Teen pregnancy in New Orleans: Factors that differentiate teens who deliver,abort, and successfully contracept

This study reports findings from interviews with three groups of black teenagers: child bearers (n=136), terminators (n=92), and contraceptors (never been pregnant,n=151). The focus of this research is to describe the differences between these three groups of teenagers in an attempt to identify factors that may best differentiate the groups. The findings suggest that, among the teens who became pregnant, motivation to use contraceptives may be the key factor. More than 86% of these teens knew about contraceptives at the time they became pregnant and nearly three-quarters knew where to obtain contraceptives. However, only 16% of teens who became pregnant reported to be using a contraceptive at the time they became pregnant. Education about the availability and mode of contraceptive use is essential.Funding was provided by the Research Council, Tulane University, New Orleans, Louisiana.Received her MPH from Tulane School of Public Health. Major interest is evaluation research of population programs.She received her Ph.D. in sociology from the University of Chicago. Her major interest is evaluation of family planning programs.Received her M.D. and MPH from Tulane University. Current research interests are nutritional status of adolescent mothers and their children; growth and development of children and sex education.Received her Ph.D. from Purdue University. Her research interests are categorical data analysis and research design.     

Teenage pregnancy and perinatal mortality

In the general population teenage pregnancies present an elevated rate of perinatal mortality compared with pregnancies of women in their twenties. In two large-scale university hospital studies (one American, one Danish), the teenage pregnancies showed lower perinatal mortality than those of any other age group. This article attempts to determine the origin of these differing results. A comparative analysis was conducted focusing on methodologies, subject characteristics, and treatment procedures involved in the two classes of studies, which involved representative populations and university hospital samples. The uniformly high quality medical treatment provided to all subjects in the university hospital samples contrasted with the uneven quality of treatment found in population studies constituted the most important difference. Since pregnant teenagers generally tend to be of lower socioeconomic status, they are likely to receive inferior medical care. It was argued that this factor could, to large extent, be responsible for the elevated mortality rates found in teenage pregnancies in representative populations.This study was supported by the National Institute of Child Health and Human Development of the Department of Health, Education and Welfare, Grant Award Number 75-7-060, The Consequences of Family Structure and Maternal State for Child and Mother's Development, Birgitte R. Mednick, Principal Investigator.Received her Ph.D. from Teachers College, Columbia University, in 1975. Current interests are interactions between biological and social variables.Received his Ph.D. from the University of Nebraska in 1955. Current interests are learning, instructional development, and the delivery of human services.Received his Ph.D. from the University of New Zealand in 1954. Current interests are interactions between biological and social variables.     

The social context of teenage childbearing: Effects on the infant's care-giving environment

The effects of maternal age and the social context on the home environment, and maternal behaviors of adolescent and older mothers, as well as the stability of the care-giving environment, were studied. Fifty low-middle socioeconomic status (SES), primiparous, Caucasian mothers and their fullterm healthy infants were included. At four months, support systems and life stress were assessed, as well as the home environment and maternal behaviors. At two years, a similar home visit was conducted in a subsample. Adolescent mothers had less education, lower SES, and a different child care support system. They also differed in the home environment and maternal behaviors at four months. Some of these differences disappeared when maternal education and SES, or child care support and life stress, were controlled. Moderate correlations were observed between four months and two years home environment and maternal verbalizations. Thus, a combination of maternal age and other social factors mediate the negative characteristics of the adolescent mother's care-giving environment, which is relatively stable during the infancy period.Received Ph. D. from Harvard University. Main research interests are sociocultural aspects of development, teenage pregnancy, and infant temperament.Received Ph. D. from University of California, Los Angeles. Main research interests are determinants of neonatal and infant development and statistical systems.Received Ph. D. from Brown University. Main research interests are mother-child interaction, and language acquisition in the hearing impaired.Received M. D. from the University of Santo Tomas, Manila, Philippines. Main research interests are both animal and human studies during the perinatal period.     

