The Adolescent's Decision to Seek Prenatal Care.

The aim of this study was to better underst and the adolescent's decision to seek prenatal care. A conceptual framework was proposed and tested which posited that: (1) perceptions of reference groups, knowledge, cognitive development, and an interaction variable, knowledge x cognitive development, would influence the perceived benefits and costs of seeking prenatal care; and , (2) the perceived benefits and costs of seeking prenatal care would in turn have a direct effect on the time that prenatal care is first sought. A cross-sectional design was used to gather data. A one-time, face-to-face, combination interview/questionnaire was completed with 102 young women 18 years of age or younger who were coming in for their first prenatal care visit. Data analyses included bivariate analyses and a path analysis to test the conceptual framework. Findings showed three of the perceived benefit items and three of the perceived cost items were significantly correlated with the time that care was sought. Cognitive development scores were significantly correlated with how many weeks pregnant these young women were when care was initiated but in an unexpected direction. There were no significant relationships between knowledge scores and the interaction variable scores with number of weeks pregnant when care was initiated. A significant correlation was found between how supportive the baby's father was perceived to be and when care was sought. No significant relationships were found between perceived support from family and friends and when care was sought. There was minimal support for the conceptual framework. When entered in the path analysis, perceptions of reference groups scores and knowledge scores were significantly related to perceived benefit and cost scores and explained 10% of the variance. Cognitive development scores and the interaction variable scores were not significantly related to perceived benefit and cost scores. Cognitive development scores were found to have a significant direct effect on the time that prenatal care was first sought. Perceived benefit and cost scores also were significantly related to the time that care was first sought and together with cognitive development explained 8% of the variance. Implications of this study for nursing research and practice are discussed.Ph.D.NursingUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/161670/1/8801345.pd