Moore K A, Wertheimer R F
Fam Plann Perspect. 1984 Nov-Dec;16(6):285-9.
The results of seven computer simulations suggest that strategies to prevent teenage childbearing may be more effective in reducing the number of young women who require welfare assistance than are strategies to improve the circumstances of teenagers who have already given birth. The first simulation constitutes a baseline projection, in which current levels and patterns of adolescent childbearing are assumed to continue to 1990. Three "preventive" simulations assume that no births or fewer births occur among teenagers during the projection period; and three "ameliorative" simulations assume that changes occur in the completed family size, marriage rate and educational attainment of teenage childbearers. Compared with the baseline projection, the three preventive strategies are estimated to reduce by 22-48 percent the number of adolescent childbearers who, as 20-24-year-olds in 1990, will be receiving welfare payments; the three ameliorative strategies cause only a 6-12 percent drop. The strategy with the least impact is the education scenario, in which adolescent mothers are assumed to be no more likely to drop out of school than are other comparable teenagers. The primary reason for the surprisingly small effect appears to be the relatively low earnings of women--even when they are high school graduates. All of the experimental scenarios tested, however, bring about at least some reduction in projected government spending for the three major public assistance programs considered (Aid to Families with Dependent Children, Medicaid and Food Stamps).
七次计算机模拟的结果表明,与改善已生育青少年境遇的策略相比,预防青少年生育的策略在减少需要福利援助的年轻女性数量方面可能更有效。第一次模拟构成了一个基线预测,其中假设当前青少年生育的水平和模式持续到1990年。三次“预防性”模拟假设在预测期内青少年中没有生育或生育数量减少;三次“改善性”模拟假设青少年生育者的家庭规模、结婚率和教育程度发生变化。与基线预测相比,三种预防策略预计可使1990年20至24岁时领取福利金的青少年生育者数量减少22%至48%;三种改善性策略仅导致6%至12%的下降。影响最小的策略是教育方案,其中假设青少年母亲辍学的可能性并不比其他类似青少年更高。效果惊人地小的主要原因似乎是女性收入相对较低——即使她们是高中毕业生。然而,所测试的所有实验方案都至少在一定程度上减少了预计政府在考虑的三个主要公共援助项目(对有受抚养子女家庭的援助、医疗补助和食品券)上的支出。