Teen Pregnancy Health Promotion Plan Transcript
you are visiting a local community center to support your friend and fellow nurse on his first day at work. The center is the first in the area dedicated to the homeless—primarily Latino—population in the neighborhood, who speak English as a second language. The community started a community garden to help combat food insecurity in the area.
John takes you on a tour of the facility. He is excited to have you listen to an educational session presented by June. The goal of this session is to teach the participants how to prepare healthy foods using the vegetables from the garden. A local co-op donated beef, a protein source.
As June spoke with the participants about what constitutes a balanced meal, she cleans the potatoes and carrots. She explains to them in English that the skins provide nutrients, so they should not be peeled. As she continued with her lesson, you overheard some participants saying in Spanish that “Only pigs eat vegetable skins. She is trying to feed us slop! She thinks that we are pigs. We don’t eat slop!” Many participants refused to eat the stew and left shaking their heads. A few who remained told her that they had no access to a stove, because they were living on the streets. Teen Pregnancy Health Promotion Plan Transcript
Answer the following questions based on this scenario:
QUESTION 1 of 2
Which Healthy People 2020 health Indicators apply to this situation?
Select all answers that apply
- a) Oral Health
Oral health impacts a person’s ability to eat. However, in this scenario, the participants are not eating the food because it is not consistent with their cultural beliefs. Try again.
- b) Obesity
A healthy diet and obesity are related. Obese people tend to consume more calories in relation to their level of activity than other people. Fast foods and “junk” foods are cheaper and promote satiety. People who are homeless are dependent on these types of food. However, this indicator does not apply to this scenario. Try again.
Correctc) Educational and Community-Based Programs
This is a health indicator for this scenario. The presenter failed to conduct a needs assessment. She did not take into consideration the characteristics and needs of the target audience: learning needs, language barriers, cultural sensitivity, and the need to address a mutually agreed upon goal. Teen Pregnancy Health Promotion Plan Transcript
- d) Sexual Health
Does not apply to this scenario. Try again.
Correcte) Older Adults
This is a health indicator for this scenario. Older adults are at risk for food insecurity, often because they are on fixed budgets. Cheaper foods tend to be higher in calories and fat, and are less nutritious. The homeless are at an even greater risk.
- f) Substance Abuse
Does not apply to this scenario. Try again.
Correctg) Nutrition
This in the main health indicator for this scenario. Food banks provide free food; however, in this instance, the homeless participants are unable to purchase the food, prepare it, or have a secure place to keep it from spoiling. Their main source of food is at this center. Another possible source of meal would be a soup kitchen, but they have a limited supply of meals.
FEEDBACK
Your answers are correct.
QUESTION 2 of 2
How might this session have been improved?
Enter your response
FEEDBACK
Some potential ways to improve this session would have been to:
- Interview participants to determine learning needs and establish mutual goals.
- Avoid assuming that the participants could afford to purchase and prepare the meals. Homeless individuals may have access to the community garden, but may have no access to protein sources or a place to prepare a meal in the way modeled during the session.
- Learn as much as possible about the local Latino population and culture by consulting appropriate resources and by talking with participants at the center.
- Interview participants to identify cultural norms and beliefs.
- Provide the assistance of a Spanish-speaking interpreter.
Today’s presentation will be discussing teen pregnancy. Teen pregnancy is the pregnancy in females below age 20. The population comprises primary and high school students and the first years of college and university. Pregnancy affects the girl’s life and the baby, family, and community significantly. Teen pregnancy has many complications, including labor and delivery. In this presentation, we will discuss the causes, resources available for prevention and management, how to prevent teen pregnancy, and achieving Healthy People 2030 goals by preventing teen pregnancy. Teen Pregnancy Health Promotion Plan Transcript
Mutually Agreed-Upon Goals
The goals of this presentation are to focus on concepts around teen pregnancy. These are goals we will agree on, with your participation, that will help evaluate the effectiveness of the education session at the end. One of the goals is to understand teen pregnancy and its causes. The understanding will help you assess your risk for teen pregnancy. The presentation will also explore the effects of teen pregnancy on the girl, family, the baby, and the community. We will then learn strategies to prevent pregnancies and help you and other girls avoid teen pregnancy. According to the CDC (2020), teen education’s primary intention is to teach, help and assist you so that you can help others out there to prevent teen pregnancy. The last objective is to understand the community resources available to help you control the problem. You will spread the information to help those students who get pregnant with limited information to ensure they liver better quality lives.
