This study aims to investigate whether Girl2Girl, a text messaging-based pregnancy prevention program for cisgender LGB+ girls, had different effects on subgroups based on age, sexual identity, and experience with penile-vaginal sex. A total of 948 girls, 14-18 years old, were recruited nationally via social media and enrolled over the telephone.…

We evaluate the impacts of small high schools on youth risky behaviors and mental health in New York City, using a two-sample-instrumental-variable approach to address endogenous school enrollment. We find heterogeneous effects. School size, overall, has little effect. Among "students" most likely to attend small schools opened…

Background: To contribute to a reduction in teenage pregnancy among in-school adolescents in Rwanda, a sexual and reproductive health peer education programme (SRHPEP) was developed and implemented. Reflecting on the unique characteristics of this newly implemented programme, and understanding peer educators' (PEs) and facilitators' perspectives,…

Adopting an ethnographic lens, readers are provided a look inside a California high school sexuality education classroom. On this chosen day, two invited guest speakers from an outside company are teaching students about pregnancy prevention, healthy relationships, and risks associated with having sex. Analysis of the guest speakers' pedagogical…

South Africa, like many countries, has high numbers of learners who do not complete secondary schooling. This reduces these young people's chances of finding work or of earning a better salary. It is thus important to understand the factors that contribute to high school dropout. In the study reported on here we investigated the factors that…

The Youth Risk Behavior Survey (YRBS) is an epidemiologic surveillance system that was established by the U.S. Centers for Disease Control and Prevention (CDC) to help monitor the prevalence of behaviors that not only influence youth health but also put youth at risk for the most significant health and social problems that can occur during…

The purpose of this study was to describe and explain Japanese health and physical education teachers' experiences teaching sexuality education at the high school level. This qualitative study used the interview method, with an in-depth, semi-structured approach. The research sites were Japanese high schools located in the Kanto region of Japan.…

Teenage pregnancy and motherhood are among the major causes of gender inequality in education in the contemporary global community. This study sought to examine the effectiveness of interventions in redressing the negative effects of schoolgirl pregnancy on teaching and learning at four high schools that experienced high rates of schoolgirl…

Comprehensive sexual health education is critical for the prevention of STIs and unintended pregnancy among young people. Yet, increasing barriers to comprehensive sexual health education in classroom settings underscore the importance of youth-friendly technologies to address sexual health among young people. "It's OK to Ask Someone"…

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…

Adolescence is the most vulnerable period to reproductive health problems. These problems include early pregnancy, unsafe abortion, sexually infections transmitted (STIs) including the human immunodeficiency virus (HIV), sexual abuse. Access for sexuality education and reproductive health services to comprehensive and youth-friendly was limited.…

Background: Failure to complete secondary education often results from a process of educational disengagement. Studies of teen childbearing and high school completion have not adequately accounted for the role of school disengagement prior to conception and may overestimate causal impacts of teen childbearing. Methods: We link New York City birth…

Educational efforts to reduce global rates of adolescent pregnancy vary widely with a significant deficiency in the domain of sex education facilitator training. In this study, we sought to establish a pilot approach to comprehensive sex education facilitator training in Riobamba, Ecuador. The approach was aligned with UNESCO recommendations for…

Southern Africa remains the epicentre of the human immunodeficiency virus (HIV) epidemic with AIDS the leading cause of death amongst adolescents. Poor policy translation, inadequate programme implementation and fragmentation of services contribute to adolescents' poor access to sexual and reproductive health and rights (SRHR) services. This study…

Background: There is limited evidence addressing the impact of adverse childhood experiences (ACEs) on adolescent sexual risk behaviors and pregnancy. In this study, we examined whether individual and cumulative ACEs increased the risk of unhealthy sexual behaviors and adolescent pregnancy. To inform intervention efforts, potential mediating…