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Demography

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Prevalence and Risk Factors for Early Motherhood Among Low-Income, Maltreated, and Foster Youth

  • Sarah A. Font
  • Maria Cancian
  • Lawrence M. Berger
Article

Abstract

Early childbearing is associated with a host of educational and economic disruptions for teenage girls and increased risk of adverse outcomes for their children. Low-income, maltreated, and foster youth have a higher risk of teen motherhood than the general population of youth. In this study, we assessed differences in the risk of early motherhood among these groups and investigated whether differences likely reflect selection factors versus effects of involvement with Child Protective Services (CPS) or foster care. Using a statewide linked administrative data system for Wisconsin, we employed survival analysis to estimate the hazard of early birth (child conceived prior to age 18) among females. We found that both the youth involved in CPS and youth in foster care were at significantly higher risk of early motherhood than low-income youth, and these differences were not explained by a range of sociodemographic and family composition characteristics. Moreover, our findings indicate that CPS and foster care are unlikely to be causal agents in the risk of early motherhood: among foster youth, risk was lower during foster care compared with before; among CPS-involved girls, risk was the same or lower after CPS investigation compared with before. Subsequent analysis showed that after girls exited foster care, those who were reunified with their birth families were at higher risk than those placed in adoption or guardianship. Overall, our findings suggest that whereas CPS and foster youth are high-risk populations for early motherhood, CPS involvement and foster care placement do not exacerbate, and may instead reduce, risk.

Keywords

Early parenthood Poverty Child protective services Foster care 

Notes

Acknowledgments

This work was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (1 R21 HD091459-01) with support from the Population Research Institute at Penn State University (P2CHD041025) and the Institute for Research on Poverty at the University of Wisconsin–Madison. We thank the Wisconsin Department of Children and Families, Department of Health Services, Department of Corrections, Department of Public Instruction, and Department of Workforce Development for consultation and the use of data, but acknowledge that these agencies do not certify the accuracy of the analyses presented.

