Driscoll Anne K, Abma Joyce C
National Center for Health Statistics, 3311 Toledo Rd., Rm 6228, Hyattsville, MD, 20782, USA.
Matern Child Health J. 2015 Oct;19(10):2159-67. doi: 10.1007/s10995-015-1728-8.
This study analyzed the roles of trends in sociodemographic factors known to be related to the risk of a teen birth. The goal was to analyze the roles of these trends in maternal education, family structure and mother's age at first birth in the likelihood of adolescents becoming teen mothers across multiple birth cohorts of women covering the years since 1991. Data are from the 1995, 2002, 2006-2010 and 2011-2013 National Surveys of Family Growth (NSFG). Consecutive birth cohorts of female respondents were constructed and retrospectively followed to estimate the risk of a teen birth for each cohort. Logistic regression models estimate the odds of a teen birth across cohorts and within strata of the predictors across cohorts. Maternal education rose across cohorts; the proportion who were non-Hispanic white declined. In general, the likelihood of an adolescent birth did not change within categories of the predictors that are considered at higher risk for a teen birth across birth cohorts. Specifically, there was no change in the odds of a teen birth among women whose mothers did not finish high school, those born to teen mothers and those not from two-parent families. The odds of a birth declined across cohorts for black women. The findings suggest that much of the decline in teen birth rates is due to declines in the proportion of teens in higher risk categories, rather than to declines within those categories.
本研究分析了已知与青少年生育风险相关的社会人口因素趋势所起的作用。目标是分析这些趋势在母亲教育程度、家庭结构以及首次生育时母亲年龄方面,对1991年以来多个女性生育队列中青少年成为未成年母亲可能性的作用。数据来自1995年、2002年、2006 - 2010年以及2011 - 2013年的全国生育状况调查(NSFG)。构建了连续的女性受访者生育队列并进行回顾性跟踪,以估计每个队列中青少年生育的风险。逻辑回归模型估计了不同队列以及各队列预测因素分层内青少年生育的几率。各队列中母亲的教育程度有所提高;非西班牙裔白人的比例有所下降。总体而言,在各生育队列中被认为青少年生育风险较高的预测因素类别内,青少年生育的可能性没有变化。具体而言,母亲未完成高中学业的女性、未成年母亲所生的女性以及非双亲家庭的女性中,青少年生育的几率没有变化。黑人女性各队列中的生育几率有所下降。研究结果表明,青少年生育率的下降很大程度上是由于高风险类别中青少年比例的下降,而非这些类别内部的下降。