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Abstract

During the past three decades, adolescent pregnancy has become a source of increasing social, economic, and political concern in the United States. Bearing children during adolescence has profound health and social consequences for most young parents and their children (Furstenberg, Brooks-Gunn, & Morgan, 1987; Stevens-Simon & White, 1991; Moore & Waite, 1977; Card & Wise, 1978). The results of studies conducted over the past 30 years suggest that adolescent pregnancy limits the educational achievements and the vocational opportunities of adolescent females. Additionally, it contributes to the impoverishment of one of the most socioeconomically disadvantaged segments of our society, and promotes the intergenerational transmission of poverty (Furstenberg et al., 1987; Stevens-Simon & White, 1991; Moore & Waite, 1977; Card & Wise, 1978). After an extensive review of the literature, a panel established by the National Research Council reached the following conclusion: “Women who become parents as teenagers are at greater risk of social and economic disadvantage throughout their lives than those who delay childbearing until their twenties. They are less likely to complete their education, to be employed, to earn high wages, and to be happily married, and they are more likely to have larger families and to receive welfare” (Hayes, 1987).

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References

  • Abrahamse, A. F., Morrison, P. A., & Waite, L. J. (1988). Teenagers willing to consider single parenthood: Who is at greatest risk?. Family Planning Perspectives, 20, 13–18.

    Article  PubMed  CAS  Google Scholar 

  • Anderson, J. E., & Cope, L. G. (1987). The impact of family planning program activity on fertility. Family Planning Perspectives, 19, 152–157.

    Article  PubMed  CAS  Google Scholar 

  • Babson, S. G., & Clarke, N. G. (1983). Relationship between infant death and maternal age: Comparison of sudden infant death incidence with other causes of infant mortality. Journal of Pediatrics, 103, 391–393.

    Article  PubMed  CAS  Google Scholar 

  • Bachrach, C. A., Stolley, K. S., & London, K. A. (1992). Relinquishment of premarital births: Evidence from national survey data. Family Planning Perspectives, 24, 27–32.

    Article  PubMed  CAS  Google Scholar 

  • Bongaarts, J. (1991). The KAP-gap and the unmet need for contraception. Population and Development Review, 17, 293–313.

    Article  Google Scholar 

  • Brooks-Gunn, J., & Chase-Lansdale, P. L. (1991). Children having chidren: Effects on the family system. Pediatric Annals, 20, 467–481.

    PubMed  CAS  Google Scholar 

  • Card, J. J., & Wise, L. L. (1978). Teenage mothers and teenage fathers: The impact of early childbearing on the parents’ personal and professional lives. Family Planning Perspectives, 10, 199–225.

    Article  PubMed  CAS  Google Scholar 

  • Cox, J., Emans, S. J., & Bithoney, W. (1993). Sisters of teen mothers: Increased risk for adolescent pregnancy. Adolescent Pediatric Gynecology, 6, 138–142.

    Article  Google Scholar 

  • Dolgan, J. I., & Goodman, S. M. (1989). Dollar-A-Day: Teenage Pregnancy Prevention Program. Rocky Mountain Planned Parenthood.

    Google Scholar 

  • DuRant, R., & Jay, S. (1989). The adolescent heterosexual relationship and its association with the sexual and contraceptive behavior of black females. American Journal of Disease in Children, 143, 1467–1472.

    CAS  Google Scholar 

  • Elkind, D. (1974). Children and adolescents: Interpretive essays on Jean Piaget (2nd ed.). London: Oxford University Press.

    Google Scholar 

  • Elster, A. B., Ketterlinus, R., & Lamb, M. E. (1990). Association between parenthood and problem behavior in a national sample of adolescents. Pediatrics, 85, 1044–1050.

    PubMed  CAS  Google Scholar 

  • Elster, A. B., Lamb, M. E., Tavare, J., & Raison, C. W. (1987). Medical and psychosocial impact of comprehensive care on adolescent pregnancy and parenthood. Journal of the American Medical Association, 258, 1187–1192.

