Friendship networks and adolescent pregnancy: Examining the potential stigmatization of pregnant teens

Though declining since the 1990s, adolescent pregnancy remains common in the United States. Social supports appear to improve outcomes for pregnant teens; however, teen pregnancy introduces social obstacles, such as stigma. This study investigates how currently or previously pregnant teens’ friendship networks differ from nonpregnant girls using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) and multilevel regression models. To mitigate concerns that background differences contribute to both pregnancy risk and social networks, girls who experience a pregnancy prior to one data collection time point are compared girls who experience their first pregnancy after this time point. This group who become pregnant after the time point is presumably more similar to already pregnant teens than those never experiencing teen pregnancy. When compared to these girls who become pregnant in the future, those who have already experienced a teen pregnancy report similar numbers of friends (out-nominations) and perceived social acceptance, but are predicted to have fewer peers reporting them as friends (in-nominations) and fewer reciprocated friendships. This suggests that pregnant teens may face stigmatization, of which they may be unaware. It further highlights a new comparison group to account for selection in studies of adolescent pregnancy.