The relationship of observed maternal behavior to questionnaire measures of parenting knowledge,attitudes, and emotional state in adolescent mothers

Although relationships have been found between maternal psychological characteristics and cognitive and emotional outcomes in children, the behaviors which may mediate these relationships are seldom examined. This is especially true for adolescent mothers, whose children are thought to be at high risk for adverse outcomes. In this study, adolescent mothers in two special programs completed questionnaires measuring perception of the newborn (Neonatal Perception Inventory), knowledge of influences on child development (Infant Caregiving Inventory), and emotional state (General Health Questionnaire); they were also systematically observed while interacting with their infants in a naturalistic situation. Specific maternal behaviors were found to vary with the age of the mother and of the baby. Mothers with neutral or negative perceptions of their infants touched them less than did mothers with positive perceptions. Degree of emotional disturbance was inversely related to the amount of time that the mother looked at her infant while in physical contact.This research was supported in part by NIH Biomedical Research Support Grant No. BRS 507 RR 05445-19 to Johns Hopkins University School of Hygiene and Public Health.Received her Sc.D. in mental hygiene (comparative behavior) from Johns Hopkins University. Main interests include relationships between observable behavior and reported psychological states, and behavioral and emotional disorders of children.Received her Ph.D. in population dynamics from Johns Hopkins University. Main interests are adolescent health and pregnancy and population changes influencing perinatal health.Received her Ph.D. in psychology from George Peabody College. Main interests include parenting of infants and children's rights.Received her Ph.D. in anthropology from the University of Florida. Main interests include adolescent health and utilization of health services by children and adolescents.Received his Ph.D. in child psychology from the University of Iowa. Main interests are infant and child development, with focus on measurement of developmental status and its determinants.     

Mood variability and the psychosocial adjustment of adolescents

This research uses a new time sampling method to compare adolescent and adult mood variability. Over 9000 self-reports from 182 people are used to evaluate the widespread theoretical assumption that adolescents experience greater mood variability as part of a syndrome of psychosocial disequilibrium. The findings confirm that adolescents experience wider and quicker mood swings, but do not show that this variability is related to stress, lack of personal control, psychological maladjustment, or social maladjustment within individual teenagers. Rather than representing turmoil, wide mood swings appear to be a natural part of an adolescent peer-oriented life style. However, there are indications that adolescent mood variability interferes with capacity for deep involvement, especially in school.This research was partially funded by the Spencer Foundation.Received his Ph.D. from the University of Chicago. Current interests are adolescents' involvements in projects, solitude, and the experience of enjoyment.Received his Ph.D. from the University of Chicago. Current interests are the study of enjoyment on everyday experience and the creation of meaning.Received his Ph.D. from the University of Chicago. Current interest are the contributions of states and traits to everyday experience.     

Factors related to cigarette smoking during adolescent pregnancy

Previous research suggests that maternal smoking during pregnancy remains prevalent, particularly among adolescents. However, little is known about the factors related to smoking during adolescent pregnancy. The goal of the present study is to identify intrapersonal, familial, and peer factors that are related to smoking during adolescent pregnancy, and to determine the relative degree to which they affect this behavior. Interviews were conducted with 241 unmarried pregnant adolescents who planned to carry their pregnancies to term. Consistent with previous studies, 27% of the respondents reported daily smoking during pregnancy, and whites reported higher rates of use than members of other racial groups. Smoking during adolescent pregnancy was related to intrapersonal, familial, and peer factors. The results of a regression analysis suggest that perceived parental disapproval of smoking during pregnancy, friends' cigarette use, and race play a particularly important role in this behavior. The implications of these findings for preventive programs are discussed.Research reported here and the preparation of this report were supported by Grant DA-05208 from the National Institute on Drug Abuse.Received M.A. in sociology from the University of Washington. Research interests include health behaviors, and the relationship between social stratification and health.Received Ph.D. in social welfare from the University of Washington. Research interests are in adolescent development, gender issues in adolescent development, and health promotion and problem prevention with children and adolescents. Received Ph.D. in sociology from the University of Washington. Research interests are adolescent problem behaviors, and particularly adolescent sexual decision making.Received M.S. in educational psychology from the University of Wisconsin—Madison. Research interests: adolescent substance use, pregnancy and parenthood, and peer relations.     

