County-Level Clustering and Characteristics of Repeat Versus First Teen Births in the United States, 2015-2017

doi:10.1016/j.jadohealth.2019.05.031

. 2019 Nov;65(5):674-680.

doi: 10.1016/j.jadohealth.2019.05.031. Epub 2019 Aug 30.

County-Level Clustering and Characteristics of Repeat Versus First Teen Births in the United States, 2015-2017

Julie Maslowsky¹, Daniel Powers², C Emily Hendrick³, Leila Al-Hamoodah⁴

Affiliations

¹ Department of Kinesiology and Health Education, College of Education, University of Texas at Austin, Austin, Texas. Electronic address: maslowsky@austin.utexas.edu.
² Department of Sociology, College of Liberal Arts, University of Texas at Austin, Austin, Texas.
³ Department of Obstetrics and Gynecology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.
⁴ Lyndon B. Johnson School of Public Affairs, University of Texas at Austin, Austin, Texas.

PMID: 31474434
PMCID: PMC6814573
DOI: 10.1016/j.jadohealth.2019.05.031

County-Level Clustering and Characteristics of Repeat Versus First Teen Births in the United States, 2015-2017

Julie Maslowsky et al. J Adolesc Health. 2019 Nov.

. 2019 Nov;65(5):674-680.

doi: 10.1016/j.jadohealth.2019.05.031. Epub 2019 Aug 30.

Authors

Julie Maslowsky¹, Daniel Powers², C Emily Hendrick³, Leila Al-Hamoodah⁴

Affiliations

¹ Department of Kinesiology and Health Education, College of Education, University of Texas at Austin, Austin, Texas. Electronic address: maslowsky@austin.utexas.edu.
² Department of Sociology, College of Liberal Arts, University of Texas at Austin, Austin, Texas.
³ Department of Obstetrics and Gynecology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.
⁴ Lyndon B. Johnson School of Public Affairs, University of Texas at Austin, Austin, Texas.

PMID: 31474434
PMCID: PMC6814573
DOI: 10.1016/j.jadohealth.2019.05.031

Erratum in

Erratum.
[No authors listed] [No authors listed] J Adolesc Health. 2020 Jun;66(6):758-760. doi: 10.1016/j.jadohealth.2020.03.020. J Adolesc Health. 2020. PMID: 32473723 No abstract available.

Abstract

Purpose: Approximately 16% of U.S. births to women aged 15-19 years are repeat (second or higher order) births. Repeat teen mothers are at elevated risk for poor perinatal outcomes. Geographic clustering and correlates of repeat teen birth are unknown.

Methods: Data from birth certificates on N = 629,939 teen births in N = 3,108 U.S. counties in 2015-2017 were merged with data on county-level demographic, socioeconomic, and health provider characteristics. We identified contiguous clusters of counties with significantly elevated rates of first teen births only, repeat teen births, both, or neither between 2015 and 2017 and compared demographic, socioeconomic, and medical provider characteristics of counties between 2010 and 2016 in each cluster type.

Results: A total of 193 counties (6.21%) had high rates of repeat births only; 504 (16.22%) had high rates of first teen birth only; 991 (31.89%) had high rates of both repeat and first teen births; and 1,420 (45.69%) had neither. Counties with high repeat (vs. first only) birth rates had higher rates of poverty and unemployment, higher levels of income inequality, lower high school graduation rates, a higher share of racial and ethnic minority residents, fewer publicly funded family planning clinics per capita, and more women receiving contraceptive services at publicly funded clinics.

Conclusions: First and repeat teen births cluster in differentially resourced geographic areas. Counties with high repeat teen birth rates have lower socioeconomic conditions than counties with high rates of first teen births only. These counties are more reliant on publicly funded family planning clinics but have fewer of them per capita.

Keywords: Adolescent; Birth certificates; Birth rate; Geographic mapping; Pregnancy in adolescence; United States.

PubMed Disclaimer

Figures

**Figure 1.**
Clusters of counties with elevated first and repeat teen births. Each non-adjacent cluster appearing in the figure represents a statistically separate cluster identified in the analysis.

