Despite evidence that first-birth timing influences women’s health, the role of marital status in shaping this association has received scant attention. Using multivariate propensity score matching, we analyze data from the National Longitudinal Survey of Youth 1979 to estimate the effect of having a first birth in adolescence (prior to age 20), young adulthood (ages 20–24), or later ages (ages 25–35) on women’s midlife self-assessed health. Findings suggest that adolescent childbearing is associated with worse midlife health compared to later births for black women but not for white women. Yet, we find no evidence of health advantages of delaying first births from adolescence to young adulthood for either group. Births in young adulthood are linked to worse health than later births among both black and white women. Our results also indicate that marriage following a nonmarital adolescent or young adult first birth is associated with modestly worse self-assessed health compared to remaining unmarried.
Ben-ShlomoYoavKuhDiana. 2002. “A Life Course Approach to Chronic Disease Epidemiology: Conceptual Models, Empirical Challenges, and Interdisciplinary Perspectives.”International Journal of Epidemiology31(2):285–93.
3.
BlackDan A.SmithJeffrey A.2004. “How Robust Is the Evidence on the Effects of College Quality? Evidence from Matching.”Journal of Econometrics121(1/2):99–124.
4.
BonellC.2004. “Why Is Teenage Pregnancy Conceptualized as a Social Problem? A Review of Quantitative Research from the USA and UK.”Culture Health & Sexuality6(3):255–72.
5.
ChenXi-KuanWenShi WuFlemingNathalieDemissieKitawRhoadsGeorge G.WalkerMark. 2007. “Teenage Pregnancy and Adverse Birth Outcomes: A Large Population Based Retrospective Cohort Study.”International Journal of Epidemiology36(2):368–73.
6.
CohenPhilip N.2002. “Extended Households at Work: Living Arrangements and Inequality in Single Mothers’ Employment.”Sociological Forum17(3):445–63.
7.
DehejiaRajeev H.WahbaSadek. 2002. “Propensity Score-matching Methods for Nonexperimental Causal Studies.”Review of Economics and Statistics84(1):151–61.
DiPreteThomas A.BuchmannClaudia. 2013. The Rise of Women: The Growing Gender Gap in Education and What It Means for American Schools. New York: Russell Sage Foundation.
10.
DiPreteThomas A.GanglMarkus. 2004. “Assessing Bias in the Estimation of Causal Effects: Rosenbaum Bounds on Matching Estimators and Instrumental Variables Estimation with Imperfect Instruments.”Sociological Methodology34(1):271–31.
11.
ErmischJohnFrancesconiMarco. 2001. “Family Matters: Impacts of Family Background on Educational Attainments.”Economica68(270):137–56.
12.
FerraroKenneth F.FarmerMelissa M.1999. “Utility of Health Data from Social Surveys: Is There a Gold Standard for Measuring Morbidity?”American Sociological Review64(2):303–15.
13.
FullertonHoward N.Jr1999. “Labor Force Projections to 2008: Steady Growth and Changing Composition.”Monthly Labor Review122:19–32.
14.
FurstenbergFrank F.2007. Destinies of the Disadvantaged: The Politics of Teen Childbearing. New York: Russell Sage Foundation.
15.
GeronimusArline T.1996. “Black/white Differences in the Relationship of Maternal Age to Birthweight: A Population-based Test of the Weathering Hypothesis.”Social Science & Medicine42(4):589–97.
16.
GeronimusArline T.2003. “Damned if You Do: Culture, Identity, Privilege, and Teenage Childbearing in the United States.”Social Science & Medicine57(5):881–93.
17.
GeronimusArline T.KorenmanSanders. 1993. “The Socioeconomic Costs of Teenage Childbearing: Evidence and Interpretation.”Demography30(2):281–89.
18.
GevaDorit. 2011. “Not Just Maternalism: Marriage and Fatherhood in American Welfare Policy.”Social Politics: International Studies in Gender, State & Society18(1):24–51.
19.
GoisisAliceSigle-RushtonWendy. 2014. “Childbearing Postponement and Child Well-being: A Complex and Varied Relationship?”Demography51(5):1821–41.
20.
