Truancy and teenage pregnancy in English adolescent girls: can we identify those at risk?
Puradiredja, Dewi Ismajani
Journal of Public Health
MetadataShow full item record
Zhou, Y., Puradiredja, D. I., & Abel, G. (2015). Truancy and teenage pregnancy in English adolescent girls: can we identify those at risk?. Journal of Public Health https://doi.org/10.1093/pubmed/fdv029
Background Truancy has been linked to risky sexual behaviours in teenagers. However, no studies in England have examined the association between truancy and teenage pregnancy, and the use of truancy as a marker of teenagers at risk of pregnancy. Methods Using logistic regression, we investigated the association between truancy at age 15 and the likelihood of teenage pregnancy by age 19 among 3837 female teenagers who participated in the Longitudinal Study of Young People of England. We calculated the areas under the ROC curves of four models to determine how useful truancy would be as a marker of future teenage pregnancy. Results Truancy showed a dose–response association with teenage pregnancy after adjusting for ethnicity, educational intentions at age 16, parental socioeconomic status and family composition (‘several days at a time’ versus ‘none’, odds ratio 3.48 95% confidence interval 1.90–6.36, P < 0.001). Inclusion of risk behaviours improved the accuracy of predictive models only marginally (area under the ROC curve 0.76 full model versus 0.71 sociodemographic characteristics only). Conclusions Truancy is independently associated with teenage pregnancy among English adolescent girls. However, the discriminatory powers of models were low, suggesting that interventions addressing the whole population, rather than targeting high-risk individuals, might be more effective in reducing teenage pregnancy rates.
adolescents, sexual behaviour, social determinants, teenage pregnancy, truancy, young people
The work by Y.Z. is supported by an Academic Clinical Fellowship awarded by Health Education East of England (HEEoE). The work by D.I.P. is supported by the Economic and Social Science Research Council (ESRC) Grant ES.J004898.1.
External DOI: https://doi.org/10.1093/pubmed/fdv029
This record's URL: https://www.repository.cam.ac.uk/handle/1810/247589
Attribution 2.0 UK: England & Wales
Licence URL: http://creativecommons.org/licenses/by/2.0/uk/
Recommended or similar items
The following licence files are associated with this item: