Teenage Pregnancy: Regional Variations

Jim Shannon Excerpts

Tuesday 19th April 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I was expecting a few more hon. and right hon. Members to participate in this debate, which is important to me as the Member for Strangford and for a great number of Members who would probably wish to participate but for whom there are many other distractions in the House today, with votes and other commitments. I am sure that those who are not here wish that they were and will read Hansard tomorrow.

I congratulate the hon. Member for Telford (Lucy Allan) on securing this debate. I have some comments on the Northern Ireland perspective, and it is disappointing that the research on regional variations in the rate of teenage pregnancy has nothing on Northern Ireland. Perhaps that will change when we have other debates on similar issues. Teenage pregnancy is a public health concern in both the developed and the developing world.

Hopefully most of us in the Chamber have had the joy of holding our own babies in our hands when they were first born. The birth of a new baby in the world is a joy. Today we have had the chance to see the hon. Member for Chatham and Aylesford (Tracey Crouch) with her new baby boy, and not a person passed by without a smile on their face and without congratulating her on the birth of her firstborn. Seeing a new life in the world, loved by their mother and by everyone, is a joy.

When we talk about teenage pregnancies, we must recognise that many of those who become pregnant have a strong, loving relationship to their babies, the new additions to their family. In my constituency office, I have the privilege as the Member for Strangford to engage with many of those young mothers, helping them get the housing benefits, care, nurseries and other support that they need. Those are some of the things that we do. This debate is not meant to be about judging teenage pregnancies in any way; it is about what we can do to help and assist. My contribution will be along those lines, and will focus on how we can assist those young ladies who are teenage mothers.

The United Kingdom has one of the highest teenage pregnancy rates in the whole of Europe. The most recent data show that teenage pregnancy rates in Northern Ireland continue to fall, including—I will qualify this later on—in my own constituency, where they have been relatively high in the past. Ours is still the third highest of all the constituencies in the Province, so my constituency still has a health issue to address. Health is devolved, so the Minister does not have responsibility for replying on that, but hopefully he can take note of my contribution.

Northern Ireland’s teenage pregnancy rates are now at a record low, according to the most recent figures released by the Department of Health in the Province, with a fall in teenage pregnancy rates of 37% in the last 10 years. That is a significant decrease, and I believe that it is caused by some of the policies that we have adopted. In December 2008, when I was in the old Northern Ireland Assembly and made some inside contribution to the relevant debates there, the regional sexual health promotion strategy and action plan was launched and set a target to reduce the rate of births to teenage mothers under 17 by 25% by 2013. We have exceeded that, and the target has been well beaten. The figures have gone the way that the NI Executive and Assembly desired, and the strategy undoubtedly played a large part in that.

I will mention a bit about that, if I can. Better sexual education and availability of contraception have helped drive down the rate of teenage pregnancy in the Province, and although the overall fertility rate in Northern Ireland has been falling, it is most welcome to see it falling more significantly where we want it to do so. Regional variations in teenage pregnancy rates are apparent, but within those, there are also key socioeconomic variations. The hon. Member for Telford referred to some of the reasons for teenage pregnancies, and I am sure that other Members who speak will comment on them.

As we have heard, there are many explanations for the variations in teenage pregnancy. As the rate falls nationwide, we need to take note of those indicators and of similar research to develop a strategy that can work nationally. I have always said that it is important to do so. I bring a Northern Ireland perspective to this debate, and the hon. Member for Glasgow Central (Alison Thewliss) will bring a Scottish perspective. We bring our perspectives to add to the debate and show that where what we are doing can be replicated in other parts of the United Kingdom of Great Britain and Northern Ireland, we should do so. If we see something being done in England, Wales or Scotland that can help us, we in Northern Ireland will look towards that as well. That is why I am commenting about how we can work together.

