The Influence of Culture and Values on Policy-Making and Teenage Pregnancy Rates in the United States, Canada, and Italy

Abstract

Ignoring the heated morality debates and millions of dollars invested in educational programs, the teenage pregnancy rate (and consequently the adolescent birth rate) in the United States remains the highest among the developed countries, even though it had decreased during the 1990s. Adolescent birth rates are 2.5 times higher than Canada's, and 7.2 times the rate reported by Italy. To account for the differences in teenage pregnancy outcomes among the three developed countries – United States, Canada, and Italy – a complex theoretical model of attitudes, beliefs, values, and policy decisions was constructed. Departing from the rational model approach, the present analysis emphasizes culture and values, and the way in which they influence the political process, and are ultimately reflected in the policy-making decisions. Data used to assess attitudes and beliefs prevalent in each of the three countries were obtained from the most recent release of the World Value Survey. Teenage pregnancy rates and other demographic data were drawn mostly from the World Bank's 2001 World Development Indicators. For the geographical analysis of the variations within the United States, data was obtained from the Center for Disease Control. The methodology combines cross-tabular and logistic regression analysis of individual attitudes and beliefs; a comparative table of social and economic indicators for a country-level analysis; a geographical information analysis (GIS) of the United States data; and a political analysis of the differences observed.