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J Youth Adolesc. Author manuscript; available in PMC 2017 May 1.

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The Sociocultural Context of Mexican-origin Pregnant Adolescents' Attitudes toward Teen Pregnancy and Links to Future Outcomes

Sarah E. Killoren

Department of Human Evolution and Family unit Science, Academy of Missouri, 314 Gentry Hall, Columbia, MO 65211.

Katharine H. Zeiders

Department of Human Development and Family Scientific discipline, University of Missouri, 314 Gentry Hall, Columbia, MO 65211. ude.iruossim@ksrediez

Kimberly A. Updegraff

T. Denny Sanford School of Social and Family Dynamics, Arizona State Academy, PO Box 873701 Tempe, AZ 85287-3701, ude.usa@ffargedpu.ylrebmiK

Adriana J. Umaña-Taylor

T. Denny Sanford School of Social and Family unit Dynamics, Arizona State University, PO Box 873701 Tempe, AZ 85287-3701, ude.us@tua rolyaT-anamU

Abstract

Given the negative developmental risks associated with adolescent motherhood, it is important to examine the sociocultural context of adolescent mothers' lives to identify those most at chance for poor outcomes. Our goals were to identify profiles of Mexican-origin significant adolescents' cultural orientations and their attitudes toward teen pregnancy, and to investigate how these profiles were linked to adolescents' pregnancy intentions, family resources, and short-term family, educational, and parenting outcomes. With a sample of 205 Mexican-origin adolescent mothers, we identified three profiles based on cultural orientations and attitudes toward teen pregnancy: Bicultural-Moderate Attitudes, Acculturated-Moderate Attitudes, and Enculturated-Low Attitudes. The results indicated that enculturated significant adolescents had the least favorable attitudes toward teen pregnancy, and the lowest levels of family income, pregnancy intentions, pregnancy support, and educational expectations compared to acculturated and bicultural pregnant adolescents; acculturated adolescents (with the highest family income and high levels of pregnancy support) had the highest levels of parenting efficacy 10 months postpartum. Our findings suggest that enculturated adolescent mothers (with less positive attitudes toward teen pregnancy) may do good from educational support programs and enculturated and bicultural adolescent mothers (with moderately positive attitudes toward teen pregnancy) may benefit from programs to increment parenting efficacy. Such targeted interventions may, in turn, reduce the likelihood of boyish mothers experiencing negative educational and parenting outcomes.

Keywords: adolescence, cultural context, Mexican American, teen pregnancy

Introduction

Adolescent pregnancy is a salient public health and policy issue in the U.South., given its associations with low educational attainment for adolescent mothers, low birth weight and developmental problems for their children, and high costs to U.S. taxpayers (Coyne & D'Onofrio, 2012). As compared to all other ethnic groups in the U.S., teen birth rates are highest for Latina adolescents of Mexican origin (National Vital Statistics Study, 2011), the largest and youngest indigenous minority group in the U.S. (U.Due south. Demography Bureau, 2014). In addition to high rates of teen births, Latina adolescents take more than favorable attitudes toward teen pregnancy (Driscoll, Biggs, Brindis, & Yankah, 2001; Lau, Lin, & Flores, 2014; Unger, Molina, & Teran, 2000) compared to girls from other ethnic groups. Such evidence has prompted scholars to suggest that traditional Latino cultural orientations may normalize teenage pregnancy, which could partially explain the high teenage nativity rates in this population (Unger et al.). As scholars have pointed out, however, there is considerable variability within the Latino population in cultural orientations (Knight, Roosa, & Umaña-Taylor, 2009), and agreement the cultural context of adolescent mothers' lives is significant for the development of culturally sensitive intervention programs (Ruedinger & Cox, 2012).

The goals of this report were threefold. Guided by models of cultural adaptation (Drupe, 2003; Knight, Jacobson, Gonzales, Roosa, & Saenz, 2009), the first goal was to explore the cultural context of Mexican-origin adolescents' teen pregnancy attitudes by identifying different profiles of Mexican-origin significant adolescents equally represented past attitudes toward teen pregnancy and multiple indicators of cultural orientations during the 3rd trimester of pregnancy. Cartoon on a cultural-ecological model (García Coll et al., 1996), our 2d goal was to draw contour differences in adolescents' pregnancy intentions and family resources. Finally, our tertiary goal was to investigate contour differences in family, educational, and parenting outcomes at 10 months postpartum to address the potential implications of these profiles for adolescent mothers' adjustment during the transition to parenthood.

A life-course perspective underscores the developmental timing of transitions—such equally on-time or off-time (Cohler & Musick, 1996)—as having implications for adolescents' developmental trajectories into adulthood (Johnson, Crosnoe, & Elderberry, J., 2011; Oxford et al., 2005). Empirical work supports the premise that condign a mother during adolescence, considered an off-fourth dimension transition, is associated with parenting teens' lower rates of high school completion and college attendance (Coyne & D'Onofrio, 2012), lower job earnings (Gibb, Fergusson, Horwood, & Boden, 2014), and higher rates of physical wellness issues and developmental problems for their children (Coyne & D'Onofrio, 2012) compared to nonparenting teens. From a life-course perspective, information technology is important to identify mothers at risk for these negative outcomes in order to set them on a positive developmental trajectory into adulthood. Because in that location is variability in adolescent mothers' trajectories into adulthood (Oxford et al., 2005), finding means to place and focus intervention efforts on adolescent mothers who are at risk for these negative outcomes is crucial. One potential style to identify at-risk parenting teens prior to childbirth is by examining the sociocultural context (i.east., cultural orientations, attitudes toward teen pregnancy, individual and family characteristics) of pregnant adolescents' lives and how this context is associated with adolescent mothers' hereafter family, parenting, and educational outcomes.