References

  1. Abele, A. E., & Spurk, D. (2011). The dual impact of gender and the influence of timing of parenthood on men’s and women’s career development: Longitudinal findings. International Journal of Behavioral Development, 35, 225–232.CrossRefGoogle Scholar
  2. Berger, L. M., Cancian, M., Han, E., Noyes, J., & Rios-Salas, V. (2015). Children’s academic achievement and foster care. Pediatrics, 135, e109–e116.  https://doi.org/10.1542/peds.2014-2448 CrossRefGoogle Scholar
  3. Berger, L. M., & Font, S. A. (2015). The role of the family and family-centered programs and policies. The Future of Children, 25(1), 155–176.CrossRefGoogle Scholar
  4. Berzin, S. C. (2008). Difficulties in the transition to adulthood: Using propensity scoring to understand what makes foster youth vulnerable. Social Service Review, 82, 171–196.CrossRefGoogle Scholar
  5. Berzin, S. C., & De Marco, A. C. (2010). Understanding the impact of poverty on critical events in emerging adulthood. Youth & Society, 42, 278–300.CrossRefGoogle Scholar
  6. Brännström, L., Vinnerljung, B., & Hjern, A. (2015). Risk factors for teenage childbirths among child welfare clients: Findings from Sweden. Children and Youth Services Review, 53, 44–51.CrossRefGoogle Scholar
  7. Brännström, L., Vinnerljung, B., & Hjern, A. (2016). Child welfare clients have higher risks for teenage childbirths: Which are the major confounders? European Journal of Public Health, 26, 592–597.CrossRefGoogle Scholar
  8. Brown, P., & Cook, S. (2008). A decade of voluntary paternity acknowledgment in Wisconsin: 1997–2007 (Report). Madison, WI: Institute for Research on Poverty. Retrieved from https://www.ssc.wisc.edu/irpweb/research/childsup/cspolicy/pdfs/T12-VolPat97-07-Report.pdf
  9. Carolan, B. V., & Wasserman, S. J. (2015). Does parenting style matter? Concerted cultivation, educational expectations, and the transmission of educational advantage. Sociological Perspectives, 58, 168–186.CrossRefGoogle Scholar
  10. Carpenter, S. C., Clyman, R. B., Davidson, A. J., & Steiner, J. F. (2001). The association of foster care or kinship care with adolescent sexual behavior and first pregnancy. Pediatrics, 108, e46.  https://doi.org/10.1542/peds.108.3.e46 CrossRefGoogle Scholar
  11. Chase, E., Maxwell, C., Knight, A., & Aggleton, P. (2006). Pregnancy and parenthood among young people in and leaving care: What are the influencing factors, and what makes a difference in providing support? Journal of Adolescence, 29, 437–451.CrossRefGoogle Scholar
  12. Child Welfare Information Gateway. (2016). Caseload and workload management (Issue brief). Washington, DC: U.S. Department of Health and Human Services. Retrieved from https://www.childwelfare.gov/pubPDFs/case_work_management.pdf
  13. Child Welfare League of America. (2005). Child welfare consent decrees: Analysis of thirty-five court actions from 1995 to 2005. Washington, DC: Child Welfare League of America. Retrieved from https://thehill.com/content/child-welfare-consent-decrees-analysis-thirty-five-court-actions-1995-2005
  14. Connolly, J., Heifetz, M., & Bohr, Y. (2012). Pregnancy and motherhood among adolescent girls in child protective services: A meta-synthesis of qualitative research. Journal of Public Child Welfare, 6, 614–635.CrossRefGoogle Scholar
  15. Curtin, S. C., Osterman, M. J., Uddin, S. F., Sutton, S. R., & Reed, P. R. (2013). Source of payment for the delivery: Births in a 33-state and District of Columbia reporting area, 2010 (National Vital Statistics Reports Vol. 62, No. 5). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  16. Davis-Kean, P. E. (2005). The influence of parent education and family income on child achievement: The indirect role of parental expectations and the home environment. Journal of Family Psychology, 19, 294–304.CrossRefGoogle Scholar
  17. De Genna, N. M., Larkby, C., & Cornelius, M. D. (2011). Pubertal timing and early sexual intercourse in the offspring of teenage mothers. Journal of Youth and Adolescence, 40, 1315–1328.CrossRefGoogle Scholar
