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Record identifier : 568806
Personal Name - Primary Intelectual Responsibility : Liberatos, Penny
Title and statement of responsibility : Pathways to poor health outcomes for children of low income teen mothers [Thesis]
Publication, Distribution,Etc. : Columbia University, 2007
Language of the Item : eng
Dissertation of thesis details and type of degree : Ph.D
Body granting the degree : , Columbia University
Summary or Abstract : Background. Child-bearing during adolescence is a serious social and public health concern with well-documented negative consequences for adolescent mothers and their children. Two causal hypotheses have been proposed to explain negative health consequences for offspring: (1) parenting : young maternal age and suboptimal parenting behaviors; and (2) social factors : social/family characteristics (e.g., poverty, single parenthood, low education, stress).Purpose. To identify and assess variables and causal pathways that influence the health of children of adolescent mothers and to evaluate the two causal hypotheses above.Methods. Subjects were 162 predominantly African-American and Latino adolescent mother-child dyads from low-income families receiving care from mainly publicly-funded facilities in New York City. Interviews were conducted with mothers about their health and that of their child. Pediatricians conducted medical examinations of the children (ages 12-48 months).The Notre Dame Parenting Project model of adolescent parenting was modified and expanded to focus more broadly on child health. Relationships among constructs in the revised model (i.e., stress, social support, maternal health, parenting) and their role in affecting child health outcomes were explored. Causal pathways supporting the influence of the social factors and parenting hypotheses on these outcomes were compared. Direct and indirect effects of model constructs were identified through a series of multivariate linear models organized sequentially using an approach by Alwin and Hauser (1975).Results. Key findings: (1) stress played an important role influencing the mother's and child's health both directly and indirectly; (2) role of social support was independent of stress and inconsistent, especially from the grandmother and child's father; and (3) education and poverty both influenced the mother's parenting behaviors and child health. Overall, findings showed that model constructs play an important role in child health. Comparison of pathways for the two causal hypotheses showed that both made an almost equal contribution in explaining child health outcomes Conclusion. This study has combined the disciplines of public health and developmental psychology to address a serious public health issue. Future work can focus more closely on the pathways identified to gain a better understanding of the determinants of child health for offspring of adolescent mothers..
Topical Name Used as Subject : Public health
: Developmental psychology
: Studies
: Teenage parents
Information of biblio record : TL
 
 
 
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