Literature DB >> 14600112

Effect of social exclusion on the risk of teenage pregnancy: development of hypotheses using baseline data from a randomised trial of sex education.

C P Bonell1, V J Strange, J M Stephenson, A R Oakley, A J Copas, S P Forrest, A M Johnson, S Black.   

Abstract

STUDY
OBJECTIVE: The UK government argues that "social exclusion" increases risk of teenage pregnancy and that educational factors may be dimensions of such exclusion. The evidence cited by the government is limited to reporting that socioeconomic disadvantage and educational attainment influence risk. Evidence regarding young people's attitude to school is not cited, and there is a lack of research concerning the UK. This paper develops hypotheses on the relation between socioeconomic and educational dimensions of social exclusion, and risk of teenage pregnancy, by examining whether dislike of school and socioeconomic disadvantage are associated with cognitive/behavioural risk measures among 13/14 year olds in English schools.
DESIGN: Analysis of data from the baseline survey of a study of sex education. SETTING AND PARTICIPANTS: 13/14 year old school students from south east England. MAIN
RESULTS: The results indicate that socioeconomic disadvantage and dislike of school are associated with various risk factors, each with a different pattern. Those disliking school, despite having comparable knowledge to those liking school, were more likely to have sexual intercourse, expect sexual intercourse by age 16, and expect to be parents by the age of 20. For most associations, the crude odds ratios (ORs) and the ORs adjusted for the other exposure were similar, suggesting that inter-confounding between exposures was limited.
CONCLUSIONS: It is hypothesised that in determining risk of teenage pregnancy, the two exposures are independent. Those disliking school might be at greater risk of teenage pregnancy because they are more likely to see teenage pregnancy as inevitable or positive.

Entities:  

Mesh:

Year:  2003        PMID: 14600112      PMCID: PMC1732333          DOI: 10.1136/jech.57.11.871

Source DB:  PubMed          Journal:  J Epidemiol Community Health        ISSN: 0143-005X            Impact factor:   3.710


  8 in total

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Review 3.  Modelling and modifying young heterosexuals' HIV-preventive behaviour; a review of theories, findings and educational implications.

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Journal:  Sex Transm Infect       Date:  1998-12       Impact factor: 3.519

7.  The determinants of sexual intercourse before age 16.

Authors:  C Paul; J Fitzjohn; P Herbison; N Dickson
Journal:  J Adolesc Health       Date:  2000-08       Impact factor: 5.012

8.  The determinants of first sex by age 14 in a high-risk adolescent population.

Authors:  F L Mott; M M Fondell; P N Hu; L Kowaleski-Jones; E G Menaghan
Journal:  Fam Plann Perspect       Date:  1996 Jan-Feb
  8 in total
  7 in total

1.  Applying ecological perspectives to adolescent sexual health in the United States: rhetoric or reality?

Authors:  Laura F Salazar; Erin L P Bradley; Sinead N Younge; Nichole A Daluga; Richard A Crosby; Delia L Lang; Ralph J DiClemente
Journal:  Health Educ Res       Date:  2009-12-09

2.  Study protocol for the evaluation of an Infant Simulator based program delivered in schools: a pragmatic cluster randomised controlled trial.

Authors:  Sally A Brinkman; Sarah E Johnson; David Lawrence; James P Codde; Michael B Hart; Judith A Y Straton; Sven Silburn
Journal:  Trials       Date:  2010-10-21       Impact factor: 2.279

3.  Antecedents of teenage pregnancy from a 14-year follow-up study using data linkage.

Authors:  Jennifer Gaudie; Francis Mitrou; David Lawrence; Fiona J Stanley; Sven R Silburn; Stephen R Zubrick
Journal:  BMC Public Health       Date:  2010-02-11       Impact factor: 3.295

4.  Understanding differences in conception and abortion rates among under-20 year olds in Britain and France: Examining the contribution of social disadvantage.

Authors:  Rachel H Scott; Nathalie Bajos; Emma Slaymaker; Kaye Wellings; Catherine H Mercer
Journal:  PLoS One       Date:  2017-10-16       Impact factor: 3.240

Review 5.  Teenage pregnancy and social disadvantage: systematic review integrating controlled trials and qualitative studies.

Authors:  Angela Harden; Ginny Brunton; Adam Fletcher; Ann Oakley
Journal:  BMJ       Date:  2009-11-12

6.  The effect of dislike of school on risk of teenage pregnancy: testing of hypotheses using longitudinal data from a randomised trial of sex education.

Authors:  C Bonell; E Allen; V Strange; A Copas; A Oakley; J Stephenson; A Johnson
Journal:  J Epidemiol Community Health       Date:  2005-03       Impact factor: 3.710

7.  A comparative analysis of predictors of teenage pregnancy and its prevention in a rural town in Western Nigeria.

Authors:  Olorunfemi E Amoran
Journal:  Int J Equity Health       Date:  2012-07-30
  7 in total

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