Abstract
Despite the declining rate of teen pregnancies in the United States, academic and public health experts have expressed concern over the still relatively high rate of rapid repeat pregnancies among adolescents, particularly among minority youth. Using a sample of over 300 African American female adolescents, the current study used insights from the prototype/willingness model of adolescent risk behavior to explore this risk. More specifically, it assessed the relationship between entry into unwed motherhood during mid-to-late adolescence and changes in prototypes of unmarried pregnant teens. Further, it explored the extent to which these changing prototypes accounted for young mothers’ later contraceptive expectations. We tested the possibility that social images were affected not only by personal experience (the birth of a child) but also by the family and community context in which this experience took place. The findings show that the early entrance into teen motherhood was associated with a shift toward more favorable prototypes of unwed pregnant teens, but that this was only the case for young mothers in disadvantaged contexts. Given this, prototype changes helped to explain the link between teen motherhood and contraceptive expectations only for those in disadvantaged contexts. We discuss these findings in terms of their practical and theoretical implications.
Similar content being viewed by others
References
Alan Guttmacher Institute. (2006). U.S. teenage pregnancy statistics national and state trends and trends by race and ethnicity. New York: Guttmacher Institute.
Amato, P. R., Landale, N. S., Havasevich-Brooks, T. C., Booth, A., Eggebeen, D. J., Schoen, R., et al. (2008). Precursors of young women’s family formation pathways. Journal of Marriage and Family, 70(5), 1271–1286.
Arai, L. (2007). Peer and neighbourhood influences on teenage pregnancy and fertility: Qualitative findings from research in English communities. Health & Place, 13(1), 87–98.
Black, M. M., Bentley, M. E., Papas, M. A., Oberlander, S., Teti, L. O., McNary, S., et al. (2006). Delaying second births among adolescent mothers: A randomized, controlled trial of a home-based mentoring program. Pediatrics, 118(4), E1087–E1099. doi:10.1542/peds.2005-2318.
Blanton, H., Vandeneijnden, R. J. J. M., Buunk, B., Gibbons, F. X., Gerrard, M., & Bakker, A. (2001). Accentuate the negative: Social images in the prediction and promotion of condom use. Journal of Applied Social Psychology, 31(2), 274–295.
Bouris, A., Guilamo-Ramos, V., Cherry, K., Dittus, P., Michael, S., & Gloppen, K. (2012). Preventing rapid repeat births among Latina adolescents: The role of parents. American Journal of Public Health, 102(10), 1842–1847.
Bryant, C. M., Wickrama, K. A. S., Bollard, J., Bryant, B., Cutrona, C. E., & Stank, C. E. (2010). Race matters, even in marriage: Identifying factors linked to marital outcomes for African Americans. Journal of Family Theory and Review, 2(3), 157–174.
Caliendo, M., & Kopeinig, S. (2005). Some practical guidance for the implementation of propensity score matching: Discussion Paper No. 1588. Bonn, Germany: Institute for the Study of Labor.
Cartmill, R. S. V., & Bromham, D. R. (1996). The impact of an unplanned pregnancy and termination on intended future contraception: Implications for reproductive health promotion. British Journal of Family Planning, 22(1), 2–5.
Centers for Disease Control and Prevention. (2008). Sexually transmitted disease surveillance 2007. Atlanta: Department of Health and Human Services.
Clemmens, D. (2003). Adolescent motherhood: A meta-synthesis of qualitative studies. MCN: The American Journal of Maternal Child Nursing, 28(2), 93–99.
Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.
Collins, P. H. (1990). Mammies, matriarchs, and other controlling images black feminist thought: Knowledge, consciousness, and the politics of empowerment (pp. 67–90). Boston: Unwin Hyman.
Collins, P. H. (2004). Black sexual politics: African Americans, gender, and the new racism. New York: Routledge.
Copeland-Linder, N., Lambert, S. F., Chen, Y.-F., & Ialongo, N. S. (2011). Contextual stress and health risk behaviors among African American adolescents. Journal of Youth and Adolescence, 40(2), 158–173.
