The effect of dislike of school on risk of teenage pregnancy: testing of hypotheses using longitudinal data from a randomised trial of sex education
Study objective: To examine whether attitude to school is associated with subsequent risk of teenage pregnancy. To test two hypotheses that attitude to school is linked to pregnancy via pathways involving young people having “alternative” expectations or deficits in sexual health knowledge and confi...
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| Veröffentlicht in: | Journal of epidemiology and community health (1979) 2005-03, Vol.59 (3), p.223-230 |
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| container_title | Journal of epidemiology and community health (1979) |
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| creator | Bonell, C Allen, E Strange, V Copas, A Oakley, A Stephenson, J Johnson, A |
| description | Study objective: To examine whether attitude to school is associated with subsequent risk of teenage pregnancy. To test two hypotheses that attitude to school is linked to pregnancy via pathways involving young people having “alternative” expectations or deficits in sexual health knowledge and confidence. Design: Analysis of longitudinal data arising from a trial of sex education. Examination of associations between attitude to school and protected first sex, unprotected first sex, unprotected and protected last sex, and pregnancy, both crude and adjusting in turn for expectation of parenting by age 20, lack of expectation of education/training at age 20, and sexual health knowledge and confidence. Setting: Schools in central and southern England. Participants: Girls of median age 13.7 years at baseline, 14.7 years at follow up 1, and 16.0 years at follow up 2. Main results: In unadjusted analysis, attitude to school was significantly associated with protected and unprotected first sex by follow up 1, protected first sex between follow up 1 and 2, unprotected last sex, and pregnancy. Dislike of school was more strongly associated with increased risk of these outcomes than was ambivalence to school. These associations remained after adjusting for socioeconomic status and for expectation of parenting, lack of expectation of education/training, and various indicators of knowledge and confidence about sexual health. Conclusions: Dislike of school is associated with subsequent increased risk of teenage pregnancy but the mechanism underlying any possible causal link is unlikely to involve “alternative” expectations or deficits in sexual health knowledge or confidence. |
| doi_str_mv | 10.1136/jech.2004.023374 |
| format | Article |
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To test two hypotheses that attitude to school is linked to pregnancy via pathways involving young people having “alternative” expectations or deficits in sexual health knowledge and confidence. Design: Analysis of longitudinal data arising from a trial of sex education. Examination of associations between attitude to school and protected first sex, unprotected first sex, unprotected and protected last sex, and pregnancy, both crude and adjusting in turn for expectation of parenting by age 20, lack of expectation of education/training at age 20, and sexual health knowledge and confidence. Setting: Schools in central and southern England. Participants: Girls of median age 13.7 years at baseline, 14.7 years at follow up 1, and 16.0 years at follow up 2. Main results: In unadjusted analysis, attitude to school was significantly associated with protected and unprotected first sex by follow up 1, protected first sex between follow up 1 and 2, unprotected last sex, and pregnancy. Dislike of school was more strongly associated with increased risk of these outcomes than was ambivalence to school. These associations remained after adjusting for socioeconomic status and for expectation of parenting, lack of expectation of education/training, and various indicators of knowledge and confidence about sexual health. Conclusions: Dislike of school is associated with subsequent increased risk of teenage pregnancy but the mechanism underlying any possible causal link is unlikely to involve “alternative” expectations or deficits in sexual health knowledge or confidence.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech.2004.023374</identifier><identifier>PMID: 15709083</identifier><identifier>CODEN: JECHDR</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adolescent Behavior - psychology ; Age ; Attitudes ; Birth control ; Contraception ; Contraception Behavior - psychology ; Education ; Educational trends ; Emergency contraception ; England ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Hypotheses ; Longitudinal Studies ; Medical research ; Parenting ; Parents & parenting ; Pregnancy ; Pregnancy in Adolescence - psychology ; Questionnaires ; Research Report ; Research Reports ; Risk-Taking ; School Health Services ; Schools ; Sex Education ; Sexual Behavior - psychology ; Sexual health ; Socioeconomic factors ; Socioeconomic status ; Socioeconomics ; Students ; Studies ; Teen pregnancy ; Teenage pregnancy ; Training</subject><ispartof>Journal of epidemiology and community health (1979), 2005-03, Vol.59 (3), p.223-230</ispartof><rights>Copyright 2005 Journal of Epidemiology and Community Health</rights><rights>Copyright: 2005 Copyright 2005 Journal of Epidemiology and Community Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b511t-c527f1c69b48d1986977012b5e72633010942ceecf1865e29bd2bb5efaff70bb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25570664$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25570664$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,27923,27924,53790,53792,58016,58249</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15709083$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bonell, C</creatorcontrib><creatorcontrib>Allen, E</creatorcontrib><creatorcontrib>Strange, V</creatorcontrib><creatorcontrib>Copas, A</creatorcontrib><creatorcontrib>Oakley, A</creatorcontrib><creatorcontrib>Stephenson, J</creatorcontrib><creatorcontrib>Johnson, A</creatorcontrib><title>The effect of dislike of school on risk of teenage pregnancy: testing of hypotheses using longitudinal data from a randomised trial of sex education</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>Study