Pubertal Timing and Early Sexual Intercourse in the Offspring of Teenage Mothers

Early puberty is associated with stressful family environments, early sexual intercourse, and teenage pregnancy. We examined pubertal timing and sexual debut among the 14-year-old offspring of teenage mothers. Mothers (71% Black, 29% White) were recruited as pregnant teenagers (12–18 years old). Data were collected during pregnancy and when offspring were 6, 10 and 14 years old (n = 318). Adolescents (50% male) compared the timing of their pubertal maturation to same-sex peers. There was a significant 3-way interaction effect of race, sex, and pubertal timing on sexual debut (n = 305). This effect remained significant in a model controlling for maternal age at first intercourse, substance use, exposure to trauma, authoritative parenting, and peer sexual activity (n = 255). Early maturation was associated with early sex in daughters, and may be one pathway for the inter-generational transfer of risk for teenage pregnancy among daughters of teenage mothers.     

Perception of infant cries in adolescent and adult mothers

Deficits in parenting behavior in adolescent mothers could be due to the adolescent mother's perception of her infant's behavior. The aim of this study was to compare how adolescent and adult mothers perceive the crying behavior of their newborns. The 19 adolescent and 18 adult mothers listened to a tape recording of their infants' crying and rated the characteristics of the cry on 12 seven-point scales. The sample included newborns with normal growth and newborns with compromised growth. Acoustic characteristics of the cries were extracted by computer. Adult mothers rated the cries of their infants with compromised growth toward the negative end of the scales. By contrast, adolescent mothers rated the cries of their infants with compromised growth toward the positive end of the scales. Acoustic analysis showed that the cries of the infants with compromised growth were higher pitched and more variable than the cries of infants with normal growth. Correlations between the cry ratings and the acoustic analysis showed that for adult mothers, higher pitched and more variable cries were associated with negative ratings. For adolescent mothers, higher pitched and more variable cries were associated with more positive ratings. The findings suggest that adolescent mothers differ in the perception of their infant's behavior, which may have implications for later parenting behavior.This research was supported by a grant from the Ford Foundation.Received Ph.D. from Michigan State University. Main Research interests are infant crying, determinants of neontal and infant development, assessment of preterm and at-risk infants.Received Ph.D. from Harvard University. Main research interests are sociocultural aspects of development, teenage pregnancy, infant temperament, and psychophysiology.Main research interests have been in maternal and infant interactions of high risk infants.     

Maternal employment and adolescent sexual behavior

This study investigated whether maternal employment would be associated with teenage sexual attitudes and behaviors likely to increase the probability of teenage pregnancy. Female subjects whose mothers were employed outside the home during the high school years (a) had a greater tendency to begin sexual relations before age 19, (b) expressed less concern regarding the risk of unintended pregnancy, and (c) scored lower on an objective test of their practical knowledge about contraception.Received Ph.D. in social psychology from the University of Washington. Research interests include personality and environmental influences on adjustment.Received Ph.D. from University of Georgia. Current research interests are in behavioral teratology.Received Ph.D. from Oklahoma State University. Research interests are in loneliness and adjustment.Received Ph.D. from North Carolina State University. Research interests are in population and urban sociology.     