Crittenden, C. P., Boris, N. W., Rice, J. C., Taylor, C. A., & Olds, D. L. (2009). The role of mental health factors, behavioral factors, and past experiences in the prediction of rapid repeat pregnancy in adolescence. Journal of Adolescent Health, 44(1), 25–32.
Edin, K., & Kefalas, M. (2005). Promises I can keep: Why poor women put motherhood before marriage. Los Angeles: University of California Press.
Edin, K., Tach, L., & Mincy, R. (2009). Claiming fatherhood: Race and the dynamics of paternal involvement among unmarried men. Annals of the American Academy of Political and Social Science, 621(1), 149–177.
Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7(2), 117–140.
Fisher, J., & Mason, R. (1981). The analysis of multicollinear data in criminology. In J. A. Fox (Ed.), Methods in quantitative criminology (pp. 99–125). New York: Academic Press.
Furstenberg, F. F. (2003). Teenage childbearing as a public issue and private concern. Annual Review of Sociology, 29(1), 23–39.
Furstenberg, F. F. (2007). Destinies of the disadvantaged: The politics of teen childbearing. New York, NY: Russell Sage Foundation.
Furstenberg, F. F. (2009). If Moynihan had only known: Race, class, and family change in the late twentieth century. The Annals of the American Academy of Political and Social Science, 621(1), 94–110.
Geronimus, A. T. (2003). Damned if you do: Culture, identity, privilege, and teenage childbearing in the United States. Social Science and Medicine, 57(5), 881–893.
Gerrard, M., Gibbons, F. X., Benthin, A. C., & Hessling, R. M. (1996). A longitudinal study of the reciprocal nature of risk behaviors and cognitions in adolescents: What you do shapes what you think, and vice versa. Health Psychology, 15(5), 344–354.
Gerrard, M., Gibbons, F. X., Brody, G. H., Murry, V. M., Cleveland, M. J., & Wills, T. A. (2006). A theory-based dual-focus alcohol intervention for preadolescents: The strong African American families program. Psychology of Addictive Behaviors, 20(2), 185–195.
Gerrard, M., Gibbons, F. X., Houlihan, A. E., Stock, M. L., & Pomery, E. A. (2008). A dual-process approach to health risk decision making: The prototype willingness model. Developmental Review, 28(1), 29–61.
Gerrard, M., Gibbons, F. X., Reis-Bergan, M., Trudeau, L., Vande Lune, L. S., & Buunk, B. (2002). Inhibitory effects of drinker and nondrinker prototypes on adolescent alcohol consumption. Health Psychology, 21(6), 601–609.
Gerrard, M., Gibbons, F. X., Stock, M. L., Vande Lune, L., & Cleveland, M. J. (2005). Images of smokers and willingness to smoke among African American pre-adolescents: An application of the prototype/willingness model of adolescent health risk behavior to smoking initiation. Journal of Pediatric Psychology, 30(4), 305–318.
Gibbons, F. X., & Gerrard, M. (1995). Predicting young adults’ health risk behavior. Journal of Personality and Social Psychology, 69(3), 505–517.
Gibbons, F. X., & Gerrard, M. (1997). Health images and their effects on health behavior. In B. P. Buunk & F. X. Gibbons (Eds.), Health, coping, and well-being: Perspectives from social comparison theory (pp. 63–94). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
Gibbons, F. X., Gerrard, M., & Boney McCoy, S. (1995). Prototype perception predicts (lack of) pregnancy prevention. Personality and Social Psychology Bulletin, 21(1), 85–93.
Gibbons, F. X., Gerrard, M., & Lane, D. J. (2003). A social reaction model of adolescent health risk. In J. Suls & K. A. Wallston (Eds.), Social psychological foundations of health and illness. Blackwell series in health psychology and behavioral medicine (pp. 107–136). Malden: Blackwell Publishing.