Pregnant Adolescents' Cultural Orientations and Attitudes toward Teen Pregnancy

Our offset goal was to identify different patterns or subgroups of adolescents based on their attitudes toward teen pregnancy and multiple indicators of their cultural orientations using a person-oriented approach (Bergman, 2001; Bergman & Magnusson, 1997). Models of cultural adaptation guided our selection of indicators of adolescents' cultural orientations. Latino adolescents, including pregnant Latina adolescents, experience the process of dual-cultural adaptation (Knight et al., 2009), which includes acculturation (i.eastward., adaptation to the mainstream U.S. culture) and enculturation (i.e., memory of the culture of origin; Gonzales, Fabrett, & Knight, 2009). Individuals' cultural orientations are based on acculturative and enculturative beliefs, values, and involvement (east.k., behaviors). In the current study, nosotros focused on pregnant adolescents' cultural orientations during the third trimester of pregnancy, examining how Anglo and Mexican cultural involvement, familism values, and traditional gender function attitudes co-occur with pregnant adolescents' attitudes toward teen pregnancy.

Studies suggest that there is considerable within-grouping variability in Latino adolescents' cultural orientations (Coatsworth et al., 2005; Updegraff & Umaña-Taylor, 2010). For example, Coatsworth and colleagues (2005) examined behavioral aspects of Latino adolescents' cultural orientations (English and Castilian usage, enjoyment of Latino vs. American music and television programs) and identified different subgroups of adolescents using cluster analysis, with the largest group beingness bicultural; that is, bicultural adolescents exhibited behaviors associated with both Latino and American culture. In i of the few studies examining variability in cultural values, Knight and colleagues (2013) examined trajectories of value endorsement and plant dissimilar trajectories based on adolescents' endorsement of Mexican (eastward.g., familism) and mainstream (e.g., material success) values. These findings highlight the diversity that exists in the endorsement of behaviors and values inside this cultural context, and underscore the importance of examining multiple behaviors and values when describing Latino adolescents' cultural orientations.

Unlike enquiry examining multiple dimensions of adolescents' cultural orientations simultaneously, studies linking pregnancy attitudes to cultural orientations typically focus on ane indicator in isolation from others. For case, more acculturated Latinas, as divers by English language preference, are at greater chance for becoming pregnant in adolescence as compared to less acculturated Latinas (Kaplan, Erikson, & Juarez-Reyes, 2002). When examining attitudes toward teen pregnancy, all the same, previous work reveals that foreign-born Latinas who were non currently meaning perceived more positive consequences of teenage childbearing and reported greater pregnancy wantedness compared to U.Southward.-born Latinas (Martinez-Garcia, Carter-Pokras, Atkinson, Portnoy, & Lee, 2014; Unger et al., 2000).

In terms of cultural values, researchers speculate that Latina teens' high birth rates may exist due to their traditional cultural values (Unger et al., 2000). Guided by scholars' accent on the importance of familism values and traditional gender role attitudes in studies of adolescent sexuality (Afable-Munsuz & Brindis, 2006), we measured these cultural values in this study. Information technology is possible that familism values may exist associated with less positive attitudes given that adolescents want to protect their families' reputations by not becoming significant as teenagers (Raffaelli & Ontai, 2001). Along like lines, more than traditional gender role attitudes (compared to less traditional attitudes) may be associated with less positive pregnancy attitudes considering of the importance of marianismo (i.due east., remaining a virgin until marriage; Cauce & Domenech-Rodríguez, 2002). Alternatively, pregnant adolescents with loftier familism values and more traditional gender part attitudes may identify a stiff emphasis on the importance of maternity and written report more positive attitudes than those with lower familism values and less traditional gender role attitudes (Flores, Eyre, & Millstein, 1998).

Together, prior research provides some insights about how different measures of cultural orientations are linked to pregnancy attitudes when studied in isolation from one another. Most often the focus is on proxy measures and behavioral indicators (due east.one thousand., nascency, language fluency). Yet, scholars who study Latino adolescents' cultural adaptation argue that it is important to examine multiple dimensions of cultural orientations simultaneously to gain a more than comprehensive understanding (Coatsworth et al., 2005; Knight et al., 2013; Updegraff & Umaña-Taylor, 2010). We extend these ideas to include attitudes about teen pregnancy in combination with multiple indicators of cultural orientations to increase our understanding of the cultural context of Mexican-origin adolescent mothers' pregnancy and early parenting experiences. Three possible patterns of cultural orientations were anticipated based on prior piece of work: Enculturated (i.east., high levels of Mexican interest and endorsement of familism values and traditional gender role attitudes, depression levels of Anglo interest); acculturated (e.g., high levels of Anglo interest, and low levels of familism values, traditional gender role attitudes, and Mexican involvement); and bicultural (i.due east., high levels of Mexican and Anglo involvement, familism values, and traditional gender office attitudes). These patterns were expected to vary in pregnancy attitudes such that we expected acculturated pregnant adolescents to report more positive attitudes toward pregnancy than bicultural and enculturated pregnant adolescents.

Individual and Family Correlates

Our 2d goal was to examine individual and family correlates of our profiles of pregnant adolescents' teen pregnancy attitudes and cultural orientations. Based on a cultural-ecological framework suggesting the importance of investigating how these profiles of attitudes and cultural orientations are situated within the larger context of adolescents' lives (Garcia Coll et al., 1996), nosotros examined pregnant adolescents' intentions to go pregnant (equally measured by birth control use at time of pregnancy), family income, and pregnancy support from adolescents' own mothers/female parent figures. These variables are important characteristics to examine amid Latina boyish mothers (due east.chiliad., Contreras, Narang, Ikhlas, & Teichman, 2002). Kickoff with pregnancy intentions (i.e., reports of using birth control at time of conception), previous piece of work shows that adolescents reporting no intentions to become pregnant also report less positive attitudes toward pregnancy than those reporting intentions to become pregnant (Rosengard, Phipps, Adler, & Ellen, 2004). Unger (2000) establish that less acculturated Latinas were more likely to report that they could use contraceptives consistently, received social support for contraceptive employ, and had greater frequency of contraceptive employ compared to more acculturated Latinas. Taken together, nosotros expected that adolescents with a lower likelihood of intended pregnancy (i.eastward., were using birth control when they became significant) were more probable to be enculturated and would have less positive attitudes toward teen pregnancy than those with a college likelihood of intended pregnancy.

