Zabin L S, Hirsch M B, Boscia J A
Department of Population Dynamics, Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland.
J Adolesc Health Care. 1990 Mar;11(2):107-13. doi: 10.1016/0197-0070(90)90018-w.
Studies of the consequences of adolescent childbearing report many negative sequelae, but the effects of induced abortion are less studied, and most studies lack appropriate controls for preexisting characteristics. This paper uses baseline data from the intake interview into a longitudinal study of 360 innercity black women (less than or equal to 17 years old) presenting for a pregnancy test at two sites in Baltimore to examine baseline differences between three groups: young women who terminated the index pregnancy and, as controls, those who carried to term and those whose tests were negative. They were interviewed before being told the test result. Education aspirations/achievement, economic well-being, sexual/contraceptive history, psychologic characteristics, and desire for a child were compared. Negative test patients often reveal characteristics suggesting a particularly high risk of pregnancy, e.g., more prior pregnancy tests and a greater desire to conceive. Implications are discussed, emphasizing the need to intervene after a negative pregnancy test with counseling to help avert a future undesired conception.
关于青少年生育后果的研究报告了许多负面后遗症，但人工流产的影响较少被研究，而且大多数研究缺乏对既有特征的适当对照。本文使用了对360名巴尔的摩两个地点前来进行妊娠测试的市中心黑人女性（小于或等于17岁）进行纵向研究的初次访谈的基线数据，以检验三组之间的基线差异：终止本次妊娠的年轻女性，以及作为对照的足月分娩者和测试结果为阴性者。她们在被告知测试结果之前接受了访谈。比较了教育期望/成就、经济状况、性/避孕史、心理特征以及生育意愿。测试结果为阴性的患者往往表现出显示怀孕风险特别高的特征，例如，更多的既往妊娠测试以及更高的受孕意愿。文中讨论了相关影响，强调在妊娠测试结果为阴性后需要通过咨询进行干预，以帮助避免未来意外怀孕。
