More than Poverty—Teen Pregnancy Risk and Reports of Child Abuse Reports and Neglect
Published Date:Aug 2015
Source:J Adolesc Health. 57(2):164-168.
Pubmed Central ID:PMC4653097
Funding:2R01 MH061733/MH/NIMH NIH HHS/United States
CE001190/CE/NCIPC CDC HHS/United States
R01 MH061733/MH/NIMH NIH HHS/United States
T32 DA015035/DA/NIDA NIH HHS/United States
To compare risk for teen pregnancies between children living in poverty with no Child Protection Services (CPS) report history, and those in poverty with a history of CPS report.
Children selected from families in poverty, both with and without CPS report histories were prospectively followed from 1993–2009 using electronic administrative records from agencies including child protective services, emergency departments, Medicaid services and juvenile courts. A total of 3281 adolescent females were followed until age 18.
For teens with history of poverty only, 16.8% had been pregnant at least once by age 17. In teens with history of both poverty and report of child abuse or neglect, 28.9% had been pregnant at least once by age 17. While multivariate survival analyses revealed several other significant factors at the family and youth services levels, a report of maltreatment remained significant (about a 66% higher risk).
Maltreatment is a significant risk factor for teen pregnancy among low income youth even after controlling for neighborhood disadvantage, other caregiver risks and indicators of individual emotional and behavioral problems.
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