Division of Neonatology, Department of Pediatrics, Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, 225 E. Chicago Ave. Box #45, Box #45, Chicago, IL, 60611, USA.
Division of Adolescent/Young Adult Medicine, Department of Pediatrics, Boston Children's Hospital, Boston, MA, 02115, USA.
Matern Child Health J. 2022 Jul;26(7):1584-1593. doi: 10.1007/s10995-022-03389-3. Epub 2022 Feb 28.
To examine the extent to which lifelong neighborhood income modifies the generational association of teen birth among White and AA women in Cook County, IL.
Stratified and multilevel logistic regression analyses were conducted on the Illinois transgenerational dataset of singleton births (1989-1991) to non-Latina White and AA mothers (born 1956-1976) with appended U.S. census income information. We calculated rates and risks of teen births according to race, maternal age, and lifelong neighborhood economic environment.
Teen birth occurred at a rate of 9.5% and 52.9% for White and AA women, respectively. White women whose mothers were teens when they were born had an over five-fold increased risk of becoming teen mothers themselves. For AA women, the risk was smaller, but statistically significant. For both races, women who experienced downward economic mobility had the highest risk of teen birth, while women with upward mobility had the lowest risk, even compared to women in lifelong high income neighborhoods. While White women exposed to lifelong low income had almost threefold increased risk of teen birth compared to those in lifelong high income neighborhoods, AA women in lifelong high and lifelong low income neighborhoods had similar risk of teen birth.
Understanding the racial differences in intergenerational patterns of teen birth is important for effective program planning and policy making, given that interventions targeted at daughters of teen mothers may differ in effectiveness for White and AA teens.
探讨伊利诺伊州库克县白人和非裔美国女性终身邻里收入对青少年生育代际关联的影响程度。
对非拉丁裔白人和非裔美国母亲（出生于 1956-1976 年）的伊利诺伊州跨代单胎生育数据集（1989-1991 年）进行分层和多层次逻辑回归分析，并附有美国人口普查收入信息。我们根据种族、母亲年龄和终身邻里经济环境计算了青少年生育的比率和风险。
白人女性的青少年生育率为 9.5%，非裔美国女性为 52.9%。当她们的母亲在她们出生时是青少年时，白人女性自己成为青少年母亲的风险增加了五倍以上。对于非裔美国女性，风险较小，但具有统计学意义。对于这两个种族，经历经济下滑的女性生育青少年的风险最高，而经历经济上升的女性风险最低，甚至与终身高收入社区的女性相比也是如此。虽然暴露于终身低收入的白人女性生育青少年的风险比终身高收入社区的女性高近三倍，但终身高收入和低收入社区的非裔美国女性生育青少年的风险相似。
鉴于针对青少年母亲女儿的干预措施在有效性上可能存在差异，了解青少年生育代际模式的种族差异对于有效的计划规划和政策制定非常重要。
