School of Public Health
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The collections in this community comprise faculty research works, as well as graduate theses and dissertations.
Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.
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Item "Sin Querer Queriendo": Exploring The Factors Associated With Pregnancy Prevention And Pregnancy Intention Among Latino Youth In Montgomery County(2010) Martinez-Garcia, Genevieve; Atkinson, Nancy; Public and Community Health; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)This study seeks to determine the factors that influence pregnancy desire and pregnancy prevention behavioral intentions among Latino youth. One out of two Latino girls in the U.S. will become pregnant before they turn 20. A pregnancy significantly hinders a teen's ability to pursue an education and develop professionally, and places an undue economic burden on the family. In order to appropriately address the factors that fuel teen birth rates, it is imperative to study behavioral, social, and cultural dynamics associated with pregnancy prevention and sexual behavior in the local Latino community. This study utilized the Theory of Planned Behavior (TPB) to explore factors associated with pregnancy prevention behaviors, namely abstinence, condom use, and birth control pill use. The study specifically addresses attitudes, subjective norms, and perceived behavioral controls of Latino adolescents/teens regarding three pregnancy prevention behaviors. The Pregnancy Wantedness Scale was designed to specifically measure pregnancy attitudes among youth. The study answered three main questions: 1) What are the characteristics of Latino youth who desire a pregnancy during their adolescent years?; 2) Are pregnancy prevention behavioral intentions associated with pregnancy wantedness?; and 3) Are attitudes, subjective norms and perceived behavioral control associated with pregnancy prevention behavioral intentions? A questionnaire was designed in English and Spanish using input from local community stakeholders. A total of 949 Latino youth were recruited using a central location intercept approach. Univariate and multiple linear regression analyses were used to answer the three research questions. Analyses were conducted separately for males and females with some and no sexual experience. Psychometric studies and factor analysis were conducted to assess the reliability and underlying structure of the scale. This study found that multiple demographic, familial and acculturation factors influenced youth's pregnancy intentions. For most groups, pregnancy wantedness was mostly influenced by youth's religion salience, acculturation level and living with a parent. Only condom use intention was associated with lower pregnancy wantedness for males. Perceived behavioral control and parental norms was positively associated with increased behavioral intentions across all three behaviors for most groups. This study suggests that practitioners should be aware of the gender, sexual experience and acculturation level of Latino youth when designing education interventions. Moreover, the findings of this study suggest that strengthening parental role and communication will protect youth from desiring a pregnancy and motivate them to use contraception effectively.Item EXAMINING THE EFFECTS OF TWO SEXUAL ASSAULT/ DATE RAPE INTERVENTIONS IN A POPULATION OF COLLEGE FRESHMEN(2010) Jordan, Jessica Brewster; Sawyer, Robin G.; Public and Community Health; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Rape is committed more often than any other violent crime on college campuses. Over the years, various interventions have been developed to educate and positively change college students' attitudes, beliefs, and behavioral intentions regarding sexual assault and date rape. Common educational strategies in the sexual assault and date rape programs include the use of films and/or peer educators to help dispel commonly held date rape myths, to improve attitudes and/or knowledge of rape, to decrease rape-related behavioral intentions, to improve communication about sexual decisions, and to increase self-efficacy towards resisting an unwanted sexual experience. However, many intervention studies lack evaluation data to demonstrate the effectiveness of these programs on college campuses. The purpose of this study was to evaluate two experimental conditions in a sample of freshmen students at the University of Maryland, College Park. One intervention group received a sexual assault/date rape educational film followed by participating in a peer-led discussion; the second intervention group received only a peer education presentation; and the control group received no treatment. Pretest and four- to six-week posttest evaluation surveys were administered to participants to determine the effects of the interventions on attitudes towards rape, rape-related behavioral intentions, and sexual communication self-efficacy. The statistical methods used to analyze these data were paired t-tests and nested ANCOVA models. In addition, a Process Evaluation Survey was also administered to the intervention groups immediately upon their completion to capture an overall assessment of the interventions. Lastly, the peer educators delivering these programs completed evaluations after each presentation. Both intervention groups were found to have statistically significant increases in anti-rape attitudes at posttest, with females reporting higher anti-rape attitude scores compared to males in both interventions. Increases in anti-rape behavioral intentions and sexual communication self-efficacy scores were also reported; however, these changes were not statistically significant compared to the control group at posttest. The quantitative and qualitative data collected from the Process Evaluation Surveys and the Peer Educator Evaluations provided further guidance on how to improve the interventions.