Causes/Risk Factors for Teen Pregnancy
Girls around 13 or 14 have lower sex encounters, and pregnancy prevalence rises between ages 15-19. Basile et al. (2018) show that unconsented sex encounters/ rape with these teens is also a significant cause of teen pregnancy. The WHO estimates more than 21 million pregnancies globally each year. The rates are much higher in developing countries. The rates are relatively high in various areas, such as Mississippi, which reports the highest birth rate in the nation. More than 10 million of these pregnancies are unwanted or unplanned. The WHO also estimates that there are 5 million teen abortions annually, and about 80% are unsafe. CDC (2022) reports that the US teen birth rate is 16.7% per 1000 teens as of 2019. The US rate is the highest among those developed countries. Teen pregnancy is a global problem that requires much attention from the communities and authorities. Preventing yourself from getting pregnant is thus the priority.
Effects of Teen Pregnancy
Pregnancy leads to school drop-out permanently or temporarily. Smith et al. (2019) show that teen pregnancy is the leading cause of chronic absenteeism (for more than 11 days), and less than 2% of these mothers have a college degree at 30. Dropping out of school limits employment access, and most unemployed individuals often have low-paying jobs, leading to poverty. These teens are often unwelcome in homes, and most are chased away by their parents and end up on the streets or married. Most others ran away from homes leading to disrupted family processes.
Pregnant teens are seen as a disgrace to their families, and communities often use them as bad examples. Teens who abort are exposed to complications such as sepsis and death secondary to bleeding. The WHO also notes that maternal complications are the leading cause of death among girls aged 15-19 (WHO, 2022). These complications include preeclampsia, prolonged labor, fistula, and torrential hemorrhage. The children born to teens are often of low birth weight, premature, and stillborn. Most teens become poor parents due to the stress of bringing up an unplanned child. Thus, teen pregnancies are undesirable and should be addressed adequately. Teen Pregnancy Health Promotion Plan Transcript
Causes/ Risk Factors for Teen Pregnancy
Pregnancy begins with sex. Irresponsible sex behaviors such as sex without protection lead to pregnancy. Most students are misguided by false information regarding sex and sexual activity. Peers give myths such as initiating sex indicates that one has grown up. Teens also engage in sex to help them fit in with others because most are discriminated against for being virgins. Cygon et al. (2019) state that sex education should be introduced gradually to students depending on further understanding and development levels. Less emphasis by parents and teachers on sex education leads to irresponsible sexual behavior. Lack of teachers and parental guidance allows teens to be lost and make bad decisions regarding their relationship with the opposite gender.
Teens are in puberty with secondary changes and hormone surges, making them attracted to the opposite sex and tempted to begin sexual activity. Teens are also vulnerable to preying on individuals, including family members and older males in society, and rape is a significant cause of teen pregnancies. According to Basile et al. (2018), most teens who had first sex contact at 13 or 14 report it as involuntary or unwanted. Rape-related pregnancy is often from a closely related person such as a family member. Youths are coerced and threatened to avoid reporting sexual abuse, but you should speak to relevant authorities whenever sexually abused.
