Online Program

Looking beyond structural processes: Neighborhood effects in communities with elevated and declining teen birth rates

Tuesday, November 5, 2013 : 9:30 a.m. - 9:42 a.m.

Leah Maddock, MPH, Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
Abigail Arons, MPH, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA
Diana Lara, MD, MS., Teen Pregnancy Prevention Program, Institute for Health Policy Studies, San Francisco, CA
Sarah Isquick, BS, Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
Claire Brindis, Dr. P.H, M.P.H., University of California, San Francisco, Bixby Center for Global Reproductive Health /PRL Institute for Health Policy Studies, San Francisco, CA
Teenage pregnancy has been associated with neighborhood-level poverty, mobility, crime, peer pro-childbearing attitudes and low levels of educational attainment among adults. Research has examined the influence of neighborhoods on adolescent development through structural processes, such as poverty and education, however findings from social processes as they relate to adolescent behavior and teenage pregnancy are not conclusive. Our study examined youth and adult community stakeholder perspectives on neighborhood setting, resources, teenage pregnancy and access to reproductive health services. Twenty-two same sex focus groups were conducted with 186 male and female youth in four California counties with elevated or declining teen birth rates. Additionally, 94 interviews were held with adult stakeholders including school personnel, religious leaders, health educators, clinicians, politicians, law enforcement personnel. Results indicate that youth in all communities face a barrage of barriers and enablers to achieving desired pregnancy status, including adult relationships, violence, gang affiliation, apathy, and generational cycles of teen parenting. Interestingly, some factors served as both barriers and enablers, including violence and generational cycles of teen pregnancy. Acceptance of teen childbearing varied by community, though it was generally viewed as more acceptable than in the past, exemplified by baby showers for teen mothers and on-site day care at schools. Stakeholders noted that parents often lacked the necessary knowledge to educate their youth. Youth and adults agreed that parents rarely discuss sexuality, pregnancy, or parenting in depth. Results demonstrate the need for teen pregnancy prevention efforts to incorporate community norms, resources, and parents to better support youth.

Learning Areas:

Assessment of individual and community needs for health education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss neighborhood -level factors related to increased teen birth rates Differentiate the neighborhood barriers from enablers to teen pregnancy prevention identified by youth and adult community members Describe neighborhood-level approaches to teen pregnancy prevention efforts This abstract is submitted as part of a pre-arranged panel entitled,"The California Hot Spots Study: Insights into neighborhood-level factors associated with teenage pregnancy."

Keyword(s): Adolescents, Pregnancy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the study coordinator, collected and analyzed the data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.