GordonRachel A.Chase-LansdaleP. LindsayBrooks-GunnJeanne. 2004. “Extended Households and the Life Course of Young Mothers: Understanding the Associations Using a Sample of Mothers with Premature, Low Birth Weight Babies.”Child Development75(4):1013–38.
GraefeDeborah R.LichterDaniel T.2007. “When Unwed Mothers Marry: The Marital and Cohabiting Partners of Midlife Women.”Journal of Family Issues28(5):595–622.
23.
GraefeDeborah RoempkeLichterDaniel T.2008. “Marriage Patterns among Unwed Mothers: Before and after PRWORA.”Journal of Policy Analysis and Management27(3):479–97.
24.
GrundyEmilyTomassiniCecilia. 2005. “Fertility History and Health in Later Life: A Record Linkage Study in England and Wales.”Social Science & Medicine61(1):217–28.
25.
HarknettKristenMcLanahanSara S.2004. “Racial and Ethnic Differences in Marriage after the Birth of a Child.”American Sociological Review69(6):790–811.
26.
HaywardMark D.GormanBridget K.2004. “The Long Arm of Childhood: The Influence of Early-life Social Conditions on Men’s Mortality.”Demography41(1):87–107.
27.
HeathMelanie. 2012. One Marriage under God: The Campaign to Promote Marriage in America. New York: New York University Press.
28.
HenrettaJohn C.2007. “Early Childbearing, Marital Status, and Women’s Health and Mortality after Age 50.”Journal of Health and Social Behavior48(3):254–66.
29.
HoffmanSaul D.2008. “Updated Estimates of the Consequences of Teen Childbearing for Mothers.” Pp. 74–118 in Kids Having Kids: Economic Costs and Social Consequences of Teen Pregnancy, edited by HoffmanS. D.MaynardR. D.Washington, DC: Urban Institute Press.
30.
HotzV. JosephMcElroySusan WilliamsSandersSeth G.2005. “Teenage Childbearing and Its Life Cycle Consequences: Exploiting a Natural Experiment.”Journal of Human Resources40(3):683–715.
31.
IdlerEllen L.RussellLouise B.DavisDiane. 2000. “Survival, Functional Limitations, and Self-rated Health in the NHANES I Epidemiologic Follow-up Study, 1992.” American Journal of Epidemiology152(9):874–83.
32.
KearneyMelissa S.LevinePhillip B.2012. “Why Is the Teen Birth Rate in the United States So High and Why Does It Matter?”Journal of Economic Perspectives26(2):141–66.
33.
KirbyJames B.KanedaToshiko. 201. “Unhealthy and Uninsured: Exploring Racial Differences in Health and Health Insurance Coverage Using a Life Table Approach.”Demography47(4):1035–51.
34.
KrauseNeal M.JayGina M.1994. “What Do Global Self-rated Health Items Measure?”Medical Care32(9):930–42.
35.
LathamKenziePeekChuck W.“Self-rated Health and Morbidity Onset among Late Midlife U.S. Adults.”2012. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. Advance online publication.
36.
LawlorDebbie A.ShawMary. 2002. “Too Much Too Young? Teenage Pregnancy Is Not a Public Health Problem.”International Journal of Epidemiology31(3):552–53.
37.
LeeDohoon. 201. “The Early Socioeconomic Effects of Teenage Childbearing: A Propensity Score Matching Approach.”Demographic Research23:697–736.
38.
LeuvenEdwinSianesiBarbara. 2014. psmatch2: Stata module to perform full Mahalanobis and propensity score matching, common support graphing, and covariate imbalance testing. Computer software. Retrieved May 21, 2015 (http://econpapers.repec.org/software/bocbocode/s432001.htm).
39.
LevineDavid I.PainterGary. 2003. “The Schooling Costs of Teenage Out-of-wedlock Childbearing: Analysis with a Within-school Propensity-score-matching Estimator.”Review of Economics and Statistics85(4):884–90.
40.
LichterDaniel T.GraefeDeborah R.BrownJ. Brian. 2003. “Is Marriage a Panacea? Union Formation among Economically Disadvantaged Unwed Mothers.”Social Problems50(1):60–86.
41.
LichterDaniel T.TurnerRichard N.SasslerSharon. 201. “National Estimates of the Rise in Serial Cohabitation.”Social Science Research39(5):754–65.
