analysis of the prevalence of teenage pregnancy risk factors in the local population
DESCRIPTION
Helen Buttivant, Senior Public Health Manager, Medway Public Health Team. ANALYSIS OF THE PREVALENCE OF TEENAGE PREGNANCY RISK FACTORS IN THE LOCAL POPULATION. Aims. ·Identify risk factors for teenage pregnancy amongst the local population of young people - PowerPoint PPT PresentationTRANSCRIPT
ANALYSIS OF THE PREVALENCE OF TEENAGE PREGNANCY RISK
FACTORS IN THE LOCAL POPULATION
Helen Buttivant, Senior Public Health Manager, Medway Public Health Team
Aims
·Identify risk factors for teenage pregnancy amongst the local population of young people
·Provide a “mapping” of risk factors across an area in order that resources and service provision may be targeted at areas/populations of greatest need
Objectives
1. Analysis of the prevalence of risk factors in the wards that currently exhibit the highest teenage conception rates to inform strategies to tackle the current levels of teenage conceptions in these areas.
2. Identification of those areas with the highest prevalence of each risk factor, to identify those areas which have the potential for high teenage conception rates in the future, in order to inform strategies to reduce the prevalence of risk factors associated with teenage pregnancy in these areas.
3. Analysis of the prevalence of risk factors for teenage conception in local schools, with the aim of producing a list of schools at which to target and direct resources and services.
Known Risk Factors
Risky lifestyle behaviours:Early onset of sexual activity
Poor contraceptive useMental health/ conduct disorder
Involvement in crimeAlcohol and substance misuse
Teenage motherhoodRepeat abortion
Education-related factors:Low educational attainmentDisengagement from school
Leaving school at 16 with no qualifications
Family/ Background factors:Living in a deprived area
Living in an area with dominated by LA housingLiving in care
Daughter of a teenage motherEthnicity
Parental aspirations
Risk Factor Indicators
Category Risk Factor Indicator Level of Detail
Total Medway female population aged 10-14 years in 2001
Female population aged 10-14 years as % of total Medway population in 2001
Alcohol MisuseSynthetic estimates of binge drinking (%)
Electoral Ward
Numbers of pregnant teenagers 2004-2007
Numbers of teenage mothers 2004-2007
Educational attainmentNational Curriculum Assessments: average points score (key stage 4)
Electoral ward (of residence of pupil)
Exclusions (fixed term & permanent)
Electoral ward
Risky Lifestyle Behaviours
Education-Related Factors
Secondary School
Secondary SchoolNo. of pregnant Teenagers
Age
Unauthorised Absences
Disengagement from School
Risk Factor Indicators
Risk Factor Indicator Level of Detail
IMD 2004 score
% working age people in NS-SeC groups 6 & 7 (semi-routine and routine occupations)
% working age people in NS-SeC group 8 (never worked or long term unemployed)
% unemployed females aged 16-24
% unemployed males aged 16-24
No of lone parent households with dependant children
Ethnicity% of Medway female population aged 10-14 years in 2001 within high risk EMGs
Electoral Ward
High concentration of LA housing Proportion of LA housing (%) Electoral Ward
Family / Background Factors
Electoral WardDeprivation
Analysis - 1
Wards currently exhibiting the highest teenage conception rates: WARD 1 WARD 2 WARC WARD 3 WARD 4 WARD 5Teenage Pregnancy Rate (Ranking)
Highest in the area 2nd Highest in the area 3rd Highest in the area 4th Highest in the area 5th Highest in the area
IMD 2004 (Population Weighted Average Score)
Highest of all wards in the area
Ranked 8/98 (within top 20% of all wards in the area)
2nd highest of all wards in the area
Ranked 10/98 (within top 20% of all wards in the area)
Ranked 4/98 (within top 20% of all wards in the area)
% of working age people in NS-SeC groups 6 & 7 (semi-routine & routine occupations)
Highest % of all wards in the area
Ranked 7/98 (within top 20% of all wards in the area)
Ranked 6/98 (within top 20% of all wards in the area)
Ranked 4/98 (within top 20% of all wards in the area)
Ranked 3/98 (within top 20% of all wards in the area)
% of working age eople in NS-SeC group 8 (never worked or long-term unemployed)
2nd highest % of all wards in the area
Ranked 7/98 (within top 20% of all wards in the area)
Highest % of all wards in the area
Ranked 13/98 (within top 20% of all wards in the area)
Ranked 10/98 (within top 20% of all wards in the area)
Synthetic Estimates of Binge Drinking (Ranking/Quintile)
Ranked 44/98 (middle 20% of all wards in the area)
Ranked 11/98 (within top 20% of all wards in the area)
Ranked 50/98 (middle 20% of all wards in the area)
Ranked 47/98 (middle 20% of all wards in the area)
Ranked 84/98 (lowest 20% of all wards in the area)
% of Unemployed Females aged 16 - 24 (Ranking)
Ranked 8/95 Ranked 19/95 Ranked 14/95 Ranked 7/95 Ranked 59/98
% of Unemployed Males aged 16 - 24 (Ranking)
Ranked 47/95 Ranked 18/95 Ranked 7/95 Ranked 42/95 Ranked 56/95
No. of lone parent households with dependent children
1/98 (within top 20% of all wards in the area)
6/98 (within top 20% of all wards in the area)
11/98 (within top 20% of all wards in the area)
21/98 (within 2nd highest 20% of all wards in the area)
10/98 (within top 20% of all wards in the area)
% of Female Population Aged 10-14 in 2001 within high TP Risk Ethnic Groups
None of the resident female population aged between 10-14 in 2001 were classified within the high TP risk ethnic groups
None of the resident female population aged between 10-14 in 2001 were classified within the high TP risk ethnic groups
Ranked 20/33 (middle 20% of wards in the area with populations within these groups)
None of the resident female population aged between 10-14 in 2001 were classified within the high TP risk ethnic groups
None of the resident female population aged between 10-14 in 2001 were classified within the high TP risk ethnic groups
Analysis - 2
Wards with the highest prevalence of each risk factor:
Analysis - 3
School-based analysis using data from Connexions:
Data Limitations:
1. Teenage Conceptions
2. Census Data
3. Indices of Deprivation
4. Synthetic Lifestyle Estimates
Data Gaps:
Risky lifestyle behaviours:Early onset of sexual activity
Poor contraceptive useMental health/ conduct disorder
Involvement in crimeAlcohol and substance misuse
Teenage motherhoodRepeat abortion
Education-related factors:Low educational attainmentDisengagement from school
Leaving school at 16 with no qualifications
Family/ Background factors:Living in a deprived area
Living in an area with dominated by LA housingLiving in care
Daughter of a teenage motherEthnicity
Parental aspirations
References:
Teenage Pregnancy Next Steps: Guidance for Local Authorities and Primary Care Trusts on Effective Delivery of Local Strategies, DFES, 2006
http://www.everychildmatters.gov.uk/health/teenagepregnancy/guidance/
Teenage Pregnancy: Accelerating the Strategy to 2010, DCSF 2006
