title: Teen births, income inequality, and social capital: developing an understanding of the causal pathway.
abstract: Many studies have demonstrated a relationship between income inequality and poor health, but how does income inequality impact health? One possible explanation is that greater income inequality undermines social capital (social cohesion, civic engagement, and mutual trust in a community). We conducted path analyses of the relationship between income inequality, poverty, and teen birth rate, testing for the mediating effect of social capital in 39 US states. Birth rate was affected by both poverty and income inequality, though income inequality appeared to affect teen birth rate primarily through its impact on social capital.
authors.affiliation: University of Washington, School of Public Health and Community Medicine, Department of Epidemiology/Maternal and Child Health Program, USA. rgold@u.washington.edu
authors.forename: Rachel
authors.initials: R
authors.lastname: Gold
authors.forename: Bruce
authors.initials: B
authors.lastname: Kennedy
authors.forename: Fred
authors.initials: F
authors.lastname: Connell
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kawachi
mesh_terms: D000293:Adolescent; D001723:Birth Rate; D015984:Causality; D005260:Female; D006801:Humans; D011203:Poverty; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000208:ethnology*; D012923:Social Class; D012933:Social Identification; D012935:Social Justice; D014481:United States / Q000453:epidemiology