Preventing subsequent births for low-income adolescent mothers: an exploratory investigation of mediating factors in intensive case management

Am J Public Health. 2012 Oct;102(10):1862-5. doi: 10.2105/AJPH.2012.300914. Epub 2012 Aug 16.


We used a quasi-experimental design to examine the impact of intensive case management (ICM) on preventing 3-year subsequent births for low-income adolescent mothers. We used χ(2) and mediation analyses, respectively, to test whether ICM reduced likelihood of subsequent births and whether birth control and perceived social support mediated this relationship. Participants in ICM were less likely to have a subsequent birth within 3 years, but we found no evidence for mediators. This study suggests that ICM may be effective in preventing subsequent births for adolescents.

Publication types

  • Evaluation Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Birth Rate* / trends
  • Case Management / standards*
  • Female
  • Humans
  • Likelihood Functions
  • Poverty*
  • Pregnancy
  • Pregnancy in Adolescence / prevention & control*
  • Social Support
  • Young Adult