There is limited knowledge about the reasons for repeat pregnancies among teenagers. Few interventions designed to prevent subsequent teen pregnancies have been successful. The long-term objective of this investigator is to reduce the number of subsequent pregnancies among low-income, African American and Latino teenage girls. The purpose of this career development award (CDA) is to complete coursework and work with experts in the fields of family planning, minority adolescent health, research methods and survey design. The purpose of this proposal is to further develop an orienting framework for postpartum adolescent contraceptive behavior. This framework will serve as the foundation of future subsequent pregnancy prevention studies by the investigator.
Specific Aims : 1. To further develop a proposed framework of postpartum contraceptive use, pregnancy risk and pregnancy avoidance behaviors of low-income, African American and Latino adolescent girls that incorporates biological, daily life, psychosocial/attitudinal, and ecological variables. 2 To develop a study instrument in accordance with the proposed framework. 3. To examine how the proposed variables relate to adolescent mothers' contraceptive, pregnancy avoidance and pregnancy risk behaviors in the year following pregnancy. Research Design and Methods: Focus groups will be held with late adolescent girls who have a history of a single adolescent pregnancy and with those who have a history of more than one adolescent pregnancy. Existing literature and the proposed conceptual framework will guide focus group questions. A study instrument will then be developed and pre-tested. During the last three years, a qualitative and quantitative pilot study will be conducted among postpartum African American and Latino adolescent girls seeking to avoid a second unintended pregnancy in the year following delivery. ? ?

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Mentored Patient-Oriented Research Career Development Award (K23)
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Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Newcomer, Susan
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University of Chicago
Obstetrics & Gynecology
Schools of Medicine
United States
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Weston, Melissa R S; Martins, Summer L; Neustadt, Amy B et al. (2012) Factors influencing uptake of intrauterine devices among postpartum adolescents: a qualitative study. Am J Obstet Gynecol 206:40.e1-7
Lewis, Dinah A; Martins, Summer L; Gilliam, Melissa L (2012) Partner roles in contraceptive use: what do adolescent mothers say? J Pediatr Adolesc Gynecol 25:396-400
Gilliam, Melissa L; Neustadt, Amy; Whitaker, Amy et al. (2011) Familial, cultural and psychosocial influences of use of effective methods of contraception among Mexican-American adolescents and young adults. J Pediatr Adolesc Gynecol 24:79-84
Gilliam, Melissa L; Davis, Shawna D; Neustadt, Amy B et al. (2009) Contraceptive attitudes among inner-city African American female adolescents: Barriers to effective hormonal contraceptive use. J Pediatr Adolesc Gynecol 22:97-104
Gilliam, Melissa; Davis, Shawna D; Berlin, Amy et al. (2008) A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization requests. Contraception 77:44-9
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Zite, Nikki; Wuellner, Sara; Gilliam, Melissa (2006) Barriers to obtaining a desired postpartum tubal sterilization. Contraception 73:404-7
Zite, Nikki; Wuellner, Sara; Gilliam, Melissa (2005) Failure to obtain desired postpartum sterilization: risk and predictors. Obstet Gynecol 105:794-9
Gilliam, Melissa L; Warden, Meredith M; Tapia, Beatriz (2004) Young Latinas recall contraceptive use before and after pregnancy: a focus group study. J Pediatr Adolesc Gynecol 17:279-87