Teens who report using drugs are twice likely to get pregnant as those not abusing drugs. According to Williams-Breault, (2020), individuals under the influence of drugs are easily swayed and lured into sexual activities. They are also at more risk for making poor decisions. Teens from low-income families can also engage in sex to meet daily needs. Exposure to sexual activities in families and lack of guidance can make teens end up in sexual activities. Odhiambo (2018) note that teens from poor backgrounds may get involved in sexual activities to meet regulated teens and join groups that introduce them to sexual activities. Pictures with high nudity levels are also available on the internet and social media, exposing them to erotic sexual behaviors. Social media exposes teens to nudity and social influence (Sserwanja et al., 2022). Unfortunately, most of the content on social media apps is not media platforms making them easily accessible. Social media allows these teens to meet strangers who can lure them into sex by promising money or other gifts. Thus, removing the influence of social media and teaching social media use best practices is integral to preventing irresponsible sex behavior and teen pregnancies. Teen Pregnancy Health Promotion Plan Transcript
Strategies to Prevent Teen Pregnancy
Pregnancy prevention is based on the identified causes. Teen efforts in declining sex are thus vital to make the step a success. About half of the girls between the ages of 15 and 20 have had sex voluntarily or involuntarily, according to the WHO (WHO, 2022). Abstinence requires one to decline consensual sex objectively. Misinformation is countered by getting the correct information which includes online resources. Online resources help demystify myths and give students a new life direction. Informed teens make better decisions. For those already sexually active, using barrier methods and contraceptives is integral.
The CDC recommends long-acting reversible contraceptives, but they do not protect teens from sexually transmitted infections such as HIV and syphilis, which have significant health problems. Teens are the best for supporting each other. Having teen groups in schools to educate others on teen pregnancy and its prevention will help reduce the prevalence of teen pregnancies. As teens, sharing information on teen pregnancy will help create awareness and provoke action to prevent them. Teen social support also helps victims speak up, increasing access to resources to end the molestation and prevent teen pregnancy.
It would be best if you lent support to others as teenagers. Pregnant teens or those at risk of becoming pregnant should be directed to local resources to help them secure their future. Avoid using drugs and alcohol since they make you more susceptible to risky sexual conduct. Avoid strolling alone in lonely, insecure areas or meeting people in secluded locations at odd hours (such as at night) to prevent rape (CDC, 2020). Speak out against molestation and ask your family and other people for support. Social institutions such as churches and organizations can be safe places for teens. Most institutions will offer shelter or connect you to other institutions dedicated to helping pregnant teens or those at risk. It is also vital to avoid abusing drugs and alcohol. Teens are pressured into taking drugs by peer influence and, in the process, engage in sex. Avoiding drug abuse will thus lessen the risk of teen pregnancy. Teen Pregnancy Health Promotion Plan Transcript
Community Resources Available for Teen Pregnancy Prevention and Management
RAINN operates the sexual assault hotline where they handle sexual assault cases, offer victims healthcare services, seek justice, and bring the perpetrators under the law. Hadley (2020) notes that healthcare centers are integral to teen pregnancy and will assist with reproductive health, pregnancy prevention after rape, or irresponsible behavior correction. The healthcare providers will also refer you to other relevant resources for further help. Crisis pregnancy centers are institutions that help pregnant teens by providing pregnancy tests, social support, parenting classes, and other free supplies such as diapers. Young Lives is a faith-based institution carrying out similar functions as the crisis pregnancy center. National Sexual Violence Resource Center works to prevent and investigate sexual violence cases in the population. The resource can be helpful in rape-related teen pregnancies and sexual violence. A pregnancy lifeline is an essential resource in ensuring pregnant individuals have adequate social and material support. These institutions, community resources, and many others will help you prevent and manage teen pregnancy.