Maternal age,social class,and the obstetric performance of teenagers

It has been widely reported that teenage mothers experience more complications of labor and delivery as well as higher rates of prematurity and low-birth weight infants than women 20–30 years old. However, a few studies have suggested that birth complications are related to social class, not maternal age. The purpose of this study was to examine the interaction of social class, maternal age, and obstetric and neonatal outcome. When samples of primparous low-income and middle-income teenagers (15–19 years) were compared with samples of primiparous low-income and middle-income women (20–30 years), the reported differences by maternal age did not emerge. Instead there was evidence of a complex interaction between maternal age and social class that suggested that low-income, older mothers may be the most at-risk group, while middle-income teenage mothers may be the least at-risk group. It is suggested that risk assessment based on social class or maternal age alone is too simplistic to be useful.The author is grateful to the St. Joseph's Hospital and Medical Center, the Maricopa County General Hospital, and the Arizona Perinatal Trust, all of Phoenix, Arizona, for access to the data. Special thanks to Steve Warford for preparation of the data set.Received his Ph.D. from Michigan State University in 1980. Current interests are teenage sexuality, pregnancy and parenting, and the development of children in stressed households.     

Adolescent discipline: Different family members' perception

Adolescence is perhaps the most difficult period of child rearing for parents. This study attempted to identify disciplinary techniques used by parents as perceived by mothers, fathers, and their adolescent children. Results indicated several significant areas of intrafamilial disagreement in regard to disciplinary techniques utilized, although all subjects tended to agree that some form of verbal reasoning was the primary disciplinary technique utilized with these adolescents.This study was funded, in part, by the Ohio Agricultural Research and Development Center (H-644) and the School of Home Economics, The University of Georgia.Received his Ph.D. in child and family studies from the University of Tennessee. Current interests include adolescent development, family influences on sex-role development, and dual-work families.Received her Ph.D. in sociology from Iowa State University. Major interests include family research methodology, assessment of family power, and marital dissolution.Received her Ph.D. in educational psychology from the University of Texas. Current research interests include parenting, sex roles, and socialization across the life-span.     

The adolescent as mother: Early risk identification

Adjustment to parenting is a difficult process for the adolescent. This research attempted to identify easy-to-use maternal postpartum screening dimensions to predict two-month adjustment among 28 primipara adolescents. The results suggest several predictors of adjustment: initial parenting attitudes, preparation for parenting including involvement in instruction as well as specific knowledge areas, infant holding style, and aspects of social functioning. Postpartum risk screening may be a feasible way to identify intervention needs. Early screening would encourage early involvement in preventive programs. It would also provide a framework for evaluation and improvement of services to young mothers.Received Ph.D. from University of Pittsburgh. Current research interests include early adjustment characteristics, temperament as an individual difference, and cross-cultural adjustment patterns.clinical developmental psychologist in private practice. Received Ph.D. from University of Chicago. Current research interests in adolescent parenting, pediatric psychology, and the grief process.     

School return among pregnant adolescents

School return by adolescent mothers has been problematic. Many of the barriers to continuing education have been created by school system practices and policies. Recent administrative and court decisions are forcing changes in these traditional practices. Participants in an adolescent pregnancy program were permitted to attend their usual high school during and after pregnancy. Staff members discussed this and other educational opportunities with each eligible student and her family. More members of the program than control group reported some school attendance during the quarter of the delivery. Compared with the control group, which was permitted but not systematically encouraged to return, more program participants returned to day school following the pregnancy. Unexpectedly high rates of return to other school programs (other than day school) were reported by members of the control group. It is argued that the program effects are primarily a function of elimination of school system barriers, both formal and informal, to school return so that the subjects' already high motivation to return could be realized.Received her Ph.D. in sociology from the University of Washington. Main interests include social pathological aspects of fertility and fertility-related behavior.Received his Ph.D. in sociology from University of Washington. Main interests include sociology of the family. Current research is in family structure and suicide.     

