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ARTICLE |

Reducing Adolescent Pregnancy Through School and Community-Based Education FREE

Murray L. Vincent, EdD; Andrew F. Clearie, MSPH; Mark D. Schluchter, PhD
[+] Author Affiliations

Reprint requests to the Department of Health Promotion and Education, School of Public Health, University of South Carolina, Columbia, SC 29208.


JAMA. 1987;257(24):3382-3386. doi:10.1001/jama.1987.03390240088029
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The resident population of the western portion of a South Carolina county has undergone a public health information and education intervention since October 1982. The purpose of the intervention has been to reduce the occurrence of unintended pregnancies among unmarried adolescents. Intervention messages are targeted at parents, teachers, ministers and representatives of churches, community leaders, and children enrolled in the public school system. The messages emphasize development of decision-making and communication skills, self-esteem enhancement, and understanding human reproductive anatomy, physiology, and contraception. The estimated rate of pregnancy ([live births plus fetal deaths plus induced abortions] per 1000 female population) for females aged 14 to 17 years in the county's western portion has declined remarkably since the intervention began, and the changes are statistically significant when compared with three sociodemographically similar counties and also with the eastern portion of the county.

(JAMA 1987;257:3382-3386)

REFERENCES

Dryfoos JG, Bourque-Scholl N: Factbook on Teenage Pregnancy . New York, Alan Guttmacher Institute, 1981;.
Public Health Service: Health of the United States: Objectives for the Nation . US Dept of Health, Education, and Welfare, 1979;.
Zabin LS, Hirsch MB, Smith EA, et al:  Evaluation of a pregnancy prevention program for urban teenagers . Fam Plann Perspect 1986;;18:119-126.
Edwards LE, Steinman ME, Arnold KA, et al:  Adolescent pregnancy prevention services in high school clinics . Fam Plann Perspect 1980;;12:6-14.
Marsiglio W, Mott FL:  The impact of sex education on sexual activity, contraceptive use and premarital pregnancy among American teenagers . Fam Plann Perspect 1986;;18:151-161.
Kirby D: Sexuality Education: An Evaluation of Programs and Their Effects—An Executive Summary . Santa Cruz, Calif, Network Publications, 1984;.
Dawson DA:  The effects of sex education on adolescent behavior . Fam Plann Perspect 1986;;18: 162-170.
Zelnik M, Kim YJ:  Sex education and its association with teenage sexual activity, pregnancy and contraceptive use . Fam Plann Perspect 1982;;14: 117-126.
Kirby D:  Sexuality education: A more realistic view of its effects . J Sch Health 1985;;55:421-424.
Phipps-Yonas S:  Teenage pregnancy and motherhood: A review of the literature . Am J Orthopsychiatry 1980;;50:403-430.
Maccoby N, Farquhar JW, Wood P, et al:  Reducing the risk of cardiovascular disease: Effects of a community based campaign on knowledge and behavior . J Community Health 1977;;3:100-114.
McAlister A, Puska P, Salonen JT, et al:  Theory and action for health promotion: Illustrations from the North Karelia project . Am J Public Health 1982;;72:43-50.
1980 Census of the Population: General Population Characteristics: South Carolina, PC80-1-B42 . US Dept of Commerce, 1982;.
South Carolina Division of Research and Statistical Services: South Carolina Statistical Abstract, 1982-1985 . Columbia, SC, South Carolina Budget and Control Board, 1983;-1986.
Office of Health Education and Division of Maternal Health: Teenage Pregnancy in South Carolina: Everybody's Problem, II . Columbia, SC, South Carolina Department of Health and Environmental Control, 1985;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Dryfoos JG, Bourque-Scholl N: Factbook on Teenage Pregnancy . New York, Alan Guttmacher Institute, 1981;.
Public Health Service: Health of the United States: Objectives for the Nation . US Dept of Health, Education, and Welfare, 1979;.
Zabin LS, Hirsch MB, Smith EA, et al:  Evaluation of a pregnancy prevention program for urban teenagers . Fam Plann Perspect 1986;;18:119-126.
Edwards LE, Steinman ME, Arnold KA, et al:  Adolescent pregnancy prevention services in high school clinics . Fam Plann Perspect 1980;;12:6-14.
Marsiglio W, Mott FL:  The impact of sex education on sexual activity, contraceptive use and premarital pregnancy among American teenagers . Fam Plann Perspect 1986;;18:151-161.
Kirby D: Sexuality Education: An Evaluation of Programs and Their Effects—An Executive Summary . Santa Cruz, Calif, Network Publications, 1984;.
Dawson DA:  The effects of sex education on adolescent behavior . Fam Plann Perspect 1986;;18: 162-170.
Zelnik M, Kim YJ:  Sex education and its association with teenage sexual activity, pregnancy and contraceptive use . Fam Plann Perspect 1982;;14: 117-126.
Kirby D:  Sexuality education: A more realistic view of its effects . J Sch Health 1985;;55:421-424.
Phipps-Yonas S:  Teenage pregnancy and motherhood: A review of the literature . Am J Orthopsychiatry 1980;;50:403-430.
Maccoby N, Farquhar JW, Wood P, et al:  Reducing the risk of cardiovascular disease: Effects of a community based campaign on knowledge and behavior . J Community Health 1977;;3:100-114.
McAlister A, Puska P, Salonen JT, et al:  Theory and action for health promotion: Illustrations from the North Karelia project . Am J Public Health 1982;;72:43-50.
1980 Census of the Population: General Population Characteristics: South Carolina, PC80-1-B42 . US Dept of Commerce, 1982;.
South Carolina Division of Research and Statistical Services: South Carolina Statistical Abstract, 1982-1985 . Columbia, SC, South Carolina Budget and Control Board, 1983;-1986.
Office of Health Education and Division of Maternal Health: Teenage Pregnancy in South Carolina: Everybody's Problem, II . Columbia, SC, South Carolina Department of Health and Environmental Control, 1985;.
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