Teenage pregnancy and long-term mental health outcomes among Indigenous women in Canada
Our objectives were to (1) compare the risks for poor long-term mental health outcomes among indigenous women with and without a teenage pregnancy and (2) determine if community and cultural factors modify this risk. We conducted a secondary analysis of the 2012 Aboriginal Peoples Survey. Respondents were women aged 25 to 49 years who had given birth to at least one child. Teenage mothers (age at first birth 13 to 19 years; n = 1330) were compared to adult mothers (age at first birth 20 years or older; n = 2630). Mental health outcomes were psychological distress, mental health status, suicide ideation/attempt, and alcohol consumption. To address objective 1, we used binary logistic regression analyses before and after controlling for covariates. To address objective 2, we tested the significance of interaction terms between teenage pregnancy status and effect measure modifiers. In unadjusted analyses, teenage pregnancy was associated with increased risk for poor/fair mental health [odds ratio (OR) 1.77, 95% confidence interval (CI) 1.24–2.53] and suicide attempt/ideation (OR 1.95, 95% CI 1.07–3.54). However, the associations were not statistically significant after adjusting for demographic, socioeconomic, environmental, and health covariates. Teenage pregnancy was not associated with increased risk for high psychological distress or heavy alcohol consumption in unadjusted or adjusted analyses. The interaction term for involvement in cultural activities was statistically significant for poor/fair mental health; however, after stratification, ORs were non-significant. Among indigenous mothers, teenage pregnancy was less important than broader social and health circumstances in predicting long-term mental health.
KeywordsPregnancy in adolescence Maternal health Mental health Indigenous population
This research was supported by funds to the Canadian Research Data Centre Network (CRDCN) from the Social Sciences and Humanities Research Council (SSHRC), the Canadian Institute for Health Research (CIHR), the Canadian Foundation for Innovation (CFI), and Statistics Canada. Our research was also funded by Aboriginal Affairs and Northern Development Canada to support analysis of the 2012 Aboriginal Peoples Survey. Although the research and analysis are based on data from Statistics Canada, the opinions expressed do not represent the views of Statistics Canada.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- Anderson K (2011) Life stages and native women: memory, teachings, and story medicine. University of Manitoba Press, Winnipeg, ManitobaGoogle Scholar
- Bougie E, Arim RG, Kohen DE, Findlay LC (2016) Validation of the 10-item Kessler psychological distress scale (K10) in the 2012 aboriginal peoples survey 27:3–10. Retrieved from: http://www.statcan.gc.ca/pub/82-003-x/2016001/article/2014307-eng.pdf
- Canadian Mental Health Association ON (2008) The relationship between mental health, mental illness and chronic physical conditions. Can Mental Health Assoc Ont:1–9 Retrieved from: http://ontario.cmha.ca/public_policy/the-relationship-between-mental-health-mental-illness-and-chronic-physical-conditions/#.WMw99vnytPY
- Cardinal D, Cardinal C, Waugh E, Baddour D (2013) Voices from the land: reflections on teenaged pregnancy in aboriginal communities today—the voice of traditional healers. Int Indig Policy J 4(1). 10.18584/iipj.2013.4.1.7
- Cloutier E, Langlet É (2014) Aboriginal peoples survey. Concepts Methods Guide 2012:16–25 Retrieved from: http://www.statcan.gc.ca/pub/89-653-x/689-653-x2013002-eng.pdf
- Cooke M (2013) “And then I got pregnant”: early childbearing and first nations life course. Int Indig Policy J 4(1). 10.18584/iipj.2013.4.1.6
- Frideres JS (2016) Introductions in: first nations people in Canada. Oxford University Press, Don Mills p ix of 252Google Scholar
- Guimond E, Robitaille N (2008) When teenage girls have children: trends and consequences. Horizons 10:49–51 Retrieved from: http://publications.gc.ca/collections/collection_2008/policyresearch/CP2012-2001-2010-2001E.pdf Google Scholar
- O'Donnell V, Wallace S (2011) Women in Canada: a gender-based statistical report—chapter 8 First Nations, Métis and Inuit Women:205–249. Retrieved from: http://www.statcan.gc.ca/pub/289-503-x/289-503-x2010001-eng.pdf
- Stallman HM, McDermott BM, Beckmann MM, Wilson MK, Adam K (2010) Women who miscarry: the effectiveness and clinical utility of the Kessler 10 questionnaire in screening for ongoing psychological distress. Aust N Z J Obstet Gynaecol 50(1):70–76. https://doi.org/10.1111/j.1479-828X.2009.01110.x CrossRefPubMedGoogle Scholar
- Turner A, Crompton S, Langlois S (2013) Aboriginal peoples in Canada: first nations people. Métis Inuit:1–23 Retrieved from: http://www12.statcan.gc.ca/nhs-enm/2011/as-sa/2099-2011-x/2099-2011-x2011001-eng.pdf