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Child Health Supplement to the National Health Interview Survey, 1981

  • Child Health Supplement to the National Health Interview Survey, 1981

    Investigators: National Center for Health Statistics

    The National Health Interview Survey (NHIS) was designed to provide national data on the incidence of acute illness and accidental injuries, chronic conditions and impairments, disabilities, the utilization of health care services, and other health-related topics. In 1981, after several years of planning and preparation, a comprehensive supplement on children was included with the survey. One child from each eligible household was randomly selected, and data collected on a nationwide probability sample of 15,416 children 17 years of age and under. Questionnaire topics included family structure, child care arrangements, breastfeeding, motor and social development, medications, birth and prenatal events, lifetime hospitalizations and surgery, chronic conditions, weight, eyes and teeth, school attendance and performance, behavior problems, social effects of ill health, and sleep habits. Additional data about health and medical care were also collected as part of the core NHIS questionnaire. In all there are 1,416 variables in the Data Set. This Data Set should prove particularly useful as a baseline national sample for comparisons with smaller or more specialized samples. The microcomputer version of the raw data is an extract of 1,028 cases. Note for users of DAAPPP Data Sets #01-B1DAAPPP data sets 01 through B1 are comprised of a User's Guide, SPSS syntax files (*.SPS or *.SPX) and raw data files only. Most of these datasets contain SPSS syntax files that use Job Control Language (JCL) from 1980s versions of SPSS-X. Because the syntax is old, the syntax files require editing to conform to the current syntax standards used by SPSS/Windows or SPSS/Unix. If you require technical assistance in using or editing these syntax files, please contact Sociometrics' Data Support Group at 800.846.3475 or socio@socio.com.

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Clients of the Certified Nurse Midwifery Program of Maternal and Family Health Services in Wilkes-Barre, Pennsylvania, 1982-1986

  • Clients of the Certified Nurse Midwifery Program of Maternal and Family Health Services in Wilkes-Barre, Pennsylvania, 1982-1986

