Teenage pregnancy and long-term mental health outcomes among Indigenous women in Canada
Authors: Chloé G. Xavier, Hilary K. Brown, and Anita C. Benoit
Our objectives were to (1) compare the risks for poor long-term mental health outcomes among indigenous women with and without a teenage pregnancy and (2) determine if community and cultural factors modify this risk. We conducted a secondary analysis of the 2012 Aboriginal Peoples Survey. Respondents were women aged 25 to 49 years who had given birth to at least one child. Teenage mothers (age at first birth 13 to 19 years; n=1330) were compared to adult mothers (age at first birth 20 years or older; n=2630). Mental health outcomes were psychological distress, mental health status, suicide ideation/attempt, and alcohol consumption. To address objective 1, we used binary logistic regression analyses before and after controlling for covariates. To address objective 2, we tested the significance of interaction terms between teenage pregnancy status and effect measure modifiers. In unadjusted analyses, teenage pregnancy was associated with increased risk for poor/fair mental health [odds ratio (OR) 1.77, 95% confidence interval (CI) 1.24-2.53] and suicide attempt/ideation (OR 1.95, 95% CI 1.07-3.54). However, the associations were not statistically significant after adjusting for demographic, socioeconomic, environmental, and health covariates. Teenage pregnancy was not associated with increased risk for high psychological distress or heavy alcohol consumption in unadjusted or adjusted analyses. The interaction term for involvement in cultural activities was statistically significant for poor/fair mental health; however, after stratification, ORs were non-significant. Among indigenous mothers, teenage pregnancy was less important than broader social and health circumstances in predicting long-term mental health.
Please note that abstracts only appear in the language of the publication and might not have a translation.
Stephanie Konrad, Alomgir Hossain, Ambikaipakan Senthilselvan, James A. Dosman, and J. Punam Pahwa (2013).
Chronic bronchitis in Aboriginal people - prevalence and associated factors
Chronic Diseases and Injuries in Canada , 218-225
Melanie O'Gorman and Stephen Penner (2018).
Water infrastructure and well-being among First Nations, Métis and Inuit individuals in Canada: What does the data tell us?
Environmental Science and Pollution Research , 33038-33055
Melanie O'Gorman and Manish Pandey (2015).
Explaining low high school attainment in Northern Aboriginal communities: An analysis of the Aboriginal Peoples' Surveys
Canadian Public Policy , 297-308
Erin Mason (2017).
An ecological and life course analysis of binge drinking and problem gambling among Indigenous populations in Canada
Diana Withrow, Abigail Amartey, and Loraine Marrett (2014).
Cancer risk factors and screening in the off-reserve first Nations, Métis, and non-Aboriginal populations of Ontario, Canada
Chronic Diseases and Injuries in Canada