Format

Send to

Choose Destination
Am J Public Health. 2012 Oct;102(10):1879-85. doi: 10.2105/AJPH.2012.300766. Epub 2012 Aug 16.

Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children.

Author information

1
Division of General Pediatrics, Children's Hospital Boston, MA, USA. joanne.cox@childrens.harvard.edu

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.

PMID:
22897537
PMCID:
PMC3490654
DOI:
10.2105/AJPH.2012.300766
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center