People will allow all sorts of horrendous things to happen, if it serves their interests.
Father rapes his daughter? The mother refuses to believe it: thinks her daughter is only doing it for attention; doesn't want her "perfect" family image to get shattered (plus, daddy dearest pays the bills and funds her lifestyle). Same goes for extended family.
"It couldn't happen in our family." "You know how teenage girls are." "He would never do something like that. I've known him for decades."
Cognitively checking-out, because it's not their "problem." And other forms of dissonance.
Those are only the stats for pregnancy, though. I'm sure the incidence of sexual abuse without pregnancy is higher.
Before we take the information at face value, we would expect some kind of support for his statement from other professionals. There are scientists who study the factors relating teenage pregnancy, as well as advocates for sexual abuse victims who uncover and publicize facts like these. If the information is something that has never been formally studied but is something that doctors "just know," there are tens of thousands (at least) of medical professionals who have regular contact with different populations of pregnant teenagers in the United States alone. If there's a widespread suspicion that the number might be 10% or more, that would mean a lot more than one doctor making an off-the-cuff remark in the audience of a law lecture.
With the recent popularity of genetic testing services for health and ancestry tracing, I would think this would be easy to tease out of the data. Of course not many people will expect to see as part of the report that their father is also their grandfather or uncle; I wonder how these services handle that?
I refuse to believe that. I mean, yeah, the man had direct contact with such cases and probably had been in the field for tens of years while I'm just a computer programmer but I still refuse to believe it.