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  • Title: Public policy and adolescent pregnancy: a reexamination of the issues.
    Author: Montessoro AC, Blixen CE.
    Journal: Nurs Outlook; 1996; 44(1):31-6. PubMed ID: 8650007.
    Abstract:
    In the United States 45% of female adolescents engage in premarital sex; 40% will become pregnant before reaching the age of 20; and 4/5 of these pregnancies will be unintended. Adolescent pregnancy has been associated with increased health risks for both the mother and the child. Only 6 in 10 adolescents will graduate from high school compared with 9 in 10 of their peers who delayed parenthood. The increasing number of single-parent families has contributed significantly to the increase in child poverty rates from 15% in 1960 to 20.3% in 1988. Further, such families cost billions of dollars to taxpayers because of public assistance and medical care. From a historical viewpoint the number of teen childbearing reached a peak in 1957 with 97.3 births per 1000 women 15-17 years old; it declined to 52.8/1000 by 1977 and to 51.8/1000 by the 1980s. The legalization of abortion in 1973 had a major impact on the resolution of adolescent pregnancies. Since the 1960s there has been a faster increase in early sexual activity, pregnancy, and birth among White adolescents than among minority groups. The United States has higher rates than western European countries, while it is also more ambivalent on sexuality issues. Tremendous change did take place in the 1960s in American culture as regards the family, and social and sexual relationships. Yet there is still a double standard with respect to female morality, and adolescents get a conflicting message about sexuality. Teenage mothers and their infants face an uncertain economic future because the much maligned welfare system is undergoing an overhaul and the market is shrinking for unskilled workers. Although increasing numbers of pregnant adolescents remained in school after amendments were passed to the education act, adolescent pregnancy has not been tackled at its very footing, its socioeconomic causes.
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