The factors involved in teenage pregnancy can affect anyone, regardless of where they are in the country, so they should be at the core of identifying how to reduce teenage pregnancy rates further and support teenage mothers. We want to support them. We want them to have the support that we as Members of Parliament can give, and that the Government, society and families can give as well. The hon. Member for Telford mentioned the effect on families, and we need to look at that as well.

[Kevin Foster]

The hon. Gentleman is making some interesting points. He referred to the potential to learn from other areas and he gave examples of the progress that has been made on the strategy in Ulster. Can he give a couple of examples of specific actions that have made a difference?

[Jim Shannon]

I am coming to that if the hon. Gentleman will bear with me. He always makes a valuable contribution in his interventions. He and I seem to always attend these debates. Whatever they are, we are here together to make our contributions. I thank the hon. Gentleman for his intervention and I will come on to the issues.

Within the main council area that dominates my parliamentary constituency, teenage pregnancy rates are the third highest—unfortunately—in Northern Ireland. Although there has been a decrease of 37%, I represent the area with the third highest teenage pregnancy rates in Northern Ireland. It is important for me to learn from other Members—to learn from their experience and understand their knowledge can add to the research that I have done so that I can take that back to Northern Ireland and to my constituency of Strangford.

Progress has undoubtedly been made through personal education. Families and those who are close such as brothers and sisters—probably more sisters to sisters or mothers to daughters—is something that we perhaps should focus on more. Sometimes relationships break down between parents. Young girls can find themselves at a loose end and sometimes things happen. Things happen for many reasons. They can happen because of what has happened at home or because of what is happening in society. They can happen because of peer pressure as well. Those are issues that Government cannot legislate for, but which we as parents need to do something about. We need to encourage the people who have influence to do likewise. When it comes to some of the things that we have done, I can point to the education plan, setting a target for reduction, and the availability of contraception. We have to address those issues. Sometimes we have to be aware that young people will want to do their own thing, but sometimes we have to be aware of what we can do as a society.

[Caroline Ansell]

I note the hon. Gentleman’s points on the availability of contraception and appropriate advice. We tend to assume that we are talking in the main about unplanned teenage pregnancies, and that is not always the case. Does the hon. Gentleman think that we should do more to show that the role of parenting is a hugely challenging one? It is very rewarding, but challenging and costly—emotionally, financially and socially. Do we do enough in that regard?

[Jim Shannon]

I thank the hon. Lady for that intervention and for her wise words. We in this Chamber will say yes, we have done our bit, but many of us here could perhaps do that wee bit more. People could be more conscious of where their children are at night; what they are doing; who they are with and what their peers are doing. I see this in my advice centre all the time; I see some of the issues. I am not here to criticise or to point the finger. That is not what this is about. This is about saying how we and Government can help and assist young people. We should aim to try and enable people to see how we can reduce teenage pregnancies, which we have done in Northern Ireland in significant numbers, but we need to do more. When it comes to whether people can do more, yes, they can. I have three boys—three young men. One is married and one is about to get engaged. If the third boy leaves it until the age of his dad, he has 10 years to go before he gets married, as I was married at 32.

We have to look at the issues individually. Society itself, but particularly the role of parents, is important. The hon. Lady is right. The role is critical and necessary. The Prime Minister has often said that families are at the core of society. I believe that as well, and that is where we need to start.

Although progress has undoubtedly been made, we cannot take our eye off the ball. With research ongoing, the Government need to keep on top of the issue of teenage pregnancies and work with the various bodies—private, voluntary and public sector—to continue the good work that has been done in Northern Ireland and elsewhere and to adapt to the ever-changing goals in the effort to address teenage pregnancies.

For me, the issue is knowing how we can do things better. The hon. Member for Telford referred to some of the reasons for teenage pregnancy. When we consider those reasons, we cannot ignore the variations and variables in the regions of the whole of the United Kingdom. The Department of Health has made clear what it has done to drive down the overall rate of teenage pregnancies and recognised socioeconomic variations. In June 2014, the Department amended the 2008 strategy to include the aim of reducing

“the gap in births to teenage mothers living in deprived areas.”

