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This entry provides a brief overview of adolescent parenthood in the United States and its implications for young mothers. It will describe types of prevention and intervention programs for pregnant and parenting adolescents, briefly summarize evaluation findings of these programs, and explore the ways in which the issue of teenage parenthood has been addressed at a policy level.

While adolescent parenthood is not a new issue in the United States, the nature and context of teenage parenthood has changed. In the past, it was common for young, single women who became pregnant to get married or give up their children for adoption. During the last half century, however, young women have become increasingly more likely to keep their children and to be single parents; the proportion of nonmarital teenage births has risen from 13% in the 1950s to 79% in 2000 (Boonstra, 2002). While there has been a considerable decline in the number of adolescent births in the United States, in the last decade, the teenage birth rate is still among the highest of all Western countries (Brooks-Gunn & Chase-Lansdale, 1995; Child Trends, 2001). As an example, adolescent pregnancy rates in the United States were approximately 4 times those in France and Sweden in 2000 (Boonstra, 2002). Almost 480,000 teenage girls gave birth in the United States during that year (Child Trends, 2001).

The changing context of adolescent parenthood has raised concerns about the consequences of teenage childbearing for the mother and the child and has prompted a large body of research on the issue of adolescent parenthood (Brooks-Gunn & Chase-Lansdale, 1995). Studies have shown that teenage mothers are more likely to be single parents, have more children, have lower academic achievement levels, live in poverty, and show poorer parenting skills than older mothers (Brooks-Gunn & Chase-Lansdale, 1995; Coley & Chase-Lansdale, 1998). Furthermore, teenage childbearing has been estimated to cost society $15 billion annually for social services and lost productivity (Maynard, 1996).

Programs for Adolescent Parents

Such negative findings about the life trajectories of young mothers and their children and the resulting cost to society have led to an abundance of programs that address teenage pregnancy and childbearing (Seitz & Apfel, 1999). The majority of these programs are designed to prevent teenage pregnancies, although a significant number of programs focus on teenagers who are already pregnant or parenting. Programs that focus on pregnant or parenting teenagers typically aim to help teenage mothers achieve outcomes that are comparable to those of older mothers (SmithBattle, 2000), and their specific goals generally include some combination of the following: improved educational outcomes, reduced welfare dependency, increased educational and economic achievement, prevented or delayed further childbearing, improved parenting attitudes and behaviors, a safer child-rearing environment, stronger social support systems, better connection with other social services, and finally, better health outcomes for mother and child. Despite the considerable attention that has been paid to the issue of adolescent mothers, little academic or programmatic attention has been paid to teenage fathers.

Evaluations of young-parenting programs have found conflicting results. Some intervention programs have been shown to have beneficial effects on the life of the mothers and their children, such as improved child health outcomes and a reduction in the number of subsequent pregnancies (Olds, Henderson, Tatelbaum, & Chamberlin, 1986). In other programs, however, evaluators have found less encouraging results, and when benefits are demonstrated, they are often modest or accrue only to a subset of families. Even intensive interventions have failed to achieve their goals (Coley & Chase-Lansdale, 1998; Wagner & Clayton, 1999).

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