Citation

Sipsma H, Biello KB, Cole-Lewis H, Kershaw T. Am. J. Public Health 2010; 100(3): 517-524.

Affiliation

Yale School of Public Health, Center for Interdisciplinary Research on AIDS, Yale University.

Copyright

(Copyright © 2010, American Public Health Association)

DOI

10.2105/AJPH.2009.177600

PMID

20075312

PMCID

PMC2820067

Abstract

Objectives. Strong evidence exists to support an intergenerational cycle of adolescent fatherhood, yet such a cycle has not been studied. We examined whether paternal adolescent fatherhood (i.e., father of study participant was age 19 years or younger when his first child was born) and other factors derived from the ecological systems theory predicted participant adolescent fatherhood. Methods. Data included 1496 young males who were interviewed annually from the National Longitudinal Survey of Youth 1997. Cox regression survival analysis was used to determine the effect of paternal adolescent fatherhood on participant adolescent fatherhood. Results. Sons of adolescent fathers were 1.8 times more likely to become adolescent fathers than were sons of older fathers, after other risk factors were accounted for. Additionally, factors from each ecological domain-individual (delinquency), family (maternal education), peer (early adolescent dating), and environment (race/ethnicity, physical risk environment)-were independent predictors of adolescent fatherhood. Conclusions. These findings support the need for pregnancy prevention interventions specifically designed for young males who may be at high risk for continuing this cycle. Interventions that address multiple levels of risk will likely be most successful at reducing pregnancies among partners of young men.

Language: en