Objective and Self-Perceived Resources as Predictors of Depression Among Urban and Non-Urban Adolescent Mothers

Pregnant and parenting adolescents often cope with a lack of resources as they struggle to negotiate the tasks of motherhood and adolescence. Previous research has determined that young mothers have an increased rate of depression when compared to older mothers. In this study, self-perceived resource adequacy, education, income, age, and environment (urban vs. non-urban) were investigated as predictors of depression at approximately 14 and 36 months after birth in adolescent mothers (N=523). Self-perceived resources accounted for significant variance in depression at 14 and 36 months while controlling for education and income. However, education and income were not significant predictors while controlling for self-perceived resources. Age and environment did not predict depression. Researchers would be wise to focus on a young woman’s view of her situation, as it appears that self-perceived resources play an important role in predicting depression.Post-Doctoral Research Associate at Juniper Gardens Children’s Project, University of Kansas. She received her Ph.D. from Iowa State University in 2005. Her major research interests are adolescent parenthood, mental health, and parenting interventions.Professor at Iowa State University. He received his Ph.D. from the University of Minnesota in 1976. His major research interests are stress and coping, mental health, and adolescence.Assistant Professor at Iowa State University. She received her Ph.D. from Iowa State University in 1997. Her major research interests are assessment and program planning for children with disabilities and early literacy.     

Do economic conditions influence how theorists view adolescents?

Eighty-nine articles in thePedagogical Seminary and theJournal of Genetic Psychology appearing during two economic depressions and the two world wars were analyzed for their adolescent ideologies. A systematic, ideological bias in the content of these articles was found to be statistically significant. In times of economic depression theories of adolescence emerge that portray teenagers as immature, psychologically unstable, and in need of prolonged participation in the educational system. During wartime, the psychological competence of youth is emphasized and the duration of education is recommended to be more retracted than in depression. The objective, scientific nature of theory building is questioned and discussed.Received Ph.D. in Educational Psychology from the University of Minnesota. Research interests: adolescent social development, moral development.Received M.S. in Educational Psychology, University of Wisconsin-Madison. Research interests: adolescent development, cognitive development.Received Ph.D. in Educational Psychology, from the University of Wisconsin-Madison. Research interests: quantitative methods.Research interests: adolescent social development, cognitive development.     

Mediators of depression among low-income,adolescent mothers of infants: A longitudinal perspective

The purpose of this study was to identify, using a life events perspective, Stressors and resources that mediate depression for adolescent mothers at the time of the birth of their child and at one year postpartum. The data for this study consisted of interviews with 157 low-income adolescent mothers age 12–18 at the birth of their child. They were selected from a larger prospective study of mothers of infants and stress. Multiple regression analyses revealed two key results that were consistent for the data obtained at birth and at one year postpartum. Predictors of depressive symptomatology and of a clinical syndrome of depression were similar. Also, Stressors generally were more important as mediators of depression than resources.Received Ph.D. in child and family studies from the University of Tennessee. Current research interests are adolescent stress and coping and marital dissolution.Received DrPH from Harvard University. Current research interests are the role of stress and social support in the etiology of child maltreatment, adaptation and coping in families with children who have birth defects, and incarcerated mothers and their children.Received M.D. from Stanford University and M.P.H. from the University of North Carolina at Chapel Hill. Current research interests include stress and social support, etiology of child maltreatment, injury prevention, prenatal care, and infectious disease in day care.Received Ph.D. from the University of Michigan in Biostatistics. Current research interests include applications of survival analysis and analysis of observational data.The data for this paper were part of a larger study funded by Grant No. MCJ370521 awarded by the Bureau of Health Care Delivery and Assistance (now the Bureau of Maternal and Child Health and Resources Development). Data analysis was funded by an Innovative Research Award from the Frank Porter Graham Child Development Center, University of North Carolina at Chapel Hill. Partial support from NIMH Center Grant (MH33127): Biostatistics Core for M. J. Symons is gratefully acknowledged.     

