Guagliardo M F, Huang Z, D'Angelo L J
Adolescent Research Program, Center for Health Services and Clinical Research, Children's National Medical Center, Washington, DC 20010, USA.
J Adolesc Health. 1999 Jan;24(1):10-5. doi: 10.1016/s1054-139x(98)00028-7.
To establish self-reported rates and associated correlates of fathering pregnancies in urban teen males, and to explore the possibility of using their pregnancy history as a marker for other health-risk behaviors.
A blinded, self-administered questionnaire was given to the predominantly African-American patients of an inner-city adolescent outpatient clinic. Urine was also collected in a blinded, anonymous fashion, matched to the questionnaires, and tested for five drugs of abuse. Males were classified as having or not having a pregnancy history (PH) according to a questionnaire response item. PH and non-PH participants were compared for eight risk factors using univariate and multivariate methods.
A total of 24.2% reported a PH. These males were about 14 times more likely to report three or more sex partners in the last year, more than five times as likely to report a sexually transmitted disease history, more than three times as likely to test positive for drugs, and more than 2.5 times as likely to be inconsistent or nonusers of condoms as compared to males without a pregnancy history. An association between violent behavior and PH is unsupported.
Pregnancy history can be a valuable marker for other risk factors among inner-city African-American males. With some patients, it may be easier for clinicians to discuss pregnancy history or fatherhood as opposed to drug abuse and other more sensitive risk factors. The topic can then be used as a gateway for discussion of other risk factors.
确定城市青少年男性致使他人怀孕的自我报告率及相关关联因素，并探讨将其怀孕史用作其他健康风险行为标志物的可能性。
向一家市中心青少年门诊诊所的主要为非裔美国患者发放一份盲法自填式问卷。还以盲法、匿名方式收集尿液，使其与问卷匹配，并检测五种滥用药物。根据问卷回答项目将男性分为有或没有怀孕史（PH）。使用单变量和多变量方法对有怀孕史和无怀孕史的参与者的八个风险因素进行比较。
共有24.2%的人报告有怀孕史。与没有怀孕史的男性相比，这些男性报告去年有三个或更多性伴侣的可能性高出约14倍，报告有性传播疾病史的可能性高出五倍多，药物检测呈阳性的可能性高出三倍多。使用避孕套不规范或不使用避孕套的可能性高出2.5倍多。暴力行为与怀孕史之间不存在关联。
怀孕史可能是市中心非裔美国男性其他风险因素的一个有价值的标志物。对于一些患者，临床医生讨论怀孕史或为人父的情况可能比讨论药物滥用和其他更敏感的风险因素更容易。然后可以将这个话题作为讨论其他风险因素的切入点。