Teen Pregnancy Presentation and Healthy People 2030 Goals
The presentation addresses various Healthy People 2030 goals and objectives. They vary from maternal to adolescent health. The presentation will help improve the health and well-being of adolescents by avoiding the adverse effects of unplanned pregnancies (Healthy People 2030.gov, n.d.). It will also help towards achieving the desired decrease in teenage pregnancies to the desired rate. The education will equip them with knowledge of teen pregnancy and resources available for pregnant teens and teens willing to prevent pregnancy. Accessing resources in time will help prevent morbidity and mortality associated with teen pregnancy, hence better outcomes. Healthy People 2030 aims to ensure good pregnancy planning to eliminate unwanted/unplanned pregnancies (Healthy People 2030.gov, n.d.). Accessing resources and information will help teens prevent unplanned pregnancies, contributing to the achievement of healthy people 2030 goals. Preparing goals based on Healthy People 200 goals and objectives would have helped align outcomes with objectives and will do that in the future. Teen Pregnancy Health Promotion Plan Transcript
Mutually Agreed-Goals evaluation
The session went as planned in preparing the mutual goals. The presentation has covered teen pregnancy, statistical significance, causes, and prevention as designed and within the time limit. The knowledge will help you and others prevent teen pregnancy. Use resources such as schools, churches, health centers, and police stations to get your needed help. Meeting with participants for future improvement will help plan beforehand and ensure all participants’ needs are met. It will be ownership and full participation hence better outcomes.
References
Basile, K. C., Smith, S. G., Liu, Y., Kresnow, M. J., Fasula, A. M., Gilbert, L., & Chen, J. (2018). Rape-related pregnancy and association with reproductive coercion in the US. American journal of preventive medicine, 55(6), 770-776. https://doi.org/10.1016/j.amepre.2018.07.028
Center for Disease Control and Prevention (CDC), (2020). Understanding Pregnancy Resulting from Rape in the United States. US Department of Health and Human Services. https://www.cdc.gov/violenceprevention/sexualviolence/understanding-RRP-inUS.html
Center for Disease Control and Prevention (CDC), (2022). Reproductive Health: Teen Pregnancy. https://www.cdc.gov/teenpregnancy/index.html
Hadley, A. (2020). Teenage pregnancy: strategies for prevention. Obstetrics, Gynaecology & Reproductive Medicine, 30(12), 387-394. https://doi.org/10.1016/j.ogrm.2020.10.004
Healthy People 2030.gov (n.d.). Pregnancy and Childbirth. US Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/pregnancy-and-childbirth
Healthy People 2030.gov (n.d.). Reduce pregnancies in adolescents — FP‑03. US Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse-objectives/family-planning/reduce-pregnancies-adolescents-fp-03
Smith, C., Strohschein, L., & Crosnoe, R. (2018). Family histories and teen pregnancy in the United States and Canada. Journal of Marriage and Family, 80(5), 1244-1258. https://doi.org/10.1111/jomf.12512
TeenHelp.com (n.d.). Teen Pregnancy Statistics. Retrieved 8th Aug 2022, from https://www.teenhelp.com/c/teen-pregnancy
Cygan, H. R., McNaughton, D., Reising, V., Fogg, L., Marshall, B., & Simon, J.(2020). Teen pregnancy in Chicago: Who is at risk? Public Health Nursing, 37(3), 353-362. https://doi.org/10.1111/phn.12726
Williams-Breault, B. D. (2020). Teen pregnancy: United States vs. Europe. Int J Arts Humanit Soc Sci Studies, 5(6), 46-54.
Odhiambo, J. N. (2018, December). Exploring the Underlying Causes and Psychological Consequences of Teen Pregnancy in the Philippines. International Forum Journal (Vol. 21, No. 2, pp. 170-187).
Sserwanja, Q., Sepenu, A. S., Mwamba, D., & Mukunya, D. (2022). Access to mass media and teenage pregnancy among adolescents in Zambia: a national cross-sectional survey. BMJ Open, 12(6), e052684.
Yunzal‐Butler, C., Sackoff, J., & Korenman, S. (2020). Longitudinal patterns of school disengagement before conception among New York City teen mothers. Journal of School Health, 90(5), 378-385. https://doi.org/10.1111/josh.12886 Teen Pregnancy Health Promotion Plan Transcript