A comparative study of pregnant teenagers' parenting attitudes and knowledge of sexuality and child development

A survey was taken to determine pregnant teenagers' knowledge of sexuality and child development and their parenting attitudes relative to comparison groups. The results indicate that the knowledge and attitude base of pregnant teenagers is almost identical to that of never-pregnant teenagers. However, adult mothers scored slightly but significantly higher than the teenagers on a measure of child development knowledge and considerably lower than the teenagers on a measure of knowledge of sexuality. The results illustrate the importance of using comparison groups in studies of pregnant teenagers. The implications for sex education programs include focusing on factors beyond sexual knowledge or lack of it as an explanation for teenage pregnancy. Further research is needed on teenage values, handling of sexual information, and perception of contraceptive availability.     

A model of parental involvement in adolescent drinking and driving

This article presents a model of parental involvement in prevention of teenage drinking and driving. Research findings are reviewed on why adolescents drink and drive, and what parents' knowledge, attitudes, and practices are related to youthful impaired driving. Reasons for parents' ineffectiveness at intervening to prevent their teenagers from drinking and driving are described. It is suggested that parents' effectiveness at preventing alcohol use and alcohol-impaired driving among their teenagers depends upon their stage of involvement. The different stages of parental involvement are defined as awareness, acceptance, action, and consequences. The specific components of these stages are described, and evidence is presented indicating that parents tend to be unaware of the true extent and nature of teen drinking, and thus less prone to acceptance and action.Received Ph.D. in social psychology from Syracuse University. Research interests: impaired driving, adolescent risk taking, substance abuse, and health threat perception.Received M.P.H. in health education from University of North Carolina at Chapel Hill. Research interests: alcohol-impaired driving.     

Timing of first sexual intercourse: the role of social control,social learning,and problem behavior

Prior research has pointed to several distinct processes that may affect the timing of first intercourse among adolescents. In the present study, the role of six hypothesized processes was assessed in a sample of 289 rural adolescent boys and girls. Results support the importance of family socialization and problem-behavior for both sexes, the role of biological factors for boys, and the role of social control processes for girls. Two other hypothesized influences—social class and poor psychosocial adjustment—were not supported in either gender. These results indicate that multiple processes influence the timing of first intercourse; thus, they underscore the need for eclectic predictive models that incorporate the multiplicity of influences.Received Ph.D. in Human Development from the University of Chicago. Current research interests include adolescent psychosocial development and risk behaviors.Received Ph.D. in Human Development and Family Studies from the Pennsylvania State University. Current research interests include adolescent sexuality and health-related behaviors.Received Ph.D. in Health Education from The Pennsylvania State University. Current research interests include adolescent health.Received Ph.D. in Education from The Pennsylvania State University. Current interests include adolescent substance abuse and pregnancy, as well as community health interventions.     

Contextual,cognitive, and adolescent factors associated with parenting in adolescence

In this study, we examined predictors of parenting during adolescence from three domains: the contextual (i.e., stress, support, marital satisfaction), social-cognitive (i.e., beliefs about adolescence), and child (difficulty). Fifty-three mothers and 38 fathers of 13–18 year olds were interviewed and rated on three dimensions of parenting—involvement, autonomy support, and structure. Parents completed questionnaires assessing predictor variables. Results indicated that, for mothers, higher numbers of recent stressful events were associated with less provision of structure and more control. For fathers, relations between views of adolescence and parenting were in evidence; while for both mothers and fathers strong relations between adolescent difficulty and parenting emerged. Relations between perceived difficulty of adolescent and parenting were more apparent in conducive than nonconducive contexts. The differential results for mothers and fathers are interpreted in terms of mothers' greater involvement and less role latitude than fathers. Parents' resources, experience, and expectations are considered in understanding why predictors might be associated with parenting variables.Received Ph.D. in clinical psychology from University of Rochester. Research interests include motivational development, parenting, self- and emotion-regulation. Also investigating factors affecting parenting, especially parent involvement.Received a Master's degree from New York University. Current interests involve interpersonal processes in depression.Received a Master's degree from Clark University. Research interests include the development of self-regulation with particular interest in the effects of power, authority, and responsibility on the socialization and disciplining of young children.Received Master's of Social Work degree from Columbia University. Current interests include factors that facilitate adolescents developing connections with the community.