title: More Than Poverty: The Effect of Child Abuse and Neglect on Teen Pregnancy Risk.
abstract: OBJECTIVE
  The purpose of the study was to compare risk for teen pregnancies between children living in poverty with no child protective services (CPS) report history and those in poverty with a history of CPS report.
  
  
  METHODS
  Children selected from families in poverty, both with and without CPS report histories were prospectively followed from 1993 to 2009 using electronic administrative records from agencies including CPS, emergency departments, Medicaid services, and juvenile courts. A total of 3,281 adolescent females were followed until the age of 18 years.
  
  
  RESULTS
  For teens with history of poverty only, 16.8% had been pregnant at least once by the age of 17 years. In teens with history of both poverty and report of child abuse or neglect, 28.9% had been pregnant at least once by the age of 17 years. Although multivariate survival analyses revealed several other significant factors at the family and youth services levels, a report of maltreatment remained significant (about a 66% higher risk).
  
  
  CONCLUSIONS
  Maltreatment is a significant risk factor for teen pregnancy among low income youth even after controlling for neighborhood disadvantage, other caregiver risks and indicators of individual emotional and behavioral problems.
authors.affiliation: Division of Adolescent Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, Missouri. Electronic address: garwood_s@kids.wustl.edu.
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Garwood
authors.affiliation: Brown School of Social Work, Washington University, St. Louis, Missouri.
authors.forename: Lara
authors.initials: L
authors.lastname: Gerassi
authors.affiliation: Brown School of Social Work, Washington University, St. Louis, Missouri.
authors.forename: Melissa
authors.initials: M
authors.lastname: Jonson-Reid
authors.affiliation: Division of Adolescent Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, Missouri.
authors.forename: Katie
authors.initials: K
authors.lastname: Plax
authors.affiliation: Brown School of Social Work, Washington University, St. Louis, Missouri.
authors.forename: Brett
authors.initials: B
authors.lastname: Drake
mesh_terms: D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D011203:Poverty / Q000523:psychology* / Q000706:statistics & numerical data*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology* / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012307:Risk Factors; D014481:United States / Q000453:epidemiology
keywords: Child abuse and neglect; Health disparity; Poverty; Prospective study; Unplanned pregnancy