This highlights the need to identify a variety of rigorously evaluated program approaches and settings with impacts on adolescent reproductive health outcomes. Almost half of high school teens have ever had sexual intercourse, including nearly two-thirds of 12th graders. The Guttmacher Report on Public Policy ; 2: This type of instruction is a central source of information for adolescents. Legislators craft alternative vision of sex education to counter abstinence-only drive.
We limited the review to evaluations of programs that were implemented primarily with adolescents under the age of 18 years, that did not target expectant and parenting adolescents, and assessed impacts on reproductive health outcomes and their key behavioral determinants. Family Health International, ; Manlove J et al. Journal of Adolescent Health ; 38 1: The study concluded that 88 percent of pledge-takers initiated sex prior to marriage even though some delayed sex for a while. Despite the fact that many teen parents were disadvantaged before they became parents, researchers have found associations between early parenthood and lower educational attainment and higher poverty rates among mothers 5 and poorer academic and behavioral well-being among their children. There are more evaluations than programs, because 15 program models were evaluated two or more times and differed from the original implementation based on population, setting, or program components. When relationships between younger and older partners involve sexual intercourse, it is commonly assumed that these are between partners with large age differences and, consequently, large differences in power. The tables are separated by effectiveness. Current Sex Education Programs School-based sex education programs differ dramatically in content, depending on whether they provide abstinence-only or comprehensive sex education. National Campaign to Prevent Teen Pregnancy. A recent study found that implementing evidence-based teen-pregnancy prevention programs is a cost-effective strategy to save taxpayer dollars. The article makes a strong case for a simple and powerful message: Abstinence and abstinence-only education: Are you ready to hear and respond? It's often hard to avoid this ever-present topic. Pew Research Center, , http: Sign up now Sex education: This review does not focus on the magnitude of the impacts found, but rather the number of statistically significant impacts found. Anderson M, How having smartphones or not shapes the way teens communicate, Pew Research Center, , http: This review describes the evidence base for five broad program approaches, including abstinence education, comprehensive sex education, clinic-based programs, youth development programs, and parent—youth relationship programs. Sex is an adult behavior. Reward questions by saying, "I'm glad you came to me. Only 15 percent of Americans wanted abstinence-only education taught in the classroom. National Campaign to Prevent Teen Pregnancy, Abstract Background US adolescents have high rates of teen pregnancy, childbearing, and sexually transmitted infections STIs , highlighting the need to identify and implement effective programs that will help improve teen sexual and reproductive health. False information about the effectiveness of contraceptives; False information about the risks of abortion; Religious beliefs as scientific fact; Stereotypes about boys and girls as scientific fact; and Medical and scientific errors of fact. All programs that were not found to work for any outcome are included in Table S1 , while those that worked or had mixed findings effective programs are included in Tables 1 — 5.
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