Risk and teenage parenthood: an early sexual health intervention
Journal article
Robinson, S. and Robinson, C. 2017. Risk and teenage parenthood: an early sexual health intervention. Health Education. 117 (4). https://doi.org/10.1108/HE-01-2017-0007
Authors | Robinson, S. and Robinson, C. |
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Abstract | Purpose - This paper outlines the development of a resource designed to support practitioners, who were not sexual health specialists, but who worked with young people who may be at risk of teenage pregnancy or parenthood. Its aim was to enable practitioners to carry out an assessment using a screening tool, and to use educational interventions designed to reduce risk-taking behaviour or refer to a sexual health specialist. We report a research project to examine the perceptions of practitioners who had used the resource. Design/methodology/approach – The resource was based on a local needs assessment and developed by a multi-agency working group. The research utilised an on-line questionnaire and telephone interviews with practitioners. Findings - Practitioners reported using the screening tool with young people with an average age of 13.1 years. They thought the educational interventions provided knowledge and helped with communication, self-awareness, reflection, confidence, attitudes and values clarification. Research limitations/implications - The project was based in one county in England. A sample of seventeen per cent of the practitioners responded to the questionnaire, and they might be those who had engaged most, or most positively, with the resource. Three practitioners undertook interviews. The views and behaviours of young people are yet to be evaluated. Originality/value - Within a climate of limited resources, the findings suggest that the project was providing an acceptable proportionate universalist, early sexual health intervention for young people. |
Keywords | teenage pregnancy, risk, sex and relationships education, resources |
Year | 2017 |
Journal | Health Education |
Journal citation | 117 (4) |
Publisher | Emerald |
ISSN | 0965-4283 |
Digital Object Identifier (DOI) | https://doi.org/10.1108/HE-01-2017-0007 |
Publication dates | |
Online | Apr 2017 |
Publication process dates | |
Deposited | 03 Mar 2017 |
Accepted | 02 Mar 2017 |
Accepted author manuscript | |
Accepted author manuscript | |
Accepted author manuscript | |
Accepted author manuscript | |
Output status | Published |
References | Allen, E., Bonell, C., Strange, V., Copas, A., Stephenson, J., Johnson, A.M. and Oakley, A. (2007), “Does the UK government’s teenage pregnancy strategy deal with the correct risk factors? Findings from a secondary analysis of data from a randomised trial of sex education and their implications for policy”, Journal of Epidemiology and Community Health, Vol. 61 No. 61, pp. 20-27. Anda, R.F., Butchart, A., Felitti, V.J. and Brown, D.W. (2010), “Building a Framework for Global Surveillance of the Public Health Implications of Adverse Childhood Experiences”, American Journal of Preventive Medicine, Vol. 9 No. 1, pp. 93-98. Bailey, R. (2011), Letting Children be Children. Report of an independent review of the commercialisation and sexualisation of children, Department for Education, London. Barnes, M., Green, R. and Ross, A. (2011), Understanding Vulnerable Young People: Analysis from the Longitudinal Study of Young People in England. Research Report DFE-RR118. NatCen for Department for Education, London. Baxter, S., Blank, L., Guillaume, L., Squires, H. and Payne, N. (2011), “Views regarding the use of contraception amongst young people in the UK: A systematic review and thematic synthesis”, The European Journal of Contraception and Reproductive Health Care, Vol. 16 No. 3, pp. 149-160. Bellis, M.A., Morleo, M., Tocque, K., Dedman, D., Phillips-Howard, P., Perkins, C. and Jones, L. (2009), Contributions of Alcohol use to Teenage Pregnancy: An Initial Examination of Geographical and Evidence Based Associations, North West Public Health Observatory, Centre for Public Health, Liverpool John Moores University, Liverpool. Blum, R. and Mmari, R. (2006), Risk and Protective Factors affecting Adolescent Reproductive Health in Developing Countries: An Analysis of Adolescent Sexual and Reproductive Health Literature from around the World. Geneva: World Health Organization Brafford, L.J. and Beck, K.H. (1991), “Development and validation of a condom self-efficacy scale for college students”, Journal of the American College of Health, Vol. 39 No. 5, pp. 219-225. Burnett, S. Sebastian, C. and Blakemore, S.J. (2009), Understanding the Changing Adolescent Brain. Beyond Current Horizons, Institute of Cognitive Neuroscience, University College, London. Children Act (2004), chapter 