What They Tell You to Forget: From Child Sexual Abuse to Adolescent Motherhood

Erdmans, Mary Patrice; Black, Timothy

doi:10.1177/1049732307309004

Cited by 27 publications

(18 citation statements)

References 47 publications

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“…Fourteen studies were based in the USA, four in the UK and one in Canada and all sampled English speaking participants only. All studies aimed to report the experiences of young women with specific focus in terms of mental health and its impact on various aspects of motherhood ( n = 6) [40, 41, 45, 52, 55, 58], violence and abuse ( n = 7) [42, 43, 46, 48, 49, 53, 54], socioeconomic experiences including housing and homelessness ( n = 3) [47, 50, 51] and repeat pregnancies ( n = 1) [57]. Two studies took a more general approach around the meanings of health or the role of support [44, 56].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies took a more general approach around the meanings of health or the role of support [44, 56]. In terms of the study objectives, three studies explicitly stated that informing prevention of teenage pregnancy was an objective driving the research [46, 54, 57], two studies foregrounded a mental health treatment/therapy objective [45, 55] and three studies mentioned a specific policy focus [43, 50, 53]. Other objectives included helping to improve outcomes or providing better services and support for young mothers [42–44, 47, 48, 50–53, 56–58] and understanding and prioritising young women’s voices [40, 41, 43, 44, 46, 49, 52–58].…”

Section: Resultsmentioning

confidence: 99%

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No straight lines – young women’s perceptions of their mental health and wellbeing during and after pregnancy: a systematic review and meta-ethnography

et al. 2019

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BackgroundYoung mothers face mental health challenges during and after pregnancy including increased rates of depression compared to older mothers. While the prevention of teenage pregnancy in countries such as the United States and the United Kingdom has been a focus for policy and research in recent decades, the need to understand young women’s own experiences has been highlighted. The aim of this meta-ethnography was to examine young women’s perceptions of their mental health and wellbeing during and after pregnancy to provide new understandings of those experiences.MethodsA systematic review and meta-ethnographic synthesis of qualitative research was conducted. Seven databases were systematically searched and forward and backward searching conducted. Papers were included if they were from Organisation for Economic Co-operation and Development countries and explored mental health and wellbeing experiences of young mothers (age under 20 in pregnancy; under 25 at time of research) as a primary research question – or where evidence about mental health and wellbeing from participants was foregrounded. Nineteen papers were identified and the Critical Appraisal Skills Programme checklist for qualitative research used to appraise the evidence. Following the seven-step process of meta-ethnography, key constructs were examined within each study and then translated into one another.ResultsSeven translated themes were identified forming a new line of argument wherein mental health and wellbeing was analysed as relating to individual bodily experiences; tied into past and present relationships; underpinned by economic insecurity and entangled with feelings of societal surveillance. There were ‘no straight lines’ in young women’s experiences, which were more complex than dominant narratives around overcoming adversity suggest.ConclusionsThe synthesis concludes that health and social care professionals need to reflect on the operation of power and stigma in young women’s lives and its impact on wellbeing. It adds to understanding of young women’s mental health and wellbeing during and after pregnancy as located in physical and structural factors rather than individual capacities alone.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

No straight lines – young women’s perceptions of their mental health and wellbeing during and after pregnancy: a systematic review and meta-ethnography

et al. 2019

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“…Maladaptive emotional and behavioral associations with sex interfere with the development of close relationships and a sense of self-efficacy, and increase the individual’s sense of shame, isolation and stigmatization [30, 33, 41, 42]. Most child abuse is perpetrated by people who are known to a child and on whom a child depends for security and affection; the betrayal of trust and frequent denial [43] further complicate an abused child’s ability to relate to others.…”

