Repeat adolescent pregnancy is a public health problem worldwide. Different interventions aimed at increasing the use of contraception and preventing repeat pregnancies have been implemented and their effectiveness has been evaluated. This systematic review evaluates the results of the efficacy of diverse interventions for contraceptive use and…

Respecting the Circle of Life (RCL) is a teen pregnancy prevention program that was evaluated for effectiveness on sexual health risk behaviors through a two-arm randomized control trial (RCT) with American Indian (AI) youth ages 11-19. The objective of this study is to investigate the effects of RCL compared to a control group on items of condom…

Subsequent teenage births may present various challenges for teenage parents and their children. Evaluation of efforts to prevent subsequent teenage pregnancy and increase use of long-acting reversible contraception (LARC) have lacked investigation of the mechanisms--particularly, goal orientation and social supports--through which these efforts…

Among programs designed to reduce teen pregnancy, few evidence-based interventions specifically aim to reduce repeat pregnancies. Repeat pregnancies among adolescent mothers, however, are both prevalent and consequential. About one-sixth of births to adolescent mothers are repeat births. Compared to adolescent mothers with only one child, those…

Background: Missouri Personal Responsibility Education Program (PREP) provides sexual health education programs to youth with goals of reducing unintended teen pregnancies. Theories of change provide that youth improve their sexual health knowledge, intentions, attitudes, and behaviors as a result of program implementation. Program evaluations are…

In the past three decades, a variety of policies and programs have been created and implemented globally to promote Sexual and Reproductive Health Rights (SRHR). However, millions of adolescent girls in low- and middle-income countries (LMICs) are unable to fully exercise their SRHR, becoming victim to early marriage, teenage pregnancy, and…

This paper explores the use of withdrawal as a harm reduction approach to adolescent pregnancy prevention and its association with condom use. Data come from a baseline survey of a randomised controlled trial to test the effectiveness of FLASH, a sexual health education curriculum. Study participants completed electronic self-report surveys in…

While the fertility effects of improving teenagers' access to contraception are theoretically ambiguous, most empirical work has shown that access decreases teen fertility. In this paper, we consider the fertility effects of access to condoms--a method of contraception not considered in prior work. We exploit variation across counties and across…

Introduction: In Onondaga County, New York, around half of all births to Black and Hispanic teenage girls are unintended. The Layla's Got You campaign consists of a chatbot and social media campaign designed to increase contraception knowledge among 16- to 25-year-old Black and Hispanic women in Onondaga County. Methods: The campaign was…

Background: Teen pregnancy continues to burden families, communities, and society. Programs continue to educate and impower youth and young adults to make positive behavioral decisions. Methods: We evaluated a program aimed at high-risk youth in after-school programs. The goal of the program was to instill a sense of community and empathy, as well…

Providing young people and children with age and developmentally appropriate comprehensive sexuality education (CSE) is important for young people in making informed decisions. There are presently few studies documenting the relationship between school grade of learning CSE and curriculum coverage. We studied this relationship using a 2015…

The purpose of this study was to examine the association between institution-delivered sex education given under real-world conditions and sexually transmitted infection (STI) rates, STI fatalism, and prior STI testing among African American men aged 15-24 who have sex with women. Participants were tested at community venues for Chlamydia and…

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…

Objective: This study evaluated the longitudinal impact of the Teen Outreach Programme (TOP) on adolescent pregnancy, sexual behaviour, risky sex and sexual intentions in non-metropolitan high schools. Design: Pair-matched, cluster randomised controlled trial. Setting: Non-metropolitan public high schools in Florida, USA. Methods: TOP was…

The United States continues to have one of the highest teen birth rates in the developed world, and adolescent rates of sexually transmitted infections (STIs) are also high. These factors highlight the need to identify effective evidence-based programs to improve adolescent reproductive health. This brief synthesizes findings from 118 experimental…