Teenage pregnancy and associated risk behaviors among sexually abused adolescents

Elizabeth M. Saewyc, Lara Leanne Magee, Sandra L Pettingell

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

CONTEXT: Previous research suggests a link between adolescent pregnancy and sexual abuse history but most studies have used clinical samples of females only and single measures of abuse. METHODS: Associations between pregnancy involvement, risk behaviors and sexual abuse were examined in sexually experienced teenagers from the Minnesota Student Surveys of 1992 (N=29, 187) and 1998 (N=25, 002). Chi-square tests assessed differences in pregnancy involvement and related risk behaviors among four groups of adolescents, categorized by type of abuse experienced: none, incest only, nonfamilial only of both. Odds ratios for pregnancy involvement and risk behaviors, adjusted for grade level and race, were calculated for each gender by using logistic regression analysis. RESULTS: Sexual abuse was reported by 6% of males and 27% of females in 1992, and by 9% and 22% in 1998. Reports of pregnancy involvement were significantly more common among abused adolescents (13-26% of females and 22-61% of males, depending on type of abuse) than among nonabused adolescents (8-10%). Abused adolescents were more likely than others to report risk behaviors, and teenagers reporting both abuse types had the highest odds of pregnancy involvement and risk behaviors. The differential in the odds of pregnancy involvement and most behaviors was larger between nonabused and abused males than between nonabused and abused females. CONCLUSIONS: Teenage pregnancy risk is strongly linked to sexual abuse, especially for males and those who have experienced both incest and nonfamilial abuse. To further reduce the U.S. teenage pregnancy rate, the pregnancy prevention needs of these groups must be adequately addressed.

Original languageEnglish (US)
Pages (from-to)98-105
Number of pages8
JournalPerspectives on Sexual and Reproductive Health
Volume36
Issue number3
DOIs
StatePublished - May 1 2004

Fingerprint

Pregnancy in Adolescence
Risk-Taking
risk behavior
pregnancy
adolescent
Sex Offenses
Pregnancy
Incest
abuse
sexual violence
incest
Mandatory Reporting
Pregnancy Rate
Chi-Square Distribution
Logistic Models
Odds Ratio
Regression Analysis
Students
regression analysis
Group

Cite this

Teenage pregnancy and associated risk behaviors among sexually abused adolescents. / Saewyc, Elizabeth M.; Magee, Lara Leanne; Pettingell, Sandra L.

In: Perspectives on Sexual and Reproductive Health, Vol. 36, No. 3, 01.05.2004, p. 98-105.

Research output: Contribution to journalArticle

@article{b9816babb0604d2e975238751ac176ae,
title = "Teenage pregnancy and associated risk behaviors among sexually abused adolescents",
abstract = "CONTEXT: Previous research suggests a link between adolescent pregnancy and sexual abuse history but most studies have used clinical samples of females only and single measures of abuse. METHODS: Associations between pregnancy involvement, risk behaviors and sexual abuse were examined in sexually experienced teenagers from the Minnesota Student Surveys of 1992 (N=29, 187) and 1998 (N=25, 002). Chi-square tests assessed differences in pregnancy involvement and related risk behaviors among four groups of adolescents, categorized by type of abuse experienced: none, incest only, nonfamilial only of both. Odds ratios for pregnancy involvement and risk behaviors, adjusted for grade level and race, were calculated for each gender by using logistic regression analysis. RESULTS: Sexual abuse was reported by 6{\%} of males and 27{\%} of females in 1992, and by 9{\%} and 22{\%} in 1998. Reports of pregnancy involvement were significantly more common among abused adolescents (13-26{\%} of females and 22-61{\%} of males, depending on type of abuse) than among nonabused adolescents (8-10{\%}). Abused adolescents were more likely than others to report risk behaviors, and teenagers reporting both abuse types had the highest odds of pregnancy involvement and risk behaviors. The differential in the odds of pregnancy involvement and most behaviors was larger between nonabused and abused males than between nonabused and abused females. CONCLUSIONS: Teenage pregnancy risk is strongly linked to sexual abuse, especially for males and those who have experienced both incest and nonfamilial abuse. To further reduce the U.S. teenage pregnancy rate, the pregnancy prevention needs of these groups must be adequately addressed.",
author = "Saewyc, {Elizabeth M.} and Magee, {Lara Leanne} and Pettingell, {Sandra L}",
year = "2004",
month = "5",
day = "1",
doi = "10.1363/3609804",
language = "English (US)",
volume = "36",
pages = "98--105",
journal = "Perspectives on Sexual and Reproductive Health",
issn = "1538-6341",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Teenage pregnancy and associated risk behaviors among sexually abused adolescents

AU - Saewyc, Elizabeth M.

