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  • Title: U.S. teen pregnancy: studies point to new prevention approaches.
    Journal: Netw Res Triangle Park N C; 1988; 10(1):10. PubMed ID: 12281888.
    Abstract:
    The US has the highest rate of teenage pregnancy in the developed world, and although there is no consensus on the best solution, promising prevention approaches are being offered. 1 in 10 teenaged girls in the US becomes pregnant each year, and more than 1/2 of these pregnancies end in abortion or miscarriage. In a 1986 survey of US teens aged 12 to 17, 1/3 of the sexually active reported using contraceptives all the time, and 27% said they never used them. 24% of the teens cited embarrassment and fear of parental disapproval as reasons for not using contraceptives, while almost 40% said they did not want to use them. 1/4 reportedly lacked knowledge about contraceptives. A successful approach, which increased contraceptive use among teens and helped reduce adolescent pregnancies, involved a school-based clinic in Minnesota. It provided information about sex and birth control, and referred students to a clinic for contraceptive services. Another effective approach provided a combination of sex education and accessible family planning services in 2 Baltimore schools. It resulted in reduced teenage pregnancy rates and a small decrease in the age at 1st intercourse. Programs designed to encourage postponement of sexual activity, and resistance of peer pressure, as well as efforts to promote responsible decision-making and communication between parents and children, are thought to have potential. The "life options" strategy targets girls with low educational ambitions, who are from poor families since study results indicate a high rate of pregnancy among this group. The approach is to help young people develop values and self-esteem, and work toward realistic goals.
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