Additionally, family resources available to pregnant adolescents are important correlates to consider when examining attitudes toward teen pregnancy and cultural orientations. Many significant Latina adolescents lack fiscal resources, limiting their future goals and opportunities (Mollborn, 2007). Because enculturated pregnant adolescents may have fewer financial resource compared to their bicultural and acculturated counterparts (Glick, 1999), they may have less positive teen pregnancy attitudes. Further, support during pregnancy is associated with positive outcomes (Contreras et al., 2002); for significant adolescents who are unmarried and live with their families, support from their own mothers or mother figures is common (Brooks-Gunn & Chase-Lansdale, 1995). Mothers of significant adolescents from immigrant families may be express in their ability to provide tangible support (e.g., helping daughter with chores and errands), as these mothers accept more economic constraints (Glick, 1999). Additionally, they may provide less emotional/advisory support (east.g., receiving advice and data) considering of employment-related time constraints (Bacallao & Smokowski, 2007). These contextual correlates may help to explain distinctions among profiles.

Given these research findings, we had ii hypotheses. Start, nosotros hypothesized that acculturated meaning adolescents with more than positive attitudes toward pregnancy would study a higher likelihood of intended pregnancy, more financial resources, and more pregnancy support than adolescents in the enculturated contour. Second, nosotros expected that enculturated pregnant adolescents with less positive attitudes toward pregnancy would take a lower likelihood of intended pregnancy, fewer financial resources, and less pregnancy back up than acculturated adolescents. Nosotros did not hypothesize relations between individual and family correlates for adolescents with bicultural orientations.

Family, Education, and Parenting Outcomes

Our 3rd goal was to understand how profiles of pregnant Mexican-origin adolescents' cultural orientations and teen pregnancy attitudes were related to family, educational, and parenting outcomes, given that adolescent mothers' rapid repeat pregnancy prevention, educational attainment, and parenting have been identified equally meaning for adolescent mothers' and their children'south successful development (Ruedinger & Cox, 2012). Specifically, we examined how these profiles predicted adolescent mothers' repeat pregnancies, educational expectations, and parenting efficacy 10 months postpartum. Outset with family outcomes, we assessed the likelihood of adolescent mothers' pregnancy within 10 months after childbirth. Previous piece of work has found that adolescent mothers with echo teen births were likely to feel preterm delivery, receive welfare, and take children with emotional and behavioral issues compared to adolescent mothers who do not have echo teen births (Manlove, 2011). Given these negative implications, information technology is important to examine correlates, such as cultural orientations and attitudes toward teen pregnancy, of repeat pregnancy. Stevens-Simon and colleagues (1996) found that significant adolescents' positive attitudes toward childbearing were associated with a greater likelihood of rapid repeat pregnancy. Given that we expected acculturated adolescents with more positive teen pregnancy attitudes to have greater financial resources, support from their mothers, and an increased likelihood of pregnancy intentions, we also expected that they would be more probable to experience a repeat pregnancy as compared to enculturated adolescents with less positive attitudes and fewer resource and support.

Educational outcomes also are meaning to study because teen mothers who continue their education are less probable to experience negative consequences associated with teen pregnancy than those who do not remain in schoolhouse (Manlove, 2011). Nosotros assessed adolescent mothers' educational expectations, that is, how much education they expected to complete. Although teen mothers typically complete less education than non-teen mothers, teen mothers can reach high levels of pedagogy when they have sufficient material resource (Mollborn, 2007). Finally, we investigated boyish mothers' parenting efficacy, defined as how competent they experience in their parenting part, and how well they can influence their children'south development (Coleman & Karraker, 2000). Parents with higher self-efficacy generally have college family incomes, greater social support, and more caregiving experience (Coleman & Karraker, 2000). We expected that pregnant adolescents who were more acculturated and had more than positive attitudes toward teen pregnancy, would study college educational expectations and greater parenting efficacy than enculturated adolescents with less positive teen pregnancy attitudes.

Hypotheses

Based on a cultural adaptation model (Berry, 2003; Knight et al., 2009), we expected 3 possible patterns of cultural orientations based on prior work (Goal 1): Enculturated (i.e., high levels of Mexican involvement and endorsement of familism values and traditional gender role attitudes, low levels of Anglo involvement); acculturated (east.g., loftier levels of Anglo interest, and depression levels of familism values, traditional gender office attitudes, and Mexican involvement); and bicultural (i.e., high levels of Mexican and Anglo involvement, familism values, and traditional gender role attitudes). Additionally, we expected acculturated pregnant adolescents to study more positive attitudes toward pregnancy and bicultural and enculturated pregnant adolescents to report less positive attitudes. Addressing Goal 2 and using a cultural-ecological perspective (Garcia Coll et al., 1996), nosotros hypothesized that acculturated pregnant adolescents with more positive attitudes toward pregnancy would be less likely to report using birth control at time of pregnancy (i.eastward., higher likelihood of intended pregnancy), and report more financial resources and more pregnancy support than adolescents in the enculturated profile. Further, we expected that enculturated meaning adolescents with less positive attitudes toward pregnancy would exist more probable to written report using birth control at time of pregnancy (i.eastward., lower likelihood of intended pregnancy) and report fewer fiscal resources and less pregnancy support than acculturated adolescents. We did not make specific hypotheses for adolescents with bicultural orientations. Finally, for Goal 3, given that we expected acculturated adolescents with positive pregnancy attitudes to accept greater financial resources, support from their mothers, and a lower likelihood of using nascency control at time of pregnancy, we also expected that this group of adolescents would exist more than likely experience a echo pregnancy, and would written report higher educational expectations and greater parenting efficacy than enculturated adolescents with less positive teen pregnancy attitudes.

