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Grant, Kathryn E.; Grace, Pamela J.; Trujillo, Jaime; Halpert, Jane A.; Kessler-Cordeiro, Anna; Razzino, Brian; Davis, Trina

doi:10.1023/a:1015223522236

Cited by 8 publications

(1 citation statement)

References 69 publications

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“…School attendance may prevent pregnancy by providing periods of structure and supervision in young adults’ lives, which reduce opportunities for sexual activity (Barnes, Hoffman, Welte, Farrell, & Dintcheff, 2007; Rosenberg et al, 2015; Stoner, Edwards, et al, 2017). Similarly, young women out of school in settings where unemployment and poverty are high may be ambivalent about preventing pregnancy or encouraged to have children in order to increase their social status (K. Grant et al, 2002; Jewkes et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between School Dropout and Pregnancy Among Adolescent Girls and Young Women in South Africa: A HPTN 068 Analysis

et al. 2019

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Background. Prevention of both school dropout and teen pregnancy represent clear public health priorities for South Africa, yet their complex and potentially cyclical relationship has not been fully explored. Objective. To further understand how this relationship operates, we analyzed data from a randomized trial of young women aged 13 to 20 years enrolled in school in rural South Africa to estimate the association between pregnancy and subsequent dropout and between dropout and subsequent pregnancy. Method. We examined inverse probability (IP) of exposure-weighted survival curves for school dropout by pregnancy and for pregnancy by school dropout. We used weighted curves to calculate 1-, 2-, and 3-year risk differences and risk ratios. Additionally, we used an IP-weighted marginal structural cox model to estimate a hazard ratio (HR) for each relationship. Results. Dropout from school was associated with subsequent pregnancy (HR 3.58; 95% confidence interval [CI] [2.04, 6.28]) and pregnancy was associated with subsequent school dropout (HR 2.36; 95% CI [1.29, 4.31]). Young women who attended school but attended fewer days had a higher hazard of pregnancy than those who attended more school (HR 3.64; 95% CI [2.27, 5.84]). Conclusion. Pregnancy is both a cause and a consequence of school dropout. Consideration of school attendance and academic performance could ultimately enhance pregnancy prevention efforts in this population. Programs should be tailored differently for (1) girls who have dropped out of school, (2) those who are in school and at risk for pregnancy, and (3) those who are in school and become pregnant.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between School Dropout and Pregnancy Among Adolescent Girls and Young Women in South Africa: A HPTN 068 Analysis

et al. 2019

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Prevalence, Course, and Predictors of Emotional Distress in Pregnant and Parenting Adolescents.

Milan

Ickovics

Kershaw

et al. 2004

Journal of Consulting and Clinical Psychology

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This study examines trajectories and correlates of emotional distress symptoms in pregnant adolescents (n = 203) and nulliparous adolescents (n = 188) from economically disadvantaged communities over an 18-month period. For both groups, the prevalence of significant emotional distress exceeded expectation based on adolescent norms; however, the severity of symptoms did not differ between the 2 groups. Results from growth curve modeling revealed a significant decline in symptoms during the study period for both groups, but pregnant adolescents experienced a different pattern of decline. Also, certain interpersonal factors (e.g., history of physical maltreatment, partner support) appeared to play a more important role in the emotional well-being of pregnant and parenting adolescents relative to nulliparous adolescents. Implications for early identification and intervention are discussed.

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