  18. Dolan, M., Casanueva, C., Smith, K., Lloyd, S., & Ringeisen, H. (2012). NSCAW II Wave 2 report: Caregiver health and services (OPRE Report No. 2012-58). Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.Google Scholar
  19. Dolan, M., Smith, K., Casanueva, C., & Ringeisen, H. (2011). NSCAW II baseline report: Introduction to NSCAW II final report (OPRE Report No. 2011-27a). Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.Google Scholar
  20. Doyle, J. J., Jr. (2007). Child protection and child outcomes: Measuring the effects of foster care. American Economic Review, 97, 1583–1610.Google Scholar
  21. Doyle, J. J., Jr. (2008). Child protection and adult crime: Using investigator assignment to estimate causal effects of foster care. Journal of Political Economy, 116, 746–770.Google Scholar
  22. Dworsky, A., & Courtney, M. E. (2010). The risk of teenage pregnancy among transitioning foster youth: Implications for extending state care beyond age 18. Children and Youth Services Review, 32, 1351–1356.CrossRefGoogle Scholar
  23. Finer, L. B., & Zolna, M. R. (2016). Declines in unintended pregnancy in the United States, 2008–2011. New England Journal of Medicine, 374, 843–852.CrossRefGoogle Scholar
  24. Font, S. A., Berger, L. M., Cancian, M., & Noyes, J. L. (2018). Permanency and the educational and economic attainment of former foster children in early adulthood. American Sociological Review, 83, 716–743.CrossRefGoogle Scholar
  25. Fries, L., Klein, S., & Ballantyne, M. (2014). Are foster children’s schools of origin always best? School quality in birth vs. foster parent neighbourhoods. Child & Family Social Work, 21, 317–327.CrossRefGoogle Scholar
  26. Harden, A., Brunton, G., Fletcher, A., & Oakley, A. (2009). Teenage pregnancy and social disadvantage: Systematic review integrating controlled trials and qualitative studies. BMJ, 339, b4254.  https://doi.org/10.1136/bmj.b4254 CrossRefGoogle Scholar
  27. Havalchak, A., White, C. R., O’Brien, K., & Pecora, P. J. (2007). Casey Family Programs Young Adult Survey 2006: Examining outcomes for young adults served in out-of-home care. Seattle, WA: Casey Family Programs.Google Scholar
  28. Helfrich, C. M., & McWey, L. M. (2014). Substance use and delinquency: High-risk behaviors as predictors of teen pregnancy among adolescents involved with the child welfare system. Journal of Family Issues, 35, 1322–1338.CrossRefGoogle Scholar
  29. Hofferth, S. L., & Goldscheider, F. (2010). Family structure and the transition to early parenthood. Demography, 47, 415–437.CrossRefGoogle Scholar
  30. Hoffman, S. D., Foster, E. M., & Furstenberg, F. F., Jr. (1993). Reevaluating the costs of teenage childbearing. Demography, 30, 1–13.Google Scholar
  31. Hotz, V. J., McElroy, S. W., & Sanders, S. G. (2005). Teenage childbearing and its life cycle consequences: Exploiting a natural experiment. Journal of Human Resources, 40, 683–715.CrossRefGoogle Scholar
  32. Imamura, M., Tucker, J., Hannaford, P., da Silva, M. O., Astin, M., Wyness L., . . . Temmerman, M. (2007). Factors associated with teenage pregnancy in the European Union countries: A systematic review. European Journal of Public Health, 17, 630–636.Google Scholar
  33. Kaiser Family Foundation. (2018). Births financed by Medicaid [Data set]. San Francisco, CA: The Henry J. Kaiser Family Foundation. Retrieved from https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
  34. Kalmuss, D., Davidson, A., Cohall, A., Laraque, D., & Cassell, C. (2003). Preventing sexual risk behaviors and pregnancy among teenagers: Linking research and programs. Perspectives on Sexual and Reproductive Health, 35, 87–93.CrossRefGoogle Scholar
  35. Kane, J. B., Morgan, S. P., Harris, K. M., & Guilkey, D. K. (2013). The educational consequences of teen childbearing. Demography, 50, 2129–2150.CrossRefGoogle Scholar
  36. Kearney, M. S., & Levine, P. B. (2007). Socioeconomic disadvantage in early childbearing. In: Jonathan Gruber (Ed.), The problems of disadvantaged youth: An economic perspective (pp. 181–209). Chicago, IL: University of Chicago Press.Google Scholar
  37. Kim, H., Wildeman, C., Jonson-Reid, M., & Drake, B. (2017). Lifetime prevalence of investigating child maltreatment among US children. American Journal of Public Health, 107, 274–280.CrossRefGoogle Scholar
