Should States Support Pregnant Teens and Their Babies?

Most adults in national poll agree that their states should provide health-related support for pregnant teens but with limitations.

7:00 AM

Author | Beata Mostafavi

The majority of U.S. adults who have children 18 or under agree that state support for pregnant teens is a good investment for the baby's health, a new national poll suggests.

MORE FROM THE LAB: Subscribe to our weekly newsletter

But most want to see teens meet certain criteria — including taking parenting classes and graduating high school — in order to receive assistance.

Nine in 10 adults also say that states should do more to require financial support from the baby's father, but only half support their state providing paternity testing or legal help to get child support, according to the C.S. Mott Children's Hospital National Poll on Children's Health at the University of Michigan.

The report is based on 2,005 responses from a nationally representative sample of adults with children 18 or younger.

"Teen pregnancy can lead to unexpected challenges that many families may not be able to meet on their own," says Sarah J. Clark, MPH, co-director of the poll and associate research scientist in the department of pediatrics at the University of Michigan's C.S. Mott Children's Hospital.

"The adults we polled are parents themselves; they prioritize the health of the pregnant teen and the baby and recognize that the cost of raising a child is substantial. The majority agree that the state has a role in supporting pregnant teens but are hesitant about assigning broad responsibility to the state."

Most adults expressed a strong belief in health-related support for pregnant teens and their babies. But adults were less certain on whether their state should provide formula (52 percent) or car seats and other baby supplies (42 percent). Women were more likely than men to believe the state should provide medical care, formula and baby supplies for pregnant teens.

Fifty-six percent of adults agreed that when a teen gets pregnant, her parents should be financially responsible. Thirty percent of adults said community and religious groups, not the state, should take care of pregnant teens.

SEE ALSO: For Adolescents, Pre-Pregnancy BMI Directly Linked to Excess Pregnancy Weight Gain

Although 90 percent of adults agreed that states should do more to require financial support from the baby's father, fewer felt their state definitely should provide legal help to get child support (53 percent) or paternity testing (44 percent.) Women and men expressed comparable support for state assistance with paternity testing. But women were more likely than men to believe their state should provide legal help for pregnant teens to get child support.

"We saw a strong endorsement among respondents that states should do more to require financial support from the baby's father. At the same time, there was lukewarm support for states assisting with paternity testing and establishing child support," Clark says.

Overall, women were more likely to support strategies to support pregnant teens than fathers. Clark notes that this may reflect their recognition that in many cases, it is the teen mother — not the father — who pays the financial, emotional and social cost of having a baby.

Assistance around paternity testing and child support may be particularly critical for teens, who likely are unfamiliar with the terminology, testing processes and legal requirements, Clark adds.

Twice as many adults felt their state definitely should provide adoption services (61 percent) compared with abortion services (26 percent).

The vast majority of adults also believed that pregnant teens should meet certain requirements in order to receive state support, including prenatal visits (90 percent), parenting classes (88 percent), drug testing (85 percent) and finishing high school (78 percent). Seventy percent of adults felt that pregnant teens should meet all four requirements in order to receive state support.

Clark says that while such requirements may be well-intentioned to help make teens more responsible, they could become problematic when teens fail to meet them. Teens may face logistical barriers, such as not having transportation to prenatal visits, or a lack of affordable day care while a teen mother tries to finish high school.

"A thoughtful approach to implementing requirements for pregnant teens would be essential so that the consequences for failure to meet the requirements do not undercut their intended health and educational benefits," Clark says.


More Articles About: Rounds obstetrics Health Care Delivery, Policy and Economics
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of healthcare news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories woman crying with glasses next to bed with white blanket
Health Lab
Previous trauma can impact expectant mothers during pregnancy and beyond
New research uses theories of post-traumatic stress disorder to help educate practitioners on how to address trauma experienced by their patients.
Baby carriage image
Health Lab
Having a Baby May Cost Some Families $4,500 Out-Of-Pocket
A new Michigan Medicine study finds families may be paying more money out-of-pocket when it comes to delivering a baby.
Baby carriage in urban and rural areas
Health Lab
Rural Women at Higher Risk of Life-Threatening Pregnancy Complications
Life-threatening pregnancy complications found to be higher in women from rural areas vs. urban communities, a new study suggests.
Graphic of mother holding a swaddled baby with capsules as the background
Health Lab
1 in 75 New Moms Go on to Long-Term Opioid Painkiller Use
A new study on post-birth pain care patterns finds a decline in opioid prescribing, but also identifies opportunities for more non-opioid-based care.
Crying baby
Health Lab
Mothers of Fussy Babies at Higher Risk of Depressive Symptoms
Study explores whether a baby’s level of prematurity in combination with highly irritable behavior  may influence severity of maternal depressive symptoms.
Health Lab
Study Uncovers Disparities in Life-Threatening Birth Experiences
A review of data from millions of U.S. births finds higher rates of dangerous delivery-related conditions in new mothers of color and those with certain underlying health conditions.