PMID- 32893446
OWN - NLM
STAT- MEDLINE
DCOM- 20211101
LR  - 20211101
IS  - 1365-2524 (Electronic)
IS  - 0966-0410 (Linking)
VI  - 29
IP  - 5
DP  - 2021 Sep
TI  - Addressing infant mortality through positive youth development opportunities for 
      adolescent girls.
PG  - 1260-1274
LID - 10.1111/hsc.13158 [doi]
AB  - Adolescent girls experience risks prior to pregnancy and giving birth that 
      influence their overall health, and development, as well as community rates of 
      infant mortality. Supporting adolescent girls through positive youth development 
      (PYD) opportunities offers a potential long-term strategy to preventing infant 
      mortality and improving maternal health outcomes. The current study sought to 
      assess state-wide needs, resources and opportunities related to PYD supports for 
      adolescent girls, especially among those most at risk for early pregnancy. A 
      strengths, weaknesses, opportunities and threats (SWOT) analysis guided nine 
      community forums in counties with the highest rates of infant mortality in one 
      large Midwestern state. In total, 368 stakeholders attended the forums and 
      provided insights related to the context of PYD for adolescent girls. Researchers 
      also conducted three focus group with 19 parents/guardians and three focus groups 
      with 25 adolescent girls aged 11-14 to validate the findings from the SWOT 
      analysis. Content analysis was utilised to synthesise the qualitative results. 
      Strengths and opportunities related to PYD for adolescent girls included access 
      to afterschool programming and access to health and mental health services. 
      Weaknesses brought awareness to more systemic problems as all nine counties 
      reported a lack of communication and coordination among youth programs and a need 
      for greater collaboration among youth agencies. Threats included challenges 
      associated with technology and social media, unsafe neighbourhood conditions, and 
      issues of racism, sexism, poverty and discrimination. Findings support the need 
      for a continued focus and priority on improving access, services and supports for 
      adolescent girls to prevent infant mortality and improve their health and 
      well-being. Local, state and national leaders can use the results of this study 
      to promote additional strategies for addressing infant mortality through PYD for 
      adolescent girls.
CI  - (c) 2020 John Wiley & Sons Ltd.
FAU - Bates, Samantha
AU  - Bates S
AUID- ORCID: 0000-0002-0915-5709
AD  - Department of Social Work, Texas Christian University, Fort Worth, TX, USA.
FAU - Anderson-Butcher, Dawn
AU  - Anderson-Butcher D
AD  - College of Social Work, The Ohio State University, Columbus, OH, USA.
FAU - Hoffman, Jill
AU  - Hoffman J
AD  - School of Social Work, Portland State University, Portland, OR, USA.
FAU - Rooney, Laura
AU  - Rooney L
AD  - Ohio Department of Health, Columbus, OH, USA.
FAU - Ramsey, Catelen
AU  - Ramsey C
AD  - College of Social Work, The Ohio State University, Columbus, OH, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20200906
PL  - England
TA  - Health Soc Care Community
JT  - Health & social care in the community
JID - 9306359
SB  - IM
MH  - Adolescent
MH  - Female
MH  - Focus Groups
MH  - Humans
MH  - Infant
MH  - *Infant Mortality
MH  - *Poverty
MH  - Pregnancy
OTO - NOTNLM
OT  - adolescent health
OT  - infant mortality
OT  - prevention
OT  - youth development
EDAT- 2020/09/08 06:00
MHDA- 2021/11/03 06:00
CRDT- 2020/09/07 06:01
PHST- 2020/07/19 00:00 [revised]
PHST- 2020/04/24 00:00 [received]
PHST- 2020/08/12 00:00 [accepted]
PHST- 2020/09/08 06:00 [pubmed]
PHST- 2021/11/03 06:00 [medline]
PHST- 2020/09/07 06:01 [entrez]
AID - 10.1111/hsc.13158 [doi]
PST - ppublish
SO  - Health Soc Care Community. 2021 Sep;29(5):1260-1274. doi: 10.1111/hsc.13158. Epub 
      2020 Sep 6.