Skip to main content

Advertisement

Log in

Unplanned Pregnancy in Adolescents: Association with Family Structure, Employed Mother, and Female Friends with Health-Risk Habits and Behaviors

  • Published:
Journal of Urban Health Aims and scope Submit manuscript

Abstract

Previous publications have suggested that living in a nonintact family household and socializing with girlfriends who smoke or who consume alcoholic beverages favor the development of health-risk habits and customs in adolescents. However, their relationship with unplanned pregnancy in adolescents has not been determined. We investigated the association between family structure, employed mother, and female friends with health-risk habits and behaviors with unplanned pregnancy in adolescents (n = 3,130). After adjusting for low maternal educational level and low family income, logistic regression analyses showed that having an employed mother and socializing with girlfriends who have health-risk habits or behaviors, rather than living in a nonintact family household, appear to be the most important health-risk factors for unplanned pregnancy in adolescents. It is important for health-care programs for adolescents to be revised and for their strategies be strengthened in order to reach the objectives for which they were created.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. World Health Organization. Adolescent pregnancy. World Health Organization. Department of Child and Adolescent Health and Development, Geneva, Switzerland; 2004. pp. 1–92

  2. Kost K, Finer LB, Singh S. Variation in state unintended pregnancy rates in the United States. Perspect Sex Reprod Health. 2012; 44(1): 57–64.

    Article  PubMed  Google Scholar 

  3. Finer LB, Zolna MR. Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception. 2011; 84(5): 478–85.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Shokravi FA. A comparison study: risk factors of unplanned pregnancies in a group of Iranian and New Zealander women. Eur J Sci Res. 2009; 26(1): 108–21.

    Google Scholar 

  5. Singh S, Sedgh G, Hussain R. Unintended pregnancy: worldwide levels, trends, and outcomes. Stud Fam Plann. 2010; 41(4): 241–50.

    Article  PubMed  Google Scholar 

  6. Guttmacher Institute. Facts on American teens’ sexual and reproductive health. http://www.guttmacher.org/pubs/FB-ATSRH.html. Accessed December 25, 2011

  7. Gutiérrez GR, Villanueva SO, de León AL. Acceptance of contraceptives in the postpartum period in unplanned pregnancies. Ginecol Obstet Mex. 2009; 77(11): 499–503.

    PubMed  Google Scholar 

  8. Cartes RM, González CR, Sandoval ZJ, Gonzales AE. Family planning and adolescent pregnancy. Best Pract Res Clin Obstet Gynecol. 2010; 24(2): 209–22.

    Article  Google Scholar 

  9. Amy JJ, Loeber O. Pregnancy during adolescence: a major social problem. Eur J Contracept Reprod Health Care. 2007; 12(4): 299–302.

    Article  PubMed  Google Scholar 

  10. Macedo PSO, González-Chica DA, César JA, Mendoza-Sassi RA. Unplanned pregnancy in southern Brazil: prevalence and associated factors. Cad Saude Publica. 2011; 27(10): 1906–16.

    Article  Google Scholar 

  11. Usher-Pines L, Nelson DB. Neighborhood and individual-level violence and unintended pregnancy. J Urban Health Bull N Y Acad Med. 2010; 87(4): 677–87.

    Google Scholar 

  12. Rodríguez GMA. Factores de riesgo para embarazo en adolescentes. Medicina UPB. 2008; 27(1): 47–58.

    Google Scholar 

  13. Han WJ, Miller DP, Waldfogel J. Parental work schedules and adolescent risk behaviors. Dev Psychol. 2010; 46(5): 1245–67.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Curto BM, Paula CS, Do Nacimento R, Murray J, Bordin IA. Environmental factors associated with adolescent antisocial behavior in a poor urban community in Brazil. Soc Psychiatry Psychiatr Epidemiol. 2011; 46(12): 1221–31.

