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Acculturation Status, Birth Outcomes, and Family Planning Compliance Among Hispanic Teens

Mary Elaine Jones, RN, PhD, Samuel T. Hughes Jr. professor of nursing and co-director, Center for Hispanic Studies in Nursing and Health, University of Texas at Arlington School of Nursing, is a pediatric nurse practitioner and an anthropologist. She has worked in the area of adolescent pregnancy in community-based settings and current research focuses on birth outcomes, access to care and effects of acculturation on health outcomes

Suzanne Kubelka, RN, CS, BSN

Suzanne Kubelka, RN, CS, BSN, has more than 14 years of experience as a school nurse and school nurse practitioner with the Dallas Independent School District, Dallas, TX. She completes requirements for a master’s degree in nursing as a family nurse practitioner from the University of Texas at Arlington School of Nursing in May 2001

Mary Lou Bond, RN, PhD

Mary Lou Bond, RN, PhD, George W. and Hazel M. Jay professor in nursing and co-director, Center for Hispanic Studies in Nursing and Health, University of Texas at Arlington School of Nursing, has studied and lived in Mexico and Puerto Rico intermittently since 1960. Her current research and educational efforts are in developing a culturally competent health workforce

This study examined acculturation status, selected demographic and pregnancy indices, and the relationship to birth outcomes and family planning patterns among a convenience sample of 63 Hispanic adolescents aged 13 to 19 years and attending community-based prenatal clinics. Findings suggest that Hispanic teenagers who are the first generation in the United States and traditional in their world view are compliant with prenatal and postpartum care and have healthy babies and birth outcomes. Gravidity and gestational age of the infant were significant predictors of birth weight, accounting for 30% of the variability in birth weight. Generation in the United States accounted for 8% of the variance in family planning compliance. Higher gravidity was associated with increased infant birth weight and a decreased likelihood for return for family planning visits during the 1st year postbirth. Teens who were first generation in the United States were more likely to return for family planning visits during the 1st year. School nurses are in a pivotal position to design intervention programs that build on traditional cultural prescriptions for healthy behaviors during and after pregnancy.

Key Words: contraception • emigration and immigrant • Hispanic American • teen pregnancy

The Journal of School Nursing, Vol. 17, No. 2, 83-89 (2001)
DOI: 10.1177/105984050101700205


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