Identifying and targeting the population most at risk of an unplanned and possibly unwanted pregnancy is vital to both prevention and improving the accessibility and uptake of post-natal medical care. That is another issue that we have addressed. I hope that these comments are helpful and specific. Regardless of their background, all sexually active teenage girls are at risk of becoming pregnant. That fact cannot be denied. Teenage mothers are more likely to be in what are known as routine or semi-routine occupations—for example, sales and services operatives or low-grade administration. I am not doing those jobs down, but that is what the statistics say.

Research evidence from the Family Planning Association in Northern Ireland suggests that risk factors include low self-esteem; poverty; low educational attainment; declining educational achievement; alienation and non-attendance at school; children being looked after by health and social care trusts; children of teenage mothers; a history of sexual abuse; mental health problems; and a history of offending behaviour. Those are all explanations for the variations in the rate of teenage pregnancy. When we look at these issues as we did in Northern Ireland, we can come up with a strategy. The hon. Member for Torbay (Kevin Foster) asked what we did. That is what we did, and it has made a significant contribution to where we are.

I again thank the hon. Member for Telford for giving us the opportunity to participate in this debate. When the shadow Minister speaks and the Minister responds, I hope that we will hear how we can address teenage pregnancy to an even greater degree, because there are many ways we can do that.

[Alison Thewliss (Glasgow Central) (SNP)]

It is a pleasure to serve under your chairmanship, Mr Chope. I thank the hon. Member for Telford (Lucy Allan) for securing this debate and for her very interesting speech.

When we are discussing teenage pregnancy, it is critical that we do not seek to stigmatise or hurt young women. As the hon. Member for Strangford (Jim Shannon) said, every baby born should be celebrated and every mother supported. Having a baby at any age has its challenges, and we should always seek first to offer assistance rather than dole out judgment.

Since the SNP Scottish Government were elected in 2007, the rate of teenage pregnancies in Scotland has fallen every single year, and it has dropped by about 35% in six years. All the NHS board areas in Scotland have seen reductions in their rates of teenage pregnancies. In the under-20 age group, it has decreased by 34.7%; in the under-18 age group, it has decreased by 41.5%; and in the under-16 age group, it has decreased by 39.8%. All that has not happened by accident. The SNP seeks to give every young person in the country a good start in life, regardless of their circumstances. The Scottish Government and the Minister for Children and Young People, Aileen Campbell MSP, have been working to achieve the goal of making Scotland the best place in the world to grow up, and they are leading policy in early years intervention.

The hon. Member for Telford mentioned looked-after children in particular. I draw attention to the Centre for Excellence for Looked After Children in Scotland—CELCIS—which does great work. The Scottish Government have also worked in a number of different ways to support care leavers by giving them an entitlement to university and further training. There are lots of measures to build their self-esteem and make them feel like the valued part of society that they are.

At the weekend, the SNP pledged to give every newborn baby born in Scotland a Finnish-style baby box to ensure that families have all the things they need to start in life. That programme has been hugely successful in Finland in reducing infant mortality from one of the highest rates in the world to one of the lowest. Interestingly, infant mortality is 60% higher among babies born to teenage mothers, so the baby box has the potential to become an important intervention for this vulnerable group.

It takes time and effort to change the causes and history of teenage pregnancy, as the hon. Member for Strangford indicated. I recently visited the National Society for the Prevention of Cruelty to Children in Glasgow. It is doing interesting and worthwhile work to support young mums. It is piloting an intervention that was started by Yale University called “Minding the Baby”. A health visitor and a social worker work with teenage mums from around seven months into pregnancy until the child is two. That very intensive model has resulted in benefits in improved attachment and better parenting skills. It has raised the self-esteem of the young women involved and had a wider effect on their families. Some have younger brothers and sisters who have seen a benefit in their family after teenage mums went through the programme, so there is a wider benefit to society. I was also delighted to hear that through the programme, a number of young women have been supported to breastfeed. That demographic has a low uptake of breastfeeding, but the babies gain a huge and significant benefit.

