Friend Support and the Parenting of Latina Adolescent Mothers: The Moderating Role of Maternal Age

OBJECTIVES

This study examined the role of maternal age in the relation between social support from friends and parenting adjustment in a sample of young Latina mothers and their 18-month-old children (N=168).

METHODS

Hierarchical multiple regression analyses tested friend social support types (emotional, socializing, child care) as differential predictors of maternal behavior (sensitivity, cognitive growth-fostering, detachment) displayed during mother-child play interactions. To consider maternal development, the moderating role of maternal age on these associations was tested.

RESULTS

The relations between friend emotional and child care support and parenting were moderated by maternal age. Emotional support was related to the use of more growth-fostering parenting behaviors for older (≥ 19.5 yrs.), but not for younger Latina mothers. Child care support from friends was related to the display of more detachment and less cognitive growth-fostering behaviors among the younger (≤ 18.7 yrs.) mothers only. Immigrant mothers reported significantly less overall friend support and emotional support than mothers born in the mainland U.S.

CONCLUSIONS

The findings emphasize the importance of assessing the types of friend support as separate measures in an ecological context that takes into account mothers' generational and developmental level.

Characterizing Social Determinants of Health for Adolescent Mothers during the Prenatal and Postpartum Periods

PURPOSE

Significant racial disparities and continuing poor birth outcomes make adolescent pregnancy a significant public health concern in the United States despite declining pregnancy rates. Social determinants of health are associated with increased likelihood of pregnancy and poor maternal and child health outcomes. This study aims to characterize specific elements of social determinants of health in a cohort of predominantly Latina adolescent mothers.

METHODS

Between February 2007 and August 2008, 106 pregnant adolescents participated in a study with assessments at 20 to 24 weeks of gestation, and at 3 and 6 months postpartum. Survey questions addressed residential mobility, financial support and childcare, and perceived need for and use of community resources. Comparative analysis assessed differences between adolescents by age (<16 vs. ≥16 years old) and ethnicity (Latina vs. non-Latina).

FINDINGS

Adolescent mothers experienced high rates of residential mobility, with 59.4% moving at least once in the year before their prenatal survey. Participants relied primarily on public aid (94-96%) and their parents (81-85%) for financial support. Latina participants were more likely than non-Latinas to rely on public aid. Although many participants reported needing financial support and housing, few used available services. Younger adolescents relied less often on the father of the baby for support than older adolescents.

CONCLUSIONS

Adolescent mothers' high rates of residential mobility and increasing reliance on public assistance highlight resource gaps that potentially put them and their children at risk for poor outcomes. Targeted efforts to augment systemic support in these domains are a critical component of addressing health disparities for this population.

Protective Mechanisms for Depression among Racial/Ethnic Minority Youth: Empirical Findings, Issues, and Recommendations

We (1) review empirical studies that report findings regarding putative protective mechanisms when exposed to risk of depression in African American and Hispanic adolescents; (2) identify key protective mechanisms for different risk contexts that garner empirical support; (3) synthesize the mechanisms identified as protective against depression among racial/ethnic minority adolescents; and (4) discuss improved methods for advancing understanding of resilience against depression in minority youth. The studies were selected from PsycINFO searches that met the following inclusion criteria: participants between 12 and 21 years of age, inclusions of racial/ethnic minority members, examining protection through an interaction with a risk factor, and outcome measures of depression, depressed mood, or depressive symptomatology. We found 39 eligible studies; 13 of which included multiple racial/ethnic groups. The following were supported as protective mechanisms, at least preliminarily, for at least one racial/ethnic group and in at least one risk context: employment, extracurricular activities, father-adolescent closeness, familism, maternal support, attending predominately minority schools, neighborhood composition, non-parent support, parental inductive reasoning, religiosity, self-esteem, social activities, and positive early teacher relationships. To investigate protective mechanisms more comprehensively and accurately across individual, social, and community levels of influence, we recommend incorporating multilevel modeling or multilevel growth curve analyses and large diverse samples.

Family Economic Stress, Quality of Paternal Relationship, and Depressive Symptoms among African American Adolescent Fathers

This study examined the association between perceived family economic stress, quality of father-son relationships, and depressive symptoms among African American adolescent fathers. Data were collected during pregnancy from 65 African American adolescents who were first-time fathers, ages 14-19. Results from multiple regression analyses indicated that higher paternal relationship satisfaction was associated with fewer depressive symptoms among adolescent fathers. Additionally, depressive symptoms were higher among adolescent fathers who reported experiencing higher levels of conflict with their fathers. Further, paternal conflict moderated the effect of perceived family economic stress on depressive symptoms. That is, among adolescent fathers experiencing low levels of conflict with their fathers, high perceived family economic stress was associated with more depressive symptoms. Study findings suggest that the risk for depressive symptoms is highest among adolescent fathers experiencing low family economic stress and highly conflictual relations with their fathers. These results highlight the complexities of paternal relationships and perceived economic stressors on depressive symptoms during pregnancy for African American adolescent fathers. The importance of expanding research on influential familial relationships and economic stressors on adolescent African American fathers is discussed.