2, available at: http://www.legislation.gov.uk/ukpga/2004/31/contents Clasen, D.R. and Brown, B.B. (1985), “The multidimensionality of peer pressure in adolescence”, Journal of Youth and Adolescence, Vol. 14, pp. 451-468. Cozolino, L. (2006), The Neuroscience of Human Relationships, W.W. Norton, New York. Department for Children, Schools and Families (2008), Teenage Parents: Who Cares? A Guide to Commissioning and Delivering Maternity Services for Young Parents, Department for Children, Schools and Families, H.M. Government, London. Department for Education (2009), Safeguarding Children and Young People from Sexual Exploitation: Supplementary guidance to Working Together to Safeguard Children. H.M. Government, London. Department for Education (2011), Positive for Youth. A New Approach to Cross-Government Policy for Young People Aged 13 to 19, H.M. Government, London. Department for Education and Skills (2006), Teenage Pregnancy Next steps: Guidance for Local Authorities and Primary Care Trusts on Effective Delivery of Local Strategies, H.M. Government, London. Department of Health (2004), Publication of Revised Guidance for Health Professionals on the Provision of Contraceptive Services for Under 16s, Department of Health, London. Department of Health (2007), Valuing People Now, Department of Health, London. Department of Health (2011), No Health without Mental Health, H.M. Government, London. Department of Health (2013), A Framework for Sexual Health Improvement in England, Department of Health, London. Development Economics (2013), Unprotected Nation. The Financial and Economic Impacts of Restricted Contraception and Sexual Health Services, Development Economics Ltd., Wrexham. Duncan, S. (2005), What’s the Problem? Teenage Parents: A Critical Review, Families and Social Capital ESRC Research Group, South Bank University, London. Ermisch, J. Pevalin, D.J. (2003), Who has a Child as a Teenager? ISER Working Papers Number 2003-30. Institute for Social and Economic Research, University of Essex, Colchester. Fallon, D. and Broadhurst, K. (2015), Preventing Unplanned Pregnancy and Improving Preparation for Parenthood for Care-Experienced Young People. Coram, available at: http://www.coram.org.uk/sites/default/files/resource_files/Preventin... (accessed 9 January 2017). Gillick v West Norfolk & Wisbech Area Health Authority 1985 UKHL 7 (17 October 1985), The British and Irish Legal Information Institute. Girlguiding (2016), Girls’ Attitudes Survey 2016. Girlguiding, available at: https://www.girlguiding.org.uk/globalassets/docs-and-resources/resea... (accessed 7 January 2017). Green, J. (2012), “Education for health”, in Jones, L. and Douglas, J. (Eds), Public Health: Building Innovative Practice, The Open University/Sage, Milton Keynes, pp.277-314. Green, J., Tones, K., Cross, R. and Woodall, J. (2015), Health Promotion. Planning and Strategies, Sage, London. Hall, D. and Hall, S. (2007), The "Family-Nurse Partnership": Developing an Instrument for Identification, Assessment and Recruitment of Clients. Department for Children, Schools and Families, London. Harden, A., Brunton, G., Fletcher, A., Oakley, A. (2009), “Teenage pregnancy and social disadvantage: systematic review integrating controlled trials and qualitative studies”, BMJ, Vol. 339, No. 7731, pp.1182-1185. Health and Social Care Information Centre (2016), Statistics on Alcohol. England, 2016, Government Statistical Service, London, available at: http://content.digital.nhs.uk/catalogue/PUB20999/alc-eng-2016-rep.pd... (accessed 7 January 2017). Hoggart, L. and Phillips, J. (2011), “Teenage pregnancies that end in abortion: what can they tell us about contraceptive risk-taking?” Journal of Family Planning and Reproductive Health Care, Vol. 37 pp. 97-102. Hosie, A. and Dawson, N. (2005), The Education of Pregnant Young Women and Young Mothers Imamura, M. Tucker, J. Hannaford, P. Oliveira da Silva, M. Astin, M. Wyness, L. Bloemenkamp, K. Jahn, A. Karro, H. Olsen, J. Temmerman, M. (2007), “Factors associated with teenage pregnancy in the European Union countries: a systematic review, on behalf of the REPROSTAT 2 group”, European Journal of Public Health, Vol. 17, No. 6, pp.630–636. Kennard, R. and Cuccu, Z. (2016) Teenage Conceptions Summary. Kent Public Health Observatory/Kent County Council, Maidstone Kirby, D. and Lepore, G. (2007), Sexual Risk and Protective Factors. Factors Affecting Teen Sexual Behaviour, Pregnancy, Childbearing and Sexually Transmitted Disease: Which are Important? Which can you change? ETR Associates, California. Levinson, R. A. (1986), “Contraceptive self-efficacy: A perspective on teenage girls' contraceptive behaviour”, Journal of Sex Research, Vol. 22, pp.347–369. Local Government Association/Public Health England (2016) Good Progress but more