County-Level Clustering and Characteristics of Repeat Versus First Teen Births in the United States, 2015-2017.

ABSTRACT:

Purpose

Approximately 16% of U.S. births to women aged 15-19 years are repeat (second or higher order) births. Repeat teen mothers are at elevated risk for poor perinatal outcomes. Geographic clustering and correlates of repeat teen birth are unknown.

Methods

Data from birth certificates on N = 629,939 teen births in N = 3,108 U.S. counties in 2015-2017 were merged with data on county-level demographic, socioeconomic, and health provider characteristics. We identified contiguous clusters of counties with significantly elevated rates of first teen births only, repeat teen births, both, or neither between 2015 and 2017 and compared demographic, socioeconomic, and medical provider characteristics of counties between 2010 and 2016 in each cluster type.

Results

A total of

SUBMITTER: Maslowsky J 

PROVIDER: S-EPMC6814573 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature