STD and Abortion Prevalence in Adolescent Mothers WithHistories of Childhood Protection Involvement

Julie A. Cederbaum, Emily Putnam-Hornstein, Kathrine S. Sullivan, Hailey Winetrobe, Melissa Bird

    Research output: Contribution to journalArticle

    Abstract

    CONTEXT: Early sexual debut and unprotected sexual activity place adolescents at risk of adverse sexual health outcomes. Adolescents involved with child protective services (CPS) may be a particularly vulnerable population. METHODS: California birth records for 86,946 adolescents who became first-time mothers in 2008-2010 were probabilistically linked to statewide CPS records from 1998 and later. The prevalence of STDs at birth and of abortion history were explored by preconception CPS involvement. Generalized linear models, adjusted for health, socioeconomic and demographic characteristics, were used to assess correlates of current STDs and history of abortion. RESULTS: At the time they gave birth, 1% of adolescents had a documented STD, and 5% reported a previous abortion. After adjustment for other characteristics, CPS involvement was associated with a significantly elevated prevalence both of STDs (relative risk, 1.2) and of previous abortion (1.4). Other characteristics also were associated with both outcomes, but not always in the same direction. For example, delaying prenatal care until after the first trimester or getting none at all was associated with an increased prevalence of STDs (1.3), but a reduced prevalence of abortion (0.8-0.9); having public insurance coverage for the birth was associated with a reduced STD prevalence (0.9) and an elevated abortion history prevalence (1.2). CONCLUSIONS: To assess whether adolescents with a history of CPS involvement need targeted sexual health interventions, further research is needed on the mechanisms that underlie associations between CPS involvement and adverse sexual health outcomes.

    Original languageEnglish (US)
    Pages (from-to)187-193
    Number of pages7
    JournalPerspectives on Sexual and Reproductive Health
    Volume47
    Issue number4
    DOIs
    StatePublished - Dec 1 2015

    Fingerprint

    Sexually Transmitted Diseases
    Induced Abortion
    abortion
    childhood
    Mothers
    adolescent
    Reproductive Health
    health
    Parturition
    Birth Certificates
    Reproductive History
    insurance coverage
    Insurance Coverage
    Prenatal Care
    Vulnerable Populations
    First Pregnancy Trimester
    linear model
    Sexual Behavior
    Child Protective Services
    Linear Models

    ASJC Scopus subject areas

    • Sociology and Political Science
    • Obstetrics and Gynecology
    • Public Health, Environmental and Occupational Health

    Cite this

    STD and Abortion Prevalence in Adolescent Mothers WithHistories of Childhood Protection Involvement. / Cederbaum, Julie A.; Putnam-Hornstein, Emily; Sullivan, Kathrine S.; Winetrobe, Hailey; Bird, Melissa.

    In: Perspectives on Sexual and Reproductive Health, Vol. 47, No. 4, 01.12.2015, p. 187-193.

    Research output: Contribution to journalArticle

    Cederbaum, Julie A. ; Putnam-Hornstein, Emily ; Sullivan, Kathrine S. ; Winetrobe, Hailey ; Bird, Melissa. / STD and Abortion Prevalence in Adolescent Mothers WithHistories of Childhood Protection Involvement. In: Perspectives on Sexual and Reproductive Health. 2015 ; Vol. 47, No. 4. pp. 187-193.
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