N2a

SUBSTANCE USE, VIOLENCE, DEPRESSION AND SUBSEQUENT MATERNAL HEALTH OUTCOMES AMONG ADOLESCENT MOTHERS

Presenters: Cynthia Connelly, Andrea L. Hazen, John Landsverk

Abstract Category: Research

Instruction Level: Beginner

Presentation: Not Provided

Abstract:

Substance use, intimate partner violence, and depression can significantly impair maternal functioning and continues to be an international health priority (World Health Organization 2005). In particular, the longitudinal course of these risks or what percent of mothers experience recurrent episodes is not well known. Purpose: The purpose of this study was to examine the three year course of these factors among a cohort of adolescent mothers.  Methodology: Data were derived from 113 adolescent mothers living in Southern California and participating in a larger RCT of the provision of home visitation services for families of newborns deemed at risk for child maltreatment and adverse health and developmental outcomes. Severity of substance use, intimate partner violence, and depression was assessed though structured interviews using standardized measures at delivery, 12, 24, and 36 month follow-up. The sample was ethnically diverse: 14% Caucasian, 58% Latino, 18% Black, 8% Asian/Pacific Islander, and 3% “other or unknown”.  Mean age was 16.7 (SD = 1.16); 41% 14-16 years of age. Multivariable methods for longitudinal data, generalized estimating equations, revealed Hispanic and Black participants reported lower odds of substance use compared to Non Hispanic white participants, intimate partner violence was associated with higher odds for depression; and an elevation in depression was associated with greater odds of victimization. Implications for policy, practice, and early prevention/intervention strategies will be discussed.