美国人口中的青少年读写能力与随后的青少年生育问题。
Pre-teen literacy and subsequent teenage childbearing in a US population.
机构信息
Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA 19104, USA.
出版信息
Contraception. 2013 Apr;87(4):459-64. doi: 10.1016/j.contraception.2012.08.020. Epub 2012 Dec 11.
BACKGROUND
While literacy is a key factor in health across the life course, the association of literacy and teenage childbearing has not been assessed in the US.
STUDY DESIGN
Prospective cohort study using standardized reading data from 12,339 girls in the seventh grade in the 1996-97 or 1997-98 academic years of the Philadelphia Public School System linked to birth records from the city of Philadelphia (1996-2002).
RESULTS
Less than average reading skill was independently associated with two and a half times the risk of teen childbearing than average reading skill (aHR 2.51, 95% CI: 1.67-3.77). Above average reading skill was associated with less risk (aHR 0.27, 95% CI 0.17-0.44). A significant interaction (p<.05) between reading skill and race/ethnicity indicated that Hispanic and African American girls had greater risk of teen-childbearing by literacy.
CONCLUSIONS
Literacy strongly predicts risk of teenage childbearing independent of confounders. The effects of literacy were stronger among girls with Hispanic or African American race/ethnicity.
背景
尽管文化素养是贯穿生命历程中健康的关键因素，但在美国，文化素养与少女生育之间的关联尚未得到评估。
研究设计
这是一项前瞻性队列研究，使用了费城公立学校系统在 1996-97 或 1997-98 学年的第七年级中 12339 名女孩的标准化阅读数据，并与来自费城的生育记录相关联（1996-2002 年）。
结果
阅读技能低于平均水平与少女生育的风险高出两倍半有关，而阅读技能高于平均水平则与较低的风险相关（aHR 2.51，95%CI：1.67-3.77）。显著的交互作用（p<.05）表明，阅读技能与种族/民族之间存在显著的交互作用，表明西班牙裔和非裔美国女孩的少女生育风险更高。
结论
文化素养强烈预测少女生育的风险，独立于混杂因素。文化素养对具有西班牙裔或非裔美国种族/民族的女孩的影响更大。
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