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Young Adult Outcomes Associated with Teen Pregnancy Among High-Risk Girls in an RCT of Multidimensional Treatment Foster Care

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Abstract
  • Teen pregnancy is associated with a host of deleterious outcomes for girls such as drug use and poor parenting. Thus, reducing teen pregnancy rates could improve long-term developmental outcomes for girls, improving adjustment during young adulthood. Based on the positive effects of Multidimensional Treatment Foster Care (MTFC) relative to group care (GC) in a study of adolescent girls—significantly fewer pregnancies reported in the 2-year follow-up for MTFC girls—the present study followed this sample into young adulthood (approximately 7 years post-baseline) to examine the effects of adolescent pregnancy on young adult substance use and pregnancy-related outcomes. All participants were randomly assigned to MTFC (n = 81) or GC (n = 85) as adolescents as part of two RCTs. Results from logistic regression analyses indicated that becoming pregnant during the 2-year follow-up was significantly related to illicit drug use, miscarriage from a new pregnancy, and child welfare involvement at 7 years post-baseline. In addition, baseline marijuana use predicted marijuana use at 7 years post-baseline.
  • Keywords: juvenile justice, young adulthood, teen pregnancy, RCT, drug use
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  • Leve, L.D., Kerr, D.C.R., & Harold, G.T. (2013). Young adult outcomes associated with teen pregnancy among high-risk girls in a randomized controlled trial of multidimensional treatment foster care. Journal of Child & Adolescent Substance Abuse, 22(5), 421-434. doi:10.1080/1067828X.2013.788886
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  • 22
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  • 5
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  • Support for this research was provided by the Oregon Youth Authority and by the following grants: DA015208, DA024672, and DA023920, NIDA, U.S. PHS, and MH054257, NIMH, U.S. PHS.
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