Mommy why u so young? :: Social Issues, Adolescent Mothers

Adolescent mothers have unique heaths needs compared to older mothers and other female adolescents (Aujoulat et al, 2010; Chablani & Spinney, 2011; Crittenden et al.2009,). Therefore,it is important for community development nurses to consider their specific needs when designing programs. This paper will identify the prevalence of adolescent motherhood in Saint John, New Brunswick and Canada. The challenges and problems that adolescent mothers face, along with the relevant health determinants, will be examined. Finally, local interventions and strategies the literature has identified as successful in improving the health status of adolescent mothers will be examined and critiqued. Target population and epidemiology The target population for this assessment is adolescent mothers aged 15 to 19. For this essay, adolescent mothers are considered to be between the ages of 15 to 19, unless otherwise stated. There were 15,570 live births to adolescent mothers in Canada in 2008. In New Brunswick, there were 488 live births in 2008 (Statistics Canada, 2008). Less than 5% of adolescents who become pregnant opt for adoption in New Brunswick (L.Smith, personal communication, September 21, 2011). The Health Indicators report showed that 28% of New Brunswick teenage pregnancies occurred in the Saint John area in 2009 (Office of the Chief Medical Officer of Health{OCMOH}, 2011). The report also identified the teenage fertility rate in New Brunswick. This rate refers to the number of live births that occur to females aged 15 to 19 per 1,000. In Saint John, the fertility rate for adolescents is 43.7. This number is significantly higher than the national teenage fertility rate of 14 and the provincial fertility rate of 20 (OCMOH). Although Canada’s national fertility rate is less than half of the United States of America’s rate of 41, it is still higher than most European countries including France, which has a rate of eight, and the Netherlands’s rate of four (OCMOH). These statistics show a significant number of adolescent mothers in Saint John, New Brunswick and Canada, proving the need for health care interventions for this target population. Determinants of health To conduct a throughout assessment on the needs of adolescent mothers, it is essential to consider the determinants of health. Common problems this population faces include high drop out rates, depression, social isolation, repeat pregnancies, and less effective parenting skills(source). The determinants of health most likely to impact adolescent mothers include income and education, social support, personal health practices, healthy childhood development, and gender.Unfortunately, the literature mainly focuses on the negative health determinants for this group and neglects to concentrate on positive health determinants or assets.