There is an undeniable correlation between deprivation and teenage pregnancy. Dundee is often mentioned very negatively in that light, but there has been significant progress. Over the past decade, Dundee has seen a 58% drop in teenage conception rates. That is credited to the close working of schools and the local health board and the valuable work of family-nurse partnerships. It is also credited to education. Dundee has a young mums’ unit, which keeps young women in full-time education, meaning that they do not lose out on their education—that vital piece of the jigsaw in moving out of deprivation.

The hon. Members for Telford and for Strangford mentioned the impact of sexual health and relationships education. The House of Commons Library research mentions in relation to England that it is unclear what obligation there will be for schools in England to provide sexual health and relationships education should the Government’s full academisation plans go through. The SNP sees the value in that education and urges the Government to clarify whether new academies will have an obligation to provide sex education in schools. It would be utterly unacceptable for schools to offer no sex education whatever.

The hon. Member for Strangford mentioned prevention and young men, who have an important role. It is not just up to young women; young men have a serious role in teenage pregnancy.

[Jim Shannon]

A significant role.

[Alison Thewliss]

A very significant role. If young men and young women together are not educated about sexual health and relationship more widely, we are missing an opportunity to impart important lessons about consent and respect. Leaving it to chance is hugely damaging, as we can see with the ongoing investigations in Parliament into harassment in schools and the higher education sector.

Sexual health and relationships education is very much part of the curriculum in Scotland. My son is five. His primary 1 class has just been learning about human bodies. We should not be daunted by these issues as parents or politicians, because serious issues such as consent can be taught at a young age. It can be as simple as stopping tickling a child when they say no. That is consent, and we need to think about these things more widely.

In Scotland, we updated our national guidance on relationships, sexual health and parenthood education in December 2014. That guidance puts into practice the commitment made in the Children and Young People (Scotland) Act 2014 that the Scottish Government would actively promote the rights and wellbeing of children and young people. Education in schools should equip children and young people with information to help them keep themselves safe. Giving children and young people the knowledge and understanding of healthy, respectful and loving relationships and the opportunity to explore issues in a safe environment protects them from harm and promotes tolerance. Young people have the right to comprehensive, accurate and evidence-based information to help them make positive, healthy and responsible choices in their relationships.

Dr Alasdair Allan, our Minister for Learning, Science and Scotland’s Languages, said at the end of 2014:

“The issues covered by RSHP can be seen as the building blocks to how pupils look after themselves and engage with people for the rest of their lives. These classes allow pupils to think about their development and the importance of healthy living surrounded by their peers who will have similar experiences to them…The guidance recognises the professionalism of teachers, the expertise they bring to making lessons age appropriate and an invaluable addition to discussions that parents are likely already having with their children at home.”

Finally, I come back to my point about poverty and deprivation and the correlation with teenage pregnancy. In its most recent statistics, which are from 2013, the Information Services Division notes:

“There is a strong correlation between deprivation and teenage pregnancy. In the under 20 age group, a teenage female living in the most deprived area is 4.8 times as likely to experience a pregnancy as someone living in the least deprived area and nearly 12 times as likely to deliver their baby.”

The UK Government’s welfare cuts and sanctions are increasing poverty—that is the context in which this debate exists—and will not help the teen pregnancy rate. In particular, I draw Members’ attention to how young people aged 18 to 21 will lose access to housing benefits from next year. Centrepoint and Shelter have expressed concerns about the impact that will have on young people. One exception to that policy is where people of that age are parents. When the Government begin to make policies that take age and particular things into account and certain groups lose out, that will have a consequence. My concern is that by excluding that group from housing benefit, the Government perhaps encourage young people in particularly desperate circumstances to make huge life decisions for the wrong reasons, and that would be a seriously retrograde step.