title: Predictors of repeat pregnancy outcome among black and Puerto Rican adolescent mothers.
abstract: This prospective study investigated predictors of repeat pregnancies by 12 months after the delivery of a first child and their outcomes in inner-city adolescent mothers. The sample included four groups: those who had therapeutic abortions, miscarriages, full-term deliveries, and no repeat pregnancy. The therapeutic abortion group had more pregnancies before their first delivery (41%) than did full term (20%) and no repeat (15%), p less than .01. More delayed grade placement was found in therapeutic abortion -1.6 years (1.3) and full term -1.8 years (.9) than in no repeat pregnancy -.6 years (1.1), p less .001. Reading achievement scores were higher in no repeat 86.3 (17.1) than in full term 75.0 (16.5), p less than .05. School attendance was higher in no repeat (65%) than in therapeutic abortion (35%) and full-term (24%) p less than .01 groups. Depressive symptoms at baseline were higher among therapeutic aborters 18.9 (9.9) than among full term 10.2 (8.2) and no repeat pregnancy groups 12.2 (6.2). Logistic regression analyses identified delayed grade placement as the most important predictor of pregnancy outcome.
authors.affiliation: Brookwood Child Care, Brooklyn, New York.
authors.forename: L O
authors.initials: LO
authors.lastname: Linares
authors.forename: B J
authors.initials: BJ
authors.lastname: Leadbeater
authors.forename: L
authors.initials: L
authors.lastname: Jaffe
authors.forename: P M
authors.initials: PM
authors.lastname: Kato
authors.forename: A
authors.initials: A
authors.lastname: Diaz
mesh_terms: D000124:Achievement; D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D001240:Aspirations, Psychological; D003863:Depression / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008137:Longitudinal Studies; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000523:psychology*; D011253:Pregnancy in Adolescence / Q000208:ethnology / Q000523:psychology*; D011446:Prospective Studies; D011647:Puerto Rico / Q000208:ethnology; D012008:Recurrence; D012044:Regression Analysis