Determining longitudinal trends and risk factors for adolescent reproductive health

确定青少年生殖健康的纵向趋势和风险因素

• 批准号: 10042543
• 负责人: REANNE FRANK
• 金额: $ 10.4万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-10 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10042543
• 关键词: 19 year old; Adolescent; Age; American; Behavior; Behavioral; Birth; Birth Rate; Bypass; Censuses; Child Welfare; Community Surveys; Complex; Country; County; Data; Data Reporting; Demographic Accounting; Denmark; Developed Countries; Distal; Drops; Epidemiology; Ethnic group; Family; Fertility Rates; Geographic Locations; Germany; Health; Heterogeneity; Hispanics; Inequality; Latina; Longitudinal trends; Marital Status; Mothers; Not Hispanic or Latino; Pattern; Personal Satisfaction; Policies; Population; Pregnancy in Adolescence; Process; Race; Resources; Risk; Risk Factors; Source; Specific qualifier value; Subgroup; Surveys; Teenagers; Time; Uncertainty; United States National Center for Health Statistics; Work; adjudicate; child bearing; driving force; experience; improved; population survey; pregnancy prevention; programs; racial and ethnic disparities; reproductive health of adolescents; teen birth; teenage fertility; 19 year old; Adolescent; Age; American; Behavior; Behavioral; Birth; Birth Rate; Bypass; Censuses; Child Welfare; Community Surveys; Complex; Country; County; Data; Data Reporting; Demographic Accounting; Denmark; Developed Countries; Distal; Drops; Epidemiology; Ethnic group; Family; Fertility Rates; Geographic Locations; Germany; Health; Heterogeneity; Hispanics; Inequality; Latina; Longitudinal trends; Marital Status; Mothers; Not Hispanic or Latino; Pattern; Personal Satisfaction; Policies; Population; Pregnancy in Adolescence; Process; Race; Resources; Risk; Risk Factors; Source; Specific qualifier value; Subgroup; Surveys; Teenagers; Time; Uncertainty; United States National Center for Health Statistics; Work; adjudicate; child bearing; driving force; experience; improved; population survey; pregnancy prevention; programs; racial and ethnic disparities; reproductive health of adolescents; teen birth; teenage fertility

Project Summary The proposed study focuses on adolescent childbearing among the U.S. Hispanic/Latina (hereafter: Hispanic) population. Declines in teen fertility in the U.S have been widespread and, in recent years, have been particularly large among Hispanic/Latina adolescents. Given their disproportionate share of teen births (over one-third of all teen births in 2017 were to Hispanic teens), the drop in the Hispanic birth rate accounts for a substantial portion of the recent decline in the national teen birth rate. Beyond birth data reports, however, there has been no formal demographic accounting of these unprecedented declines that considers the vast heterogeneity and significant changes in the Hispanic population. This kind of rich description is an essential, albeit frequently bypassed, step in the broader tasks of identifying the causes (both proximate and distal) of the impressive declines in Hispanic teen fertility. We leverage nearly 30 years of Natality data (1991-2018) to first determine if declines in Hispanic teen birth rates have been widespread or exclusive to particular sub-groups (cross-classified by different combinations of region-of-origin, nativity, geographic location in the U.S., age, and marital status). Second, we employ decomposition analysis to adjudicate between different explanations (i.e. compositional shifts vs. unobserved behavioral changes) behind any documented declines. Together, our approach will reveal patterns that are essential to a more comprehensive understanding of Hispanic teen fertility, including how it has (or has not) changed and the reasons for any observed changes. By identifying sub-groups at continued teen childbearing risk and identifying the sources of observed declines, this study will help inform continuing policy and programmatic efforts focused on adolescent pregnancy prevention.

项目摘要 拟议的研究重点是美国西班牙裔/拉丁裔的青春期生育 （以后：西班牙裔）人口。美国的青少年生育能力下降已经普遍存在，并且 近年来，在西班牙裔/拉丁裔青少年中特别大。鉴于他们 青少年出生的份额不成比例（2017年所有青少年出生的三分之一以上是西班牙裔 青少年），西班牙裔出生率的下降占最近下降的很大一部分 以全国青少年出生率。但是，除了出生数据报告之外，还没有正式 这些前所未有的人口统计学会计降低，认为巨大的异质性 西班牙裔人口的重大变化。这种丰富的描述是必不可少的 尽管经常绕过，但要介入确定原因的更广泛的任务（两者都接近 西班牙裔青少年生育能力令人印象深刻的下降。我们利用近30年的 出生数据（1991-2018）首先确定西班牙裔青少年出生率的下降是否已有 特定子组的广泛或独家（通过不同的组合进行了分类 原产地区，耶稣诞生，地理位置在美国，年龄和婚姻状况）。第二，我们 采用分解分析来裁定不同的解释（即组成 在任何有记录的下降之后，轮班与未观察到的行为变化）。在一起，我们的 方法将揭示对更全面理解至关重要的模式 西班牙裔青少年的生育能力，包括它的变化（或没有改变）以及任何原因的原因 观察到的变化。通过在持续的青少年生育风险下识别子群体并确定 观察到的下降的来源，这项研究将有助于持续的政策和程序化信息 专注于青春期预防妊娠的努力。