Section: Discussionmentioning

confidence: 99%

Reported Physical and Sexual Abuse in Childhood and Adult HIV Risk Behaviour in Three African Countries: Findings from Project Accept (HPTN-043)

et al. 2013

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Childhood sexual and physical abuse have been linked to adolescent and adult risky sexual behaviors, including early sexual debut, an increased number of sexual partners, unprotected sex, alcohol and drug use during sex and sexual violence. This paper explores these relationships among both men and women who report histories of childhood abuse from representative samples of communities in three countries in southern and eastern Africa (South Africa, Zimbabwe and Tanzania). Data were collected as part of a 3-year randomized community trial to rapidly increase knowledge of HIV status and to promote community responses through mobilisation, mobile testing, provision of same-day HIV test results and post-test support for HIV. The results indicate that reported childhood sexual and physical abuse is high in all three settings, also among men, and shows strong relationships with a range of sexual risk behaviors, including age at first sex (OR −0.6 (CI: −0.9, −0.4, p<0.003)—among men, OR −0.7 (CI: −0.9, −0.5, p<0.001)—among women), alcohol (OR 1.43 (CI: 1.22, 1.68, p<0.001)—men,OR1.83 (CI: 1.50, 2.24, p<0.001)— women) and drug use (OR 1.65 (CI: 1.38, 1.97, p<0.001)— men, OR 3.14 (CI: 1.95, 5.05, p<0.001)—women) and two forms of partner violence—recent forced sex (OR 2.22 (CI: 1.66, 2.95, p<0.001)—men, OR 2.76 (CI: 2.09, 3.64, p<0.001)—women) and ever being hurt by a partner (OR 3.88 (CI: 2.84, 5.29, p<0.001)—men, OR 3.06 (CI: 2.48, 3.76, p<0.001)—women). Individuals abused in childhood comprise between 6 and 29 % of young adult men and women living in these African settings and constitute a population at high risk of HIV infection.

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“…Teen mothers in the US face many challenges to successful breastfeeding that are unique to their age and situation including: coping with the stigma and embarrassment related to being a teen mother; lack of parenting readiness; need for peer acceptance; and dependence on social support systems that may not be supportive of breastfeeding [7]. A significant number of teen mothers have a low income and there is a strong association between living in poverty, crime, poor educational opportunities, teen pregnancy and low breastfeeding [1,3,8-10]. …”

Section: Introductionmentioning

confidence: 99%

Early breastfeeding experiences of adolescent mothers: a qualitative prospective study

et al. 2012

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BackgroundTeen mothers face many challenges to successful breastfeeding and are less likely to breastfeed than any other population group in the U.S. Few studies have investigated this population; all prior studies are cross-sectional and collect breastfeeding data retrospectively. The purpose of our qualitative prospective study was to understand the factors that contribute to the breastfeeding decisions and practices of teen mothers.MethodsThis prospective study took place from January through December 2009 in Greensboro, North Carolina in the U.S. We followed the cohort from pregnancy until two weeks after they ceased all breastfeeding and milk expression. We conducted semi-structured interviews at baseline and follow-up, and tracked infant feeding weekly by phone. We analyzed the data to create individual life and breastfeeding journeys and then identified themes that cut across the individual journeys.ResultsFour of the five teenagers breastfed at the breast for nine days: in contrast, one teen breastfed exclusively for five months. Milk expression by pumping was associated with significantly longer provision of human milk. Breastfeeding practices and cessation were closely connected with their experiences as new mothers in the context of ongoing multiple roles, complex living situations, youth and dependency, and poor knowledge of the fundamentals of breastfeeding and infant development. Breastfeeding cessation was influenced by inadequate breastfeeding skill, physically unpleasant and painful early experiences they were unprepared to manage, and inadequate health care response to real problems.ConclusionsContinued breastfeeding depends on a complex interplay of multiple factors, including having made an informed choice and having the skills, support and experiences needed to sustain the belief that breastfeeding is the best choice for them and their baby given their life situation. Teenagers in the US context need to have a positive early breastfeeding experience, be able to identify and claim a reliable support system supportive of breastfeeding, and gain through their experience, a belief in their own agency and competency as mothers.

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What They Tell You to Forget: From Child Sexual Abuse to Adolescent Motherhood

Cited by 27 publications

References 47 publications

No straight lines – young women’s perceptions of their mental health and wellbeing during and after pregnancy: a systematic review and meta-ethnography

No straight lines – young women’s perceptions of their mental health and wellbeing during and after pregnancy: a systematic review and meta-ethnography

Reported Physical and Sexual Abuse in Childhood and Adult HIV Risk Behaviour in Three African Countries: Findings from Project Accept (HPTN-043)

Early breastfeeding experiences of adolescent mothers: a qualitative prospective study

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