    Investigators: Charles LaJeunesse, Mary Louise Schaefer, and Connie McNunis

    The AFL Demonstration Program was enacted to provide local communities and institutions with workable models of prevention programs that discourage premarital adolescent sexual relations and care programs that reduce the negative consequences of adolescent pregnancy. To develop these models, AFL authorized grants for three types of demonstrations: (1) projects which provide "care services" only (i.e., services for the provision of comprehensive services to pregnant adolescents, adolescent parents, and their families); (2) projects which provide "prevention services" only (i.e., services to promote abstinence from adolescent premarital sexual relations); and (3) projects which provide a combination of care and prevention services. The demonstration projects were multi-year projects (3 to 5 years), renewable annually. As of March 1988, 97 demonstration projects had been funded. Each demonstration project has an internal evaluation component designed to test hypotheses specific to that project's service delivery model. Projects were evaluated by an independent evaluator contracted by each grantee. Evaluators were usually affiliated with a college or university in the grantee's state. Data Set B9 was collected as an evaluation of the Certified Nursing Midwifery (CNM) Program of the Maternal & Family Health Services, Inc., in Wilkes-Barre, Pennsylvania. The project began in October 1982 with Adolescent Family Life care program funding. The project provides care services to a predominantly white population of pregnant and parenting adolescents. In this evaluation, the hospital-based outpatient care program with a Health Visitor component is compared with the hospital-based project clinic operation before the Health Visitor component was given a major role. The evaluation focuses on teen pregnancy outcomes and postnatal care. The data cover clients registered from April 1982 through May 1986 and have been divided into two periods. The pre-treatment, or comparison group, covers April 1982 through August 1983; the treatment, or study group, covers February 1984 through May 1986. In the comparison group, the role of the Health Visitor was minimal; usually the Health Visitor became involved only after the birth of the child. In the study group, the Health Visitor became involved early on in the pregnancy and had a much more comprehensive role. The project offers pregnancy testing, prenatal and postpartum health care, nutritional and social services counseling, as well as the Health Visitor program. Although services are provided to male partners and family members as well, the data contain information only regarding the pregnant or parenting female adolescent. The surveys included questions on respondent demographic characteristics, pregnancy and childbirth history, contraceptive methods and behaviors, medical complications, pregnancy risk factors, delivery complications, and program involvement at different follow-up periods. The actual intervention of the program is as follows. All new clients are given a pamphlet on adoption at their first prenatal visit (see Appendix D). The pamphlet was developed by the project to introduce adolescents to adoption and to invite their exploration of this option. A Health Visitor provided support and counseling through the baby's first birthday. The Health Visitor contacts included clinic and hospital visits, telephone calls, family planning and well-baby visits, and home visits. In the comparison group, the Health Visitor was to have contact with the client at least four times--in the hospital directly after delivery, 4 weeks after delivery, 6 months after delivery, and 12 months after delivery. In the study group, Health Visitors were to become involved with pregnant adolescents early in the pregnancy. The Health Visitor had contact with the client at her first visit to the clinic, when she was 5 months pregnant, at delivery, and at 6 weeks, 3 months, 6 months, and 12 months after delivery, as well as at any time the pregnant or parenting adolescent was in need of the Health Visitor's services. The role of Health Visitors is to encourage and assist young parents to remain in or return to school; make use of family planning methods; enroll in vocational classes or a job training program; learn about baby care, budgeting, and meal preparation; and secure housing, WIC, and financial assistance. By establishing a solid bond with the client prior to delivery, the Health Visitor lays the foundation for an ongoing relationship. An advisory committee, consisting in part of pregnant and parenting adolescents and their family members, meets regularly to provide feedback to the project on its services. As a result of the committee's recommendations, the project added parenting classes, which grandparents and fathers were also invited to attend, to its services.

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Computer-Assisted Motivational Interviewing (CAMI): Preventing Repeat Births Among Adolescent Mothers

  • Computer-Assisted Motivational Interviewing (CAMI): Preventing Repeat Births Among Adolescent Mothers

    Investigators: Beth Barnet, Jiexin Liu, Margo DeVoe, Anne K. Duggan, Melanie A. Gold, & Edward Pecukonis

    According to the Centers for Disease Control and Prevention, in 2010, more than 360,000 infants were born to women aged 15 to 19 years in the United States. Nearly one-quarter of adolescent mothers give birth to another child within two years, despite national efforts to increase timing between births. Adolescent mothers who give birth to more than one child may be at high risk for experiencing poorer medical, educational, economic, and developmental outcomes. The purpose of the Computer-Assisted Motivational Interviewing (CAMI) is to increase motivation among adolescent mothers to consistently use condoms and contraception with the long-term goal of reducing rapid repeat births. CAMI consists of at least two 60-minute sessions conducted in two-parts by trained counselors who meet one-on-one with pregnant and/or parenting adolescent mothers, ages 12 through 18 years old. During the first part of each session, participants use the computer-based CAMI Program to answer questions about current sexual relationships and contraceptive use intentions and behaviors. Based on the responses generated, CAMI counselors conduct a stage-matched motivational interviewing session to enhance participants' motivation to consistently use condoms and contraception in order to reduce the risk for a repeat pregnancy. An evaluation of CAMI has demonstrated that receiving two or more CAMI sessions, either alone or within a multi-component home-based intervention, reduced the risk of repeat births among adolescent mothers aged 18 years and younger. Click here to view more detailed information on this program.

