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the following study uses data from 1979 and 1980 nsfg to examine the factors associated with whether a teenage girl who delivered a baby was one of the three youngest teenagers in her grade. only those girls who had been premaritally pregnant were included in this study (n = 3292). a number of factors were associated with whether the girl was one of the three youngest teens in her grade. teenagers who were white and received financial aid from the state were less likely to be one of the three youngest teens in their grade. these results are consistent with the data in the previous study that were based on a sample of premaritally pregnant teen girls in california (eisen et al., 1983).the following study uses data from 1980 nsfg to examine the factors associated with whether a teen who had a first birth gave birth to another baby before age 20. this study also included only those girls who had been premaritally pregnant (n = 4181). teenagers who were black and were from a higher socioeconomic status background were more likely to have a second birth before age 20 than those who were white, of lower socioeconomic status and white. these results are consistent with the data in the previous study that were based on a sample of premaritally pregnant teen girls in california (eisen et al., 1983).the following study uses data from 1979 and 1980 nsfg to examine the factors associated with whether a teenage girl who delivered a baby was one of the three youngest teens in her grade. only those girls who had been premaritally pregnant were included in this study (n = 3292). teenagers who were white and who received financial aid from the state were less likely to be one of the three youngest teens in their grade. these results are consistent with the data in the previous study that were based on a sample of premaritally pregnant teen girls in california (eisen et al., 1983). 6a6f617c0c

In general, the effectiveness of prior interventions, i.e., translation of the interventions to preventing crashes and saving lives, with teen drivers is low (14). In response, best practices have been put forth specific to teen driver education and training, including the following:

Interventions deploying in-vehicle technology, for monitoring or feedback, were less common but two RCTs provided evidence in favor thereof (42, 43). Interventions effective for on-road outcomes of teens' driving behavior targeted a RCT with training content to establish parent/teen driving contract (34), or web-based instructional modules for parents/teens that focused on knowledge for novice drivers and provided teen driving practice guidance (33). A quasi-experimental design was used to study a hospital/school partnership for an educational campaign (39). The campaign targeted teens and adults, who were primarily teachers. This campaign was effective on outcomes of empowering teens to stop others' texting, as well as to curtail personal texting. School observation of drivers' texting behavior at the end of campaign demonstrated an overall decrease of drivers' texting from 13 to 10% with a greater difference for teens vs. adults. Studies that provided support for effectiveness of educational programs among juvenile traffic offenders included a longitudinal study (37) and a prospective cohort study (38). One unique study addressed a sub-population of teens, those with Attention Deficit Hyperactivity Disorder (ADHD), and an intervention of stimulant medication. For teens with ADHD, Cox et al. (41) RCT found that stimulant use, compared to placebo, was associated with improved driving (e.g., more time spent on the road vs. shoulder, smoother braking, less speeding, better speed consistency, appropriate use of brakes, and slower more controlled turns).

The theme of using technology was present in about half of the studies. For example, simulators were used in 7 of the 17 studies as either as a training tool, or as a method of measuring driving performance. Moreover, in-vehicle warnings were also successfully used as interventions to shape teen's driving behaviors such as lane maintenance (42) or smoother acceleration/braking (43).

Finally, partnerships among organizations may have beneficial outcomes to mitigate forms of distracted driving, if the partners provide support to a targeted educational campaign addressing such behaviors (39). This finding has specific application for our model educational program in development. That is a computer based training (CBT) program, with collaboration between the Florida Department of Transportation and the University of Florida will target mitigating distracted driving in teens. Potential opportunities also exist to target juvenile offenders, with an expectation of successfully curbing distracted driving after exposure to the CBT.

Early one Monday morning, a fifteen-year-old girl enters a yellow cinderblock classroom at Booker T. Washington High School in Atlanta's West End. Two months pregnant, she has hopes of someday becoming a lawyer, but the baby's father has vanished, and she knows she is not ready to raise a child alone. She also faces the daunting task of breaking the news of her pregnancy to her mother, who had her first child when she was only thirteen.

The Adolescent Health Station, a five-year program begun in January 1996, represents the Woodruff School of Nursing's efforts to strengthen its presence in the community and to explore the changing role of nurses in preventive health care. It also provides Emory with a laboratory and clinical site for an innovative model of health care delivery.

Nursing school Dean Dyanne Affonso, who worked for fifteen months with high school officials and community leaders to conceive the project, says the traditional medical model "is not good enough any more. It's not culturally sensitive; it has an imposing character to it. So as new paradigms emerge, we will be giving care in unfamiliar settings. Instead of hospitals and clinics and doctors' offices, we will be in the community, in places like Booker T. Washington High School, because that's where the action is in the life of a teenager."

Of the more than fourteen hundred students at Washington High School, the city's first public school to admit African-American students and the alma mater of Martin Luther King Jr., some 130 are pregnant or already parents. Twice a week, midday at the health station is set aside especially for students who are pregnant or new mothers. Daniels and Leonard, both advanced-practice nurses who launched the program, talk with forty to fifty of those young women about managing motherhood. They engage the group in a steady stream of chatter about due dates, ultrasounds, school assignments, child care, teachers, and their own parents.

While teen pregnancy is a significant concern at Washington High School, Daniels and Leonard also address issues of loss and grief among the students, whose urban lives are frequently disrupted by violence; students' interpersonal relationships; and problems related to the school's low retention rates, especially among ninth-graders. Ultimately, they hope to respond to early warning signs of depression, substance abuse, violence, and suicide.

The nurses address students' most pressing problems. A "Lunch and Learning" series offers the opportunity to discuss domestic violence, anger management, drug abuse among friends and family, and advice for teen fathers. One Saturday last fall, twenty female Washington High students and their mothers attended a half-day workshop to help improve their relationships. When a student was shot and killed on campus last year, Daniels and Leonard offered grief counseling and organized a memorial service. They have also begun to work with leaders in four public housing projects near the school to help parents develop a program to control truancy.

"They're supporting their future and their babies' future," says Leslie Brooks, an Emory senior who wants to pursue neonatal nursing. "If a pregnant teenager is not getting some essential nutrients, the baby will wind up in the neonatal intensive care unit [because of low birthweight], and the mother may get early-onset osteoporosis."

Another group taught a series of lessons to a Washington High class on how to gain access to health care. "We're helping teenagers get in the front door, utilize the free clinics, and stay away from the emergency room, and we're educating them on the various payment plans like Medicare, Medicaid, HMOs, and insurance," says Amy Thom, an Emory nursing senior. "Adolescents are traditionally an underserved population. We want them to know health care is available and within their reach; it just may take a little bit of know-how and some assertiveness."

An unacceptably high number of pregnant and parenting adolescent females smoke cigarettes, and the majority who quit during pregnancy relapse within six months postpartum. This dissertation examined measures from the Transtheoretical Model of Change (TMC) and variables associated with smoking behavior in a population of pregnant and parenting females 18 years-of-age and under. Data were from the baseline survey of 245 young women enrolled in a three-year randomized controlled trial through a teen parent program in Portland, Oregon. The objectives were: 1) to investigate whether factors identified in the literature as associated with initiating and quitting smoking were associated with never smokers and teens in the stages of change, 2) to determine whether stage effects (i.e., theoretically predicted associations between the stages and TMC measures) were exhibited for the TMC constructs of decisional balance, temptations to smoke, processes of change, and self-efficacy for the total sample and by pregnancy status. 041b061a72