Attachment to conventional institutions and adolescent rapid repeat pregnancy: A longitudinal national study among adolescents in the United States

Citation

Reese, Bianka M. & Halpern, Carolyn Tucker (2017). Attachment to conventional institutions and adolescent rapid repeat pregnancy: A longitudinal national study among adolescents in the United States. Maternal and Child Health Journal. vol. 21 (1) pp. 58-67

Abstract

Introduction: There is limited research on rapid repeat pregnancies (RRP) among adolescents, especially using nationally representative samples. We examine distal factors-school, family, peers, and public/private religious ties-and their associations with RRP among adolescent mothers. Methods: Guided by social development theory, we conducted multivariate logistic regression analyses, adjusted for sociodemographic characteristics, to examine associations between RRP and attachment to school, family, peers, and religion among 1158 female respondents from the National Longitudinal Study of Adolescent to Adult Health (Add Health) who reported at least one live birth before age 20. Results: Attachments to conventional institutions were associated with lower likelihood of RRP. Adolescent mothers who had a stronger relationship with their parents had reduced odds of RRP (adjusted odds ratio [aOR] 0.83, 95 % CI 0.71-0.99). Increased odds of RRP were associated with anticipating fewer negative social consequences of sex (aOR 1.18, 95 % CI 1.02-1.35), never praying (versus praying daily; aOR 1.47, 95 % CI 1.10-1.96), and never participating in church-related youth activities (versus participating once a week; 1.04, 95 % CI 1.01-1.07). Discussion: After an adolescent birth, social support from family, peers, and the community can benefit young mothers. Private aspects of religiosity may be especially important. Understanding the processes by which these distal factors are linked to the likelihood of RRP is needed to create multifaceted intervention programs that provide diverse methods of support customized to specific circumstances of adolescent mothers.

URL

http://dx.doi.org/10.1007%2Fs10995-016-2093-y

Keyword(s)

Adolescent Family Peers Religion Repeat pregnancy School

Notes

1573-6628 Reese, Bianka M Halpern, Carolyn T Journal article Matern Child Health J. 2016 Jul 30.

Reference Type

Journal Article

Journal Title

Maternal and Child Health Journal

Author(s)

Reese, Bianka M.
Halpern, Carolyn Tucker

Year Published

2017

Volume Number

21

Issue Number

1

Pages

58-67

Edition

July 30, 2016

ISSN/ISBN

1092-7875

DOI

10.1007/s10995-016-2093-y

NIHMSID

NIHMS836887

Reference ID

7124