title: The role of mental health factors, behavioral factors, and past experiences in the prediction of rapid repeat pregnancy in adolescence.
abstract: OBJECTIVE
  This study investigates the predictors of rapid repeat pregnancy (subsequent pregnancy within 24 months of previous pregnancy outcome) in a sample of urban adolescents.
  
  
  METHODS
  Adolescents aged 12-19 years (N = 354) who were predominantly African-American (94.1%) completed individual interviews during pregnancy and at 24 months postpartum. Logistic regression was used to determine the relationship among mental health factors, behavioral factors, and negative life experiences in the prediction of rapid repeat pregnancy.
  
  
  RESULTS
  Of the adolescents, 42% (n = 147) of adolescents reported a rapid repeat pregnancy. Baseline reports of later age at menarche (12.43 vs. 11.91; p = .003) and a greater likelihood of aggression were significantly associated with having a rapid repeat pregnancy within 24 months. Age at menarche and self-reported aggression contributed independently to the prediction of a closely spaced second pregnancy (p < .05).
  
  
  CONCLUSIONS
  It is suggested that pubertal onset and individual mental health as it relates to measures of aggression should be considered when developing programs targeting adolescents at highest risk for rapid repeat pregnancy.
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA. ccritte@sph.emory.edu
authors.forename: Colleen P
authors.initials: CP
authors.lastname: Crittenden
authors.forename: Neil W
authors.initials: NW
authors.lastname: Boris
authors.forename: Janet C
authors.initials: JC
authors.lastname: Rice
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Taylor
authors.forename: David L
authors.initials: DL
authors.lastname: Olds
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology / Q000523:psychology*; D000328:Adult; D001741:Black or African American; D000367:Age Factors; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008572:Menarche; D008603:Mental Health; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000208:ethnology / Q000523:psychology*; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D055815:Young Adult