AU - Magee, Lara Leanne

AU - Pettingell, Sandra L

PY - 2004/5/1

Y1 - 2004/5/1

N2 - CONTEXT: Previous research suggests a link between adolescent pregnancy and sexual abuse history but most studies have used clinical samples of females only and single measures of abuse. METHODS: Associations between pregnancy involvement, risk behaviors and sexual abuse were examined in sexually experienced teenagers from the Minnesota Student Surveys of 1992 (N=29, 187) and 1998 (N=25, 002). Chi-square tests assessed differences in pregnancy involvement and related risk behaviors among four groups of adolescents, categorized by type of abuse experienced: none, incest only, nonfamilial only of both. Odds ratios for pregnancy involvement and risk behaviors, adjusted for grade level and race, were calculated for each gender by using logistic regression analysis. RESULTS: Sexual abuse was reported by 6% of males and 27% of females in 1992, and by 9% and 22% in 1998. Reports of pregnancy involvement were significantly more common among abused adolescents (13-26% of females and 22-61% of males, depending on type of abuse) than among nonabused adolescents (8-10%). Abused adolescents were more likely than others to report risk behaviors, and teenagers reporting both abuse types had the highest odds of pregnancy involvement and risk behaviors. The differential in the odds of pregnancy involvement and most behaviors was larger between nonabused and abused males than between nonabused and abused females. CONCLUSIONS: Teenage pregnancy risk is strongly linked to sexual abuse, especially for males and those who have experienced both incest and nonfamilial abuse. To further reduce the U.S. teenage pregnancy rate, the pregnancy prevention needs of these groups must be adequately addressed.

AB - CONTEXT: Previous research suggests a link between adolescent pregnancy and sexual abuse history but most studies have used clinical samples of females only and single measures of abuse. METHODS: Associations between pregnancy involvement, risk behaviors and sexual abuse were examined in sexually experienced teenagers from the Minnesota Student Surveys of 1992 (N=29, 187) and 1998 (N=25, 002). Chi-square tests assessed differences in pregnancy involvement and related risk behaviors among four groups of adolescents, categorized by type of abuse experienced: none, incest only, nonfamilial only of both. Odds ratios for pregnancy involvement and risk behaviors, adjusted for grade level and race, were calculated for each gender by using logistic regression analysis. RESULTS: Sexual abuse was reported by 6% of males and 27% of females in 1992, and by 9% and 22% in 1998. Reports of pregnancy involvement were significantly more common among abused adolescents (13-26% of females and 22-61% of males, depending on type of abuse) than among nonabused adolescents (8-10%). Abused adolescents were more likely than others to report risk behaviors, and teenagers reporting both abuse types had the highest odds of pregnancy involvement and risk behaviors. The differential in the odds of pregnancy involvement and most behaviors was larger between nonabused and abused males than between nonabused and abused females. CONCLUSIONS: Teenage pregnancy risk is strongly linked to sexual abuse, especially for males and those who have experienced both incest and nonfamilial abuse. To further reduce the U.S. teenage pregnancy rate, the pregnancy prevention needs of these groups must be adequately addressed.

UR - http://www.scopus.com/inward/record.url?scp=3042721624&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3042721624&partnerID=8YFLogxK

U2 - 10.1363/3609804

DO - 10.1363/3609804

M3 - Article

VL - 36

SP - 98

EP - 105

JO - Perspectives on Sexual and Reproductive Health

JF - Perspectives on Sexual and Reproductive Health

SN - 1538-6341

IS - 3

ER -