Gibbons, F. X., Gerrard, M., Lane, D. J., Mahler, H. I. M., & Kulik, J. A. (2005). Using UV photography to reduce use of tanning booths: A test of cognitive mediation. Health Psychology, 24(4), 358–363.
Goldner, J., Peters, T. L., Richards, M. H., & Pearce, S. (2011). Exposure to community violence and protective and risky contexts among low income urban African American adolescents: A prospective study. Journal of Youth and Adolescence, 40(2), 174–186.
Harding, D. J. (2007). Cultural context, sexual behavior, and romantic relationships in disadvantaged neighborhoods. American Sociological Review, 72(3), 341–364.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for the fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.
Kalmuss, D. S. (1986). Contraceptive use: A comparison between ever- and never-pregnant adolescents. Journal of Adolescent Health Care, 7(5), 332–337.
Kirkman, M., Harrison, L., Hillier, L., & Pyett, P. (2001). ‘I know I’m doing a good job’: Canonical and autobiographical narratives of teenage mothers. Culture, Health & Sexuality, 3(3), 279–294.
Kogan, S. M., Simons, L. G., Chen, Y. F., Burwell, S. B., & Brody, G. (in press). Protective parenting, relationship power equity, and condom use among rural African Americans in emerging adulthood. Family Relations.
Lanctot, N., & Smith, C. A. (2001). Sexual activity, pregnancy, and deviance in a representative urban sample of African American girls. Journal of Youth and Adolescence, 30(3), 349–372.
Lansford, J. E., Yu, T., Erath, S. A., Pettit, G. S., Bates, J. E., & Dodge, K. A. (2010). Developmental precursors of number of sexual partners from ages 16 to 22. Journal of Research on Adolescence, 20(3), 651–677.
Meade, C. S., & Ickovics, J. R. (2005). Systematic review of sexual risk among pregnant and mothering teens in the USA: Pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy. Social Science and Medicine, 60(4), 661–678.
Miller, J. (2008). Getting played: African American girls, urban inequality, and gendered violence. New York: New York University Press.
Nunnally, J. C. (1978). Psychometric theory. New York, NY: McGraw-Hill.
Orcutt, H. K., & Cooper, M. L. (1997). The effects of pregnancy experience on contraceptive practice. Journal of Youth and Adolescence, 26(6), 763–778.
Paukku, M., Quan, J., Darney, P., & Raine, T. (2003). Adolescents’ contraceptive use and pregnancy history: Is there a pattern? Obstetrics and Gynecology, 101(3), 534–538.
Pazol, K., Warner, L., Gavin, L., Callaghan, W. M., Spitz, A. M., Anderson, J. E., et al. (2012). Vital signs: Teen pregnancy—United States, 1991–2009. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, 60(13), 414–420.
Raftery, A. E. (1995). Bayesian model selection in social research. Sociological Methodology, 25(1), 111–163.
Rosengard, C. (2009). Confronting the intendedness of adolescent rapid repeat pregnancy. Journal of Adolescent Health, 44(1), 5–6.
Rosengard, C., Pollock, L., Weitzen, S., Meers, A., & Phipps, M. G. (2006). Concepts of the advantages and disadvantages of teenage childbearing among pregnant adolescents: A qualitative analysis. Pediatrics, 118(2), 503–510.
Schelar, E., Franzetta, K., & Manlove, J. (2007). Repeat teen childbearing: Differences across states and by race and ethnicity. Child Trends Research Brief no. 2007–23, pp. 1–7.
Seamark, C. J., & Lings, P. (2004). Positive experiences of teenage motherhood: A qualitative study. British Journal of General Practice, 54(508), 813–818.
Simons, L. G., Simons, R. L., Conger, R. D., & Brody, G. H. (2004). Collective socialization and child conduct problems: A multilevel analysis with an African American sample. Youth & Society, 35(3), 267–292.
