Trends in Adolescent Birth Rates in California

Trends in Adolescent Birth Rates in California: Examining the Influence of Community Characteristics
Through Geographic and Temporal Analysis

Authors: Jennifer Yarger; Nancy F. Berglas, DrPH; Mary Campa, PhD; Marina Chabot,
MSc; Martha J. Decker, DrPH.

Journal of Adolescent Health, November, 2019

The aim of the article was to understand community-level factors associated with the decline in the adolescent birth rate (ABR) in California from 2000 to 2014.

We consolidated multiple data sources at the level of the Medical Service Study Area (MSSA), a federally recognized subcounty geographic unit (N = 497). We used ordinary least squares regression to examine predictors of change in the ABR at the MSSA level over three periods of notable change in California's ABR: 2000–2002, 2006–2008, and 2012–2014. Variables assessed include geographic density, change in sociodemographic and economic characteristics, and change in the availability of publicly funded sexual health services.

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