Method

Participants

The data came from the start (W1) and second (W2) waves of a larger longitudinal study of Mexican-origin adolescent mothers. Participants (Due north = 205) were recruited from loftier schools and community agencies in a Southwestern metropolitan area. Eligibility requirements were equally follows: (a) be pregnant and between the ages of xv and 18 at recruitment; (b) be of Mexican-origin; (c) exist unmarried, and (d) accept a female family member who was willing to participate. W1 interviews were conducted during adolescents' third trimester of pregnancy (K_weeks = 30.87, SD = 4.51) when adolescent mothers averaged xvi.24 (SD = .99) years of age. W2 interviews occurred approximately 1 yr after W1, when boyish mothers were 17.76 (SD = .99) years of historic period and their infants were 10.14 (SD = .26) months old. At W1, the majority of adolescents reported being enrolled in high-school (58.5%), and most completed the interview in English (61.4%). Sixty-iv pct of adolescents were born in the U.S.; United mexican states-born adolescents had been living in the U.Southward. for an boilerplate of 7.79 years (SD = iv.60 years). Ninety-three percent of adolescents were in a romantic human relationship with the baby's father when they became significant (W1). At W2, 56% of adolescents were in a romantic relationship with the babe's father and 9% were in a romantic relationship with someone else. Parents' mean education level was ix.11 (i.e., nine^th class didactics, SD = 3.20), and the average level of family unit income was $27,314 (SD = $19,843). Overall, 22% of adolescents had a sibling who was a teen parent and 63% of adolescents had a mother who was a teen parent. Across W1 and W2, 96.five% of the sample was retained (north = 196). Nosotros handled missing information using listwise deletion of cases, given that merely 9 participants were non retained.

Procedures

Brochures (in English and Spanish) describing the study were distributed at community centers, social service agencies, and high schools serving the targeted population. Adolescents returned a contact card and follow-up calls were made by bilingual research assistants to make up one's mind eligibility. Contact cards were received from 321 adolescent mothers. We were able to contact and assess eligibility and involvement for 305 adolescent mothers (95% of contact cards received) and were unable to contact or re-contact the remaining five% due to disconnected telephone numbers. Eighty-five percent of those we contacted and screened were eligible (north = 260 out of 305) and fourscore% of the eligible boyish mothers (north = 207 out of 260) agreed to participate. The 20% of eligible adolescents who did not participate included those who declined participation (north = 39) and those who we were unable to accomplish for scheduling or were not home for repeated interview attempts (north = xiv). Note that 2 participants were no longer part of the study at W2 because participating family unit members passed away afterward W1, then the original reported sample is 205. Information were collected through in-home interviews lasting an average of two and a one-half hours at each wave. All interviewers were female and each received approximately xxx hours of training. Adolescents received $25 for their participation at W1 and $30 at W2. All procedures were approved by the Homo Subjects Review Board.

Measures

All measures were translated into Spanish and back translated into English past ii separate individuals. Final translations were reviewed by an individual of Mexican origin to ensure cultural validity and any discrepancies were resolved by the inquiry team (Knight et al., 2009). Correlations and descriptive statistics are presented in Table ane.

Tabular array 1

Correlations, Descriptive Statistics, and Reliabilities for Report Variables (N = 205).

	1	2	3	four	5	half-dozen	vii	8	ix	ten	xi	12
one. W1 ATTP	---
2. W1 Anglo I	.18 **	---
iii. W1 Mexican I	−.04	−.42 **	---
4. W1 Familism	.thirty **	.18 **	.08	---
5. W1 GRA	.29 **	−.14 *	.20 **	.21 **	---
6. Boyish nativity	.04	.48 ***	−.50 ***	.06	−.12	---
vii. W1 Income	.01	.16 *	−.28 ***	−.05	−.18 **	.14 *	---
8. W1 Preg support	.18 **	.24 ***	.05	.24 **	−.03	.03	.02	---
9. W1 Preg int	−.12	−.15 *	−.00	−.12	.03	−.09	.13	.00	--
10. W2 Pregnancy	.05	.03	−.05	.10	.13	.09	.20 *	.07	−.09	--
11. W2 E expectations	.02	.28 ***	−.xv	.03	−.28 ***	.17 *	.23 **	.18 *	−.03	−.03	--
12. W2 P efficacy	.15 *	.36 ***	−.thirteen	.xix *	−.09	.22 **	.10	.28 **	−.02	.08	.18 *	--
M	iii.25	iii.61	3.89	4.twoscore	2.07	--	$27,314	4.38	--	--	14.02	4.52
SD	.93	.73	.71	.43	.62	--	$19,843	.75	--	--	2.37	.41

Latent profile analysis variables (W1)

Attitudes toward teen pregnancy were assessed at W1 using an adapted version of a scale developed by East and Jacobson (2001) that measures the importance of teenage childbearing and the status gained by teenage childbearing. The original scale included six items (eastward.g., "In my neighborhood and community when a teenager has a child of her own it makes her an important person") and three additional items were added in the present study to capture the personal importance that may exist associated with teenage childbearing (i.e., "I believe that having a kid of my own makes me an important person" "I believe that having a kid of my own will requite me the respect of others" and "I believe that people will admire or look upwards to me considering I have a kid"). Participants rated their attitudes on a 5-point scale (1 = disagree to 5 = agree). Items were summed and higher scores indicated more positive attitudes toward teen pregnancy. Cronbach'south alpha was .91.

Adolescents rated their interest in Anglo and Mexican culture at W1 using the Acculturation Rating Scale for Mexican Americans (ARSMA)-2 (Cuéllar, Arnold, & Maldonado, 1995). Participants responded to items using a 5-point scale (i = not at all to 5 = extremely often or almost always). The Anglo subscale includes thirteen items (e.g., "I savor watching movies in English language") and the Mexican subscale includes 17 items (east.1000., "I associate with Mexicans and/or Mexican Americans"). Items were averaged for each subscale with higher scores representing greater interest. Cronbach's alpha was .87 for both Anglo and Mexican cultural involvement.

Familism values were assessed at W1 using a 16-item subscale of the Mexican American Cultural Values Scale (east.g., "Information technology is of import to take close relationships with aunts/uncles, grandparents and cousins"; Knight et al., 2010) and rated items using a ane (strongly disagree) to 5 (strongly agree) calibration. College scores reflected higher familism values. Cronbach's alpha was .87. Adolescents reported on their traditional gender function attitudes (e.k., "Instruction is important for both sons and daughters, but it is most important for a son") using a ten-item adapted version of a scale adult past Hoffman and Kloska (1995). Participants reported on a 1 (strongly disagree) to 4 (strongly concur) calibration. Items were averaged and higher scores indicated more traditional attitudes. Cronbach's alpha was .89.