Personal mastery and psychological well-being among young grandmothers

This study examined the association between relationship quality, personal mastery, and psychological well-being among 83 young Black and White American grandmothers in families with teenage mothers. Interviews were conducted during the early stages of adaptation to grandparenthood due to the birth of a baby to a teenage daughter. Findings indicated that the effects of the mother-daughter relationship are mediated through mastery. When grandmothers feel a sense of mastery, the conflict with the teenage mother is not as detrimental to their psychological health. Findings are discussed in the context of developing supportive services for grandmothers in families with teenage mothers.

The Role of Prenatal Stress and Maternal Emotional Support on the Postpartum Depressive Symptoms of African American Adolescent Fathers

This study sought to better understand the ways in which prenatal stress and support from their mother influences postpartum depressive symptoms among African American adolescent fathers. The study’s objectives were to (a) examine the relationship between prenatal stress and maternal support with postpartum depressive symptoms among African American adolescent fathers and (b) determine whether maternal support buffers the relationship between prenatal stress and postpartum depressive symptoms among adolescent fathers. A total of 59 first-time adolescent fathers participated in the study. Results revealed that more prenatal maternal support and lower prenatal stress were predictive of lower levels of postpartum depressive symptoms among fathers. Results did not support the buffering hypothesis for maternal support. This finding suggests that maternal support plays a positive role in the lives of adolescent fathers regardless of their prenatal stress levels. Study findings highlight the need to more broadly explore resources available to adolescent fathers. Future researchers must expand the discourse on adolescent parents to include the psychological risks and potential protective factors present in the lives of young African American fathers.

Approaching the adolescent-headed family: a review of teen parenting

In the USA, as many as 1 in 6 women nationwide become adolescent mothers, making adolescent pregnancy and childbearing issues a frequently encountered occurrence by pediatricians and adolescent medicine health care providers. Both social and medical programs focus on prevention and management of adolescent pregnancies; however, caring for the adolescent-headed family is less well understood. For many teen parents, various environmental and behavioral risks contributed to early childbearing and parenting. Following delivery of the infant, many of these same psycho-social, environmental, and educational factors continue to play a role in the teen's ability to parent effectively. This review explores these factors in relation to teen parenting as well as describes the limited data available on outcomes of adolescent mothers and their infants. Despite negative social stereotypes regarding adolescent fathers, research suggesting that most fathers desire involvement with their infants and the impact of and factors influencing father involvement is explored. Understanding the dynamics of the coparenting relationship, an expanding field of study, will aid practitioners in strengthening and supporting teen parenting by both mothers and fathers. As most teen parents continue to reside with their families, teen parenting has an important impact on the multi-generational family structure. These relationships can serve both to support and at times to hinder the adolescent parents' development as an individual and as a parent. Successful interventions and programs to support the adolescent-headed family take on various forms but are usually comprehensive and multidisciplinary and consider the developmental status of both the parent and the child. To best care for adolescent-headed families, pediatricians and adolescent medicine providers should understand the psychosocial, developmental, educational, and relationship issues that influence adolescent parenting.

Who helps you? Self and other sources of support among youth in Japan and the USA

Japanese and U.S. sixth, eighth, and tenth graders ( N = 2141) responded to questionnaires asking whom they depended on in six contexts of need. These contexts were: morning awakening, physical illness, emotional upset, help with homework, causing a problem, and guidance in extracurricular activities. Findings indicated that, relative to culture, contextual effects exerted an equally if not more powerful effect on students' responses. In line with traditional cross-national theorizing, U.S. youth were, overall, more self-reliant than their Japanese peers. In contrast to such theorizing, U.S. students were more interdependent with family, and Japanese students were more interdependent with peers, than their counterparts in the other country. Furthermore, both Japanese and U.S. youth showed similar age-related decreases in interdependence with family and increases in interdependence with peers. Results are discussed in terms of active dyadic help-seeking versus conceptualized notions of social identity, and recent theories of development, culture, and the self.

Social support in postpartum adolescents: guidelines for nursing assessments and interventions

Social support plays an important role in reducing stress for postpartum adolescents. Health care providers should assess social support of postpartum adolescents each time they encounter the health care system. The assessment should include culturally sensitive individual questions or established social support instruments. If social support is found to be inadequate or insufficient, professional support interventions may be indicated. Health professionals should use clinical pathways to guide assessments and professional support interventions with postpartum adolescents.

Adolescent mothers' relationship with their children's biological fathers: social support, social strain, and relationship continuity

Two-hundred and eighteen low-income, minority, adolescent mothers were interviewed during the perinatal period and 3 years later about their social networks, including their relationships with their children's fathers. Few adolescents were involved with fathers at both time points. Relationships with fathers were, in general, less supportive and less problematic over time. Moreover, although father support was not associated with adolescent mothers' psychological adjustment, father absence and father strain had negative associations with psychological adjustment. Maternal grandmother support buffered the negative effects of strain in the adolescents' relationships with biological fathers. Perceptions of less social support from maternal grandmothers and more social support from fathers during the perinatal period as well as less social support from a new male partner at 3 years postpartum predicted relationship continuity between adolescent mothers and fathers at 3 years postpartum. Implications for intervention and policy are discussed.