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The Ripples of Adolescent Motherhood: Social, Educational, and Medical Outcomes for Children of Teen and Prior Teen Mothers

Abstract Objective We examined medical, educational and social risks to children of teen mothers and children of nonadolescent mothers with a history of teen birth (prior teen mothers) and considered these risks at both the individual and societal level. Methods A population-based, retrospective coh...

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Published in:Academic pediatrics 2010-09, Vol.10 (5), p.293-301
Main Authors: Jutte, Douglas P., MD, MPH, Roos, Noralou P., PhD, Brownell, Marni D., PhD, Briggs, Gemma, MA, MacWilliam, Leonard, MS, Roos, Leslie L., PhD
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container_title Academic pediatrics
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creator Jutte, Douglas P., MD, MPH
Roos, Noralou P., PhD
Brownell, Marni D., PhD
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MacWilliam, Leonard, MS
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description Abstract Objective We examined medical, educational and social risks to children of teen mothers and children of nonadolescent mothers with a history of teen birth (prior teen mothers) and considered these risks at both the individual and societal level. Methods A population-based, retrospective cohort study tracked outcomes through young adulthood for children born in Manitoba, Canada (n = 32 179). χ2 and logistic regression analyses examined risk of childhood death or hospitalization, failure to graduate high school, intervention by child protective services, becoming a teen mother, and welfare receipt as a young adult. Results For children of both teen and prior teen mothers, adjusted likelihoods of death during infancy, school-aged years, and adolescence were more than 2-fold higher than for other children. Risks for hospitalization, high hospital use, academic failure, and poor social outcomes were also substantially higher. At a societal level, only 16.5% of cohort children were born to teen and prior teen mothers. However, these children accounted for 27% of first-year hospitalizations, 34% of deaths (birth to 17 years), 30% of failures to graduate high school, 51% in foster care, 44% on welfare as young adults, and 56% of next-generation young teen mothers. Conclusions Children of prior teen mothers had increased risks for poor health and for educational and social outcomes nearly equal to those seen in children of teen mothers. Combined, these relatively few children experienced a large share of the negative outcomes occurring among young people. Our results suggest the need to expand the definition of risk associated with adolescent motherhood and target their children for enhanced medical and social services.
doi_str_mv 10.1016/j.acap.2010.06.008
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Methods A population-based, retrospective cohort study tracked outcomes through young adulthood for children born in Manitoba, Canada (n = 32 179). χ2 and logistic regression analyses examined risk of childhood death or hospitalization, failure to graduate high school, intervention by child protective services, becoming a teen mother, and welfare receipt as a young adult. Results For children of both teen and prior teen mothers, adjusted likelihoods of death during infancy, school-aged years, and adolescence were more than 2-fold higher than for other children. Risks for hospitalization, high hospital use, academic failure, and poor social outcomes were also substantially higher. At a societal level, only 16.5% of cohort children were born to teen and prior teen mothers. However, these children accounted for 27% of first-year hospitalizations, 34% of deaths (birth to 17 years), 30% of failures to graduate high school, 51% in foster care, 44% on welfare as young adults, and 56% of next-generation young teen mothers. Conclusions Children of prior teen mothers had increased risks for poor health and for educational and social outcomes nearly equal to those seen in children of teen mothers. Combined, these relatively few children experienced a large share of the negative outcomes occurring among young people. Our results suggest the need to expand the definition of risk associated with adolescent motherhood and target their children for enhanced medical and social services.</description><identifier>ISSN: 1876-2859</identifier><identifier>EISSN: 1876-2867</identifier><identifier>DOI: 10.1016/j.acap.2010.06.008</identifier><identifier>PMID: 20674531</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>adolescence ; Adolescent ; adolescent birth ; Cohort Studies ; Female ; Follow-Up Studies ; Health Status ; hospitalization ; Humans ; infancy ; Logistic Models ; longitudinal ; Manitoba ; mortality ; Neonatal and Perinatal Medicine ; Pediatrics ; population-based ; Pregnancy ; Pregnancy in Adolescence - psychology ; Retrospective Studies ; school-aged ; Social Class ; teen motherhood</subject><ispartof>Academic pediatrics, 2010-09, Vol.10 (5), p.293-301</ispartof><rights>Academic Pediatric Association</rights><rights>2010 Academic Pediatric Association</rights><rights>Copyright 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-57aefb168c89774ee6e1eb1a883992589f837cc53cfdd176b45d5641ff151b03</citedby><cites>FETCH-LOGICAL-c410t-57aefb168c89774ee6e1eb1a883992589f837cc53cfdd176b45d5641ff151b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20674531$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jutte, Douglas P., MD, MPH</creatorcontrib><creatorcontrib>Roos, Noralou P., PhD</creatorcontrib><creatorcontrib>Brownell, Marni D., PhD</creatorcontrib><creatorcontrib>Briggs, Gemma, MA</creatorcontrib><creatorcontrib>MacWilliam, Leonard, MS</creatorcontrib><creatorcontrib>Roos, Leslie L., PhD</creatorcontrib><title>The Ripples of Adolescent Motherhood: Social, Educational, and Medical Outcomes for Children of Teen and Prior Teen Mothers</title><title>Academic pediatrics</title><addtitle>Acad Pediatr</addtitle><description>Abstract Objective We examined medical, educational and social risks to children of teen mothers and children of nonadolescent mothers with a history of teen birth (prior teen mothers) and considered these risks at both the individual and societal level. Methods A population-based, retrospective cohort study tracked outcomes through young adulthood for children born in Manitoba, Canada (n = 32 179). χ2 and logistic regression analyses examined risk of childhood death or hospitalization, failure to graduate high school, intervention by child protective services, becoming a teen mother, and welfare receipt as a young adult. Results For children of both teen and prior teen mothers, adjusted likelihoods of death during infancy, school-aged years, and adolescence were more than 2-fold higher than for other children. Risks for hospitalization, high hospital use, academic failure, and poor social outcomes were also substantially higher. At a societal level, only 16.5% of cohort children were born to teen and prior teen mothers. However, these children accounted for 27% of first-year hospitalizations, 34% of deaths (birth to 17 years), 30% of failures to graduate high school, 51% in foster care, 44% on welfare as young adults, and 56% of next-generation young teen mothers. Conclusions Children of prior teen mothers had increased risks for poor health and for educational and social outcomes nearly equal to those seen in children of teen mothers. Combined, these relatively few children experienced a large share of the negative outcomes occurring among young people. Our results suggest the need to expand the definition of risk associated with adolescent motherhood and target their children for enhanced medical and social services.</description><subject>adolescence</subject><subject>Adolescent</subject><subject>adolescent birth</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Status</subject><subject>hospitalization</subject><subject>Humans</subject><subject>infancy</subject><subject>Logistic Models</subject><subject>longitudinal</subject><subject>Manitoba</subject><subject>mortality</subject><subject>Neonatal and Perinatal Medicine</subject><subject>Pediatrics</subject><subject>population-based</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence - psychology</subject><subject>Retrospective Studies</subject><subject>school-aged</subject><subject>Social Class</subject><subject>teen motherhood</subject><issn>1876-2859</issn><issn>1876-2867</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp9kU1v1DAQhiMEoh_wBzgg37iwyziJP4IQUrUqH1KrIrp3y7HHWi_ZONgJUsWfr82WHjhwmhn7nVea562qVxTWFCh_t19ro6d1DfkB-BpAPqlOqRR8VUsunj72rDupzlLaA_BGSv68OqmBi5Y19LT6vd0h-e6nacBEgiMXNuTO4DiT6zDvMO5CsO_JbTBeD2_JpV2Mnn0Yy6BHS67ReqMHcrPMJhyyhwuRbHZ-sBHHYrjFXIvyW_T56894dE4vqmdODwlfPtTzavvpcrv5srq6-fx1c3G1Mi2FecWERtdTLo3shGgROVLsqZay6bqayc7JRhjDGuOspYL3LbOMt9Q5ymgPzXn15mg7xfBzwTSrg88XDoMeMSxJCdYClR1jWVkflSaGlCI6NUV_0PFOUVAFudqrglwV5Aq4ysjz0usH-6U_oH1c-cs4Cz4cBZhv_OUxqmQ8jiaTi2hmZYP_v__Hf9bN4McC_QfeYdqHJeY0kqIq1QrUbQm9ZE4BgLKubu4Bg1SnBQ</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Jutte, Douglas