to do. Teenage Pregnancy and Young Parents. Local Government Association, London. Magill, M.K. and Wilcox, R. (2007), “Adolescent pregnancy and associated risks: not just a result of maternal age”, American Family Physician, Vol. 75 No. 9, pp. 1310-1311. Marmot, M. (2010), Fair Society, Healthy Lives. The Marmot Review. Strategic Review of Health Inequalities in England Post 2010. Department of Health, London. Marston, C. and King, E. (2006), “Factors that shape young people’s sexual behaviour: a systematic review”, The Lancet, Vol. 368 No. 9547, pp.1586. McKay, M.T., Sumnall, H.R., Cole, J.C. and Percy, A. (2012), “Self-esteem and self-efficacy: associations with alcohol consumption in a sample of adolescents in Northern Ireland”, Drugs: Education, Prevention, and Policy, Vol. 19 No. 1, pp. 72-80. McNeil, B., Rich, J. and Reeder, N. (2012), Framework of Outcome for Young People: The Young Foundation, London. National Society for the Prevention of Cruelty to Children (2006), Child Line Case Notes. Alcohol and Teenage Sexual Activity, National Society for the Prevention of Cruelty to Children. London. Office of National Statistics (2016), Statistical Bulletin: Conceptions in England and Wales, 2014, available at: www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/conceptionandfertilityrates/bulletins/conceptionstatistics/2014 (accessed 7 January 2017). Palmer, M.J., Clarke, L., Ploubidis, G.B., Mercer, C.H., Gibson, L.J., Johnson, A.M., Copas, A.J. and Wellings, K. (2017), “Is ‘sexual competence’ at first heterosexual intercourse associated with subsequent sexual health status?”, The Journal of Sex Research, Vol. 54 No. 1, pp.91-104 Pedersen, W. and Mastekaasa, A. (2011) “Conduct disorder symptoms and subsequent pregnancy, child-birth and abortion: a population-based longitudinal study of adolescents”, Journal of Adolescence, Vol. 34, pp.1025-1033. Prochaska J.O. and DiClemente, C.C. (1982), “Trans-theoretical therapy - toward a more integrative model of change”, Psychotherapy: Theory, Research and Practice, Vol. 19 No. 3, pp.276-288. Radford, L., Corral, S., Bradley, C., Fisher, H., Bassett, C., Howat, N., and Collishaw, S. (2011), Child Abuse and Neglect in the UK Today, National Society for the Prevention of Cruelty to Children. London. Robinson, C. and Jones, L. (2011), Have you been KIST? Kent Intervention Screening Tool. HYP HOP Ltd., Ashford, available at: http://create.canterbury.ac.uk/12759 (accessed 13 January 2017) Sebastian, A., Jung, P., Krause-Utz, A., Lieb, K., Schmahl, C. and Tüscher, O. (2014), “Frontal dysfunctions of impulse control – a systematic review in borderline personality disorder and attention-deficit/hyperactivity disorder”, Frontiers in Human Neuroscience, Vol. 8 No. 698, pp. 1-17. Seamark, C.J. and Lings, P. (2004), “Positive experiences of teenage motherhood: a qualitative study”, The British Journal of General Practice, Vol. 54 No. 508, pp.813-818. Sexual Offences Act (2003), Part 1, available at: http://www.legislation.gov.uk/ukpga/2003/42/contents (accessed 13 January 2017). Social Exclusion Unit (1999), Teenage Pregnancy. HMSO, London. Simovska, V. and Kane, R. (2015), “Sexuality education in different contexts: limitations and possibilities”, Health Education, Vol. 115 No. 1, pp.2-6. Weare, K. (2002), “The contribution of education to health promotion”, in Bunton, R. and Macdonald, G. (Eds.), Health Promotion. Disciplines and Diversity, 2nd edn., Routledge, London, pp.102-126. Wellings, K. Jones, K.G. Mercer, C.H. Tanton, C. Clifton, S. Datta, J. Copas, A.J. Erens, B. Gibson, L.J. Macdowall, W. Sonnenberg, P. Phelps, A. Johnson, A.M. (2013), “The prevalence of unplanned pregnancy and associated factors in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)", Lancet Vol. 382 No. 9907, pp.1807–1816 Wellings, K., Nanchahal, K., Macdowall, W., McManus, S., Erens, R., Mercer, C.H., Johnson, A.M., Copas, A.J., Korovessis, C., Fenton, K.A., Field, J. (2001), “Sexual behaviour in Britain: early heterosexual experience”, Lancet Vol. 358 No. 9296, pp. 1843-50. Wellings, K., Palmer, M.J., Geary, R.S., Gibson, L.J., Copas, A., Datta, J., Glasier, A., Scott, R.H., Mercer, C.H., Erens, B., Macdowall, W., French, R.S., Jones, K., Johnson, A.M., Tanton, C., Wilkinson, P. (2016) “Changes in conceptions in women younger than 18 years and the circumstances of young mothers in England in 2000-12: an observational study”, Lancet Vol. 388, pp.586-595. Women and Equalities Committee (2016), Sexual Harassment and Sexual Violence in Schools, 7 September 2016, HC91. |
Additional information | Robinson, C. and Jones, L. (2011), Have you been KIST? Kent Intervention Screening Tool. HYP HOP Ltd., Ashford, available at: http://create.canterbury.ac.uk/12759 |
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