Childhood sexual abuse and adolescent pregnancy: a meta-analytic update.
OBJECTIVE
Recent increases in adolescent pregnancies have sparked a renewed impetus to identify risk factors, such as childhood sexual abuse (CSA), associated with adolescent pregnancy. Given mixed evidence regarding the strength of the relationship between CSA and adolescent pregnancy (Blinn-Pike, Berger, Dixon, Kuschel, & Kaplan, 2002), our objective was to provide an estimate of the effect size of this relationship using updated literature and meta-analytic techniques.


METHODS
Meta-analyses of 21 studies were conducted using a random effects model of binary outcomes to determine aggregate effect-size estimates controlling for study heterogeneity.


RESULTS
CSA significantly increased the odds of experiencing an adolescent pregnancy by 2.21-fold (95% CI: 1.94-2.51). A supplemental analysis suggested that 4.5 out of 10 pregnant adolescents may have a prior history of CSA.


CONCLUSIONS
CSA places females at increased risk for subsequent adolescent pregnancy. Addressing conditions associated with CSA might impact the overall adolescent pregnancy rate.
Noll
Jennie G
JG
Cincinnati Children's Hospital Medical Center, Department of Pediatrics, Division of Behavioral Medicine & Clinical Psychology, 3333 Burnet Avenue, MLC 3015, Cincinnati, OH 45229-3039, USA. jennie.noll@cchmc.org
Shenk
Chad E
CE
Putnam
Karen T
KT
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data*; D002675:Child, Preschool; D019548:Crime Victims / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D016017:Odds Ratio; D009820:Ohio; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology* / Q000706:statistics & numerical data*; D012307:Risk Factors
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