    Article  PubMed  Google Scholar 

  15. Schinke SP, Fang L, Cole KCA. Substance use among early adolescent girls: risk and protective factors. J Adolesc Health. 2008; 43(2): 191–4.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Wamoyi J, Fenwick A, Urassa M, Zaba B, Stones W. Parental control and monitoring of young people’s sexual behavior in rural North-Western Tanzania: implications for sexual and reproductive health interventions. (Abstract). BMC Publ Health. 2011; 11(1): 106.

    Article  Google Scholar 

  17. Núñez-Urquiza RM, Hernández-Prado B, García-Barrios C, González D, Walker D. Embarazo no deseado en adolescentes, y utilización de métodos anticonceptivos posparto. Salud Publica Mex. 2003; 45(Supl 1): S92–102.

    PubMed  Google Scholar 

  18. Mosher WD, Jones J, Abma JC. Intended and unintended births in the United States: 1982–2010. National Health Statistics Reports; no 55. Hyattsville, MD, USA: National Center for Health Statistics. 2012

  19. Hawkins SS, Cole TJ, Law C. Maternal employment and early childhood overweight: findings from the UK Millennium Cohort Study. Int J Obes. 2008; 32(1): 30–8.

    Article  CAS  Google Scholar 

  20. Hee CK, Conger RD, Elder GH. Mother’s employment demands, work-family conflict, and adolescent development. Int J Sociol Fam. 2009; 35(2): 189–202.

    Google Scholar 

  21. Mindlin M, Jenkins R, Law C. Maternal employment and indicators of child health: a systematic review in pre-school children in OECD countries. J Epidemiol Comm Health. 2009; 63(5): 340–50.

    Article  CAS  Google Scholar 

  22. Ayoola AB, Brewer J, Nettleman M. Epidemiology and prevention of unintended pregnancy in adolescents. Prim Care Clin Off Pract. 2006; 33(2): 391–403.

    Article  Google Scholar 

  23. Lakon CM, Hipp JR, Timberlake DS. The social context of adolescent smoking: a systems perspective. Am J Public Health. 2010; 100(7): 1218–28.

    Article  PubMed  Google Scholar 

  24. U.S. Census Bureau News. America’s families and living arrangements: 2010. http://www.census.gov/population/www/socdemo/hh-fam/cps2010.html. Accessed March 11, 2013

  25. Instituto Nacional de Geografía y Estadística. Censo de Población y vivienda 2010. http://www.censo2010.org.mx/. Accessed December 26, 2012

  26. Becoña E, Martínez U, Calafat A, Juan M, Duch M, Fernández-Hermida JR. How does family disorganization influence children’s drug use? A review. Adicciones. 2012; 24(3): 253–68.

    PubMed  Google Scholar 

  27. Troxel WM, Matthews KA. What are the costs of the marital conflict and dissolution to children’s physical health? Clin Child Fam Psychol Rev. 2004; 7(1): 29–57.

    Article  PubMed  Google Scholar 

  28. Grenard JL, Guo Q, Jasuja GK, et al. Influences affecting adolescent smoking behavior in China. Nicotine Tob Res. 2006; 8(2): 245–55.

    Article  PubMed  Google Scholar 

  29. Shelley D, Fahs MC, Yerneni R, Qu J, Burton D. Correlates of household smoking bans among Chinese Americans. Nicotine Tob Res. 2006; 8(2): 103–12.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Fang L, Barnes-Ceeney K, Shinke SP. Substance use behavior among early-adolescent Asian American girls: the impact of psychological and family factors. Women Health. 2011; 51(7): 623–42.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

This study was funded by the Mixed Fund for the Promotion of Scientific and Technological Research CONACYT—Tamaulipas State Government. Grant code: TAMPS-2011-C35-176437.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carlos F. Vázquez-Rodriguez.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vázquez-Nava, F., Vázquez-Rodriguez, C.F., Saldívar-González, A.H. et al. Unplanned Pregnancy in Adolescents: Association with Family Structure, Employed Mother, and Female Friends with Health-Risk Habits and Behaviors. J Urban Health 91, 176–185 (2014). https://doi.org/10.1007/s11524-013-9819-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11524-013-9819-6

Keywords

Navigation