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How Accurately Can We Predict Repeat Teen Pregnancy Based on Social Ecological Factors?

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Title: How Accurately Can We Predict Repeat Teen Pregnancy Based on Social Ecological Factors?
Language: English
Authors: Harding, Jessica F. (ORCID 0000-0002-7052-6660), Keating, Betsy, Walzer, Jennifer, Xing, Fei, Zief, Susan (ORCID 0000-0002-9897-414X), Gao, Jessica
Source: Developmental Psychology. Sep 2022 58(9):1793-1805.
Availability: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org
Peer Reviewed: Y
Page Count: 13
Publication Date: 2022
Sponsoring Agency: Office of the Assistant Secretary for Health (OASH) (DHHS), Office of Population Affairs (OPA)
Contract Number: HHSP233201450026A
Document Type: Journal Articles
Reports - Research
Descriptors: Pregnancy, Adolescents, Predictor Variables, Early Parenthood, Mothers, Hispanic Americans, Parent Influence, Substance Abuse, Age Differences, Family Structure, Sexuality, Contraception, Resilience (Psychology), Interpersonal Relationship, Individual Characteristics, Family Characteristics, Environmental Influences, Mental Health, Attitudes, Intention, Knowledge Level
Geographic Terms: California
DOI: 10.1037/dev0001394
ISSN: 0012-1649
1939-0599
Abstract: Many factors at the individual, relationship, family, and community or environmental levels could predict repeat teen pregnancies or births, but research on certain factors is limited. In addition, few studies have examined whether these factors can accurately predict whether teen mothers will have a repeat pregnancy. This study examined theoretically selected predictors of repeat teen pregnancy among 945 pregnant and parenting teens (M age = 17), most of whom were Hispanic/Latina (86%). Logistic regression with 47 predictors measured at baseline was used to predict repeat pregnancy. Predictors were selected based on backward selection that aimed for a balance between model performance and model complexity. A random forest model was also used to determine how accurately repeat pregnancy could be predicted based on all predictors. Significant predictors of repeat pregnancy were the teen mother having a parent with a serious drinking or drug problem when she was a child, being older, not living with a mother figure, not intending to abstain from sex or use a long-acting reversible contraceptive, and having lower resiliency skills. However, predictors explained limited variance in repeat pregnancy, and their accuracy in predicting repeat pregnancy was low. More research is needed to identify accurate predictors of repeat pregnancy because this could inform program providers or developers about areas that warrant more focus in programming for teen parents, and it could help identify teen mothers at higher risk of a repeat pregnancy so they could be the focus of specific programming.
Abstractor: As Provided
Entry Date: 2023
Accession Number: EJ1367150
Database: ERIC
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  Data: How Accurately Can We Predict Repeat Teen Pregnancy Based on Social Ecological Factors?
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  Data: <searchLink fieldCode="AR" term="%22Harding%2C+Jessica+F%2E%22">Harding, Jessica F.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-7052-6660">0000-0002-7052-6660</externalLink>)<br /><searchLink fieldCode="AR" term="%22Keating%2C+Betsy%22">Keating, Betsy</searchLink><br /><searchLink fieldCode="AR" term="%22Walzer%2C+Jennifer%22">Walzer, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Xing%2C+Fei%22">Xing, Fei</searchLink><br /><searchLink fieldCode="AR" term="%22Zief%2C+Susan%22">Zief, Susan</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-9897-414X">0000-0002-9897-414X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Gao%2C+Jessica%22">Gao, Jessica</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Developmental+Psychology%22"><i>Developmental Psychology</i></searchLink>. Sep 2022 58(9):1793-1805.
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  Data: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org
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  Data: Y
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  Data: 13
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  Data: 2022
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  Data: Office of the Assistant Secretary for Health (OASH) (DHHS), Office of Population Affairs (OPA)
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  Data: HHSP233201450026A
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Predictor+Variables%22">Predictor Variables</searchLink><br /><searchLink fieldCode="DE" term="%22Early+Parenthood%22">Early Parenthood</searchLink><br /><searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+Influence%22">Parent Influence</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+Abuse%22">Substance Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Age+Differences%22">Age Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Structure%22">Family Structure</searchLink><br /><searchLink fieldCode="DE" term="%22Sexuality%22">Sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Contraception%22">Contraception</searchLink><br /><searchLink fieldCode="DE" term="%22Resilience+%28Psychology%29%22">Resilience (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+Relationship%22">Interpersonal Relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Individual+Characteristics%22">Individual Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Characteristics%22">Family Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+Influences%22">Environmental Influences</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health%22">Mental Health</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes%22">Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Intention%22">Intention</searchLink><br /><searchLink fieldCode="DE" term="%22Knowledge+Level%22">Knowledge Level</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22California%22">California</searchLink>
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  Data: 10.1037/dev0001394
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  Data: 0012-1649<br />1939-0599
– Name: Abstract
  Label: Abstract
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  Data: Many factors at the individual, relationship, family, and community or environmental levels could predict repeat teen pregnancies or births, but research on certain factors is limited. In addition, few studies have examined whether these factors can accurately predict whether teen mothers will have a repeat pregnancy. This study examined theoretically selected predictors of repeat teen pregnancy among 945 pregnant and parenting teens (M age = 17), most of whom were Hispanic/Latina (86%). Logistic regression with 47 predictors measured at baseline was used to predict repeat pregnancy. Predictors were selected based on backward selection that aimed for a balance between model performance and model complexity. A random forest model was also used to determine how accurately repeat pregnancy could be predicted based on all predictors. Significant predictors of repeat pregnancy were the teen mother having a parent with a serious drinking or drug problem when she was a child, being older, not living with a mother figure, not intending to abstain from sex or use a long-acting reversible contraceptive, and having lower resiliency skills. However, predictors explained limited variance in repeat pregnancy, and their accuracy in predicting repeat pregnancy was low. More research is needed to identify accurate predictors of repeat pregnancy because this could inform program providers or developers about areas that warrant more focus in programming for teen parents, and it could help identify teen mothers at higher risk of a repeat pregnancy so they could be the focus of specific programming.
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        Value: 10.1037/dev0001394
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      – Text: English
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        PageCount: 13
        StartPage: 1793
    Subjects:
      – SubjectFull: Pregnancy
        Type: general
      – SubjectFull: Adolescents
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      – SubjectFull: Predictor Variables
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      – SubjectFull: Early Parenthood
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      – SubjectFull: Mothers
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      – SubjectFull: Hispanic Americans
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      – SubjectFull: Parent Influence
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      – SubjectFull: Substance Abuse
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      – SubjectFull: Age Differences
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      – SubjectFull: Family Structure
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      – SubjectFull: Sexuality
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      – SubjectFull: California
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