P., MD, MPH</creator><creator>Roos, Noralou P., PhD</creator><creator>Brownell, Marni D., PhD</creator><creator>Briggs, Gemma, MA</creator><creator>MacWilliam, Leonard, MS</creator><creator>Roos, Leslie L., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>The Ripples of Adolescent Motherhood: Social, Educational, and Medical Outcomes for Children of Teen and Prior Teen Mothers</title><author>Jutte, Douglas P., MD, MPH ; Roos, Noralou P., PhD ; Brownell, Marni D., PhD ; Briggs, Gemma, MA ; MacWilliam, Leonard, MS ; Roos, Leslie L., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-57aefb168c89774ee6e1eb1a883992589f837cc53cfdd176b45d5641ff151b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>adolescence</topic><topic>Adolescent</topic><topic>adolescent birth</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Status</topic><topic>hospitalization</topic><topic>Humans</topic><topic>infancy</topic><topic>Logistic Models</topic><topic>longitudinal</topic><topic>Manitoba</topic><topic>mortality</topic><topic>Neonatal and Perinatal Medicine</topic><topic>Pediatrics</topic><topic>population-based</topic><topic>Pregnancy</topic><topic>Pregnancy in Adolescence - psychology</topic><topic>Retrospective Studies</topic><topic>school-aged</topic><topic>Social Class</topic><topic>teen motherhood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jutte, Douglas P., MD, MPH</creatorcontrib><creatorcontrib>Roos, Noralou P., PhD</creatorcontrib><creatorcontrib>Brownell, Marni D., PhD</creatorcontrib><creatorcontrib>Briggs, Gemma, MA</creatorcontrib><creatorcontrib>MacWilliam, Leonard, MS</creatorcontrib><creatorcontrib>Roos, Leslie L., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Academic pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jutte, Douglas P., MD, MPH</au><au>Roos, Noralou P., PhD</au><au>Brownell, Marni D., PhD</au><au>Briggs, Gemma, MA</au><au>MacWilliam, Leonard, MS</au><au>Roos, Leslie L., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Ripples of Adolescent Motherhood: Social, Educational, and Medical Outcomes for Children of Teen and Prior Teen Mothers</atitle><jtitle>Academic pediatrics</jtitle><addtitle>Acad Pediatr</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>10</volume><issue>5</issue><spage>293</spage><epage>301</epage><pages>293-301</pages><issn>1876-2859</issn><eissn>1876-2867</eissn><abstract>Abstract Objective We examined medical, educational and social risks to children of teen mothers and children of nonadolescent mothers with a history of teen birth (prior teen mothers) and considered these risks at both the individual and societal level. 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However, these children accounted for 27% of first-year hospitalizations, 34% of deaths (birth to 17 years), 30% of failures to graduate high school, 51% in foster care, 44% on welfare as young adults, and 56% of next-generation young teen mothers. Conclusions Children of prior teen mothers had increased risks for poor health and for educational and social outcomes nearly equal to those seen in children of teen mothers. Combined, these relatively few children experienced a large share of the negative outcomes occurring among young people. Our results suggest the need to expand the definition of risk associated with adolescent motherhood and target their children for enhanced medical and social services.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20674531</pmid><doi>10.1016/j.acap.2010.06.008</doi><tpages>9</tpages></addata></record>
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subjects adolescence
Adolescent
adolescent birth
Cohort Studies
Female
Follow-Up Studies
Health Status
hospitalization
Humans
infancy
Logistic Models
longitudinal
Manitoba
mortality
Neonatal and Perinatal Medicine
Pediatrics
population-based
Pregnancy
Pregnancy in Adolescence - psychology
Retrospective Studies
school-aged
Social Class
teen motherhood
title The Ripples of Adolescent Motherhood: Social, Educational, and Medical Outcomes for Children of Teen and Prior Teen Mothers
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