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Characteristics of adolescent street youth with a history of pregnancy

Characteristics of adolescent street youth with a history of pregnancy. Jean-Fran ç ois Boivin, MD ScD McGill University Canada March 2 2005 C:\ Nancy: adolescent street youth Dr Boivin. Montreal Street Youth Resea r ch Program (1994-2005). OBJECTIVES Behaviors Infectious diseases

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Characteristics of adolescent street youth with a history of pregnancy

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  1. Characteristics of adolescent street youth with a history of pregnancy Jean-François Boivin, MD ScD McGill University Canada March 2 2005 C:\\ Nancy: adolescent street youth Dr Boivin

  2. Montreal Street Youth Research Program (1994-2005) OBJECTIVES Behaviors Infectious diseases Mortality

  3. Selected results Increased risk of: hepatitis B hepatitis C HIV infection mortality (suicide, overdose)

  4. Who becomes pregnant?

  5. Methods 225 girls from all shelters/agencies Years: 1995-2001 14-19 years old Face-to-face interviews Participation: 88%

  6. Street youth: definition During last year: Without a place to sleep more than once, or: • Regularly used the services of street youth agencies

  7. Results (225 girls) Mean age: 17.8 years One year behind in school: 54% Self-rated socio-economic background: Comfortable: 59% Not comfortable: 41%

  8. Have you ever been pregnant? Yes: 94 No: 131

  9. Ever Never Social historypregnantpregnant Foster-group home/social worker 88% 71% Ever ran away 79% 65% Ever kicked out 63% 47% Age first left home 13.9 yr 14.7 yr (all differences statistically significant)

  10. Ever Never Alcoholpregnantpregnant Problematic use 40% 25% Ever binged 56% 51% First binge 13.3 yr 13.4 yr (no statistical difference)

  11. Ever Never Illicit drugpregnantpregnant Ever use 99% 98% Serious problem 77% 69% Injection drug 45% 44% (no statistical difference)

  12. Ever NeverDrug injectionpregnantpregnant First injection 15.2 yr 16.0 yr Before age 14 25% 6% (statistically significant)

  13. Ever NeverSexual abusepregnantpregnant Any abuse 71% 56% Vaginal/anal penetration 53% 29% Intra-familial 39% 24% Extra-familial 62% 42% (all differences statistically significant)

  14. Conclusions Pregnancy common (42%) Pregnancy associated with: Residential instability Early drug injection Severe sexual abuse

  15. LIMITATIONS

  16. Study limitations• Descriptive study Generalizability ? Self reports Temporal relationships:What came first? e.g., drug injection or pregnancy?

  17. Mean age at various eventsEvent (1st time) Mean age Homeless 14.4 yr Ran away 13.1 yr Kicked out 13.9 yr Drug binge 13.8 yr Drug injection 15.6 yr Voluntary intercourse 13.7 yr Sexual abuse 8.1 yr

  18. Haley N, Roy E, Leclerc P, Boudreau JF, Boivin JF J Pediatric and Adolescent Gynecology 2004; 17: 313-320

  19. Vivarini, Antonio (1415-1484)Vivarini, Alise (1445-1505) Bellini, Giovanni (1426-1516)

  20. jean-f.boivin@mcgill.ca www.wga.hu

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