Nativity status and individual and family correlates (W1)

For descriptive purposes, we examined profile differences in nascence condition. We also investigated contour differences in birth command use when adolescents became meaning (i.eastward., pregnancy intentions), family income, and family support. For nativity, significant adolescents reported on their place of birth (0 = Mexico-built-in, 1 = U.Due south.-born). For birth command use, pregnant adolescents were asked "Were yous using birth control when you got meaning?" Reponses were coded No = 0 or Yes = 1. Familial support was assessed using the Global Back up from Female parent Figure during Pregnancy calibration (GSMF-P; Umaña-Taylor et al., 2011). Using six items (e.thou., "I get advice from my mother near problems related to my pregnancy"), pregnant adolescents reported on pregnancy support from mother figures using a ane (not at all) to 5 (very much) rating scale. Items were averaged and higher scores indicated greater pregnancy support. Cronbach'due south alpha was .92.

Family, education, and parenting outcomes (W1, W2)

Nosotros assessed whether or not adolescents reported being pregnant at W2 (0 = No, 1 = Yep). Farther, we examined differences on W2 educational expectations and parenting efficacy, taking into business relationship W1 educational expectations and parenting efficacy. In both W1 and W2, adolescents responded to a question about their educational expectations (i.e., "How far practice yous really think you will go in school?"). Responses were coded to reflect the number of years of schooling (e.yard., 10 = 10^th grade; 16 = available's degree; 20 = doctorate or professional degree). Nosotros assessed adolescents' prenatal expectations of parental efficacy at W1 and adolescents' perceived parenting efficacy at W2 using the prenatal and postnatal versions of the 25-item Parent Expectations Survey (Reece, 1992; Reece & Harkless, 1998).This measure out assesses the degree to which adolescents believe they volition be able to manage the tasks prenatally (W1; eastward.thou., "I volition be able to manage the feeding of my babe") and how they are managing the tasks postpartum (W2; e.one thousand., "I can manage the feeding of my baby"). The measure out is scored on a 5-point Likert calibration ranging from one (not at all sure) to 5 (very sure). Items were averaged and higher scores indicated higher levels of perceived parenting efficacy by adolescents. Cronbach'due south alphas were .93 at W1 and .92 at W2.

Results

To address our first goal of evaluating how significant adolescents' attitudes about teen pregnancy co-occur with their cultural orientations (see Table 1 for descriptive statistics), nosotros used latent profile assay (LPA) in MPLUS, Version 7.two (Muthén & Muthén, 1998-2010). LPA is an analytic technique used to distinguish between identifiable subgroups of individuals that share similar patterns on a set number of indicators (e.yard., attitudes, involvement, and values; Pastor, Barron, Miller, & Davis, 2007). Inside each identified group, individuals prove similar response patterns across indicators, whereas between identified groups, unlike patterns beyond indicators are observed (Pastor et al., 2007). LPA models proceed in a series of steps starting with a one-profile model solution and increasing in the number of profiles. In line with recommendations (Tein, Coxe, & Cham, 2013; Tofighi & Enders, 2006), the best-fitting solution was determined by examining the Bayesian information criteria (BIC), adapted Bayesian data criteria (ABIC), Lo-Mendell-Rubin (LMR) examination, and by evaluating each solution from a substantive viewpoint.

Table 2 presents LPA fit indices and statistics for a one- to four-profile solution. Based on information criterion, LMR exam, and evaluation of noun significant, the 3-profile solution was selected every bit the best plumbing equipment model. The means of each group in the 3-profile solution and statistical tests of mean differences on the specific indicators by group membership are shown in Table three. In Figure one, we nowadays the means of each grouping visually. Groups differed on all variables, except familism values, which were strongly endorsed past all three groups. Additionally, all profiles had low levels of traditional gender role attitudes, but one profile had significantly less traditional gender role attitudes than the other profiles. Turning our attending to each profile's pattern, the first contour (n = 118; 58%) was characterized by moderate levels of positive attitudes toward teen pregnancy, moderate to high levels of Mexican and Anglo involvement, and low levels of traditional gender role attitudes. Thus, this profile was termed the Bicultural-Moderate Attitudes group. The second profile (n = 58; 28%) was characterized past moderate levels of positive attitudes toward teen pregnancy, low levels of Mexican involvement, high levels of Anglo involvement, and the lowest levels of traditional gender role attitudes. This profile was termed the Acculturated-Moderate Attitudes group. Finally, the third contour (n = 29; 14%) had the lowest levels of positive attitudes toward teen pregnancy, the highest levels of Mexican involvement, the lowest levels of Anglo involvement, and low levels of traditional gender role attitudes and was termed the Enculturated-Low Attitudes grouping.

Profiles of pregnant adolescents' attitudes toward teen pregnancy, cultural involvement, and cultural values.

Notation: ATTP = Attitudes toward teen pregnancy. Bicultural-Moderate Attitudes (n = 118); Acculturated-Moderate Attitudes (n = 58); Enculturated-Low Attitudes (n = 29).

Table 2

Latent Profile Analysis Fit Indices and Statistics (Due north = 205).

Number of profiles	BIC	ABIC	Entropy	LMRT p value	Profile probabilities
1	2115.83	2084.15	1.00	--	--
2	2060.58	2009.88	0.88	0.00	.94, .97
three	2043.70	1974.00	0.eighty	0.03	.89, .92, 94
4	2035.55	1946.84	0.85	0.44	.87, .92, .90, .95

Note: BIC = Bayesian information criterion, ABIC = Adapted Bayesian information benchmark, LMRT = Lo-Mendell-Rubin test. Bolded text indicates the best-plumbing fixtures solution.

Table 3

Differences Across LPA Profiles on LPA Indicators and Individual and Family Correlates and Time to come Outcomes.