See this image and copyright information in PMC

Cited by

Cocreating First Steps, a Toolkit to Improve Adolescent Sexual and Reproductive Health Services: Qualitative Human-Centered Design Study With Hispanic and Black Adolescent Mothers in New York City.
Gerchow L, Lanier Y, Fayard AL, Squires A. Gerchow L, et al. JMIR Pediatr Parent. 2024 Nov 19;7:e60692. doi: 10.2196/60692. JMIR Pediatr Parent. 2024. PMID: 39560978 Free PMC article.
Adolescent birth rates and the urban social environment in 363 Latin American cities.
Braverman-Bronstein A, Vidaña-Pérez D, Ortigoza AF, Baldovino-Chiquillo L, Diez-Canseco F, Maslowsky J, Sánchez BN, Barrientos-Gutiérrez T, Diez Roux AV. Braverman-Bronstein A, et al. BMJ Glob Health. 2022 Oct;7(10):e009737. doi: 10.1136/bmjgh-2022-009737. BMJ Glob Health. 2022. PMID: 36253017 Free PMC article.
Changes in Adolescent Birth Rates within Appalachian Subregions and Non-Appalachian Counties in the United States, 2012-2018.
Hale N, Tatro K, Orimaye SO, Smith M, Meit M, Beatty KE, Khoury A. Hale N, et al. J Appalach Health. 2022 Feb 13;4(1):31-50. doi: 10.13023/jah.0401.05. eCollection 2022. J Appalach Health. 2022. PMID: 35769510 Free PMC article.
Health Behaviors and Prenatal Health Conditions in Repeat Vs First-time Teenage Mothers in the United States: 2015-2018.
Maslowsky J, Stritzel H, Al-Hamoodah L, Hendrick CE, Powers D, Barrientos-Gutierrez T, Santelli J. Maslowsky J, et al. J Pediatr Adolesc Gynecol. 2021 Feb;34(1):47-53. doi: 10.1016/j.jpag.2020.08.003. Epub 2020 Aug 8. J Pediatr Adolesc Gynecol. 2021. PMID: 32781232 Free PMC article.
Socioeconomic well-being in early adulthood among repeat versus one-time teenage mothers.
Cone JN, Hendrick CE, Owotomo O, Al-Hamoodah L, Maslowsky J. Cone JN, et al. Youth Soc. 2021 Oct 1;53:1090-1110. doi: 10.1177/0044118x19892455. Epub 2019 Dec 10. Youth Soc. 2021. PMID: 34565925 Free PMC article.

See all "Cited by" articles

References

1. Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2017 Hyattsville, MD: National Center for Health Statistics; 2018:1–50. https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf. - PubMed
1. U.S. Centers for Disease Control and Prevention. U.S. Vital Statistics Natality files, 2015–2017 https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm
1. Gavin L, Warner L, O’Neil ME, et al. Vital signs: Repeat births among teens—United States, 2007–2010. MMWR Morb Mortal Wkly Rep 2013; 62(13):249–255. - PMC - PubMed
1. Manlove J, Mariner C, Papillo AR. Subsequent fertility among teen mothers: Longitudinal analyses of recent national data. J Marriage Fam 2000;62(2):430–448.
1. Furstenberg FF Jr, Brooks-Gunn J, Morgan SP. Adolescent mothers in later life Cambridge (UK): Cambridge University Press; 1987. - PubMed

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources
Medical
- MedlinePlus Health Information

[1] Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2017 Hyattsville, MD: National Center for Health Statistics; 2018:1–50. https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf. - PubMed

[2] Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2017 Hyattsville, MD: National Center for Health Statistics; 2018:1–50. https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf. - PubMed

[3] U.S. Centers for Disease Control and Prevention. U.S. Vital Statistics Natality files, 2015–2017 https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm

[4] U.S. Centers for Disease Control and Prevention. U.S. Vital Statistics Natality files, 2015–2017 https://www.cdc.gov/nchs/data_access/vitalstatsonline.htm

[5] Gavin L, Warner L, O’Neil ME, et al. Vital signs: Repeat births among teens—United States, 2007–2010. MMWR Morb Mortal Wkly Rep 2013; 62(13):249–255. - PMC - PubMed

[6] Gavin L, Warner L, O’Neil ME, et al. Vital signs: Repeat births among teens—United States, 2007–2010. MMWR Morb Mortal Wkly Rep 2013; 62(13):249–255. - PMC - PubMed

[7] Manlove J, Mariner C, Papillo AR. Subsequent fertility among teen mothers: Longitudinal analyses of recent national data. J Marriage Fam 2000;62(2):430–448.

[8] Manlove J, Mariner C, Papillo AR. Subsequent fertility among teen mothers: Longitudinal analyses of recent national data. J Marriage Fam 2000;62(2):430–448.

[9] Furstenberg FF Jr, Brooks-Gunn J, Morgan SP. Adolescent mothers in later life Cambridge (UK): Cambridge University Press; 1987. - PubMed

[10] Furstenberg FF Jr, Brooks-Gunn J, Morgan SP. Adolescent mothers in later life Cambridge (UK): Cambridge University Press; 1987. - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

County-Level Clustering and Characteristics of Repeat Versus First Teen Births in the United States, 2015-2017

Affiliations

County-Level Clustering and Characteristics of Repeat Versus First Teen Births in the United States, 2015-2017

Authors

Affiliations

Erratum in

Abstract

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical