Pre-teen literacy and subsequent teenage childbearing in a US population

被引:23
作者
Bennett, Ian M. [1 ,2 ]
Frasso, Rosemary [2 ,3 ]
Bellamy, Scarlett L. [4 ]
Wortham, Stanton [5 ]
Gross, Kennen S. [5 ]
机构
[1] Univ Penn, Dept Family Med & Community Hlth, Philadelphia, PA 19104 USA
[2] Univ Penn, Ctr Publ Hlth Initiat, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
[4] Univ Penn, Perelman Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
[5] Univ Penn, Grad Sch Educ, Philadelphia, PA 19104 USA
关键词
Pregnancy in adolescence; Education; Schools; 5; DEVELOPED-COUNTRIES; PREGNANCY;
D O I
10.1016/j.contraception.2012.08.020
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: While literacy is a key factor in health across the life course, the association of literacy and teenage childbearing has not been assessed in the US. Study Design: Prospective cohort study using standardized reading data from 12,339 girls in the seventh grade in the 1996-97 or 1997-98 academic years of the Philadelphia Public School System linked to birth records from the city of Philadelphia (1996-2002). Results: Less than average reading skill was independently associated with two and a half times the risk of teen childbearing than average reading skill (aHR 2.51, 95% CI: 1.67-3.77). Above average reading skill was associated with less risk (aHR 0.27, 95% CI 0.17-0.44). A significant interaction (p<.05) between reading skill and race/ethnicity indicated that Hispanic and African American girls had greater risk of teen-childbearing by literacy. Conclusions: Literacy strongly predicts risk of teenage childbearing independent of confounders. The effects of literacy were stronger among girls with Hispanic or African American race/ethnicity. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:459 / 464
页数:6
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