Elizabeth S Barnert1, Sarah M Godoy2, Ivy Hammond3, Mikaela A Kelly4, Lindsey R Thompson5, Sangeeta Mondal6, Eraka P Bath7. 1. Department of Pediatrics, David Geffen School of Medicine at UCLA, Mattel Children's Hospital, Los Angeles, Calif (ES Barnert). Electronic address: ebarnert@mednet.ucla.edu. 2. Department of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles, Calif (SM Godoy). 3. UC Berkeley, School of Social Welfare, Berkeley, Calif (I Hammond). 4. Department of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles, Calif (MA Kelly). 5. Department of Pediatrics, David Geffen School of Medicine at UCLA and Mattel Children's Hospital, Los Angeles, Calif (LR Thompson). 6. Stanford University, Stanford School of Medicine, Stanford, Calif (S Mondal). 7. Department of Psychiatry, David Geffen School of Medicine at UCLA, UCLA Semel Neuropsychiatric Institute, Los Angeles, Calif (EP Bath).
Abstract
OBJECTIVE: We measured pregnancy rates and pregnancy outcomes among girls with histories of commercial sexual exploitation (CSE), and then quantified the associations between the outcome of pregnancy with: a) girls' exposure to childhood adversity, and b) their behavioral health. This is the largest study of pregnancy outcomes and associated factors among girls impacted by CSE in the United States. METHODS: We reviewed court files of participants in a juvenile specialty court for youth impacted by CSE, between 2012 and 2016. We collected data on pregnancy, health, and social factors. Data were updated through 2018 and descriptive statistics were calculated. Two-sample tests for equality of proportions explored associations between pregnancy with adverse childhood experiences and the girls' behavioral health profiles. RESULTS: Among the 360 biological females, 31% had ever been pregnant. Of the girls ever pregnant, 18% had multiple pregnancies. Outcomes for the 130 reported pregnancies were: 76% live births; 13% therapeutic abortions; 5% miscarriages or stillbirths; and 6% of pregnancies were ongoing at case closure. Parental incarceration and histories of maternal substance abuse were both associated with pregnancy. CONCLUSIONS: High pregnancy rates among girls with histories of CSE suggest the importance of applying a reproductive justice approach to deliver reproductive education, family planning services, prenatal care, and parenting support to girls impacted by CSE.
OBJECTIVE: We measured pregnancy rates and pregnancy outcomes among girls with histories of commercial sexual exploitation (CSE), and then quantified the associations between the outcome of pregnancy with: a) girls' exposure to childhood adversity, and b) their behavioral health. This is the largest study of pregnancy outcomes and associated factors among girls impacted by CSE in the United States. METHODS: We reviewed court files of participants in a juvenile specialty court for youth impacted by CSE, between 2012 and 2016. We collected data on pregnancy, health, and social factors. Data were updated through 2018 and descriptive statistics were calculated. Two-sample tests for equality of proportions explored associations between pregnancy with adverse childhood experiences and the girls' behavioral health profiles. RESULTS: Among the 360 biological females, 31% had ever been pregnant. Of the girls ever pregnant, 18% had multiple pregnancies. Outcomes for the 130 reported pregnancies were: 76% live births; 13% therapeutic abortions; 5% miscarriages or stillbirths; and 6% of pregnancies were ongoing at case closure. Parental incarceration and histories of maternal substance abuse were both associated with pregnancy. CONCLUSIONS: High pregnancy rates among girls with histories of CSE suggest the importance of applying a reproductive justice approach to deliver reproductive education, family planning services, prenatal care, and parenting support to girls impacted by CSE.
Authors: Emily Putnam-Hornstein; Julie A Cederbaum; Bryn King; Andrea L Eastman; Penelope K Trickett Journal: Am J Epidemiol Date: 2015-03-03 Impact factor: 4.897
Authors: Eraka P Bath; Sarah M Godoy; Georgia E Perris; Taylor C Morris; Madison D Hayes; Kara Bagot; Elizabeth Barnert; Marina Tolou-Shams Journal: J Health Care Poor Underserved Date: 2021-05