42.
LinkBruce G.PhelanJo. 1995. “Social Conditions as Fundamental Causes of Disease.”Journal of Health and Social Behavior35(Extra Issue):80–94.
43.
LopooLeonard M.CarlsonMarcia J.2008. “Marriageability among the Partners of Young Mothers.”Social Service Review82(2):253–71.
44.
LynchJohnSmithGeorge Davey. 2005. “A Life Course Approach to Chronic Disease Epidemiology.”Annual Review of Public Health26:1–35.
45.
MartinJoyce A.HamiltonBrady E.OstermanMichelle J. K.CurtinSally C.MathewsT. J.2015. “Births: Final Data for 2013.”National Vital Statistics Reports64(1):1–65. Hyattsville, MD: National Center for Health Statistics.
46.
MathewsT. J.HamiltonBrady E.2002. “Mean Age of Mother, 1970–2002.”National Vital Statistics Reports51(1):1–14.
47.
MirowskyJohn. 2002. “Parenthood and Health : The Pivotal and Optimal Age at First Birth.”Social Forces81(1):315–49.
48.
MirowskyJohn. 2005. “Age at First Birth, Health, and Mortality.”Journal of Health and Social Behavior46(1):32–5.
49.
MirowskyJohnRossCatherine E.1998. “Education, Personal Control, Lifestyle and Health A Human Capital Hypothesis.”Research on Aging20(4):415–49.
50.
MoffittRobert A.2015. “The Deserving Poor, the Family, and the U.S. Welfare System.”Demography52(3):729–49.
51.
MollbornStefanie. 201. “Exploring Variation in Teenage Mothers’ and Fathers’ Educational Attainment.”Perspectives on Sexual and Reproductive Health42(3):152–59.
52.
MollbornStephanieMorningstarElizabeth. 2009. “Investigating the Relationship between Teenage Childbearing and Psychological Distress Using Longitudinal Evidence.”Journal of Health and Social Behavior50(3):310–26.
53.
MorganStephen L.HardingDavid J.2006. “Matching Estimators of Causal Effects Prospects and Pitfalls in Theory and Practice.”Sociological Methods & Research35(1):3–6.
54.
National Center for Health Statistics. 1988. “Vital Statistics of the United States, 1985, Vol. 1, Natality” (DHHS Pub. No. [PHS] 88-1113). Washington, DC: Government Printing Office.
55.
National Center for Health Statistics. 2014. “Table 125: No health insurance coverage among persons under age 65, by selected characteristics: United States, selected years 1984–2012.” Pp. 35–61 in Health, United States, 2013: With Special Feature on Prescription Drugs. Hyattsville, MD: Author. Retrieved May 21, 2015 (http://www.cdc.gov/nchs/data/hus/hus13.pdf).
56.
PalloniAlbertoMilesiCarolinaWhiteRobert G.TurnerAlyn. 2009. “Early Childhood Health, Reproduction of Economic Inequalities and the Persistence of Health and Mortality Differentials.”Social Science & Medicine68(9):1574–82.
57.
PearlinLeonard I.SchiemanScottFazioElena M.MeersmanStephen C.2005. “Stress, Health, and the Life Course: Some Conceptual Perspectives.”Journal of Health and Social Behavior46(2):205–19.
58.
RibarDavid C.1994. “Teenage Fertility and High School Completion.”Review of Economics and Statistics76(3):413–24.
WildsmithE.Steward-StrengN.R.ManloveJ.2011. “Childbearing outside of Marriage: Estimates and Trends in the United States” (Child Trends Research Brief, Publication No. 2011-29). Washington, DC: Child Trends.
66.
WilliamsKristiSasslerSharonFrechAdrianneAddoFenabaCookseyElizabeth. 2011. “Nonmarital Childbearing, Union History, and Women’s Health at Midlife.”American Sociological Review76(3):465–86.
67.
WilliamsKristiSasslerSharonNicholsonLisa M.2008. “For Better or for Worse? The Consequences of Marriage and Cohabitation for Single Mothers.”Social Forces86(4):1481–1511.
68.
WilsonWilliam Julius. 1987. The Truly Disadvantaged: The Inner City, the Underclass, and Public Policy. Chicago: University of Chicago Press.
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