Unifem July 11, 2009 Melissa Gilliam MD, MPH Chief, Section of Family Planning and Contraceptive Research Head, Program in Gynecology for Girls, Adolescents and Young Adult Women The University of Chicago. Planning Families: A Road to Health for Women and Girls.
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Unifem July 11, 2009
Melissa Gilliam MD, MPHChief, Section of Family Planning and Contraceptive ResearchHead, Program in Gynecology for Girls, Adolescents and Young Adult Women
The University of Chicago
Planning Families: A Road to Health for Women and Girls
Adolescence is a time of growing independence from family. This challenging but essential period enables youth to lead healthy adult lives
by engaging with youth
by conducting qualitative, quantitative and clinical research
through policy and advocacy
Comprehensive reproductive healthcare for girls and young women with chronic or acute illness affecting their reproductive health
Each year 750,000 teens become pregnant. One third are 17 and under. Half of these pregnancies result in birth. One third end in abortion.
Guttmacher Institute, U.S. teenage pregnancy statistics: national and state trends and trends by race and ethnicity, New York: Guttmacher Institute, September 2006, http://www.guttmacher.org/pubs/2006/09/12/USTPstats.pdfaccessed September 12, 2006; and Finer LB et al., Disparities in unintended pregnancy in the United States, 1994 and 2001, Perspectives on Sexual and Reproductive Health, 2006, 38(2):90–96.
Weinstock H., Perspectives on Sexual and ReproductiveHealth, 2004, 36(1):6–10.
Forhan, S Oral abstract, 2008 National STD Prevention Conference
2/3 of families begun by young unmarried women are poor
Over half of women receiving welfare had first child has a teen
Teen moms and moms-to-be take a class in the Bronx, N.Y., to help them have
healthy pregnancies and healthy babies.
Meade CS and Ickovics JR, Social Science and Medicine, 2005, 60(4):661–678.
McLoyd V., “The Imperative of Research on Minority Adolescents”. In Studying Minority Adolescents. London, 1998
Contraceptive use behaviors
Post Partum Adolescent Birth Control Study (PP-ABCs)
“The challenge then is not to create databases on minority children that necessarily parallel those that exist on non-Latino white, middle class children. Rather, it is to formulate culturally relevant constructs, and systematically document the precursors and consequences of developmental outcomes in the context of a culturally sensitive framework. Research of this kind is more arduous and slower-paced”
“Judgments of untimeliness should be tentative. Their purpose is not primarily to diagnose and certainly not to blame but rather to prevent or alleviate unnecessary suffering for young women and their children.”
Ruddick in Procreative choice for adolescent women. The Politics of Pregnancy. Lawson and Rhode eds. Yale New Haven Press 1993