    Article  PubMed  CAS  Google Scholar 

  • Field, T., Widmayer, S., Greenberg, R., & Stoller, S. (1982). Effects of parent training on teenage mothers and their infants. Pediatrics, 69, 703–707.

    PubMed  CAS  Google Scholar 

  • Friede, A., Hogue, C. J. R., Doyle, L. L., Hammerslough, C. R., Sniezek, J. E., & Arright, R. (1986). Do sisters of childbearing teenagers have increased rates of childbearing?. American Journal of Public Health, 76, 1221–1224.

    Article  PubMed  CAS  Google Scholar 

  • Furstenberg, F. F. (1992). Teenage childbearing and cultural rationality: A thesis in search of evidence. Family Relations, 41, 239–243.

    Article  Google Scholar 

  • Furstenberg, F. F., Brooks-Gunn, J., & Morgan, S. P. (1987). Adolescent mothers and their children in later life. Family Planning Perspectives, 19, 142–151.

    Article  PubMed  Google Scholar 

  • Gabriel, A., & McAnarney, E. R. (1983). Parenthood in two subcultures: White middle-class couples and black low-income adolescents in Rochester, New York. Adolescence, 18, 595–608.

    Google Scholar 

  • Gilchrist, L. D., & Schinke, S. P. (1983). Coping with contraception: Cognitive and behavioral methods with adolescents. Cognitive Therapy Research, 7, 379–388.

    Article  PubMed  CAS  Google Scholar 

  • Gross, R. T., & Duke, P. M. (1980). The effect of early versus late physical maturation on adolescent behavior. Pediatric Clinics of North America, 27, 71–77.

    PubMed  CAS  Google Scholar 

  • Hardy, J. B. (1991). Pregnancy and its outcome. In W. R. Hendee (Ed.), The health of adolescents (pp. 250–281). San Francisco: Jossey-Bass.

    Google Scholar 

  • Hardy, J. B., & Zabin, L. S. (1991). Adolescent pregnancy in an urban environment. Munich: Urban & Schwarzenberg.

    Google Scholar 

  • Hayes, C. D. (1987). Risking the future. Washington, DC: National Academy Press.

    Google Scholar 

  • Heins, H. C., Nance, N. W., McCarthy, B. J., & Efird, C. M. (1990). A randomized trial of nurse-midwifery prenatal care to reduce low birth weight. Obstetrics and Gynecology, 75, 341–345.

    PubMed  Google Scholar 

  • Henshaw, S. K. (1992). Abortion trends in 1987 and 1988: Age and race. Family Planning Perspectives, 24, 85–87.

    Article  PubMed  CAS  Google Scholar 

  • Hoffman, S. D., Foster, E. M., & Furstenberg, F. F. (1993). Reevaluating the costs of teenage childbearing. Demography, 30, 1–13.

    Article  PubMed  CAS  Google Scholar 

  • Howard, M., & McCabe, J. B. (1990). Helping teenagers postpone sexual involvement. Family Planning Perspectives, 22, 21–26.

    Article  PubMed  CAS  Google Scholar 

  • Istvan, J. (1986). Stress, anxiety, and birth outcomes: A critical review of the evidence. Psychological Bulletin, 100, 331–348.

    Article  PubMed  CAS  Google Scholar 

  • Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12, 597–605.

    Article  PubMed  CAS  Google Scholar 

  • Kalmuss, D., Namerow, P. B., & Cushman, L. F. (1991). Adoption versus parenting among young pregnant women. Family Planning Perspectives, 23, 17–23.

    Article  PubMed  CAS  Google Scholar 

  • Kelly, L., Stevens-Simon, C., Singer, D., & Cox, A. (1994). Why pregnant adolescents say they didn’t use contraceptives prior to conception. Journal of Adolescent Health, 15, 78.

    Article  Google Scholar 

  • Kirby, D. (1992). School-based programs to reduce sexual risk-taking behavior. Journal of School Health, 62, 280–287.

