Journal of Adolescent Health
Volume 45, Issue 1 , Pages 25-32 , July 2009

Changing Behavioral Risk for Pregnancy Among High School Students in the United States, 1991–2007

  • John S. Santelli, M.D., M.P.H.

      Affiliations

    • Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York
    • Corresponding Author InformationAddress correspondence to: John S. Santelli, M.D., M.P.H., Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue, B2, New York, New York 10032.
  • ,
  • Mark Orr, Ph.D.

      Affiliations

    • Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York
  • ,
  • Laura D. Lindberg, Ph.D.

      Affiliations

    • Guttmacher Institute, New York, New York
  • ,
  • Daniela C. Diaz

      Affiliations

    • Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, New York

Received 22 January 2009 ,Accepted 23 April 2009.

References 

  1. Martin JA, Hamilton BE, Sutton PD, et al. Births: final data for 2005. Natl Vital Stat Rep. 2007;56(6):1–103
  2. Ventura SJ, Abma J, Mosher W, et al. Estimated pregnancy rates by outcome for the United States. 1990–2004. Natl Vital Stat Rep. 2008;56(15):
  3. Hamilton BE, Martin JA, Ventura SJ. Births: Preliminary Data for 2007. National Vital Statistics Reports, Web Release; vol. 57 no. 12. Hyattsville, MD: National Center for Health Statistics. Released March 18, 2009.
  4. Gamble S, Strauss LT, Parker W, et al. Abortion surveillance—United States, 2005. MMWR. 2008;57(SS13):1–32
  5. Santelli JS, Lindberg LD, Finer LB, et al. Explaining recent declines in adolescent pregnancy in the United States: the contribution of abstinence and improved contraceptive use. Am J Public Health. 2007;97(1):150–156
  6. Moore K. Teen Births: Examining the Recent Increase. Washington, DC: The National Campaign to Prevent Teen and Unplanned Pregnancy; 2008;
  7. Santelli JS, Abma J, Ventura S, et al. Can changes in sexual behaviors among high school students explain the decline in teen pregnancy rates in the 1990s?. J Adolesc Health. 2004;35(2):80–90
  8. Teitler JO. Trends in youth sexual initiation and fertility in developed countries: 1960–1995. Ann Am Acad Polit Soc Sci. 2002;580(1):134–152
  9. Godeau E, Gabhainn SN, Vignes C, et al. Contraceptive use by 15 year-old students at their last sexual intercourse—results from 24 countries. Arch Pediatr Adolesc Med. 2008;162(1):66–73
  10. Currie C, Gabhainn S, Godeau E, et al. Inequalities in Young People's Health: HBSC International Report from the 2005/2006 Survey. Geneva, Switzerland: World Health Organization; 2008;
  11. Santelli J, Sandfort T, Orr M. Transnational comparisons of adolescent contraceptive use: what can we learn from these comparisons?. Arch Pediatr Adolesc Med. 2008;162(1):92–94
  12. Ku L, Sonenstein FL, Lindberg LD, et al. Understanding changes in sexual activity among young metropolitan men: 1979–1995. Fam Plann Perspect. 1998;30(6):256–262
  13. Balaji A, Lowry R, Brener N, et al. Trends in HIV- and STD-related risk behaviors among high school students—United States, 1991–2007. MMWR. 2008;57(30):817–822
  14. Santelli JS, Lindberg LD, Abma J, et al. Adolescent sexual behavior: estimates and trends from four nationally representative surveys. Fam Plann Perspect. 2000;32(4):156–165
  15. Brener ND, Eaton DK, Kann L, et al. The association of survey setting and mode with self-reported health risk behaviors among high school students. Pub Opin Q. 2006;70(3):354–374
  16. Eaton DK, Lowry R, Brener ND, et al. Passive versus active parental permission in school-based survey research: does the type of permission affect prevalence estimates of risk behaviors?. Eval Rev. 2004;28(6):564
  17. Ranjit N, Bankole A, Darroch JE, et al. Contraceptive failure in the first two years of use: differences across socioeconomic subgroups. Fam Plann Perspect. 2001;33(1):19–27
  18. Kost K, Singh S, Vaughan B, et al. Estimates of contraceptive failure from the 2002 National Survey of Family Growth. Contraception. 2008;77(1):10–21
  19. Trussell J. Contraceptive efficacy. In:  Hatcher R,  Trussell J,  Stewart F, et al. editor. Contraceptive Technology. New York: Ardent Media, Inc.; 2004;p. 773–846
  20. Kohler U, Kreuter F. Data Analysis Using Stata. College Station, TX: Stata Press; 2005;
  21. Forrest JD. Contraceptive use in the United States: past, present and future. Adv Popul. 1994;2:29–48
  22. Mosher WD, Martinez GM, Chandra A, et al. Use of contraception and use of family planning services in the United States: 1982–2002. Adv Data. 2004;10(350):1–36
  23. Kirby D. Emerging Answers: Research Findings on Programs to Reduce Teen Pregnancy and Sexually Transmitted Diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy; 2007;
  24. Proctor B, Dalaker JUS. Census Bureau, Current Population Reports, P60-222, Poverty in the United States: 2002. Washington, DC: U.S. Government Printing Office; 2003;
  25. U.S. Department of Health and Human Services. Understanding AIDS: Public Health Service, Centers for Disease Control, 1988. Available at: http://profiles.nlm.nih.gov/QQ/B/D/R/L/_/qqbdrl.pdf. Accessed February 16, 2009.
  26. Cohen S. Prevention challenges: reflections on the roles of “fatigue” and “disinhibition.”. Guttmacher Rep Pub Policy. 2005;8(2):11–13
  27. Centers for Disease Control and Prevention (CDC) . Health risk behaviors among adolescents who do and do not attend school—United States, 1992. MMWR. 1994;43(8):129–132
  28. Laird J, Cataldi E, Kewal Ramani A, et al. Dropout and Completion Rates in the United States: 2006 (NCES 2008-053). Washington, DC: National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education; 2008;
  29. Santelli J, Ott MA, Lyon M, et al. Abstinence and abstinence-only education: a review of U.S. policies and programs. J Adolesc Health. 2006;38(1):72–81
  30. Yates G. Teenage pregnancy prevention programs save tax dollars. Op-Ed Archive 2006. Available from: http://www.tcwf.org/op-ed_archive/teen_pregnancy_09_01_2006.htm. Accessed February 18, 2009.
  31. Public Health Institute . Changes in teen birth rates and costs across California Senate Districts. No time for complacency policy review. 2008;
  32. Brindis C. A public health success: understanding policy changes related to teen sexual activity and pregnancy. Annu Rev Pub Health. 2006;27(1):277–295
  33. Schalet AT. Raging hormones, regulated love: adolescent sexuality and the constitution of the modern individual in the United States and the Netherlands. Body Soc. 2000;6(1):75–105
  34. Ketting E, Visser AP. Contraception in The Netherlands: the low abortion rate explained. Patient Educ Counsel. 1994;23(3):161–171
  35. Jones EF, Forrest JD, Goldman N, et al. Teenage Pregnancy in Industrialized Countries. New Haven, CT: Yale University Press; 1986;

PII: S1054-139X(09)00163-3

doi: 10.1016/j.jadohealth.2009.04.017

Journal of Adolescent Health
Volume 45, Issue 1 , Pages 25-32 , July 2009