  38. King, B. (2017). First births to maltreated adolescent girls: Differences associated with spending time in foster care. Child Maltreatment, 22, 145–157.CrossRefGoogle Scholar
  39. King, B., Putnam-Hornstein, E., Cederbaum, J. A., & Needell, B. (2014). A cross-sectional examination of birth rates among adolescent girls in foster care. Children and Youth Services Review, 36, 179–186.CrossRefGoogle Scholar
  40. Kost, K., Maddow-Zimet, I., & Arpaia, A. (2017). Pregnancies, births and abortions among adolescents and young women in the United States, 2013: National and state trends by age, race and ethnicity (Report). New York, NY: Guttmacher Institute. Retrieved from https://www.guttmacher.org/report/us-adolescent-pregnancy-trends-2013
  41. Kotch, J. B., Browne, D. C., Ringwald, C. L., Stewart, P. W., Ruina, E., Holt, Holt, K., . . . Jung, J.-W. (1995). Risk of child abuse or neglect in a cohort of low-income children. Child Abuse & Neglect, 19, 1115–1130.Google Scholar
  42. Lee, D. (2010). The early socioeconomic effects of teenage childbearing: A propensity score matching approach. Demographic Research, 23(article 25), 697–736.  https://doi.org/10.4054/DemRes.2010.23.25 CrossRefGoogle Scholar
  43. Levine, J. A., Emery, C. R., & Pollack, H. (2007). The well-being of children born to teen mothers. Journal of Marriage and Family, 69, 105–122.CrossRefGoogle Scholar
  44. Lindsey, D. (1991). Factors affecting the foster care placement decision: An analysis of national survey data. American Journal of Orthopsychiatry, 61, 272–281.CrossRefGoogle Scholar
  45. Maiden, K., Gunter, W. D., Martin, S. S., & Ehrenthal, D. B. (2014). Teen mothers, unintended pregnancies, and costs across Delaware. Delaware Medical Journal, 86, 109–116.Google Scholar
  46. Matta Oshima, K. M., Narendorf, S. C., & McMillen, J. C. (2013). Pregnancy risk among older youth transitioning out of foster care. Children and Youth Services Review, 35, 1760–1765.CrossRefGoogle Scholar
  47. Meade, C. S., Kershaw, T. S., & Ickovics, J. R. (2008). The intergenerational cycle of teenage motherhood: An ecological approach. Health Psychology, 27, 419–429.CrossRefGoogle Scholar
  48. Miller, B. C., Benson, B., & Galbraith, K. A. (2001). Family relationships and adolescent pregnancy risk: A research synthesis. Developmental Review, 21, 1–38.CrossRefGoogle Scholar
  49. Mosher, W. D., Jones, J., & Abma, J. C. (2012). Intended and unintended births in the United States: 1982–2010 (National Health Statistics Reports No. 55). Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data/nhsr/nhsr055.pdf
  50. Noll, J. G., & Shenk, C. E. (2013). Teen birth rates in sexually abused and neglected females. Pediatrics, 131, e1181–e1187.  https://doi.org/10.1542/peds.2012-3072 CrossRefGoogle Scholar
  51. Paranjothy, S., Broughton, H. K., Adappa, R., & Fone, D. (2009). Teenage pregnancy: Who suffers? Archives of Disease in Childhood, 94, 239–245.CrossRefGoogle Scholar
  52. Penman-Aguilar, A., Carter, M., Snead, M. C., & Kourtis, A. P. (2013). Socioeconomic disadvantage as a social determinant of teen childbearing in the US. Public Health Reports, 128(Issue 2, Suppl. 1), 5–22.CrossRefGoogle Scholar
  53. Perper, K., Peterson, K., & Manlove, J. (2010). Diploma attainment among teen mothers (Child Trends Fact Sheet Publication No. 2010-01). Washington, DC: Child Trends.Google Scholar
  54. Plotnick, R. D. (2007). Adolescent expectations and desires about marriage and parenthood. Journal of Adolescence, 30, 943–963.CrossRefGoogle Scholar
  55. Pogarsky, G., Thornberry, T. P., & Lizotte, A. J. (2006). Developmental outcomes for children of young mothers. Journal of Marriage and Family, 68, 332–344.CrossRefGoogle Scholar
  56. Putnam-Hornstein, E., & King, B. (2014). Cumulative teen birth rates among girls in foster care at age 17: An analysis of linked birth and child protection records from California. Child Abuse & Neglect, 38, 698–705.CrossRefGoogle Scholar
