Social Determinants of Health and Adolescent Pregnancy: An Analysis From the National Longitudinal Study of Adolescent to Adult Health

Social Disparities in the Relationship Between Depression and Unintended Pregnancy During Adolescence and Young Adulthood

“…[12] For instance, poor health, risky health behaviors, disrupted family dynamics, negative peer influence, school problems, limited education and access to health care, neighborhood context, and adverse life events including discrimination and violence are among the many factors potentially compounding negative mental and reproductive health outcomes among minority and poor adolescents. [8,12–24,28,29,34] Adjusting for all of the many potential diverse, multi-level confounders, including >50 adverse life events measured across Add Health’s four Waves, was beyond the scope of this analysis.…”

“…[12] For instance, poor health, risky health behaviors, disrupted family dynamics, negative peer influence, school problems, limited education and access to health care, neighborhood context, and adverse life events including discrimination and violence are among the many factors potentially compounding negative mental and reproductive health outcomes among minority and poor adolescents. [8,12–24,28,29,34] Adjusting for all of the many potential diverse, multi-level confounders, including >50 adverse life events measured across Add Health’s four Waves, was beyond the scope of this analysis. Given the relationship between depression and unintended pregnancy is likely a complex one that may be potentially explained by a common risk factors model,[29] however, our findings here should be interpreted with caution, and our ongoing work is further capitalizing on Add Health’s rich dataset to examine whether social context may further explain rates of and disparities in depression and unintended pregnancy.…”

“…[1,10–12] Less research has focused on health-related predictors of unintended pregnancy, though an increasing number of studies (ours and others’) have pointed to the potential role of mental health in contributing to unintended pregnancy and its proximate determinants (i.e. sex and contraceptive behaviors).…”

A Case-Control Study of Obstetric Risk Factors for Low Birth Weights and Preterm Births

“…In women less than 19-year-old and older than 35, type of birth is determined by the doctors` belief that these age groups are high-risk groups [5]. In younger, cesarean sections were due to acceleration and the associated Cephalopelvic disproportion [1,2,6,7,12]. In cases when the first pregnancy occurs in age 30 years and older, the higher rates of abdominal delivery are determined by two RFs: more common complications of pregnancy and "phenomenon of aging" [18].…”

“…Prematurity has more significant impact on the physical development of the children and has been one of leading global burden of disease [1][2][3][4][5][6]. Preterm babies have a high risk for neurological diseases, more common problems with vision and learning deficits [7] and chronic non-communicable diseases in adulthood [8][9][10][11][12].…”