    Article  PubMed  CAS  Google Scholar 

  • Kirby, D., Waszak, C., & Ziegler, J. (1991). Six school-based clinics: Their reproductive health services and impact on sexual behavior. Family Planning Perspectives, 23, 6–16.

    Article  PubMed  CAS  Google Scholar 

  • Klerman, L. V. (1993). Adolescent pregnancy and parenting controversies of the past and lessons for the future. Journal of Adolescent Health, 14, 553–561.

    Article  PubMed  CAS  Google Scholar 

  • Leigh, B. C, Morrison, D. M., Trocki, K., & Temple, M. T. (1994). Sexual behavior of American adolescents: Results from a US national survey. Journal of Adolescent Health, 15, 117–125.

    Article  PubMed  CAS  Google Scholar 

  • Levinson, R. (1986). Contraceptive self-efficacy: A perspective on teenage girls’ contraceptive behavior. Journal of Sex Research, 22, 347–369.

    Article  Google Scholar 

  • McAnarney, E. R., & Schreider, C. (1984). Identifying social and psychological antecedents of adolescent pregnancy: The contribution of research to concepts of prevention. New York: William T. Grant Foundation.

    Google Scholar 

  • McAnarney, E. R., & Hendee, W. R. (1989). The prevention of adolescent pregnancy. JAMA, 262, 78–82.

    Article  PubMed  CAS  Google Scholar 

  • McAnarney, E. R., & Stevens-Simon, C. (1990). Maternal psychological stress/depression and low birth weight. American Journal of Disease in Children, 144, 789–792.

    Article  CAS  Google Scholar 

  • McGregor, J. A., French, J. L, Richter, R., Franco-Buff, A., Johnson, A., Hillier, S., Judson, F. N., & Todd, J. K. (1990). Antenatal microbiologic and maternal risk factors associated with prematurity. American Journal of Obstetrics and Gynecology, 163, 1465–1473.

    Article  PubMed  CAS  Google Scholar 

  • Marsiglio, W. (1987). Adolescent fathers in the United States: Their initial living arrangements, marital experiences and educational outcomes. Family Planning Perspectives, 19, 240–251.

    Article  PubMed  CAS  Google Scholar 

  • Matsuhashi, Y., Felice, M. E., Shragg, P., & Hollingsworth, D. R. (1989). Is repeat pregnancy in adolescents a “planned” affair?. Journal of Adolescent Health Care, 10, 409–412.

    Article  PubMed  CAS  Google Scholar 

  • Miller, B. C. (1992). Adolescent parenthood, economic issues, and social policies. Journal of Family Economic Issues, 13, 467–475.

    Article  PubMed  CAS  Google Scholar 

  • Miller, B. C. (1993). Families, science, and values: Alternative views of parenting effects and adolescent pregnancy. Journal of Marriage and the Family, 55, 7–21.

    Article  Google Scholar 

  • Moore, K. A. (1988). Teenage childbearing: Unresolved issues in research/policy debate. Family Planning Perspectives, 22, 189–209.

    Google Scholar 

  • Moore, K. A. (1990). Facts at a glance. New York: Alan Guttmacher Institute.

    Google Scholar 

  • Moore, K. A., & Waite, L. J. (1977). Early childbearing and educational attainment. Family Planning Perspectives, 9, 220–225.

    Article  PubMed  CAS  Google Scholar 

  • Nelson, K. G., Key, D., Fletcher, J. K., Kirkpatrick, E., & Feinstein, R. (1982). The teen-tot clinic: An alternative to traditional care for infants of teenaged mothers. Journal of Adolescent Health Care, 3, 19–23.

    Article  PubMed  CAS  Google Scholar 

  • Newcomer, S., & Baldwin, W. (1992). Demographics of adolescent sexual behavior, contraception, pregnancy and STDs. Journal of School Health, 62, 265–270.

    Article  Google Scholar 

  • Olds, D. L., & Kitzman, H. (1990). Can home visitation improve the health of women and children at environmental risk?. Pediatrics, 86, 108–116.

