margaret
Author DetailsDr. Mary Margaret Aruda, PhD, RN, CS-PNP, FNP, FAANP
Lead Author Sigma AffliationNon-member
Level of EvidenceCross-Sectional
Research ApproachQuantitative Research
CINAHL HeadingsSexuality; Risk Taking Behavior; Attitude to Pregnancy; Health Behavior; Sexuality--In Adolescence; Risk Taking Behavior--In Adolescence; Attitude to Pregnancy--In Adolescence; Health Behavior--In Adolescence
This study explored factors which predict unprotected sexual activity in adolescent females. Three hundred and five teens completed a self-report questionnaire at the time of a pregnancy test; the paper and pencil items on the questionnaire addressed background characteristics, cognitive and affective variables, inclusive of a previously little explored concept—fertility fears. The Interaction Model of Client Health Behavior (IMCHB) guided the construction of the comprehensive assessment of variables in multiple domains that affected the three outcome measures of unprotected sex (condom non-use, birth control non-use, and choice of contraceptive method). A combination of logistic and multiple regression were used to construct three models to explain both the direct and indirect effects of the independent variables on the three dependent measures, providing a beginning profile of high risk adolescent females. Fertility fears, measured as a single item response, emerged as a primary explanatory variable in the three final models. Fifty one percent of the sample reported that they worried that they could not get pregnant, revealing a potential new motivator for unprotected sexual activity. Replication of this study is needed to extend and validate the construct of fertility fears in other adolescent populations. Health professionals need to broaden both their assessment and interventions to include fertility fears as a potential motivator that underlies adolescent pregnancy and sexually transmitted diseases.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3036398; ProQuest document ID: 305523454. The author still retains copyright.
Degree GrantorUniversity of Massachusetts, Lowell
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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