Hathazi Dodi, Lankenau Stephen E, Sanders Bill, Jackson Bloom Jennifer
Childrens Hospital Los Angeles, The Saban Research Institute, Community, Health Outcomes, and Intervention Research Program, 6430 Sunset Boulevard, Suite 1500, Los Angeles, CA 90028, USA.
J Adolesc. 2009 Apr;32(2):339-55. doi: 10.1016/j.adolescence.2008.02.001. Epub 2008 Aug 9.
Research on pregnancy and sexual health among homeless youth is limited. In this study, qualitative interviews were conducted with 41 homeless young injection drug users (IDUs) in Los Angeles with a history of pregnancy. The relationship between recent pregnancy outcomes, contraception practices, housing status, substance use, utilization of prenatal care, and histories of sexual victimization are described. A total of 81 lifetime pregnancies and 26 children were reported. Infrequent and ineffective use of contraception was common. While pregnancy motivated some homeless youth to establish housing, miscarriages and terminations were more frequent among youth who reported being housed. Widespread access to prenatal and medical services was reported during pregnancy, but utilization varied. Many women continued to use substances throughout pregnancy. Several youth reported childhood sexual abuse and sexual victimization while homeless. Pregnancy presents a unique opportunity to encourage positive health behaviors in a high-risk population seldom seen in a clinical setting.
关于无家可归青少年的怀孕与性健康的研究有限。在本研究中，对洛杉矶41名有怀孕史的无家可归年轻注射吸毒者进行了定性访谈。描述了近期怀孕结局、避孕措施、住房状况、药物使用、产前护理利用情况以及性侵害史之间的关系。共报告了81次终身怀孕和26名子女。避孕措施使用不频繁且效果不佳的情况很常见。虽然怀孕促使一些无家可归青少年获得住房，但在已找到住所的青少年中，流产和终止妊娠的情况更为频繁。据报告，怀孕期间可广泛获得产前和医疗服务，但利用率各不相同。许多女性在整个孕期都继续使用药物。几名青少年报告在无家可归期间遭受过童年性虐待和性侵害。怀孕为鼓励高危人群养成积极健康行为提供了一个独特机会，而这在临床环境中很少见。
