Intergenerational teen pregnancy: a population‐based cohort study

Liu, Ning; Vigod, Simone N.; Farrugia, Michele; Urquia, Marcelo L.; Ray, JG

doi:10.1111/1471-0528.15297

Cited by 18 publications

(19 citation statements)

References 33 publications

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“…Early pregnancy can impede the adolescent from attaining her academic potential, leading to substantial economic consequences over her life course [6]. With the growing evidence of strong intergenerational occurrence of teenage pregnancy between a mother and daughter, coupled with its known adverse socioeconomic and health outcomes for the teenage mother and the baby, adolescent pregnacy prevention remains a top public health priority globally [7,8]. Understanding context specific predictors of adolescent pregnancy, as well as the decision making process, are relevant in establishing appropriate preventive interventions, as well as to provide respectful counseling services for pregnant adolescents.…”

Section: Introductionmentioning

confidence: 99%

Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders’ and adolescents’ perspectives from a vignette-based qualitative study

et al. 2020

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Background Worldwide, over half of the adolescent pregnancies recorded are unintended. The decision to continue the pregnancy to term or to opt for an abortion is a constant dilemma that is directly or indirectly influenced by stakeholders and also by the wider social environment. This study aimed at understanding the perceived decision-making preferences and determinants of early adolescent pregnancy in the Jamestown area of Accra in Ghana. Methods A vignette-based qualitative study design was used. Eight focus group discussions were carried among various purposively selected groups of participants: parents, teachers, adolescent students who had not been pregnant before, and adolescents who had had at least one pregnancy in the past. The vignette was a hypothetical case of a 15-year-old high school student who had not experienced her menses for the past 6 weeks. The data were analyzed using a thematic analysis approach. Results Lack of parent-daughter communication, the taboo on discussing sex-related issues in households and weak financial autonomy were considered to be the main contributing factors to the high early adolescent pregnancy rates in the community. Partner readiness to assume responsibility for the girl and the baby was a key consideration in either continuing the pregnancy to term or opting for an abortion. The father was overwhelmingly considered to be the one to take the final decision regarding the pregnancy outcome. Irrespective of the fact that the respondents were very religious, opting for an abortion was considered acceptable under special circumstances, especially if the pregnant adolescent was doing well in school. Conclusion Inadequate and inappropriate communication practices around sexuality issues, as well as weak financial autonomy are the major predictors of early adolescent pregnancy in this community. The father is perceived to be the main decision maker regarding a young adolescent’s pregnancy outcome. Policy-makers should carefully evaluate the implications of this overwhelming perceived desire for the father to be the final decision-maker regarding adolescent pregnancy outcomes in this community.

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Section: Introductionmentioning

confidence: 99%

Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders’ and adolescents’ perspectives from a vignette-based qualitative study

et al. 2020

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“…Furthermore, having a teenage mother has been associated with a plethora of poorer health outcomes for the child in the short term, including preterm delivery, low birth weight, small for gestational age, and neonatal and infant mortality, as well as increased risk of developmental and behavioural problems [ 38 , 39 ], which could impact on sexual behaviours. However, links between having a teenage mother and risky sexual behaviour may also, in part, be biological (e.g., similar age of menarche) and social (e.g., shared attitudes and beliefs around parenthood) [ 27 ]. Our findings place emphasis on the need to support young people to make informed choices around teenage parenthood, and to support young parents through maternity, early years, and beyond to improve parenting skills and health outcomes of both young parents and their offspring.…”

Section: Discussionmentioning

confidence: 99%

“…Consistent with international literature, an individual’s ACE count was calculated and categorised into four groups for analysis (0, 1, 2–3, or 4+ ACEs). Since daughters of teenage mothers have an increased risk of becoming a teenage parent themselves [ 27 ], respondents were asked how old their mother was when they were born. Those whose mothers were aged 18 or less at the time of their birth were categorised as being born to a teenage mother (dichotomised to Yes/No).…”

Section: Methodsmentioning

confidence: 99%

Adverse Childhood Experiences and Their Relationship with Poor Sexual Health Outcomes: Results from Four Cross-Sectional Surveys

Wood

Ford

Madden

et al. 2022

IJERPH

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Improving understanding of risk factors for risky sexual behaviour is fundamental to achieve better population sexual health. Exposure to adverse childhood experiences (ACEs) can increase the risk of poor sexual health outcomes, but most research is US-based. This study explored associations between ACEs and poor sexual health outcomes in the UK. Data from four cross-sectional ACE surveys with adult general populations in different regions of the UK from 2013–2015 (n = 12,788) were analysed. Data included participants’ demographics, ACE exposure, and four sexual health outcomes: having early sex (<16 years), having an accidental teenage pregnancy, becoming a teenage parent, or having a lifetime diagnosis of a sexually transmitted infection. ACE count was a consistent and significant predictor of all four sexual health outcomes for both males and females, with odds of these outcomes between three and seven times higher for those with 4+ ACEs compared to those with no ACEs. Increased risks of some, but not all, sexual health outcomes were also found with higher residential deprivation, younger age, being of white ethnicity, and being born to a teenage mother. Findings highlight the need for effective interventions to prevent and ameliorate the lifelong effects of ACEs. Trauma-informed relationships and sex education, sexual health services, and antenatal/postnatal services, particularly for teenagers and young parents, could provide opportunities to prevent ACEs and support those affected. Ensuring that those living in deprived areas have access to services and that barriers to uptake are addressed is also key.

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“…It is difficult to distinguish further effects of genetic inheritance from both socioeconomic and behavioral factors. For example, the recurrence of intergenerational teenage pregnancies has been reported ( Meade et al, 2008 , Liu et al, 2018 ), but pregnancy can be thought of as outcome, and teenage pregnancy may be a risk factor for LBW and PTB, due to learned behavior. Future studies are needed to disentangle these effects, especially using more elaborated SES variables between generations ( Fleischer et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Intergenerational associations of adverse birth outcomes: A surveillance report

Liu

Lin

et al. 2020

Preventive Medicine Reports

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Intergenerational teen pregnancy: a population‐based cohort study

Abstract: Strong intergenerational association for teenage pregnancy between mother and daughter.

Cited by 18 publications

References 33 publications

Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders’ and adolescents’ perspectives from a vignette-based qualitative study

Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders’ and adolescents’ perspectives from a vignette-based qualitative study

Adverse Childhood Experiences and Their Relationship with Poor Sexual Health Outcomes: Results from Four Cross-Sectional Surveys

Intergenerational associations of adverse birth outcomes: A surveillance report

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