The Ripples of Adolescent Motherhood: Social, Educational, and Medical Outcomes for Children of Teen and Prior Teen Mothers.
Summary of "The Ripples of Adolescent Motherhood: Social, Educational, and Medical Outcomes for Children of Teen and Prior Teen Mothers."
OBJECTIVE:
We examined medical, educational and social risks to children of teen mothers and children of nonadolescent mothers with a history of teen birth (prior teen mothers) and considered these risks at both the individual and societal level.
METHODS:
A population-based, retrospective cohort study tracked outcomes through young adulthood for children born in Manitoba, Canada (n = 32 179). chi(2) and logistic regression analyses examined risk of childhood death or hospitalization, failure to graduate high school, intervention by child protective services, becoming a teen mother, and welfare receipt as a young adult.
RESULTS:
For children of both teen and prior teen mothers, adjusted likelihoods of death during infancy, school-aged years, and adolescence were more than 2-fold higher than for other children. Risks for hospitalization, high hospital use, academic failure, and poor social outcomes were also substantially higher. At a societal level, only 16.5% of cohort children were born to teen and prior teen mothers. However, these children accounted for 27% of first-year hospitalizations, 34% of deaths (birth to 17 years), 30% of failures to graduate high school, 51% in foster care, 44% on welfare as young adults, and 56% of next-generation young teen mothers.
CONCLUSIONS:
Children of prior teen mothers had increased risks for poor health and for educational and social outcomes nearly equal to those seen in children of teen mothers. Combined, these relatively few children experienced a large share of the negative outcomes occurring among young people. Our results suggest the need to expand the definition of risk associated with adolescent motherhood and target their children for enhanced medical and social services.
Affiliation
School of Public Health, University of California, Berkeley (Dr Jutte); and Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Canada (Drs N. P. Roos, Brownell, and L. L. Roos, Ms Briggs; and Mr MacWilliam).
Journal Details
This article was published in the following journal.
Name: Academic pediatrics
ISSN: 1876-2867
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20674531
- DOI: http://dx.doi.org/10.1016/j.acap.2010.06.008
Medical and Biotech [MESH] Definitions
Sociology, Medical
The study of the social determinants and social effects of health and disease, and of the social structure of medical institutions or professions.
Education, Medical, Graduate
Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.
Human Rights
The rights of the individual to cultural, social, economic, and educational opportunities as provided by society, e.g., right to work, right to education, and right to social security.
Adolescent Behavior
Any observable response or action of an adolescent.
Rubella Vaccine
A live attenuated virus vaccine of duck embryo or human diploid cell tissue culture origin, used for routine immunization of children and for immunization of nonpregnant adolescent and adult females of childbearing age who are unimmunized and do not have serum antibodies to rubella. Children are usually immunized with measles-mumps-rubella combination vaccine. (Dorland, 28th ed)
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