Simons, R. L., Lin, K.-H., Gordon, L. C., Brody, G. H., Murry, V., & Conger, R. (2002a). Community differences in the association between parenting practices and child conduct problems. Journal of Marriage and Family, 64(2), 331–345.
Simons, R. L., Murry, V., McLoyd, V., Lin, K.-H., Cutrona, C., & Conger, R. D. (2002b). Discrimination, crime, ethnic identity, and parenting as correlates of depressive symptoms among African American children: A multilevel analysis. Development and Psychopathology, 14(2), 371–393.
Simons, R. L., Simons, L. G., Lei, M. K., & Landor, A. M. (2012). Relational schemas, hostile romantic relationships, and beliefs about marriage among young African American adults. Journal of Social and Personal Relationships, 29(1), 77–101.
South, S. J., & Crowder, K. (2010). Neighborhood poverty and nonmarital fertility: Spatial and temporal dimensions. Journal of Marriage and Family, 72(1), 89–104.
Spijkerman, R., Van Den Eijnden, R. J. J. M., & Engels, R. C. M. E. (2007). Perceptions of smoking and nonsmoking peers: The value of smoker and nonsmoker prototypes in predicting smoking onset and regular smoking among adolescents. Health Education & Behavior, 34(6), 897–910.
Spijkerman, R., van den Eijnden, R. J. J. M., Vitale, S., & Engels, R. C. M. E. (2004). Explaining adolescents’ smoking and drinking behavior: The concept of smoker and drinker prototypes in relation to variables of the theory of planned behavior. Addictive Behaviors, 29(8), 1615–1622.
StataCorp. (2011). Stata statistical software: Release 12. College Station, TX: StataCorp LP.
Stevens-Simon, C., Kelly, L., & Singer, D. (1996). Absence of negative attitudes toward childbearing among pregnant teenagers: A risk factor for a rapid repeat pregnancy? Archives of Pediatrics and Adolescent Medicine, 150(10), 1037–1043.
Tesser, A. (2007). Toward a self-evaluation maintenance model of social behavior. In D. A. Stapel & H. Blanton (Eds.), Social comparison theories: Key readings (pp. 105–120). New York: Psychology Press.
Thornton, B., Gibbons, F. X., & Gerrard, M. (2002). Risk perception and prototype perception: Independent processes predicting risk behavior. Personality and Social Psychology, 28(7), 986–999.
Wickrama, K. A. S., & Noh, S. (2010). The long arm of community: The influence of childhood community contexts across the early life course. Journal of Youth and Adolescence, 39(8), 894–910.
Wilson, H., & Huntington, A. (2006). Deviant (M)Others: The construction of teenage motherhood in contemporary discourse. Journal of Social Policy, 35(1), 59–76.
Wilson, E. K., Samandari, G., Koo, H. P., & Tucker, C. (2011). Adolescent mothers’ postpartum contraceptive use: A qualitative study. Perspectives on Sexual and Reproductive Health, 43(4), 230–237.
Acknowledgments
This research was supported by the National Institute of Mental Health (MH48165, MH62669) and the Center for Disease Control (029136-02). Additional funding for this project was provided by the National Institute on Drug Abuse, the National Institute on Alcohol Abuse and Alcoholism, and the Iowa Agriculture and Home Economics Experiment Station (Project #3320).
Author contributions
ABB conceived of the study, performed the statistical analyses, and authored the manuscript; RLS participated in the study design and interpretation of the data; LGS participated in the study design, interpretation of the data, and helped draft manuscript revisions. FXG participated in the study design, interpretation of the data, and helped draft manuscript revisions. MG participated in the study design, interpretation of the data, and helped draft manuscript revisions. All authors have read and approved the final manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Barr, A.B., Simons, R.L., Simons, L.G. et al. Teen Motherhood and Pregnancy Prototypes: The Role of Social Context in Changing Young African American Mothers’ Risk Images and Contraceptive Expectations. J Youth Adolescence 42, 1884–1897 (2013). https://doi.org/10.1007/s10964-013-9912-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10964-013-9912-x