TY - JOUR
T1 - Childhood sexual abuse and adolescent pregnancy
T2 - A meta-analytic update
AU - Noll, Jennie G.
AU - Shenk, Chad E.
AU - Putnam, Karen T.
N1 - Funding Information:
This paper was supported in part by NIH grants R01HD052533 and T32DK063929. Authors would like to acknowledge the collegial support of Jeffrey D. Long, Julie London, Christine Hampton, and Ann Daltrey Madden.
PY - 2009/5
Y1 - 2009/5
N2 - Objective Recent increases in adolescent pregnancies have sparked a renewed impetus to identify risk factors, such as childhood sexual abuse (CSA), associated with adolescent pregnancy. Given mixed evidence regarding the strength of the relationship between CSA and adolescent pregnancy (Blinn-Pike, Berger, Dixon, Kuschel, and Kaplan, 2002), our objective was to provide an estimate of the effect size of this relationship using updated literature and meta-analytic techniques. Methods Meta-analyses of 21 studies were conducted using a random effects model of binary outcomes to determine aggregate effect-size estimates controlling for study heterogeneity. Results CSA significantly increased the odds of experiencing an adolescent pregnancy by2.21-fold (95% CI: 1.94-2.51). A supplemental analysis suggested that 4.5 out of 10 pregnant adolescents may have a prior history of CSA. Conclusions CSA places females at increased risk for subsequent adolescent pregnancy. Addressing conditions associated with CSA might impact the overall adolescent pregnancy rate.
AB - Objective Recent increases in adolescent pregnancies have sparked a renewed impetus to identify risk factors, such as childhood sexual abuse (CSA), associated with adolescent pregnancy. Given mixed evidence regarding the strength of the relationship between CSA and adolescent pregnancy (Blinn-Pike, Berger, Dixon, Kuschel, and Kaplan, 2002), our objective was to provide an estimate of the effect size of this relationship using updated literature and meta-analytic techniques. Methods Meta-analyses of 21 studies were conducted using a random effects model of binary outcomes to determine aggregate effect-size estimates controlling for study heterogeneity. Results CSA significantly increased the odds of experiencing an adolescent pregnancy by2.21-fold (95% CI: 1.94-2.51). A supplemental analysis suggested that 4.5 out of 10 pregnant adolescents may have a prior history of CSA. Conclusions CSA places females at increased risk for subsequent adolescent pregnancy. Addressing conditions associated with CSA might impact the overall adolescent pregnancy rate.
UR - https://www.scopus.com/pages/publications/65349166727
UR - https://www.scopus.com/pages/publications/65349166727#tab=citedBy
U2 - 10.1093/jpepsy/jsn098
DO - 10.1093/jpepsy/jsn098
M3 - Article
C2 - 18794188
AN - SCOPUS:65349166727
SN - 0146-8693
VL - 34
SP - 366
EP - 378
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 4
M1 - jsn098
ER -