First Births to Maltreated Adolescent Girls: Differences Associated With Spending Time in Foster Care
First Births to Maltreated Adolescent Girls: Differences Associated With Spending Time in Foster Care
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DOI：
10.1177/1077559517701856
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发表时间：
2017-05-01
影响因子：
5.1
通讯作者：
King, Bryn
中科院分区：
文献类型：
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作者：
King, Bryn
很少有研究调查了接受儿童福利服务（CWS）的女孩的早期养育，或理清了虐待、寄养和青少年分娩之间的关系。本研究使用基于人口的关联管理数据，计算了受虐待少女的出生率，并评估了与寄养时间相关的出生率差异。在85,766名被证实在青春期受到虐待的女孩中，近18%的人后来生了孩子。在被寄养的女孩中，这一比例更高（19.5%）。在人口统计学特征和虐待经历中，分娩率有显著差异（p < 0.001）。当考虑到所有协变量时，在寄养中度过的时间与头胎率适度升高相关（风险比[HR] = 1.10； 95%可信区间=[1.06,1.14]）。虽然最初被证实的虐待指控的年龄和种族/民族是青少年分娩的重要预测因素，但具体的虐待经历与出生率的差异很小或没有差异。本研究的结果表明，在参与cws的青春期女孩中，在护理中花费时间的经历可能不是一个有意义的预测青少年分娩的指标，并且突出了这一人群中更容易过早分娩的亚组。
Few studies have examined early parenting among girls receiving child welfare services (CWS) or disentangled the relationship between maltreatment, spending time in foster care, and adolescent childbirth. Using population-based, linked administrative data, this study calculated birth rates among maltreated adolescent girls and assessed differences in birth rates associated with spending time in foster care. Of the 85,766 girls with substantiated allegations of maltreatment during adolescence, nearly 18% subsequently gave birth. Among girls who spent time in foster care, the proportion was higher (19.5%). Significant variations (p < .001) were observed in the rate of childbirth across demographic characteristics and maltreatment experiences. When accounting for all of the covariates, spending time in foster care was associated with a modestly higher rate of a first birth (Hazard Ratio [HR] = 1.10; 95% confidence interval = [1.06, 1.14]). While age at first substantiated allegation of maltreatment and race/ethnicity were significant predictors of adolescent childbirth, specific maltreatment experiences were associated with minimal or no differences in birth rates. The findings of this study suggest that the experience of spending time in care may not be a meaningful predictor of giving birth as a teen among CWS-involved adolescent girls and highlight subgroups of this population who may be more vulnerable to early childbirth.