	Bicultural-Moderate Attitudes (n = 118)	Acculturated-Moderate Attitudes (n = 58)	Enculturated- Low Attitudes (n = 29)	F statistic	η two
LPA Indicators
Attitudes Toward Teen Pregnancy	3.29a	three.39a	2.81b	F(two, 204) = 4.12, p < .05	.04
Mexican Involvement	4.18a	2.96b	4.53c	F(2, 204) = 241.96, p < .001	.71
Anglo Interest	3.75a	4.04b	2.21c	F(2, 204) = 185.97, p < .001	.65
Gender office attitudes	2.12a	1.87b	2.30a	F(2, 204) = 5.55, p < .01	.05
Familism values	iv.45	4.37	4.28	F(2, 204) = 2.21, ns	.02
Individual and Family Correlates
Adolescent birth (% Mexico-born)	40.seven%a	iii.4%c	79.3%b	χ2(two) = 51.64, p < .001
% using birth control (pregnancy intentions)	7.6%a	12.ane%ab	24.1%b	χ2(2) = six.43, p < .05
Family unit income	$24,568a	$35,756b	$21,703a	F(2, 198) = 7.79, p < .01	.07
Pregnancy back up from mother	4.43a	4.46a	4.00b	F(2, 204) = iv.45, p < .05	.04
Time to come Outcomes
% significant	12.4%	fourteen.8%	7.vii%	χ2(two) = .82, p = .66
Educational expectations †	14.15a	14.28a	12.77b	F(2, 193) = 5.27, p < .01	.24
Parenting efficacy †	iv.50a	iv.63b	iv.37a	F(2, 193) = 5.54, p < .01	.33

Side by side, nosotros examined how each profile differed based on nativity condition, W1 correlates (i.e., pregnancy intentions, family income, pregnancy support from mother), and W2 outcomes (i.e., subsequent pregnancy, educational expectations, parenting efficacy; see Table 3). This was done past outputting LPA class membership (obtained in the step above) so that each adolescent mother had a value that corresponded with her profile membership. This arroyo is considered acceptable when, equally in the present example, the entropy of the LPA model is above .80 (Clark & Muthén, 2010). First, we examined differences in pregnant adolescents' nativity status and pregnancy intentions (i.e., percentage using nascency control when they became pregnant) based on profile membership using chi-foursquare analyses. Results revealed meaning differences in nativity statuses across all three groups. Specifically, pregnant adolescents in the Enculturated-Low Attitudes contour were more probable to be born in United mexican states (79.iii%) compared to pregnant adolescents in the Bicultural-Moderate Attitudes profile (40.vii%) and those in the Acculturated-Moderate Attitudes contour (3.four%). Similarly, adolescents in the Bicultural-Moderate Attitudes profile were more likely to be built-in in United mexican states compared to adolescents in the Acculturated-Moderate Attitudes profile. For pregnancy intentions at W1, pregnant adolescents in the Enculturated-Low Attitudes profile were more likely to report using birth command at fourth dimension of conception (24.ane%) than adolescents who were in the Bicultural-Moderate Attitudes profile (7.six%). An analysis of variance (ANOVA) revealed significant differences in W1 family income. Specifically, adolescents in the Acculturated-Moderate Attitudes group had a higher family income compared to adolescents in the Bicultural-Moderate Attitudes profile and the Enculturated-Low Attitudes contour. As for pregnant adolescents' W1 feelings of pregnancy support, an ANOVA revealed that significant adolescents in the Enculturated-Low Attitudes group reported lower levels of W1 back up than pregnant adolescents in the other two profiles.

Turning to W2 outcomes, a chi-square analysis revealed no group differences in the pct of adolescents who reported pregnancy at W2; however, the pattern suggested that adolescent mothers in the Enculturated-Low Attitudes group had the lowest percentage of subsequent pregnancy. For W2 educational expectations and parenting efficacy, an analysis of covariance (ANCOVA) was conducted, allowing us to look at group differences in W2 outcomes, while controlling for W1 levels of the variable (e.g., W2 educational expectations controlling for W1 educational expectations). Marginal ways are reported in Tabular array iii. Results indicated meaning grouping differences in W2 educational expectations and parenting efficacy. Specifically, boyish mothers in the Enculturated-Depression Attitudes profile reported lower W2 educational expectations than adolescent mothers in the other profiles, later accounting for W1 educational expectations. For W2 parenting efficacy, boyish mothers in the Acculturated-Moderate Attitudes profile reported greater efficacy than adolescent mothers in the other profiles, decision-making for W1 parenting efficacy.

Discussion

Researchers have suggested that favorable attitudes toward teen pregnancy and high birth rates amongst Latina adolescents, especially those of Mexican descent (National Vital Statistics Report, 2011), may be partly due to adolescents' endorsement of traditional Latino cultural values. Our study, conducted with pregnant Mexican-origin adolescents, contributes to this area of research past showing a more nuanced story that emphasizes variability in the patterns beyond Mexican-origin meaning adolescents' teen pregnancy attitudes and cultural orientations. A strength of our study was the multidimensional conceptualization of culture, including indicators of acculturation and enculturation, and cultural involvement and values, simultaneously. Such an approach provides a more holistic picture of the sociocultural context of adolescent pregnancy for Mexican-origin females. Further, agreement how this context is associated with adolescent mothers' and their children's outcomes can aid practitioners in identifying Mexican-origin boyish mothers who are at risk for negative outcomes (e.thou., low job earnings, depression educational attainment, and poor adjustment for their children).

The results of this study provide insight into some of the inconsistent findings linking cultural orientations to teen pregnancy attitudes. When indicators of adolescents' cultural orientations are considered in isolation, there is evidence that aspects of acculturation (e.one thousand., English language preference; Kaplan et al., 2002) and enculturation (e.g., immigrant-status; Unger et al., 2000) are associated with more positive perceived consequences of adolescent pregnancy. Our findings are consequent with Kaplan et al. in that the two profiles characterized by more positive pregnancy attitudes included adolescents who reported high levels of involvement in American culture. It is important to annotation, though, that 1 of these two profiles included adolescents who were high on their involvement in both American and Mexican civilisation (i.eastward., bicultural orientations). It is possible that prior work linking enculturation to positive pregnancy attitudes (Unger et al., 2000) emerged considering adolescents had strong ties to both cultures, only indicators of enculturation and acculturation were not included in the study. As such, examining multiple indicators of cultural orientations provides a more than complete picture of how pregnancy attitudes are embedded inside the sociocultural context of Mexican-origin adolescents' lives.

