Multi-Systemic Influences on the Family Functioning of Teens Attending Pregnancy Prevention Programs

This exploratory study used Bronfenbrenner's (1979) multi-systemic framework to determine the factors predicting scores on the McMaster Family Assessment Device (FAD) with a sample of low SES and culturally diverse (White non-Hispanic, African-American, and Hispanic) teenagers attending both primary and secondary pregnancy prevention programs. Factors studied at the individual (micro) level involved the adolescent's pregnancy status; at the level of the immediate social environment (meso), family structure was assessed, and SES and race were studied as broader social environment influences (macro). Overall, scores on the FAD were high, indicating unhealthy functioning according to teen self-reports. Support was indicated for the Bronfenbrenner model with all three systems levels exerting an influence on family functioning. Adolescents who had grown up in homes without their parents seemed most at risk for perceptions of poor family functioning although racial differences were found. Overall, minority teens rated their families as higher functioning. Pregnancy and parenting as a teenager also appeared to put a strain on family functioning. Implications for service delivery are discussed.