{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T09:43:08Z","timestamp":1770975788703,"version":"3.50.1"},"reference-count":53,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,4,1]]},"abstract":"<jats:p>Objective.\u2003To determine whether sexual and nonsexual childhood abuse are risk factors for early adolescent sexual activity and pregnancy.<\/jats:p>\n               <jats:p>Design.\u2003Cross-sectional study.<\/jats:p>\n               <jats:p>Setting.\u2003Prenatal clinic within an inner-city teaching hospital from June 1990 to August 1991.<\/jats:p>\n               <jats:p>Population.\u2003One thousand twenty-six primiparous, African-American women enrolled in a randomized clinical trial of nurse home visitation.<\/jats:p>\n               <jats:p>Main Outcome Measures.\u2003Four measures of child abuse were used: sexual abuse, incidents of physical abuse, any major physical abuse, and emotional abuse. The outcome measures were age of first consensual coitus and age of first pregnancy.<\/jats:p>\n               <jats:p>Results.\u2003After adjustments for household income, parental separation, urban residence, age of menarche, and teen smoking, sexual abuse during childhood was associated with younger age at first coitus (7.2 months; 95% confidence interval [CI], 2.6 to 11.7 months) and younger age at first pregnancy (9.7 months; 95% CI, 3.0 to 16.3 months). Incidents of physical abuse showed minimal effect on age at first coitus (1.2 days per incident; 95% CI, 0.5 to 1.9 days) and no effect on age of first pregnancy. A history of major physical abuse or emotional abuse showed no effect on age of first coitus or first pregnancy.<\/jats:p>\n               <jats:p>Conclusion.\u2003Child sexual abuse, but not child physical or emotional abuse, seems to be a risk factor for earlier pregnancy among African-American adolescents.<\/jats:p>","DOI":"10.1542\/peds.101.4.620","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:44:32Z","timestamp":1092440672000},"page":"620-624","source":"Crossref","is-referenced-by-count":67,"title":["Does Child Abuse Predict Adolescent Pregnancy?"],"prefix":"10.1542","volume":"101","author":[{"given":"Kevin","family":"Fiscella","sequence":"first","affiliation":[{"name":"From the Department of Family Medicine, University of Rochester School of Medicine; the"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harriet J.","family":"Kitzman","sequence":"additional","affiliation":[{"name":"University of Rochester School of Nursing; the"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Rochester School of Medicine, Rochester, New York; and the"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly J.","family":"Sidora","sequence":"additional","affiliation":[{"name":"University of Rochester School of Nursing; the"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Olds","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, the University of Colorado at Denver, Denver, Colorado."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[1998,4,1]]},"reference":[{"key":"2021121000290494500_B1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.2307\/2135718","article-title":"Sexual abuse as a factor in adolescent pregnancy and child maltreatment.","volume":"24","author":"Boyer","year":"1992","journal-title":"Fam Plann Perspect."},{"key":"2021121000290494500_B2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1111\/j.1749-6632.1988.tb50854.x","article-title":"The relationship between child sexual abuse and adolescent sexual functioning in Afro-American and white American women.","volume":"528","author":"Wyatt","year":"1988","journal-title":"Ann N Y Acad Sci."},{"key":"2021121000290494500_B3","doi-asserted-by":"crossref","first-page":"73","DOI":"10.2307\/584952","article-title":"Rethinking teenage childbearing: is sexual abuse the missing link?","volume":"39","author":"Butler","year":"1990","journal-title":"Fam Relations."},{"key":"2021121000290494500_B4","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1177\/019251391012003007","article-title":"Sexual abuse as a precursor to prostitution and victimization among adolescent and adult homeless women.","volume":"12","author":"Simons","year":"1991","journal-title":"J Fam Iss."},{"key":"2021121000290494500_B5","first-page":"30","article-title":"Risk factors for adolescent pregnancy: how important is child sexual abuse? 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