    PubMed  CAS  Google Scholar 

  • Olsen, J. A., Weed, S. E., Ritz, G. M., & Jensen, L. C. (1991). The effects of three abstinence sex education programs on student attitudes toward sexual activity. Adolescence, 26, 631–641.

    PubMed  CAS  Google Scholar 

  • Polit, D. F. (1989). Effects of a comprehensive program for teenage parents: Five years after project redirection. Family Planning Perspectives, 21, 164–169.

    Article  PubMed  CAS  Google Scholar 

  • Rainey, D. Y., Stevens-Simon, C., & Kaplan, D. W. (1993). Self-perception of infertility among female adolescents. American Journal of Disease in Children, 147, 1053–1056.

    CAS  Google Scholar 

  • Roosa, M. W., & Christopher, F. S. (1990). Evaluation of an abstinence-only adolescent pregnancy prevention program: A replication. Family Relations, 39, 363–367.

    Article  Google Scholar 

  • Shapiro, S., McCormick, M. C., Starfield, B. H., Krischer, J. P., & Bross, D. (1980). Relevance of correlates of infant death for significant morbidity at 1 year of age. American Journal of Obstetrics and Gynecology, 136, 363–373.

    PubMed  CAS  Google Scholar 

  • Smith, E. A., & Udry, J. R. (1985). Coital and non-coital sexual behaviors of white and black adolescents. American Journal of Public Health, 75, 1200–1203.

    Article  PubMed  CAS  Google Scholar 

  • Stahler, G. J., & DuCette, J. P. (1991). Evaluating adolescent pregnancy programs: Rethinking our priorities. Family Planning Perspectives, 23, 129–133.

    Article  PubMed  CAS  Google Scholar 

  • Stahler, G. J., DuCette, J. P., & McBride, D. (1989). The evaluation component in adolescent pregnancy care projects: Is it adequate?. Family Planning Perspectives, 21, 121–126.

    Article  Google Scholar 

  • Stevens-Simon, C, Parsons, J., Montgomery, C. (1986). What is the relationship between postpartum withdrawal from school and repeat pregnancy among adolescent mothers?. Journal of Adolescent Health Care, 7, 191–194.

    Article  PubMed  CAS  Google Scholar 

  • Stevens-Simon, C. (1993) Working with the “Personal Fable.” Journal of Adolescent Health Care, 14, 349.

    Article  CAS  Google Scholar 

  • Stevens-Simon, C., Beach, R., & Eagar, R. (1993). Contraception after a negative pregnancy test during adolescence. Adolescent Pediatric Gynecology, 6, 83–85.

    Article  Google Scholar 

  • Stevens-Simon, C., Douglas, J., Jamison, J., & McGregor, J. (1994). Racial differences in vaginal pH among healthy sexually active adolescents. Sexually Transmitted Diseases, 21, 168–172.

    Article  PubMed  CAS  Google Scholar 

  • Stevens-Simon, C., Fullar, S. A., & McAnarney, E. R. (1989). Teenage pregnancy: Caring for adolescent mothers with their infants in pediatric settings. Clinical Pediatrics, 28, 282–283.

    Article  PubMed  CAS  Google Scholar 

  • Stevens-Simon, C., Fullar, S., & McAnarney, E. R. (1992). Tangible differences between adolescent-oriented and adult-oriented prenatal care. Journal of Adolescent Health, 13, 298–302.

    Article  PubMed  CAS  Google Scholar 

  • Stevens-Simon, C., & McAnarney, E. R. (1988). Adolescent maternal weight gain and infant outcome. American Journal of Clinical Nutrition, 47, 948–953.

    PubMed  CAS  Google Scholar 

  • Stevens-Simon, C., & Reichert, S. (1994). Child sexual abuse and adolescent pregnancy. Archives of Pediatric Adolescent Medicine, 148, 23–27.

    Article  CAS  Google Scholar 

  • Stevens-Simon, C., Roghmann, K. J., & McAnarney, E. R. (1991). First trimester vaginal bleeding and preterm delivery in pregnant adolescents. Pediatrics, 87, 951–952.

