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ARTICLE Depressive Symptoms and Rapid Subsequent Pregnancy in Adolescent Mothers Beth Barnet, MD; Jiexin Liu, PhD, MBA, MS; Margo DeVoe, MS Objective: To examine whether depressive symptoms Results: Among teens completing at least 1 follow-up are a risk factor for a subsequent pregnancy in adoles- questionnaire, baseline depressive symptoms were pres- cent mothers. ent in 46%. A subsequent pregnancy by 2 years post par- tum was experienced by 49%, with a mean (SD) time to Design: Secondary analysis from a longitudinal risk- first subsequent pregnancy of 11.4 (5.8) months. De- reduction intervention. pressive symptoms were associated with increased risk of subsequent pregnancy in both unadjusted models (haz- Setting: Five community-based prenatal sites in Balti- ard ratio, 1.44; 95% confidence interval, 1.01-2.03) and more, Maryland. adjusted models (hazard ratio, 1.44; 95% confidence in- terval, 1.00-2.01). Participants: Two hundred sixty-nine consenting teens, predominantly African American and with low income, Conclusions: Depressive symptoms may be an indepen- who received prenatal care at any of the 5 community- dent risk factor for subsequent pregnancy in African based prenatal sites and completed follow-up question- American adolescent mothers. Because depression is treat- naires at 1 or 2 years post partum. able, future studies should evaluate
JAMA Pediatrics – American Medical Association
Published: Mar 1, 2008
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