Association between teenage pregnancy rates and the age and sex of general practitioners: cross sectional survey in Trent 1994-7

doi:10.1136/bmj.320.7238.842

BMJ 2000;320:842-845 ( 25 March )

General Practice

Association between teenage pregnancy rates and the age and sex of general practitioners: cross sectional survey in Trent 1994-7

Julia Hippisley-Cox, senior lecturer, ^a Jane Allen, researcher, ^a Mike Pringle, professor, ^a Dave Ebdon, lecturer, ^d Marion McPhearson, senior lecturer, ^b Dick Churchill, lecturer, ^a Sue Bradley, lecturer. ^c

^a Division of General Practice, Medical School, Queen's Medical Centre, Nottingham NG7 2UH, ^b Department of Obstetrics and Gynaecology, Queen's Medical Centre, ^c School of Nursing, Queen's Medical Centre, ^d Department of Geography, University of Nottingham, Nottingham NG7 2UH

Correspondence to: J Hippisley-Cox julia.hippisley-cox{at}nottingham.ac.uk

Objective: To examine variations in teenage pregnancyrates in Trent region and to determine possible associations withlocal general practice characteristics such as the age and sexof thedoctors.
Design: Cross sectionalsurvey.
Setting: All 826 general practices in Trent regionin existence between 1994 and1997.
Subjects: All pregnancies of teenagers aged 13 to 19between 1994 and 1997 that resulted in an admission to an NHShospital.
Main outcome measures: Pregnancy rates for teenagers aged 13 to 19and general practice characteristics: presence of a female oryoung doctor (under 36 years old), number of whole time equivalentpractice nurses, Townsend score, vocational training status, listsize per whole time equivalent doctor, fundholding status, andpartnershipsize.
Results: On multivariate analysis, lower teenage pregnancyrates were associated with the presence of a female or young doctorand more nurse time. Practices in deprived areas had higher teenagepregnancyrates.
Conclusion: General practices with female doctors, youngdoctors, or more nurse time had lower teenage pregnancy rates.The findings may have implications for the mix of health professionalswithin primarycare.

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Rapid Responses:

Read all Rapid Responses

Contradictory reports of urban/rural differences: Martin Bland
bmj.com, 24 Mar 2000 [Full text]
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bmj.com, 25 Mar 2000 [Full text]
The importance of patients' opinions: Andrew Thornett
bmj.com, 27 Mar 2000 [Full text]
Causality or Inference?: Peter Morrell
bmj.com, 29 Mar 2000 [Full text]
Record linkage analysis could have been used: Babatunde A Gbolade
bmj.com, 2 May 2000 [Full text]
association betwen teenage pregnancy: Farokh Abazari
bmj.com, 30 Jul 2000 [Full text]