    PubMed  CAS  Google Scholar 

  • Stevens-Simon, C., Wallis, J., & Allen-Davis, J. (1995). Which teen mothers choose Norplant? Journal of Adolescent Health, in press.

    Google Scholar 

  • Stevens-Simon, C., & White, M. (1991). Adolescent pregnancy. Pediatric Annals, 20, 322–331.

    PubMed  CAS  Google Scholar 

  • Stout, J. W., & Rivara, F. P. (1989). Schools and sex education: Does it work?. Pediatrics, 83, 375–379.

    PubMed  CAS  Google Scholar 

  • Strobino, D. M., Ensminger, M. E., Nanda, J., & Young, J. K. (1992). Young motherhood and infant hospitalization during the first year of life. Journal of Adolescent Health, 13, 553–560.

    Article  PubMed  CAS  Google Scholar 

  • Taylor, B., Wadsworth, J., & Butler, N. R. (1983). Teenage mothering, admission to hospital, and accidents during the first 5 years. Archives of Disease in Childhood, 58, 6–11.

    Article  PubMed  CAS  Google Scholar 

  • Thiel, K. S., & McBride, D. (1992). Comments on an evaluation of an abstinence-only adolescent pregnancy prevention program. Family Relations, 41, 465–467.

    Article  Google Scholar 

  • Udry, J. R. (1988). Biological predispositions and social control in adolescent sexual behavior. American Sociological Review, 53, 709–722.

    Article  Google Scholar 

  • Upchurch, D. M., & McCarthy, J. (1990). The timing of a first birth and high school completion. American Sociological Review, 55, 224–234.

    Article  Google Scholar 

  • Vincent, M. L., Clearie, A. F., & Schluchter, M. D. (1987). Reducing adolescent pregnancy through school and community-based education. Journal of the American Medical Association, 257, 3382–3386.

    Article  PubMed  CAS  Google Scholar 

  • Weatherley, R. A., Perlman, S. B., Levine, M. H., & Klerman, L. V. (1986). Comprehensive programs for pregnant teenagers and teen-age parents: How successful have they been?. Family Planning Perspectives, 18, 73–78.

    Article  PubMed  CAS  Google Scholar 

  • Winter, L. (1988). The role of sexual self-concept in the use of contraceptives. Family Planning Perspectives, 20, 123–127.

    Article  PubMed  CAS  Google Scholar 

  • Zabin, L. S., Astone, N. M., & Emerson, M. R. (1993). Do adolescents want babies? The relationship between attitudes and behavior. Journal of Research on Adolescence, 3, 67–86.

    Article  PubMed  CAS  Google Scholar 

  • Zabin, L. S., & Clark, S. D. (1981). Why they delay: A study of teenage family planning clinic patients. Family Planning Perspectives, 13, 205–217.

    Article  PubMed  CAS  Google Scholar 

  • Zabin, L. S., Hirsch, M. B., Smith, E. A., Streett, R., & Hardy, J. B. (1986). Evaluation of a pregnancy prevention program for urban teenagers. Family Planning Perspectives, 18, 119–126.

    Article  PubMed  CAS  Google Scholar 

  • Zabin, L. S., Stark, H. A., & Emerson, M. R. (1991). Reasons for delay in contraceptive clinic utilization: Adolescent clinic and non-clinic populations compared. Journal of Adolescent Health, 12, 225–232.

    Article  PubMed  CAS  Google Scholar 

  • Zellman, G. L. (1982). Public school programs for adolescent pregnancy and parenthood: An assessment. Family Planning Perspectives, 14, 15–21.

    Article  PubMed  CAS  Google Scholar 

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Stevens-Simon, C., McAnarney, E.R. (1996). Adolescent Pregnancy. In: DiClemente, R.J., Hansen, W.B., Ponton, L.E. (eds) Handbook of Adolescent Health Risk Behavior. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0203-0_12

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