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Consequences of the Adoption Decision Among Clients of the Options for Pregnancy Program in Washington and Northern Idaho, 1985

  • Consequences of the Adoption Decision Among Clients of the Options for Pregnancy Program in Washington and Northern Idaho, 1985

    Investigators: Steven D. McLaughlin, Diane L. Manninen, and Linda D. Winges

    Data were collected on a total of 269 pregnant adolescents--146 who chose to parent their children and 123 who chose to relinquish their children for adoption. This sample represents adolescent mothers served by a pregnancy counseling program affiliated with a large adoption agency in the Pacific Northwest. The major objective of the study was to compare the two groups with respect to subsequent educational attainment, marriage and fertility, labor force participation, income, and various social/psychological measures, such as satisfaction with their decision to parent or relinquish, life satisfaction, and self-esteem. The research was designed to serve two separate objectives. The first was to provide basic descriptive information necessary to answer the questions, "Do adolescent mothers who place their children for adoption experience more or less favorable outcomes than adolescent mothers who elect to parent their children?" and "In what respects do relinquishing adolescents fare better or worse than parenting adolescents?" To date, there is very little information regarding the subsequent experiences of adolescent mothers who elect to relinquish children for adoption. There are two primary reasons for this lack of information. First, relinquishment is an increasingly rare event; second, adoption has been traditionally a highly confidential process making it difficult or impossible to collect data from relinquishing mothers. The second objective of this research was to contribute to the literature on the consequences of adolescent fertility by drawing on the unique opportunity offered by this study to compare outcomes among adolescent mothers who share the experience of a live birth, but who differ in the relinquish versus parent decision. Since both groups of adolescents had a live birth but only one group parented the child, observed differences between the two groups can more confidently be attributed to the experience of caring for a child as an adolescent mother.

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Cuyahoga County, Ohio Familial Communication and Adolescent Sexual Behavior Project, 1983

  • Cuyahoga County, Ohio Familial Communication and Adolescent Sexual Behavior Project, 1983

    Investigators: Janet R. Kahn

    This study examines the extent of parent-child communication about sexuality and the relative importance of that communication to the child's sexual behavior and attitudes at adolescence. In 1976, the Project on Human Sexual Development (PHSD) conducted a major study on family life and sexual learning, involving personal interviews with over 1,400 parents of young children in Cuyahoga County, Ohio. The present study is a continuation of that work. Three hundred twenty-six (326) adolescent children aged 12-18 were interviewed. The adolescent respondents were drawn from two subsamples: (1) PHSD families; and (2) a supplemental sample of families living in the same areas in 1983 that did not participate in the PHSD. Parents of participating adolescents were asked to complete questionnaires providing updates on their perspectives; 71% of mothers and 56% of fathers did so. The project had four essential purposes: (1) to add to the descriptive information gathered earlier on the timing and content of parent-child communication about sexuality; (2) to create a model of factors associated with successful parent-child communication about sexuality; (3) to develop a second model examining the role of this communication and other factors in influencing adolescents' sexual behavior, knowledge and attitudes; and (4) to look at parents' use and need for assistance in their roles as sex educators of their children to provide information that can be used by those organizations seeking to help families with this important aspect of life. The teenagers were asked to respond to a variety of questions including family composition, educational background and aspirations, family closeness, religiosity, friendship networks, discussions with parents, sexual knowledge, sexual behaviors ranging from kissing to intercourse, reactions to sexuality, histories of intercourse patterns and birth control usage. Parents were asked to provide information on socioeconommic status, changes in family composition, marital status and employment, discussions of sexual topics, parental values, sex role attitudes, and sources of sex education assistance. Note for users of DAAPPP Data Sets #01-B1DAAPPP data sets 01 through B1 are comprised of a User's Guide, SPSS syntax files (*.SPS or *.SPX) and raw data files only. Most of these datasets contain SPSS syntax files that use Job Control Language (JCL) from 1980s versions of SPSS-X. Because the syntax is old, the syntax files require editing to conform to the current syntax standards used by SPSS/Windows or SPSS/Unix. If you require technical assistance in using or editing these syntax files, please contact Sociometrics' Data Support Group at 800.846.3475 or socio@socio.com.

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