Document Detail


The association between prepregnancy parental support and control and adolescent girls' pregnancy resolution decisions.
MedLine Citation:
PMID:  23763966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To examine the influence of prepregnancy parental support and control on adolescent girls' pregnancy resolution decisions.
METHODS: Data from the National Longitudinal Study of Adolescent Health were analyzed. Girls whose first pregnancy reported in wave IV occurred after wave I and before age 20 were included (n = 1,107). Participants self-reported pregnancy disposition (abortion, ectopic or tubal pregnancy, miscarriage, stillbirth, live birth) for each pregnancy; responses were dichotomized as abortion versus other. Girls' perceptions of parental support and control were measured at wave I. Controls were included for wave I age, age at pregnancy, year at the end of pregnancy, race/ethnicity, and parent characteristics (i.e., education, religious affiliation, age at first marriage, and educational expectations). Weighted multivariable logistic regression models were performed.
RESULTS: Approximately 18% of girls reporting a teen pregnancy reported having an abortion. In crude analyses, parental support was marginally negatively related to abortion (odds ratio [OR] = .83, p = .06) and parental control was significantly negatively related to abortion (OR = .78, p = .02). In multivariable analyses, higher parental control was significantly negatively related to abortion versus other pregnancy outcomes (adjusted OR .80, 95% confidence interval .66-.98). Perceived parental support was unassociated with pregnancy resolution decisions. The only other factor associated with abortion decisions was parent education: odds of choosing abortion versus other pregnancy outcomes were significantly higher for adolescent girls whose parents had a bachelor's degree or greater versus those with lower educational attainment.
CONCLUSIONS: Pregnant adolescents with less educated parents or parents exercising greater control were less likely to have an abortion.
Authors:
Aubrey Spriggs Madkour; Yiqiong Xie; Emily W Harville
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2013-06-12
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  53     ISSN:  1879-1972     ISO Abbreviation:  J Adolesc Health     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-08-26     Completed Date:  2013-12-11     Revised Date:  2014-09-02    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  413-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / statistics & numerical data*
Adolescent
Decision Making
Educational Status
Female
Humans
Interviews as Topic
National Longitudinal Study of Adolescent Health
Parent-Child Relations*
Pregnancy
Pregnancy Outcome*
Pregnancy in Adolescence*
Young Adult
Grant Support
ID/Acronym/Agency:
P01-HD31921/HD/NICHD NIH HHS; R03 HD067240/HD/NICHD NIH HHS; R03 HD067240/HD/NICHD NIH HHS
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