Cited by 314Adolescent Sexual and Reproductive HealthChild and Adolescent Psychosocial and Emotional DevelopmentMaternal Mental Health During Pregnancy and Postpartum

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Social consequences of psychiatric disorders, II: Teenage parenthood

Ronald C. Kessler, Patricia A. Berglund, C L Foster, W. Brian Saunders, Paul Stang, Ellen E. Walters·1997·American Journal of Psychiatry

DOI 10.1176/ajp.154.10.1405

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Abstract

OBJECTIVE: The subject of this study was the relation between retrospectively reported early-onset psychiatric disorders and subsequent teenage parenthood in the general population. METHOD: The data were from 5,877 respondents aged 15-54 years in the National Comorbidity Survey, a nationally representative household survey. Information on respondents' DSM-III-R anxiety disorders, mood disorders, substance abuse disorders, and conduct disorder, age at the birth of the first child, and teenage sexual activity was collected in face-to-face interviews. RESULTS: Early-onset psychiatric disorders were associated with subsequent teenage parenthood among both females and males, with significant odds ratios of 2.0-12.0 and population attributable risk proportions of 6.2%-33.7%. Disaggregation analyses showed that disorders were associated with increased probability of sexual activity but not with decreased probability of using contraception. CONCLUSIONS: These results add to a growing body of evidence that psychiatric disorders are associated with a variety of adverse life consequences. The current policy debate concerning universal insurance coverage needs to take this into consideration. Planners of interventions aimed at preventing teenage pregnancy should consider including a mental health treatment component in their intervention packages. Mental health professionals treating adolescents need to be sensitized to their higher risk of pregnancy, while family doctors and specialists treating teenage mothers or their children need to be sensitized to the mothers' higher risk of psychiatric disorder.

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Authors: Kessler, R. C., Berglund, P. A., Foster, C. L., Saunders, W. B., Stang, P., & Walters, E. E.
Affiliations: Harvard University (US)
ORCID: Ronald C. Kessler
Patricia A. Berglund
W. Brian Saunders
Paul Stang
Ellen E. Walters
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 1997-10-01
Volume: 154
Issue: 10
Pages: 1405-1411
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/ajp.154.10.1405
OpenAlex: W1241963946
Cited by: 314
References: 32
Citations by year: 2026: 1 · 2025: 2 · 2024: 1 · 2023: 6 · 2022: 5 · 2021: 4 · 2020: 9 · 2019: 6 · 2018: 9 · 2017: 13 · 2016: 10 · 2015: 7 · 2014: 19 · 2013: 15 · 2012: 16
FWCI: 15.08
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r01mh052861-04)
National Institute of Mental Health (MH52861, R01MH046376, MH-49098, MH 46376, R01MH049098)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords: teenage parenthood, adolescent mental health, adolescent pregnancy, teenage sexual activity, contraceptive use, anxiety disorders, mood disorders, substance use disorders, conduct disorder, National Comorbidity Survey, population attributable risk, mental health policy
MeSH terms: Adolescent, Adult, Mental Disorders, Contraception Behavior, Delivery of Health Care, Female, Humans, Illegitimacy, Insurance, Health, Maternal Age, Parents, Paternal Age, Pregnancy, Pregnancy in Adolescence, Retrospective Studies, Risk Factors, Sexual Behavior, Social Welfare, United States, Comorbidity, Odds Ratio, Age Distribution, Health Care Reform

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Social consequences of psychiatric disorders, II: Teenage parenthood

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