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Depression Linked to Subsequent Pregnancy in Black Teens
March 11, 2008 at 11:40 AM
Mental Health News
Studies indicate that teen mothers are twice as likely to experience depression as adult mothers with almost twice as many African American teen mothers affected compared with white teen mothers, according to background information in the article. Rapid subsequent pregnancy (occurring within 24 months of a birth) is common in young mothers. A recent meta-analysis found that 19 percent of teen mothers experienced a subsequent pregnancy within 12 months and 38 percent experienced a subsequent pregnancy within 24 months. The highest rates are among younger, economically disadvantaged African American adolescents. Depression and subsequent pregnancy are associated with parenting stress and negative parenting behaviors such as child abuse and neglect.
Beth Barnet, M.D., and colleagues at the University of Maryland School of Medicine, Baltimore, followed 269 predominantly African American teens (ages 12 to 18) with low income who received prenatal care at five community sites. Questionnaires were completed one or two years after childbirth to measure depressive symptoms and occurrence of subsequent pregnancy.
Among those who completed at least one follow-up questionnaire, 46 percent had depressive symptoms at the beginning of the study. A pregnancy within two years of childbirth was experienced by 120 (49 percent) of the 245 teens followed up through two years and 28 (10 percent) had more than one subsequent pregnancy. The average time between subsequent pregnancies was 11.4 months. Teens having a subsequent pregnancy were more likely to be school dropouts; not use condoms consistently at follow-up; and report a relationship with their babys father, who tended to be older, the authors write. Depressive symptoms were associated with a 44 percent increase in risk of subsequent pregnancy.
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