Yale School of Public Health, New Haven, CT 06520-8034, USA.
Am J Public Health. 2010 Mar;100(3):517-24. doi: 10.2105/AJPH.2009.177600. Epub 2010 Jan 14.
Strong evidence exists to support an intergenerational cycle of adolescent fatherhood, yet such a cycle has not been studied. We examined whether paternal adolescent fatherhood (i.e., father of study participant was age 19 years or younger when his first child was born) and other factors derived from the ecological systems theory predicted participant adolescent fatherhood.
Data included 1496 young males who were interviewed annually from the National Longitudinal Survey of Youth 1997. Cox regression survival analysis was used to determine the effect of paternal adolescent fatherhood on participant adolescent fatherhood.
Sons of adolescent fathers were 1.8 times more likely to become adolescent fathers than were sons of older fathers, after other risk factors were accounted for. Additionally, factors from each ecological domain-individual (delinquency), family (maternal education), peer (early adolescent dating), and environment (race/ethnicity, physical risk environment)-were independent predictors of adolescent fatherhood.
These findings support the need for pregnancy prevention interventions specifically designed for young males who may be at high risk for continuing this cycle. Interventions that address multiple levels of risk will likely be most successful at reducing pregnancies among partners of young men.
有充分的证据表明青少年父亲存在代际循环现象,但目前尚未对此循环进行研究。本研究旨在探讨父代青少年父亲身份(即研究参与者的父亲在其第一个孩子出生时年龄为 19 岁或以下)以及源自生态系统理论的其他因素是否可以预测参与者的青少年父亲身份。
本研究的数据来自于 1997 年全国青年纵向调查的 1496 名年轻男性,他们每年接受一次访谈。采用 Cox 回归生存分析来确定父代青少年父亲身份对参与者青少年父亲身份的影响。
在考虑了其他风险因素后,父亲为青少年的男性成为青少年父亲的可能性是父亲年龄较大的男性的 1.8 倍。此外,来自个体(犯罪行为)、家庭(母亲教育程度)、同伴(青少年早期约会)和环境(种族/民族、物理风险环境)等各个生态领域的因素也是青少年父亲身份的独立预测因素。
这些发现支持针对可能处于持续这种循环风险较高的年轻男性专门设计妊娠预防干预措施的必要性。针对多种风险因素的干预措施可能最有助于减少年轻男性伴侣的怀孕。