Distribution and determinants of risk of teenage motherhood in three British longitudinal studies: implications for targeted prevention interventions
- 1International Longevity Centre UK, London, UK
- 2Department of Quantitative Social Science, Institute of Education, University of London, London, UK
- 3Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK
- 4Department of Social Policy and Intervention, University of Oxford, Oxford, UK
- Correspondence to Professor Chris Bonell, Department of Social Policy and Intervention, Barnett House, 32 Wellington Square, Oxford OX1 2ER, UK;
Contributors CB conceived the paper, planned the analysis and drafted the paper. He is the guarantor of the paper. DK planned and undertook the analysis and contributed text to the paper. AF and RW contributed to the interpretation of the findings and drafting the paper.
- Accepted 8 May 2012
- Published Online First 15 June 2012
Purpose In order to consider the potential contribution of universal versus targeted prevention interventions, the authors examined what is the distribution of established risk variables for teenage motherhood? from where in these distributions do births arise? and how does this distribution/determination of risk vary between studies?
Methods Secondary data analysis of three British longitudinal studies.
Results For all cohorts and variables, the ‘risk’ category was the least frequent. Continuous risk factors were normally distributed. A high rate of teenage motherhood within a risk category often translated into low ‘contribution’ to the overall rate (eg, expectation to leave school at the minimum age among the 1989/1990-born cohort) and vice versa. Most young women had a low probability of teenage motherhood. For any targeting strategy, combining risk factors and a low threshold of predicted probability would be necessary to achieve adequate sensitivity. Assessing between-cohort applicability of findings, the authors find that the numbers of teenage parents is poorly estimated and estimates of the variability and direction of risk may also be inadequate.
Conclusions With reference to a number of established risk factors, there is not a core of easily identifiable multiply disadvantaged girls who go on to constitute the majority of teenage mothers in these studies. While individual risk factors are unlikely to enable targeting, a composite may have some limited potential, albeit with a low threshold for ‘risk’ and with the caveat that evidence from one population may not inform good targeting in another. It is likely that universal approaches will have more impact.
- Pregnancy in adolescence
- risk factors
- sex education
- cohort studies
- adolescents CG
- drug misuse
- social epidemiology
- sexual health
Funding This work was undertaken unfunded.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement The data used in this study are already publicly available.