Nanchahal Kiran, Wellings Kaye, Barrett Geraldine, Copas Andrew J, Mercer Catherine H, Macmanus Sally, Macdowall Wendy, Fenton Kevin A, Erens Bob, Johnson Anne M
Centre for Sexual and Reproductive Health Research, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
J Epidemiol Community Health. 2005 Oct;59(10):828-33. doi: 10.1136/jech.2004.026021.
To assess changes between 1990 and 2000 in the circumstances of women who became mothers before the age of 18.
Two cross sectional probability sample surveys of the general population carried out in 1989-1991 (Natsal 1990) and 1999-2001 (Natsal 2000).
British households.
Women aged 18 to 27 years at time of survey (Natsal 1990: 2575, Natsal 2000: 1757).
Educational attainment, participation in education/work or training, living in social housing, social class, living as lone adult, parity, ill health, and health related behaviours at the time of the interview.
The proportion of women who were sexually active before 18 increased between 1990 and 2000 from 58.9% to 71.3% (p<0.0001). There was no significant change in the proportion who had a child before the age of 18 (4.7% in 1990, 5.3% in 2000, p=0.390). The proportion who had attained no educational qualifications and were not participating in education/work or training was significantly lower in 2000 than in 1990 for all women aged 18-27, but higher among those who were mothers before age 18, although the relative difference was not statistically significant. The proportion living in social housing or reporting a recent long term illness at time of interview was higher and this trend was more pronounced among women who did not experience motherhood before 18 than those who did, but the differences between these groups of women were not statistically significant.
Motherhood before the age of 18 continues to be related to a variety of adverse circumstances in adult life, including lack of educational attainment, not being in education/work or training, lone parenthood, and a reduced likelihood of home ownership. There is little evidence of improvement in the circumstances of young mothers between 1990 and 2000 despite improvements in life chances among young women in general.
评估1990年至2000年间18岁前成为母亲的女性的情况变化。
1989 - 1991年(全国性态度和生活方式调查1990)及1999 - 2001年(全国性态度和生活方式调查2000)对普通人群进行的两次横断面概率抽样调查。
英国家庭。
调查时年龄在18至27岁之间的女性(全国性态度和生活方式调查1990:2575人,全国性态度和生活方式调查2000:1757人)。
访谈时的教育程度、参与教育/工作或培训情况、居住在社会住房情况、社会阶层、独居情况、生育状况、健康状况不佳以及与健康相关的行为。
1990年至2000年间,18岁前有性行为的女性比例从58.9%增至71.3%(p<0.0001)。18岁前生育子女的女性比例无显著变化(1990年为4.7%,2000年为5.3%,p = 0.390)。2000年,所有18 - 27岁女性中未获得学历且未参与教育/工作或培训的比例显著低于1990年,但在18岁前成为母亲的女性中该比例更高,尽管相对差异无统计学意义。访谈时居住在社会住房或报告近期患有长期疾病的比例更高,且这种趋势在18岁前未生育的女性中比生育过的女性更明显,但这些女性群体之间的差异无统计学意义。
18岁前成为母亲仍然与成年后的各种不利情况相关,包括缺乏教育程度、未参与教育/工作或培训、单亲家庭以及拥有自有住房的可能性降低。尽管总体上年轻女性的生活机会有所改善,但几乎没有证据表明1990年至2000年间年轻母亲的情况有所改善。