  57. Reardon, S. F. (2011). The widening academic achievement gap between the rich and the poor: New evidence and possible explanations. In R. Murnane & G. Duncan (Eds.), Whither opportunity? Rising inequality, schools, and children’s life chances (pp. 91–116). New York, NY: Russell Sage Foundation Press.Google Scholar
  58. Reardon, S. F., Valentino, R. A., & Shores, K. A. (2012). Patterns of literacy among U.S. students. Future of Children, 22(2), 17–37.CrossRefGoogle Scholar
  59. Shanahan, M. E., Runyan, D. K., Martin, S. L., & Kotch, J. B. (2017). The within poverty differences in the occurrence of physical neglect. Children and Youth Services Review, 75, 1–6.CrossRefGoogle Scholar
  60. Shaw, T. V., Barth, R. P., Svoboda, D. V., & Naeem, S. (2010). Fostering safe choices: Final report (Ruth H. Young Center for Families and Children Collection). Baltimore: University of Maryland. Retrieved from http:/hdl.handle.net/10713/3533
  61. Shpiegel, S., Cascardi, M., & Dineen, M. (2017). A social ecology analysis of childbirth among females emancipating from foster care. Journal of Adolescent Health, 60, 563–569.CrossRefGoogle Scholar
  62. Slack, K. S., Font, S., Maguire-Jack, K., & Berger, L. M. (2017). Predicting Child Protective Services (CPS) involvement among low-income U.S. families with young children receiving nutritional assistance. International Journal of Environmental Research and Public Health, 14, e1197.  https://doi.org/10.3390/ijerph14101197 CrossRefGoogle Scholar
  63. Stith, S. M., Liu, T., Davies, L. C., Boykin, E. L., Alder, M. C., Harris, J. M., . . . Dees, J. E. M. E. G. (2009). Risk factors in child maltreatment: A meta-analytic review of the literature. Aggression and Violent Behavior, 14, 13–29.Google Scholar
  64. Stone, S. (2007). Child maltreatment, out-of-home placement and academic vulnerability: A fifteen-year review of evidence and future directions. Children and Youth Services Review, 29, 139–161.CrossRefGoogle Scholar
  65. Svoboda, D. V., Shaw, T. V., Barth, R. P., & Bright, C. L. (2012). Pregnancy and parenting among youth in foster care: A review. Children and Youth Services Review, 34, 867–875.CrossRefGoogle Scholar
  66. U.S. Department of Agriculture. (2017). Trends in Supplemental Nutrition Assistance Program participation rates: Fiscal year 2010 to fiscal year 2015. Washington, DC: Office of Policy Support. Retrieved from https://fns-prod.azureedge.net/sites/default/files/ops/Trends2010-2015.pdf
  67. U.S. Department of Health and Human Services (2013). Child welfare outcomes 2010–2013: Report to Congress. Washington, DC: Children’s Bureau, Administration for Children and Families. Retrieved from http://www.acf.hhs.gov/programs/cb/resource/cwo-10-13
  68. U.S. Department of Health and Human Services. (2017). Child maltreatment 2016. Washington, DC: Children’s Bureau, Administration for Children and Families. Retrieved from https://www.acf.hhs.gov/sites/default/files/cb/cm2016.pdf
  69. Wildeman, C., & Emanuel, N. (2014). Cumulative risks of foster care placement by age 18 for U.S. children, 2000–2011. PLoS One, 9(3), e92785.  https://doi.org/10.1371/journal.pone.0092785 CrossRefGoogle Scholar
  70. Wisconsin Department of Health Services. (2012). Table 4-1 and Table 4-2. Number of births by age of mother and selected characteristics, Wisconsin, 2012 [Data set]. Retrieved from https://www.dhs.wisconsin.gov/stats/births/wisbirths2012.htm
  71. Woodward, L. J., Fergusson, D. M., & Horwood, L. J. (2006). Gender differences in the transition to early parenthood. Development and Psychopathology, 18, 275–294.CrossRefGoogle Scholar

Copyright information

© Population Association of America 2018

Authors and Affiliations

  • Sarah A. Font
    • 1
  • Maria Cancian
    • 2
    • 3
  • Lawrence M. Berger
    • 3
    • 4
  1. 1.Department of Sociology and Criminology and the Child Maltreatment Solutions NetworkPennsylvania State UniversityUniversity ParkUSA
  2. 2.Schools of Public Affairs and Social WorkUniversity of Wisconsin–MadisonMadisonUSA
  3. 3.School of Social WorkInstitute for Research on Poverty, University of Wisconsin–MadisonMadisonUSA
  4. 4.School of Social WorkUniversity of Wisconsin–MadisonMadisonUSA

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