1. A Week in Your Life: Exploring the Everyday Lives of Teenage Mothers Dr Kimberly Jamie

2. A bit of context… -Almost half of all cancers are attributed to lifestyle and behaviours -‘Risky’ behaviours are socially and culturally located, not simply a case of empathy or ignorance -Those in ‘harder to reach’ groups are more likely to engage in ‘risky’ behaviours -But the ‘stop smoking’ or ‘lose weight’ message isn’t universal -So, to understand how to target health advice messages, we need to understand the local cultural context

3. CRUK and ‘harder to reach’ groups Dr Roisin O’Neill (Queen’s University Belfast) Dr Lucy Hackshaw-McGeagh (University of Bristol) Dr Kimberly Jamie (University of Durham)

4. Teenage mums… -Teenage mums are identified as a ‘harder to reach’ group -At elevated risk of smoking, poor diet and high alcohol consumption levels - Policy and practice tends to focus on children of teenage mums when teenage mums are often children themselves -So, how would CRUK develop an intervention (e.g. education materials, training etc.) that would actually work for this group? -Let’s, well, ask them!

5. Methods… -Participants: Up to 60 mums under 21 (20 in each area) -Recruitment: Through Children’s Centres and third sector organisations; posters displayed and flyers sent out -Data Collection: Photo elicitation over a week followed by two focus groups -FG1: Tell us about the photos and your everyday experiences -FG2: Tell us if we’ve got our analysis right and how we might develop a useful intervention

6. Some early findings… Support: Friends and family - All participants considered terminating their pregnancy - Simultaneous ‘pull away’ and ‘pull close’ by friends and family members - ‘Key’ allies in family members and friends who offer the majority of support - The family unit and family roles become complex and constantly re-negotiated

7. Growing up fast... - Having to grow up fast - Doing ‘grown up’ things and thinking in a ‘grown up’ way: Food shopping a prime example - Mature approaches to money, going out, holidays etc. - Not a negative thing -Increases distance between friends without children and young parents

8. Health... - No time to look after their own health - Health is not a priority - Keeping healthy is too expensive -Health tied up with image, in particular being ‘on a diet’ - Some interesting findings around gendered body image, health and becoming happy with a ‘mum’ body

9. Sociology of... Family Gender Health Young people

10. ‘Harder to Reach’?...A Laborious Metaphor!

11. ‘Harder to Reach’?... Curse you for being so hard to reach… research tentacles! Shift the responsibility on to researchers More interesting methods More relevant recruitment techniques Better communication of on-going findings, end results & implications

12. Questions....