Journal of Adolescent Health
Volume 21, Issue 3 , Pages 157-166 , September 1997

Programs and services to prevent pregnancy, childbearing, and poor birth outcomes among adolescents in rural areas of the Southeastern United States

    M.D.
  • Frank A. Loda

      Affiliations

    • Department of Community Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of International Health and Development, Tulane School of Public Health, USA
    • Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of Maternal and Child Health, University of North Carolina School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
  • , Ph.D.
  • Ilene S. Speizer

      Affiliations

    • Department of Community Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of International Health and Development, Tulane School of Public Health, USA
    • Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of Maternal and Child Health, University of North Carolina School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
  • , M.P.H.
  • Kerry L. Martin

      Affiliations

    • Department of Community Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of International Health and Development, Tulane School of Public Health, USA
    • Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of Maternal and Child Health, University of North Carolina School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
  • , Dr.P.H.
  • Julia DeClerque Skatrud

      Affiliations

    • Department of Community Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of International Health and Development, Tulane School of Public Health, USA
    • Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of Maternal and Child Health, University of North Carolina School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Corresponding Author InformationAddress reprint requests to: Julia DeClerque Skatrud, Dr.P.H., Research Associate, North Carolina Rural Health Research Program, Cecil G. Sheps Center for Health Services Research, CB No. 7590, University of North Carolina, Chapel Hill, NC 27599-7590.
  • , Dr.P.H.
  • Trude A. Bennett

      Affiliations

    • Department of Community Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of International Health and Development, Tulane School of Public Health, USA
    • Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    • Department of Maternal and Child Health, University of North Carolina School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

,Accepted 6 September 1996.

References 

  1. Alan Guttmacher Institute . Sex and America's Teenagers. San Francisco: Alan Guttmacher Institute; 1994;
  2. Congress of the United States, Office of Technology Assessment . Adolescent Health. New York: United States Government Printing Office; 1991;
  3. Yawn BP, Yawn RA. Adolescent pregnancies in rural America: A review of the literature and strategies for primary prevention. Fam Commun Health. 1993;16:36–45
  4. Walker JA, Harris L, Blum R, et al. Outlooks and insights: Understanding rural adolescents: Youth policy for rural communities. Washington, DC: 4H Youth Development, Minnesota Extension Service, University of Minnesota; 1990;
  5. Rural Adolescent Pregnancy Project . The Rural Adolescent Pregnancy Project, North Carolina Rural Health Research Program. Chapel Hill, NC: Cecil G. Sheps Center for Health Services Research, University of North Carolina; 1995;
  6. Ensminger ME. Adolescent sexual behavior as it relates to other transition behaviors in youth. In: Hofferth SE, Hayes CD editor. Risking the Future: Adolescent Sexuality, Pregnancy, and Childbearing. Vol. 2:Chapel Hill, NC: National Academy Press; 1987;
  7. Kelleher KJ, Rickert VI, Hardin BH, et al. Rurality and gender: Effects on early adolescent alcohol use. Am J Dis Child. 1992;146:317–322
  8. Firpo TH, Lewis DA. Family planning services in nonmetropolitan areas. Fam Plann Perspect. 1976;8:231–240
  9. Newacheck PW, McManus MA, Brindis C. Financing health care for adolescents: Problems, prospects, and proposals. J Adolesc Health Care. 1990;11:398–403
  10. Area Resource Files (1990). Washington, DC: U.S. Department of Health and Human Services. Health Resource and Services Administration, Bureau of Health Professions; 1996;
  11. Annie E. Casey Foundation . In: Kids Count Data Book: State Profiles of Child Well-Being. Baltimore: Annie E. Casey Foundation; 1994;
  12. Butler MA, Beale CL. Rural-urban continuum codes for metro and nonmetro counties, 1993. In: Washington, DC, Economic Research Service, U.S. Department of Agriculture: Staff Report. Baltimore: Agriculture and Rural Economy Division; 1993;
  13. Dryfoos JG. Adolescents at Risk: Prevalence and Prevention. New York: Oxford University Press; 1990;
  14. Howard M, McCabe JB. Helping teenagers postpone sexual involvement. Fam Plann Perspect. 1990;22:21–26
  15. Haignere CS, Culhane JF, Ballsley CM, Lagos P. Teachers receptiveness and comfort teaching sexuality education and using non-traditional teaching strategies. J Sch Health. 1996;66:140–144
  16. The North Carolina Coalition on Adolescent Pregnancy . The North Carolina Family Life Education Survey. New York: North Carolina Coalition on Adolescent Pregnancy; 1993;
  17. Kirby D. School-based programs to reduce sexual risk-taking behaviors. J Sch Health. 1992;62:280–287
  18. Ducey AL, Klein JD, Loda FA, et al. Caring for adolescents in North Carolina's health departments. Charlotte: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill; 1992;
  19. Koo HP, Dunteman GH, George C, et al. Reducing adolescent pregnancy through a school- and community-based intervention: Denmark, South Carolina, revisited. Fam Plann Perspect. 1994;26:206–211Koo HP, Dunteman GH, George C, et al. Reducing adolescent pregnancy through a school- and community-based intervention: Denmark, South Carolina, revisited. Fam Plann Perspect. 1994;26:217
  20. In: Henshaw SK, Van Vort J editor. 1992 ed.. Abortion Factbook. Chapel Hill, NC: Alan Guttmacher Institute; 1992;

 This study was funded by Contract no. 282-93-0038 from the U.S. Agency for Health Care Policy and Research.

PII: S1054-139X(97)00048-7

doi: 10.1016/S1054-139X(97)00048-7

Journal of Adolescent Health
Volume 21, Issue 3 , Pages 157-166 , September 1997