Another important contribution of our study was the examination of both cultural involvement and values and how they co-occur with teen pregnancy attitudes. Traditional gender role attitudes, in combination with cultural involvement, played a salient role in describing variability amid profiles. Although all iii profiles reported relatively low levels of traditional gender part attitudes (i.e., beneath the midpoint on the scale), adolescents in the enculturated and bicultural profiles reported more traditional gender role attitudes than adolescents in the acculturated profile. Traditional gender function attitudes, in combination with loftier Mexican cultural involvement and strong familism values, were associated with more than positive teen pregnancy attitudes only when adolescents too reported loftier levels of involvement in Anglo civilization (Bicultural-Moderate Attitudes versus Enculturated-Depression Attitudes). The relations amid traditional gender function attitudes, cultural involvement, and attitudes toward teen pregnancy are complex and cannot be understood in isolation from one some other, highlighting the importance of pattern-analytic approaches to written report the sociocultural context of teen pregnancy.

Whereas the roles of cultural involvement (Anglo and Mexican cultural behaviors) and gender office attitudes were prominent in explaining variety in Mexican-origin pregnant adolescents' attitudes toward teen pregnancy, familism values emerged as less salient. Researchers have hypothesized that adolescents' emphasis on the family may atomic number 82 to more positive attitudes toward pregnancy (Unger et al., 2000); however, our findings, based on already pregnant Latinas, revealed that the three profiles were similarly loftier in their endorsement of familism values. It is possible that the limited variability in these values made information technology difficult to discover profile differences. Additionally, we exercise non know if familism values increased later adolescents became significant. Information technology is possible that becoming pregnant may pb Mexican-origin adolescents to identify more importance on family unit and brand adolescents realize the value of family support.

To further explain our profiles, we examined pregnancy intentions (i.e., employ of nativity control at fourth dimension of conception) and family resources equally contextual correlates of the profiles. In line with a cultural-ecological perspective (Garcia Coll et al., 1996), these contextual factors helped to clarify why adolescents with dissimilar levels of cultural involvement, only like endorsement of cultural values (particularly for enculturated and bicultural adolescents), may differ in their pregnancy attitudes. Adolescents in the Enculturated-Depression Attitudes group reported lower levels of family income and lower levels of pregnancy support compared to meaning adolescents in the other groups and a lower likelihood of intended pregnancy compared to adolescents in the Bicultural-Moderate Attitudes grouping. Enculturative orientations, too as a lower likelihood of intended pregnancy, lower family unit income, and lower levels of pregnancy back up may contribute to less favorable attitudes toward teen pregnancy for significant adolescents in the Enculturated-Low Attitudes group compared to pregnant adolescents in the other groups. Examining the larger cultural context and recognizing the diversity of adolescents' teen pregnancy attitudes revealed that many factors, including cultural orientations, pregnancy intentions, financial resources, and pregnancy support, were associated with Mexican-origin pregnant adolescents' attitudes toward teen pregnancy.

Preventing repeat pregnancies, attaining loftier levels of education, and experiencing higher levels of parenting efficacy are related to better outcomes for adolescent mothers and their children (Jones & Prinz, 2005; Ruedinger & Cox, 2012). Thus, understanding how profiles of pregnant adolescents' attitudes toward teen pregnancy and cultural orientations are associated with their family unit, educational, and parenting outcomes is crucial. Focusing on repeat pregnancy, although the blueprint suggested that adolescents with strong ties to Mexican civilization and less positive teen pregnancy attitudes were less probable to experience a repeat pregnancy than other adolescents, the findings were not significant. This suggests that other factors, such every bit postpartum utilise of birth control (Raneri & Wiemann, 2007) and romantic relationship involvement (Pfitzner, Hoff, & McElligot, 2003), may be important to include in futurity work when examining associations among cultural orientations, teen pregnancy attitudes, and repeat pregnancies.

Additionally, enculturated adolescents with the least positive attitudes toward teen pregnancy had the lowest educational expectations at 10 months postpartum compared to other adolescents, after accounting for educational expectations during pregnancy (i.e., ane year earlier). It appears that having stronger ties to Mexican culture and more negative attitudes toward teen pregnancy, combined with fewer family resources (e.g., limited economic resource and family support) increased their likelihood of low educational expectations. Other work suggests that many adolescent mothers noted the changes in life goals that occurred following the birth of their children (Rosengard, Pollock, Weitzen, Meers, & Phipps, 2006); mayhap adolescent mothers in this profile realized that they did non have access to the resources they needed to achieve previous educational goals, resulting in low expectations in the twelvemonth following child birth. These findings provide important insights virtually individual, family, and cultural factors that may underlie variability in the educational outcomes of Mexican-origin adolescent mothers.

Farther, acculturated adolescents with moderately positive attitudes toward teen pregnancy reported the highest levels of parenting efficacy (accounting for their prenatal parenting expectations) as compared to adolescents in the other profiles. Acculturated adolescents also had the highest family income (relative to adolescents in the other profiles) and high levels of pregnancy support compared to those in other profiles. Our findings advise the importance of having multiple resource (e.g., economic, social) during pregnancy for adolescent mothers (Mollborn, 2007; Letourneau, Stewart, & Barnfather, 2004). Taken together, we found variability in Mexican-origin pregnant adolescents' teen pregnancy attitudes, cultural orientations, and private and family resources, and when examined in combination, they were linked to differential hereafter outcomes in the domains of educational activity and parenting efficacy.

