title: Social Determinants of Health and Adolescent Pregnancy: An Analysis From the National Longitudinal Study of Adolescent to Adult Health.
abstract: Although rates of adolescent pregnancy are at an all-time low in the United States, racial/ethnic and geographic disparities persist. This research used National Longitudinal Study of Adolescent to Adult Health (Add Health) data to analyze empirical relationships between social determinants of health (SDoH) and adolescent pregnancy. Examining relationships between the SDoH and adolescent pregnancy provides support for funding priorities and interventions that expand on the current focus on individual- and interpersonal-level factors.
  
  
  
  On the basis of the Healthy People 2020 Social Determinants of Health Framework, the identification of proxy measures for SDoH within the Add Health study allowed for an analysis of relationships to adolescent pregnancy (N = 9,204). Logistic regression examined associations between adolescent pregnancy and each measure of SDoH.
  
  
  
  Results indicated that 6 of 17 measures of SDoH had an empirical relationship with adolescent pregnancy. Measures negatively associated with adolescent pregnancy included the following: feeling close to others at school, receipt of high school diploma, enrollment in higher education, participation in volunteering or community service, reporting litter or trash in the neighborhood environment as a big problem, and living in a two-parent home.
  
  
  
  Findings from this study support the need for increased research and intervention focus in SDoH related to areas of education and social and community context. Results of this study provide information for the allocation of resources to best address SDoH that show a link with adolescent pregnancy. Areas of future research can further explore the areas in which SDoH show a relationship with adolescent pregnancy.
authors.affiliation: Department of Health and Exercise Science, University of Oklahoma, Norman, Oklahoma. Electronic address: smaness@ou.edu.
authors.forename: Sarah B
authors.initials: SB
authors.lastname: Maness
authors.affiliation: Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, California.
authors.forename: Eric R
authors.initials: ER
authors.lastname: Buhi
authors.affiliation: Department of Community and Family Health, College of Public Health, University of South Florida, Tampa Florida.
authors.forename: Ellen M
authors.initials: EM
authors.lastname: Daley
authors.affiliation: Department of Health Sciences, College of Health and Human Services, Northern Arizona University, Flagstaff, Arizona.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Baldwin
authors.affiliation: Department of Educational Measurement and Research, University of South Florida, Tampa, Florida.
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Kromrey
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health / Q000706:statistics & numerical data*; D005260:Female; D006306:Health Surveys; D054625:Healthcare Disparities; D040361:Healthy People Programs / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D044469:Racial Groups; D012931:Social Environment
keywords: Adolescent health; Adolescent pregnancy; Health disparities; Social determinants of health