objective: To examine whether attitude to school is associated with subsequent risk of teenage pregnancy. To test two hypotheses that attitude to school is linked to pregnancy via pathways involving young people having “alternative” expectations or deficits in sexual health knowledge and confidence. Design: Analysis of longitudinal data arising from a trial of sex education. Examination of associations between attitude to school and protected first sex, unprotected first sex, unprotected and protected last sex, and pregnancy, both crude and adjusting in turn for expectation of parenting by age 20, lack of expectation of education/training at age 20, and sexual health knowledge and confidence. Setting: Schools in central and southern England. Participants: Girls of median age 13.7 years at baseline, 14.7 years at follow up 1, and 16.0 years at follow up 2. Main results: In unadjusted analysis, attitude to school was significantly associated with protected and unprotected first sex by follow up 1, protected first sex between follow up 1 and 2, unprotected last sex, and pregnancy. Dislike of school was more strongly associated with increased risk of these outcomes than was ambivalence to school. These associations remained after adjusting for socioeconomic status and for expectation of parenting, lack of expectation of education/training, and various indicators of knowledge and confidence about sexual health. Conclusions: Dislike of school is associated with subsequent increased risk of teenage pregnancy but the mechanism underlying any possible causal link is unlikely to involve “alternative” expectations or deficits in sexual health knowledge or confidence.</description><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Age</subject><subject>Attitudes</subject><subject>Birth control</subject><subject>Contraception</subject><subject>Contraception Behavior - psychology</subject><subject>Education</subject><subject>Educational trends</subject><subject>Emergency contraception</subject><subject>England</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Longitudinal Studies</subject><subject>Medical research</subject><subject>Parenting</subject><subject>Parents & parenting</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence - psychology</subject><subject>Questionnaires</subject><subject>Research Report</subject><subject>Research Reports</subject><subject>Risk-Taking</subject><subject>School Health Services</subject><subject>Schools</subject><subject>Sex Education</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual health</subject><subject>Socioeconomic factors</subject><subject>Socioeconomic status</subject><subject>Socioeconomics</subject><subject>Students</subject><subject>Studies</subject><subject>Teen pregnancy</subject><subject>Teenage 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Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of epidemiology and community health (1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bonell, C</au><au>Allen, E</au><au>Strange, V</au><au>Copas, A</au><au>Oakley, A</au><au>Stephenson, J</au><au>Johnson, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of dislike of school on risk of teenage pregnancy: testing of hypotheses using longitudinal data from a randomised trial of sex education</atitle><jtitle>Journal of epidemiology and community health (1979)</jtitle><addtitle>J Epidemiol Community Health</addtitle><date>2005-03</date><risdate>2005</risdate><volume>59</volume><issue>3</issue><spage>223</spage><epage>230</epage><pages>223-230</pages><issn>0143-005X</issn><eissn>1470-2738</eissn><coden>JECHDR</coden><abstract>Study objective: To examine whether attitude to school is associated with subsequent risk of teenage pregnancy. To test two hypotheses that attitude to school is linked to pregnancy via pathways involving young people having “alternative” expectations or deficits in sexual health knowledge and confidence. Design: Analysis of longitudinal data arising from a trial of sex education. Examination of associations between attitude to school and protected first sex, unprotected first sex, unprotected and protected last sex, and pregnancy, both crude and adjusting in turn for expectation of parenting by age 20, lack of expectation of education/training at age 20, and sexual health knowledge and confidence. Setting: Schools in central and southern England. Participants: Girls of median age 13.7 years at baseline, 14.7 years at follow up 1, and 16.0 years at follow up 2. Main results: In unadjusted analysis, attitude to school was significantly associated with protected and unprotected first sex by follow up 1, protected first sex between follow up 1 and 2, unprotected last sex, and pregnancy. Dislike of school was more strongly associated with increased risk of these outcomes than was ambivalence to school. These associations remained after adjusting for socioeconomic status and for expectation of parenting, lack of expectation of education/training, and various indicators of knowledge and confidence about sexual health. Conclusions: Dislike of school is associated with subsequent increased risk of teenage pregnancy but the mechanism underlying any possible causal link is unlikely to involve “alternative” expectations or deficits in sexual health knowledge or confidence.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>15709083</pmid><doi>10.1136/jech.2004.023374</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescent Behavior - psychology Age Attitudes Birth control Contraception Contraception Behavior - psychology Education Educational trends Emergency contraception England Female Health Knowledge, Attitudes, Practice Humans Hypotheses Longitudinal Studies Medical research Parenting Parents & parenting Pregnancy Pregnancy in Adolescence - psychology Questionnaires Research Report Research Reports Risk-Taking School Health Services Schools Sex Education Sexual Behavior - psychology Sexual health Socioeconomic factors Socioeconomic status Socioeconomics Students Studies Teen pregnancy Teenage pregnancy Training |
| title | The effect of dislike of school on risk of teenage pregnancy: testing of hypotheses using longitudinal data from a randomised trial of sex education |
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