1. ANALYSIS OF THE PREVALENCE OF TEENAGE PREGNANCY RISK FACTORS IN THE LOCAL POPULATION Helen Buttivant, Senior Public Health Manager, Medway Public Health Team

2. Aims ·Identify risk factors for teenage pregnancy amongst the local population of young people ·Provide a “mapping” of risk factors across an area in order that resources and service provision may be targeted at areas/populations of greatest need

3. Objectives 1.Analysis of the prevalence of risk factors in the wards that currently exhibit the highest teenage conception rates to inform strategies to tackle the current levels of teenage conceptions in these areas. 2.Identification of those areas with the highest prevalence of each risk factor, to identify those areas which have the potential for high teenage conception rates in the future, in order to inform strategies to reduce the prevalence of risk factors associated with teenage pregnancy in these areas. 3.Analysis of the prevalence of risk factors for teenage conception in local schools, with the aim of producing a list of schools at which to target and direct resources and services.

4. Known Risk Factors Risky lifestyle behaviours: Early onset of sexual activity Poor contraceptive use Mental health/ conduct disorder Involvement in crime Alcohol and substance misuse Teenage motherhood Repeat abortion Education-related factors: Low educational attainment Disengagement from school Leaving school at 16 with no qualifications Family/ Background factors: Living in a deprived area Living in an area with dominated by LA housing Living in care Daughter of a teenage mother Ethnicity Parental aspirations

5. Risk Factor Indicators

7. Analysis - 1 W ards currently exhibiting the highest teenage conception rates:

8. Analysis - 2 Wards with the highest prevalence of each risk factor:

9. Analysis - 3 School-based analysis using data from Connexions:

10. Data Limitations: 1.Teenage Conceptions 2.Census Data 3.Indices of Deprivation 4.Synthetic Lifestyle Estimates

11. Data Gaps: Risky lifestyle behaviours: Early onset of sexual activity Poor contraceptive use Mental health/ conduct disorder Involvement in crime Alcohol and substance misuse Teenage motherhood Repeat abortion Education-related factors: Low educational attainment Disengagement from school Leaving school at 16 with no qualifications Family/ Background factors: Living in a deprived area Living in an area with dominated by LA housing Living in care Daughter of a teenage mother Ethnicity Parental aspirations

12. References: Teenage Pregnancy Next Steps: Guidance for Local Authorities and Primary Care Trusts on Effective Delivery of Local Strategies, DFES, 2006 http://www.everychildmatters.gov.uk/health/teenagepregnancy/guidance/ Teenage Pregnancy: Accelerating the Strategy to 2010, DCSF 2006

13. helen.buttivant@medway.gov.uk 01634 333890 ANY QUESTIONS ?