Implications

The variability that has been documented in adolescent mothers' developmental trajectories (Oxford et al., 2005), with some mothers faring meliorate than others following an off-fourth dimension and early transition to motherhood (Cohler & Musick, 1996), suggests that it is important to place adolescent mothers at greatest chance for negative educational and parenting outcomes. Our study examined the sociocultural context of meaning adolescents' lives in combination with their attitudes toward teenage pregnancy and their individual and family resources to identify subgroups of boyish mothers who were at risk for low educational attainment and poor parenting outcomes. Our findings offer insights that may exist used in do and policy. In terms of educational expectations, enculturated boyish mothers with less positive attitudes toward teen pregnancy had the lowest levels of expectations, compared to the other subgroups of mothers we identified. It is possible that their relatively limited economic and family resources resulted in more perceived barriers to their future educational goals. Improving enculturated adolescent mothers' noesis of and access to educational and child care resources may increase adolescent mothers' educational attainment and, in plow, amend their ain and their children's outcomes (for a review, see Letourneau et al., 2004). Likewise, because parenting efficacy was lowest for bicultural and enculturated adolescents (compared to acculturated adolescents), information technology is of import for practitioners to focus on significant adolescents with potent ties to Mexican culture and engage them in parenting programs to increase their parenting efficacy, as parenting efficacy is positively associated with effective parenting practices and child wellbeing (Jones & Prinz, 2005), including among Latina adolescent mothers (75% of Mexican descent; East & Felice, 1996).

Limitations and Future Directions

The limitations of our study provide directions for future research. Every bit noted, our sample included Mexican-origin adolescent girls who were already pregnant. Future work should extend the study of contextual factors associated with teen pregnancy attitudes to adolescents who are not expecting, every bit the cognition of beingness meaning may influence one'south attitudes. Additionally, we assessed pregnant adolescents' cultural orientations and pregnancy attitudes at a particular time point, that is, their tertiary trimester of pregnancy. Longitudinal work is needed to examine significant adolescents' process of dual-cultural adaptation alongside attitudes toward teenage pregnancy; this would provide information on how orientations and attitudes change and inform one another over time. Relatedly, only Mexican cultural values were measured in our study. Pregnant adolescents who were bicultural or acculturated had the most positive attitudes toward pregnancy and examining associations among mainstream or American cultural values and adolescents' attitudes toward teen pregnancy is an of import side by side step. Finally, it is of import to note that we examined attitudes amongst boyish mothers who gave nascency to and kept their children; thus, the generalizability of our findings does not extend to all pregnant Mexican-origin adolescents, as those who terminated their pregnancies or whose children were placed for adoption were not included in the sampling frame.

Decision

A better agreement of the broader sociocultural context of Mexican-origin boyish mothers is critical from a public wellness and policy perspective, given the high rates of teenage pregnancy in this subgroup of U.Southward. adolescents (National Vital Statistics Report, 2011), and the size and growth of Mexican-origin youth in the U.S. population (U.S. Census Bureau, 2014). Further, identifying subgroups of at-run a risk mothers—those who are more versus less successful in negotiating an early and off-time life transition (Cohler & Musick, 1996)—contributes to our understanding of adolescent development and informs prevention and intervention programming. We identified that enculturated pregnant adolescents had the least favorable attitudes toward teen pregnancy, and the lowest levels of family income, pregnancy intentions, pregnancy support, and educational expectations; whereas acculturated adolescents had high levels of pregnancy support, the highest family income, and the highest levels of parenting efficacy ten months postpartum (compared to enculturated and bicultural meaning adolescents). Overall, our findings point to the role of young mothers' attitudes and cultural orientations, besides as to their individual and family unit resources in identifying subgroups at take a chance for lower educational expectations (i.e., enculturated adolescents with less positive teen pregnancy attitudes) and less efficacious parenting (i.e., enculturated and bicultural adolescents with moderately positive attitudes toward teen pregnancy), both of which accept potentially important implications for mothers' and their immature children'south future aligning (East & Felice, 1996; Jones & Prinz, 2005; Letourneau et al., 2004).

Acknowledgment

This research was supported by funds from the National Constitute of Child Health and Human Development (R01HD061376; PI: Umaña-Taylor), the Department of Health and Human Services (APRPA006011; PI: Umaña-Taylor), and the Cowden Fund and Challenged Child Project of the T. Denny Sanford School of Social and Family unit Dynamics at Arizona Country University. We thank the adolescents and female family members who participated in this study. We also thank Edna Alfaro, Mayra Bámaca-Colbert, Emily Cansler, Melinda Gonzales-Backen, Melissa Herzog, Ethelyn Lara, Jacqueline Pflieger, and the undergraduate research assistants of the Supporting MAMI project for their contributions to the larger written report.

Biography

•

Sarah E. Killoren is an Assistant Professor of Human Development and Family Science at the Academy of Missouri. Her inquiry interests include the cultural and family contexts of Latino youth evolution.

Katharine H. Zeiders is an Banana Professor of Human Development and Family Scientific discipline at the University of Missouri. Her research focuses on identifying ecology and physiological correlates of mental wellness disorders in Latino adolescents.

Kimberly A. Updegraff is a Professor of Family unit and Human Development in the T. Denny Sanford School of Social and Family Dynamics at Arizona State Academy. Her research focuses on gender and cultural socialization in adolescents' family and peer relationships.

Adriana J. Umaña-Taylor is a Professor of Family unit and Human Development in the T. Denny Sanford School of Social and Family Dynamics at Arizona Country University. Her research interests include indigenous identity germination during adolescence and resiliency among Latino adolescents and their families.

Footnotes

Author Contributions

SK participated in the study'south conception, interpreted the information, and drafted the manuscript. KZ participated in the study'southward conception, performed the analyses, interpreted the data, and helped draft the manuscript. KU participated in the study's formulation, blueprint and coordination, and provided feedback on the manuscript. AU participated in the study's conception, design and coordination, and provided feedback on the manuscript. All authors take read and canonical the final manuscript.

Conflicts of Interest

The authors study no conflict of interests.

Correspondent Information

Sarah E. Killoren, Department of Human Development and Family unit Science, University of Missouri, 314 Gentry Hall, Columbia, MO 65211.

Katharine H. Zeiders, Section of Human Development and Family Scientific discipline, University of Missouri, 314 Gentry Hall, Columbia, MO 65211. ude.iruossim@ksrediez.

Kimberly A. Updegraff, T. Denny Sanford School of Social and Family Dynamics, Arizona Country University, PO Box 873701 Tempe, AZ 85287-3701, ude.usa@ffargedpu.ylrebmiK.

Adriana J. Umaña-Taylor, T. Denny Sanford Schoolhouse of Social and Family unit Dynamics, Arizona State University, PO Box 873701 Tempe, AZ 85287-3701, ude.usa@tua rolyaT-anamU.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4826852/

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