Ecological Analysis of Teen Birth Rates: Association with Community Income and Income Inequality

Overview

Journal Matern Child Health J

Specialty Health Services

Date 2001 Oct 19

PMID 11605721

Citations 16

Authors

R Gold

I Kawachi

B P Kennedy

J W Lynch

F A Connell

Affiliations

Soon will be listed here.

Abstract

Objectives: To examine whether per capita income and income inequality are independently associated with teen birth rate in populous U.S. counties.

Methods: This study used 1990 U.S. Census data and National Center for Health Statistics birth data. Income inequality was measured with the 90:10 ratio, a ratio of percent of cumulative income held by the richest and poorest population deciles. Linear regression and analysis of variance were used to assess associations between county-level average income, income inequality, and teen birth rates among counties with population greater than 100,000.

Results: Among teens aged 15-17, income inequality and per capita income were independently associated with birth rate; the mean birth rate was 54 per 1,000 in counties with low income and high income inequality, and 19 per 1,000 in counties with high income and low inequality. Among older teens (aged 18-19) only per capita income was significantly associated with birth rate.

Conclusions: Although teen childbearing is the result of individual behaviors, these findings suggest that community-level factors such as income and income inequality may contribute significantly to differences in teen birth rates.

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References

Wilkinson R . Socioeconomic determinants of health. Health inequalities: relative or absolute material standards?. BMJ. 1997; 314(7080):591-5. PMC: 2126067. DOI: 10.1136/bmj.314.7080.591. View

Zabin L, Hirsch M, Boscia J . Differential characteristics of adolescent pregnancy test patients: abortion, childbearing and negative test groups. J Adolesc Health Care. 1990; 11(2):107-13. DOI: 10.1016/0197-0070(90)90018-w. View

Rodriquez Jr C, Moore N . Perceptions of pregnant/parenting teens: reframing issues for an integrated approach to pregnancy problems. Adolescence. 1995; 30(119):685-706. View

Kaplan G, Pamuk E, Lynch J, Cohen R, Balfour J . Inequality in income and mortality in the United States: analysis of mortality and potential pathways. BMJ. 1996; 312(7037):999-1003. PMC: 2350835. DOI: 10.1136/bmj.312.7037.999. View

Blane D, Bartley M, Smith G, Filakti H, Bethune A, Harding S . Social patterning of medical mortality in youth and early adulthood. Soc Sci Med. 1994; 39(3):361-6. DOI: 10.1016/0277-9536(94)90132-5. View

HARDY J, Shapiro S, Astone N, Miller T, Brooks-Gunn J, Hilton S . Adolescent childbearing revisited: the age of inner-city mothers at delivery is a determinant of their children's self-sufficiency at age 27 to 33. Pediatrics. 1997; 100(5):802-9. DOI: 10.1542/peds.100.5.802. View

Singh S . Adolescent pregnancy in the United States: an interstate analysis. Fam Plann Perspect. 1986; 18(5):210-20. View

Lynch J, Smith G, Kaplan G, House J . Income inequality and mortality: importance to health of individual income, psychosocial environment, or material conditions. BMJ. 2000; 320(7243):1200-4. PMC: 1127589. DOI: 10.1136/bmj.320.7243.1200. View

Kennedy B, Kawachi I, Prothrow-Stith D . Income distribution and mortality: cross sectional ecological study of the Robin Hood index in the United States. BMJ. 1996; 312(7037):1004-7. PMC: 2350807. DOI: 10.1136/bmj.312.7037.1004. View

10.

Lynch J, Kaplan G, Pamuk E, Cohen R, Heck K, Balfour J . Income inequality and mortality in metropolitan areas of the United States. Am J Public Health. 1998; 88(7):1074-80. PMC: 1508263. DOI: 10.2105/ajph.88.7.1074. View

11.

Kaufman J, Cooper R, McGee D . Socioeconomic status and health in blacks and whites: the problem of residual confounding and the resiliency of race. Epidemiology. 1997; 8(6):621-8. View

12.

Saul R . Abortion reporting in the United States: an examination of the federal-state partnership. Fam Plann Perspect. 1998; 30(5):244-7. View

13.

Palmore S, Shannon M . Risk factors for adolescent pregnancy in students. Pediatr Nurs. 1988; 14(3):241-5. View

14.

Henshaw S . Abortion incidence and services in the United States, 1995-1996. Fam Plann Perspect. 1998; 30(6):263-70, 287. View

15.

. Teenage pregnancy and motherhood: a review of the literature. Am J Orthopsychiatry. 1980; 50(3):403-431. DOI: 10.1111/j.1939-0025.1980.tb03302.x. View

16.

Lochner K, Pamuk E, Makuc D, Kennedy B, Kawachi I . State-level income inequality and individual mortality risk: a prospective, multilevel study. Am J Public Health. 2001; 91(3):385-91. PMC: 1446602. DOI: 10.2105/ajph.91.3.385. View

17.

Kahn R, Wise P, Kennedy B, Kawachi I . State income inequality, household income, and maternal mental and physical health: cross sectional national survey. BMJ. 2000; 321(7272):1311-5. PMC: 27533. DOI: 10.1136/bmj.321.7272.1311. View

18.

Kawachi I, Kennedy B . Health and social cohesion: why care about income inequality?. BMJ. 1997; 314(7086):1037-40. PMC: 2126438. DOI: 10.1136/bmj.314.7086.1037. View

19.

Brann E . A multivariate analysis of interstate variation in fertility of teenage girls. Am J Public Health. 1979; 69(7):661-6. PMC: 1619119. DOI: 10.2105/ajph.69.7.661. View

20.

DuPlessis H, Bell R, Richards T . Adolescent pregnancy: understanding the impact of age and race on outcomes. J Adolesc Health. 1997; 20(3):187-97. DOI: 10.1016/S1054-139X(96)00174-7. View