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Member Research & Reports

Member Research & Reports

Maryland: Study Shows Patient-Centered Medical Home Interventions Reduce Odds of Repeat Teen Pregnancy by Almost Half

Researchers at the University of Maryland School of Public Health have found patient-centered medical home interventions can reduce the odds of repeat teen pregnancy among African Americans by almost half when compared to standard models of pediatric primary care.

This is especially important given that rates of repeat teen pregnancy are higher for African Americans — compounding already high rates of health and socioeconomic disparities among this vulnerable population.

Assistant professor Dr. Amy Lewin; recent PhD graduate, Dr. Deirdre Quinn and a team of researchers compared the effectiveness of the Generations intervention program to a standard primary care model in reducing repeat teen pregnancy for 98 urban, low-income, African American teen mothers from 2015 to 2017. The Generations patient-centered medical home model integrates social work and mental health services into joint primary care for both mother and child.

The researchers found that teen mothers in the Generations group were half as likely as mothers who received standard pediatric primary care to have a repeat pregnancy within 2 years postpartum. These lowered rates were mediated by higher rates of contraceptive use. Participants also reported lower rates of depression — likely a result of having access to mental health services within the Generations program.

These findings support the integration of social work and mental health services into future teen pregnancy prevention programs.

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