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Evaluation of Raising Adolescent Families Together program: A medical home for adolescent mothers and their children

Date Added to Library: 
Wednesday, June 20, 2018 - 16:13
Digital Object Identifier (DOI): 
10.2105/AJPH.2012.300766
Priority: 
normal
Individual Author: 
Cox, Joanne E.
Buman, Mathew P.
Woods, Elizabeth R.
Famakinwa, Olatokunbo
Harris, Sion Kim
Reference Type: 
Published Date: 
October 2012
Published Date (Text): 
October 2012
Publication: 
American Journal of Public Health
Volume: 
102
Issue Number: 
10
Page Range: 
1879-1885
Year: 
2012
Language(s): 
Abstract: 

Objectives. 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.

Methods. 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.

Results. 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.

Conclusions. 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. (Author abstract)

Geographic Focus: 
Page Count: 
7
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