Whitehead Elizabeth
School of Health and Social Care, University of Chester, Parkgate Road, Chester, Cheshire CH1 4BJ, UK.
Midwifery. 2009 Apr;25(2):147-54. doi: 10.1016/j.midw.2007.02.004. Epub 2007 Jun 27.
(1) to identify the number of teenage pregnant women who also have mothers who became pregnant when they were in their teenage years and (2) to explore the importance of this intergenerational experience on the teenagers themselves, their significant family, friends and society as a whole.
semi-structured interviews with the subjects allowed for both breadth and depth exploration.
the total research sample was 95 teenage women, which included 48 pregnant (51%) and 47 non-pregnant (49%) women. Stage 1 reports on the findings relating to the intergenerational phenomena and stage 2 focuses on related historical experiences of a further 8 interviews with subjects who had experienced this intergenerational phenomenon. The subjects in both stages of this study came from two contrasting demographic areas of the UK: North West and South East.
data were analysed using an appropriate qualitative software package. The specific categories of experience were constructed using a grounded theory approach.
the findings of stage 1 of the study showed that the number of teenage women who reported that they had a mother who's first baby was born to her when she was under 20 years of age was 33 (69%) for the pregnant group and 12 (26%) for the non-pregnant group. This was found to be statistically significant (chi(2)=6.51, df=1, p=<0.011). In this study (from a sub-set of 19 themes) three major themes emerged: (a) reflection, (b) peer group pressure and (c) intergenerational factors.
reflection, peer group pressure and intergenerational factors were the major thematic findings of this study. Midwives working collaboratively with other health, social and educational colleagues have a pivotal role to work with families in addressing the complexities of intergenerational teenage pregnancy. A national multi-method research study is now required to explore the breadth of intergenerational teenage pregnancy and the experiences of those families where this social construct is prevalent.
（1）确定其母亲在青少年时期怀孕的青少年孕妇数量；（2）探讨这种代际经历对青少年自身、其重要家庭成员、朋友以及整个社会的重要性。
对研究对象进行半结构化访谈，以便进行广度和深度探索。
研究总样本为95名青少年女性，其中包括48名孕妇（51%）和47名非孕妇（49%）。第一阶段报告了与代际现象相关的研究结果，第二阶段重点关注对另外8名经历过这种代际现象的研究对象的相关历史经历。本研究两个阶段的研究对象均来自英国两个截然不同的人口统计学区域：西北部和东南部。
使用适当的定性软件包对数据进行分析。具体的经验类别采用扎根理论方法构建。
研究第一阶段的结果表明，报告其母亲在20岁之前生育第一个孩子的青少年女性数量，孕妇组为33人（69%），非孕妇组为12人（26%）。经统计学检验，这一差异具有显著性（卡方=6.51，自由度=1，p<0.011）。在本研究中（从19个主题的子集中）出现了三个主要主题：（a）反思；（b）同伴压力；（c）代际因素。
反思、同伴压力和代际因素是本研究的主要主题发现。助产士与其他健康、社会和教育领域的同事合作，在帮助家庭解决代际青少年怀孕的复杂性方面起着关键作用。现在需要开展一项全国性的多方法研究，以探讨代际青少年怀孕的广度以及这种社会现象普遍存在的家庭的经历。
