Abstract

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.

Original languageEnglish (US)
Article numberjsn098
Pages (from-to)366-378
Number of pages13
JournalJournal of pediatric psychology
Volume34
Issue number4
DOIs
StatePublished - May 1 2009

Fingerprint

Pregnancy in Adolescence
Sex Offenses
Esocidae
Pregnancy Rate
Meta-Analysis

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

Cite this

@article{ace2ea808c494891ad09679aac415491,
title = "Childhood sexual abuse and adolescent pregnancy: A meta-analytic update",
abstract = "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.",
author = "Noll, {Jennie G.} and Shenk, {Chad Edward} and Putnam, {Karen T.}",
year = "2009",
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doi = "10.1093/jpepsy/jsn098",
language = "English (US)",
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}

Childhood sexual abuse and adolescent pregnancy : A meta-analytic update. / Noll, Jennie G.; Shenk, Chad Edward; Putnam, Karen T.

In: Journal of pediatric psychology, Vol. 34, No. 4, jsn098, 01.05.2009, p. 366-378.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Childhood sexual abuse and adolescent pregnancy

T2 - A meta-analytic update

AU - Noll, Jennie G.

AU - Shenk, Chad Edward

AU - Putnam, Karen T.

PY - 2009/5/1

Y1 - 2009/5/1

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.

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