Division of General Pediatrics, Children's Hospital Boston, MA, USA.
Am J Public Health. 2012 Oct;102(10):1879-85. doi: 10.2105/AJPH.2012.300766. Epub 2012 Aug 16.
This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes.
In this prospective, single cohort demonstration project, adolescent mothers (14-18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed.
A total of 181 adolescents enrolled, with 79.6% participating for 2 years. At 2 years, 90.2% of children were completely immunized. Children and adolescent mothers met standards for health care visits, and adolescent condom use improved. Rates of cumulative repeat pregnancy were 14.7% and 24.6%, school attendance 77.6% and 68.7%, and employment 21.2% and 32.3% at 1 and 2 years, respectively.
A medical home model with comprehensive and integrated medical care and social services can effectively address the complex needs of adolescent parents and their children.
本研究描述了一种针对青少年母亲及其子女的医疗之家模式，以及他们在 1 岁和 2 岁时的预防保健、再次妊娠和心理社会结局。
在这项前瞻性、单队列示范项目中，青少年母亲（14-18 岁）及其子女在医疗之家接受护理。在入组时通过 24 个月收集人口统计学、医疗和社会过程以及结局数据。分析随时间的变化和再次妊娠的预测因素。
共有 181 名青少年入组，其中 79.6%参与了 2 年。2 年后，90.2%的儿童完全接种了疫苗。儿童和青少年母亲达到了医疗保健就诊的标准，青少年使用避孕套的情况有所改善。1 年和 2 年时的累积再次妊娠率分别为 14.7%和 24.6%，上学率分别为 77.6%和 68.7%，就业率分别为 21.2%和 32.3%。
具有全面综合医疗和社会服务的医疗之家模式可以有效地满足青少年父母及其子女的复杂需求。
