Amin Ruhul, Sato Takanori
Institute for Urban Research and Center for Health Disparities Solutions, Morgan State University, Baltimore, MD 21251-0001, USA.
J Community Health Nurs. 2004 Spring;21(1):39-47. doi: 10.1207/s15327655jchn2101_4.
In response to multiple problems faced by pregnant or parenting teens, or both, many alternative school-based comprehensive programs have been established to provide the teens with multiple services. However, few of these programs have been evaluated to assess their impact on the teens. In this study, we have made a systematic evaluation of such a school-based comprehensive program-the Paquin School Program in Baltimore City-to assess its impact on contraceptive use, future contraceptive intention, and desire for more children. We used data collected from a sample of 371 pregnant and parenting teens who attended the Paquin School Program between 1999 and 2001, and from a sample of 506 comparable teens, who did not attend the Program. Our findings showed that the percentages of the Paquin School enrollees who were using contraceptives or who expressed intention to use contraceptives in the future were higher than those of their counterpart nonenrollees from the comparison schools. The findings also showed that the use of Depo-Provera and desire for no more children were higher among the Paquin School enrollees than among the enrollees from the comparison schools. Because the Paquin School enrollees self-selected into its program, some unobserved differences between them and their counterpart nonenrollees might have affected the outcomes of this article. However, the consistent patterns of positive outcomes for the Paquin School enrollees with regard to contraceptive use, future intention to use contraceptives, and desire for no more children, compared to those from the comparison schools, seem to suggest that the Paquin School's alternative comprehensive program has been successful in its effort to promote family planning. One possible reason for this success of the effort to promote family planning is its integration with the multiple services of the comprehensive program of the Paquin School that enables its teens to plan their fertility.
针对怀孕少女或育有子女的少女，或两者都面临的多重问题，许多以学校为基础的替代性综合项目已经建立起来，为这些少女提供多种服务。然而，这些项目中很少有经过评估以确定其对少女的影响。在本研究中，我们对这样一个以学校为基础的综合项目——巴尔的摩市的帕奎因学校项目进行了系统评估，以评估其对避孕措施使用、未来避孕意愿以及生育更多子女意愿的影响。我们使用了从1999年至2001年间参加帕奎因学校项目的371名怀孕及育有子女少女样本中收集的数据，以及来自506名未参加该项目的可比少女样本的数据。我们的研究结果表明，使用避孕措施或表示未来有避孕意愿的帕奎因学校入学学生的百分比高于来自对照学校的未入学学生。研究结果还表明，帕奎因学校入学学生中使用醋酸甲羟孕酮避孕针以及不想生育更多子女的意愿高于对照学校的入学学生。由于帕奎因学校的入学学生是自行选择参加该项目的，他们与未入学的对照学生之间一些未被观察到的差异可能影响了本文的研究结果。然而，与对照学校的学生相比，帕奎因学校入学学生在避孕措施使用、未来避孕意愿以及不想生育更多子女意愿方面呈现出一致的积极结果模式，这似乎表明帕奎因学校的替代性综合项目在促进计划生育方面取得了成功。计划生育推广工作取得这一成功的一个可能原因是，它与帕奎因学校综合项目的多种服务相结合，使该校学生能够规划自己的生育。
