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Exploring Explanations for Local Reductions in Teenage Pregnancy Rates in England: An Approach Using Qualitative Comparative Analysis

  • Tim Blackman (a1)
Abstract

Teenage pregnancy rates in the UK are high compared with many other countries but there is marked variation across local areas, including those with high deprivation. This study uses the method of Qualitative Comparative Analysis to identify conditions associated with the presence or absence of a narrowing gap in teenage pregnancy rates as measured by the differences between deprived local authority areas and the national average. A higher proportion of black and minority ethnic groups in the local population is found to be a sufficient although not necessary condition for narrowing to have occurred. Surprisingly, a good assessment of commissioning practice – combined with other conditions – was associated with areas where the gap has not been narrowing.

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Copyright
The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence <http://creativecommons.org/licenses/by-nc-sa/2.5/>. The written permission of Cambridge University Press must be obtained for commercial re-use.
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E. Allen , C. Bonell , V Strange , A. Copas , J. Stephenson , A. M. Johnson and A. Oalkey (2007) ‘Does the UK government's teenage pregnancy strategy deal with the correct risk factors? Findings from a secondary analysis of data from a randomised trial of sex education and their implications for policy’, Journal of Epidemiology and Community Health, 61, 1, 20–7.

T. Blackman (2006) Placing Health: Neighbourhood Renewal, Health Improvement and Complexity, Bristol: Policy Press.

T. Blackman , J. Wistow and D. Byrne (2011) ‘A Qualitative Comparative Analysis of factors associated with narrowing health inequalities in England’, Social Science and Medicine, 72, 12, 1965–74.

J. Bradshaw , N. Finch and J. Miles (2005) ‘Deprivation and variations in teenage conceptions and abortions in England’, Journal of Family Planning and Reproductive Health, 31, 1, 1519.

P. A. Cavazos-Rehg , M. J. Krauss , E. L. Spitznagel , M. Schootman , L. B. Cottler and L. J. Bierut (2011) ‘Substance use and the risk for sexual intercourse with and without a history of teenage pregnancy among adolescent females’, Journal of Studies on Alcohol and Drugs, 72, 2, 194–8.

L. M. Coleman (2002) ‘New opportunities for reducing the risk from teenage pregnancy – what is the evidence base for tackling risk behaviours in combination?’, Health, Risk and Society, 4, 1, 7793.

M. Exworthy and M. Powell (2004) ‘Big windows and little windows: implementation in the congested state’, Public Administration, 82, 2, 263–81.

B. Grofman and C. Q. Schneider (2009) ‘An introduction to crisp set QCA, with a comparison to binary logistic regression’, Political Research Quarterly, 62, 4, 662–72.

B. J. Lohman and A. Billings (2008) ‘Protective and risk factors associated with adolescent boys’ early sexual debut and risk sexual behaviors’, Journal of Youth and Adolescence, 37, 6, 723–35.

A. McCulloch (2001) ‘Teenage childbearing in Great Britain and the spatial concentration of poverty households’, Journal of Epidemiology and Community Health, 55, 1, 1623.

R. Parker and L. Bradley (2004) ‘Bureaucracy or post-bureaucracy? Public sector organisations in a changing context’, Asia-Pacific Journal of Public Administration, 26, 2, 197215.

M. Petticrew and H. Roberts (2003) ‘Evidence, hierarchies, and typologies: horses for courses’, Journal of Epidemiology and Community Health, 57, 7, 527–9.

M. Petticrew , P. Tugwell , V. Welch , E. Ueffing , E. Kristjansson , R. Armstrong , J. Doyle and E. Waters (2009) ‘Better evidence about wicked issues in tackling health inequities’, Journal of Public Health, 31, 3, 453–6.

T. P. Thornberry , C. A. Smith and G. L. Howard (1997) ‘Risk factors for teenage fatherhood’, Journal of Marriage and Family, 59, 3, 505–22.

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Social Policy and Society
  • ISSN: 1474-7464
  • EISSN: 1475-3073
  • URL: /core/journals/social-policy-and-society
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