Teen Birth Rates in Sexually Abused and Neglected Females
Teen Birth Rates in Sexually Abused and Neglected Females
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DOI：
10.1542/peds.2012-3072
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发表时间：
2013-04-01
期刊：
影响因子：
8
通讯作者：
Shenk, Chad E.
中科院分区：
文献类型：
--
作者：
Noll, Jennie G.;Shenk, Chad E.
目的：前瞻性地追踪受虐待和未受虐待女性的青少年生育情况，并检验儿童虐待是继人口统计学特征和其他危险因素之后青少年生育的独立预测因素的假设。方法：每年对14 - 17岁未生育的青春期女性（N = 435）进行评估，直至19岁。受虐待的女性是由儿童保护服务机构转介的，因为她们在过去12个月内确实遭受过性虐待、身体虐待或忽视。对比女性在种族、家庭收入、年龄、家庭星座等方面匹配。青少年生育情况在年度访谈中通过自我报告进行评估。使用医院分娩记录确认分娩。结果：70名参与者在研究期间分娩，虐待组54名，对照组16名。在控制了人口统计学混杂因素和已知危险因素后，受虐待的女性发生青少年分娩的可能性是受虐待女性的两倍（优势比= 2.17,P = 0.01）。受性虐待和被忽视的女性的出生率最高。在控制了人口混杂因素、其他风险因素和发生在发育早期的其他形式的虐待之后，性虐待和忽视都是青少年生育的独立预测因素。结论：结果提供了证据，性虐待和忽视是青少年生育的独特预测因素。保护性服务提供者和青少年生育预防战略家之间的伙伴关系是进一步降低美国青少年生育率的最佳承诺。需要进一步的研究阐明不同形式的虐待导致青少年生育的途径，以便实现量身定制的干预措施。儿科2013;131: e1181-e1187
OBJECTIVE: Prospectively track teen childbirths in maltreated and non-maltreated females and test the hypothesis that child maltreatment is an independent predictor of subsequent teen childbirth over and above demographic characteristics and other risk factors.METHODS: Nulliparous adolescent females (N = 435) aged 14 to 17 years were assessed annually through age 19 years. Maltreated females were referred by Child Protective Services agencies for having experienced substantiated sexual abuse, physical abuse, or neglect within the preceding 12 months. Comparison females were matched on race, family income, age and family constellation. Teen childbirth was assessed via self-report during annual interviews. Births were confirmed using hospital delivery records.RESULTS: Seventy participants gave birth during the study, 54 in the maltreated group and 16 in the comparison group. Maltreated females were twice as likely to experience teen childbirth after controlling for demographic confounds and known risk factors (odds ratio = 2.17, P = 0.01). Birth rates were highest for sexually abused and neglected females. Sexual abuse and neglect were both independent predictors of teen childbirth after controlling for demographic confounds, other risk factors and alternative forms of maltreatment occurring earlier in development.CONCLUSIONS: Results provide evidence that sexual abuse and neglect are unique predictors of subsequent teen childbirth. Partnerships between protective service providers and teen childbirth prevention strategists hold the best promise for further reducing the US teen birth rate. Additional research illuminating the pathways to teen childbirth for differing forms of maltreatment is needed so that tailored interventions can be realized. Pediatrics 2013; 131: e1181-e1187