Young African American and Latina women aged 15 to 24 are more likely to adopt short-acting forms of contraception over long-acting reversible contraception. Mobile applications and other forms of digital media may be useful for providing adolescents with information about sexual and reproductive health both inside and outside of the health care…

Science-Based Approaches (SBAs) have a number of specific characteristics. First, the development and implementation of an SBA must be fully informed by rigorous research. Second, an SBA must use strategies accepted in the scientific community as thorough and reliable. Third, the evaluation of an SBA must have shown it to be effective in achieving…

In 1981, the first grants for what later came to be called "abstinence-only" programs were authorized under the Adolescent Family Life Act (AFLA). Sponsored by congressional family planning opponents, AFLA was promoted as a "family-centered" alternative to contraceptive counseling and services to teenagers; instead, this…

This article reports on a study conducted by Mathematica Policy Research Inc. of students in four abstinence programs, as well as peers from the same communities who did not participate in the abstinence programs. A federally mandated report said that students who participated in sexual-abstinence education programs partially funded by the federal…

The reproductive health of American adolescents has been, and continues to be, a matter of serious concern. America's teen birth rate--already the highest among developed nations--is again on the rise, and rates of sexually transmitted diseases among American teens are very high. As such, the development and identification of effective…

Since neither the provision of contraception, nor exhortations to preserve premarital chastity serve the adolescent's need to integrate their now-present biological capacity to procreate into their operational self concept, this study utilized experiential learning about fertility to facilitate the integration of biologic maturity with adolescent…

Findings from a qualitative evaluation of the Coordinated Consumer Health Education Project in rural Eastern Kentucky are presented. The purpose of the project is to provide health education for pregnant and lactating women and their infants up to one year of age through a coordinated effort with other health care providers. The evaluation…

This paper presents a model for the development, implementation, and utilization of a health education, counseling, case management, and advocacy program for teenage parents. It describes the Teen Parent Advocate Program, a rurally based program designed to reduce the incidence of repeat teenage pregnancy, develop more effective contraceptive…

Article reviews the major school-based approaches implemented during the last two decades to reduce sexual risk-taking behaviors, examining their evidence for success and providing recommendations for effective programs and program evaluations. The article focuses on programs that educators believed would reduce unprotected sex. (SM)

This paper describes the Young Adult and Adolescent Decision Making About Contraception program, an ongoing clinical research project designed to address the problem of unplanned adolescent pregnancy from a biopsychosocial perspective. The program is described as a peer-led intervention to promote the use of contraception by teenage girls at high…

Provides research-based answers to questions commonly posed by educators, parents, and others about the philosophy, methods, and impact of school sexual health education, discussing such issues as: whether these school programs are needed, what values they teach, whether the programs should teach about sexual orientation and abstinence, and…

This report deals with the effect of the new federalism on family planning programs and considers the impact of a shift from federal categorical funding to block grants. Testimony from Department of Health and Human Services officials outlines the experience and insights gained through administrations of the Title X program. The materials deal…

Effectiveness of a three-phase program to provide inner-city high school freshmen with skills to enhance self-perception and exercise greater control over their lives (particularly sexual behavior) was tested. Pretesting and posttesting indicated a significant decrease in frequency of sexual activity and increase in contraception use by program…

This report summarizes three bodies of research on teenage pregnancy and programs to reduce the risk of teenage pregnancy. Studies included in this report were completed in 1980 or later, conducted in the United States or Canada, targeted adolescents, employed an experimental or quasi-experimental design, had a sample size of at least 100 in the…

This six-chapter document constitutes the final implementation report of Project Redirection, a demonstration of a comprehensive program designed to provide a range of services to adolescents who are pregnant or have children. Following an introductory chapter, chapter II examines characteristics of the four sites where programs were set up to…