Office of Program Decision Support, Texas Department of State Health Services, Mail code 2836, 1100 W 49th Street, Austin, TX 78756, USA.
Matern Child Health J. 2010 Nov;14(6):895-900. doi: 10.1007/s10995-009-0527-5.
To investigate sociodemographic factors associated with adolescent females ages 14-16 years having children fathered by males age 20 years or older and identify differences in correlates across rural, urban, and border areas. The method section was a cross-sectional study using Texas birth record data. From 2000 through 2004, there were 29,186 births to adolescent females aged 14-16 years with valid paternal age. Prevalence of and adjusted odds of paternal age of 20 years or older were identified by paternal and maternal factors. The Results section Having both parents born outside of the U.S. was associated with a 5.29 (95% CI: 4.82, 5.80) times increase in the odds of paternal age of 20 years or older as compared to having both parents born in the U.S. Parental place of birth was associated with greater odds of paternal age of 20 years or older in urban areas compared to rural or border areas. Compared to those with average or high educational attainment relative to age, low educational attainment relative to age was associated with an increase in the odds of paternal age of 20 years or older. This association was present whether maternal or paternal educational attainment was low relative to age. Messages are needed to help adolescent females avoid pregnancy with adult males. In addressing this specific prevention challenge, it is important to consider maternal/paternal place of birth and its association with adolescent births with adult males.
为了调查与 14-16 岁少女与 20 岁或 20 岁以上男性生育子女相关的社会人口因素，并确定农村、城市和边境地区之间相关性的差异。该方法部分是一项使用德克萨斯州出生记录数据的横断面研究。2000 年至 2004 年，有 29186 名 14-16 岁少女的出生记录，其父亲年龄有效。通过父亲和母亲的因素确定了父亲年龄为 20 岁或以上的流行率和调整后的优势比。结果部分与父母双方均出生在美国以外的情况相比，父母双方均出生在美国的情况下，父亲年龄为 20 岁或以上的几率增加了 5.29 倍（95%CI：4.82，5.80）。与农村或边境地区相比，父母出生地与城市地区父亲年龄为 20 岁或以上的几率较高有关。与年龄相对应的平均或高教育程度相比，相对年龄而言教育程度较低与父亲年龄为 20 岁或以上的几率增加有关。无论母亲或父亲的教育程度相对年龄较低，这种关联都存在。需要传达信息，帮助少女避免与成年男性怀孕。在解决这一特定的预防挑战时，重要的是要考虑母亲/父亲的出生地及其与少女与成年男性生育的关系。
