More Than Poverty: The Effect of Child Abuse and Neglect on Teen Pregnancy Risk
More Than Poverty: The Effect of Child Abuse and Neglect on Teen Pregnancy Risk
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DOI：
10.1016/j.jadohealth.2015.05.004
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发表时间：
2015-08-01
影响因子：
7.6
通讯作者：
Drake, Brett
中科院分区：
文献类型：
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作者：
Garwood, Sarah K.;Gerassi, Lara;Drake, Brett
目的：这项研究的目的是比较没有儿童保护服务（CPS）报告历史的贫困儿童和有CPS报告历史的贫困儿童之间青少年怀孕的风险。从1993年至2009年，从贫困家庭中选择的儿童，无论是否有CPS报告历史，都使用CPS，急诊室，医疗补助服务和少年法庭。共有3，281名青少年女性被随访至18岁。结果：仅在有贫困史的青少年中，16.8%的人在17岁之前至少怀孕一次。在有贫困史和虐待或忽视儿童报告的青少年中，28.9%在17岁之前至少怀孕一次。虽然多变量生存分析显示，在家庭和青年服务水平的其他几个重要因素，虐待的报告仍然显着（约66%的高风险）。结论：虐待是一个显着的危险因素，青少年怀孕低收入的青年，即使在控制邻里劣势，其他照顾者的风险和指标的个人情绪和行为问题。(C)由Elsevier Inc.出版。代表青少年健康和医学协会。
Purpose: The purpose of the study was to compare risk for teen pregnancies between children living in poverty with no child protective services (CPS) report history and those in poverty with a history of CPS report.Methods: Children selected from families in poverty, both with and without CPS report histories were prospectively followed from 1993 to 2009 using electronic administrative records from agencies including CPS, emergency departments, Medicaid services, and juvenile courts. A total of 3,281 adolescent females were followed until the age of 18 years.Results: For teens with history of poverty only, 16.8% had been pregnant at least once by the age of 17 years. In teens with history of both poverty and report of child abuse or neglect, 28.9% had been pregnant at least once by the age of 17 years. Although multivariate survival analyses revealed several other significant factors at the family and youth services levels, a report of maltreatment remained significant (about a 66% higher risk).Conclusions: Maltreatment is a significant risk factor for teen pregnancy among low income youth even after controlling for neighborhood disadvantage, other caregiver risks and indicators of individual emotional and behavioral problems. (C) 2015 Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.