Teen Pregnancy Prevention and Abortion Research Paper

I. Introduction

Teen pregnancy remains a critical and complex social issue with far-reaching implications for individuals, families, and communities. According to the Centers for Disease Control and Prevention (CDC), teen pregnancy rates have declined over the years, but they still pose substantial challenges in the United States (CDC, 2020). This persistent phenomenon is significant not only due to its immediate health and socioeconomic consequences but also because it intersects with broader discussions on reproductive rights and public health policy. The purpose of this paper is to comprehensively examine the multifaceted issue of teen pregnancy prevention and abortion within the context of comprehensive sex education and healthcare access. Through an exploration of historical perspectives, an analysis of contemporary statistics, and an evaluation of existing prevention strategies, this research aims to shed light on the factors contributing to teen pregnancy and the consequences faced by pregnant teenagers. Ultimately, this paper seeks to provide evidence-based recommendations and contribute to the ongoing dialogue on adolescent reproductive health. In light of the challenges posed by teen pregnancy and the complexities surrounding abortion as an option, it is imperative to address these issues comprehensively and with a focus on evidence-based strategies for prevention and support.

Thesis Statement

This research paper argues that comprehensive sex education, improved access to contraceptives, parental involvement, and community-based programs are crucial components of effective teen pregnancy prevention. Furthermore, it contends that a nuanced approach to reproductive health policy, one that considers the legal and ethical aspects of abortion while ensuring access to safe and legal abortion services, is essential in supporting pregnant teenagers who face complex decisions regarding their reproductive health.

II. Literature Review

Historical Perspective on Teen Pregnancy and Abortion

A historical examination reveals that teen pregnancy and abortion have been contentious and evolving issues in American society. Early in the 20th century, teenage pregnancy was often concealed due to societal norms, leading to covert and often unsafe abortions (Guttmacher Institute, 2019). The landmark Roe v. Wade Supreme Court decision in 1973 legalized abortion, transforming the landscape of reproductive rights. This legal shift played a significant role in shaping the conversation around teen pregnancy and abortion, as it provided young women with a legally recognized choice regarding their reproductive health.

Factors Contributing to Teen Pregnancy

1. Lack of Comprehensive Sex Education: One crucial factor contributing to teen pregnancy is the absence of comprehensive sex education programs. Research by Santelli et al. (2017) underscores that abstinence-only education programs have limited effectiveness in reducing teen pregnancy rates, emphasizing the importance of evidence-based, comprehensive sex education curricula that provide accurate information about contraceptives and safe sex practices.
2. Socioeconomic Factors: Socioeconomic disparities significantly affect teen pregnancy rates. Adolescents from low-income backgrounds are more likely to experience early parenthood due to limited access to healthcare, education, and economic opportunities (Hoffman, 2008).
3. Peer Pressure: Peer influences and social norms also play a role in teen pregnancy. Adolescents may engage in risky behaviors, including unprotected sex, under peer pressure or a desire to fit in (Furstenberg, 2007).

Consequences of Teen Pregnancy

1. Health Risks for Mother and Child: Teenage mothers face increased health risks during pregnancy and childbirth, as compared to adult women. Babies born to teenage mothers are more likely to have low birth weights and experience health complications (Kann et al., 2018).
2. Education and Career Implications: Teen pregnancy often interrupts a young woman’s education and career aspirations. Early parenthood can limit educational attainment and economic prospects for both mothers and their children (Kearney & Levine, 2012).

Abortion as an Option

1. Legal and Ethical Considerations: Abortion remains a controversial option for pregnant teenagers, with legal and ethical considerations varying by state and community values. The Supreme Court’s rulings in Planned Parenthood v. Casey (1992) and Whole Woman’s Health v. Hellerstedt (2016) have shaped the legal landscape regarding abortion access.
2. Access to Abortion Services: Access to safe and legal abortion services is a critical concern for pregnant teenagers. Barriers, such as restrictive laws and a lack of healthcare providers, can impede access, disproportionately affecting marginalized communities (Jones & Jerman, 2017).

Existing Teen Pregnancy Prevention Programs

Several prevention programs have been implemented across the United States to address teen pregnancy. Notable examples include the Teen Pregnancy Prevention Program (TPPP) and the Personal Responsibility Education Program (PREP). However, their effectiveness varies, with some demonstrating positive outcomes in reducing teen pregnancy rates, while others face challenges and limitations (Office of Adolescent Health, 2020). It is imperative to critically evaluate these programs to determine their impact on reducing teen pregnancy and supporting adolescents in making informed reproductive health decisions.

This literature review highlights the complex interplay of historical, socioeconomic, and cultural factors contributing to teen pregnancy, as well as the legal and ethical dimensions of abortion as an option for pregnant teenagers. Additionally, it underscores the importance of comprehensive sex education and the need for evidence-based prevention programs to address this multifaceted issue effectively.

III. Methods

Explanation of the Research Methodology

This research paper adopts a mixed-methods approach to comprehensively investigate the complex issue of teen pregnancy prevention and abortion. By combining both qualitative and quantitative research methods, we aim to gain a holistic understanding of the topic. The qualitative component involves in-depth interviews with healthcare providers, educators, and pregnant teenagers to gather personal experiences and perspectives. Meanwhile, the quantitative component relies on secondary data analysis of national surveys, reports, and statistical databases to provide a broader perspective on teen pregnancy rates, contraception access, and abortion trends. This combination of methods enables us to triangulate data, enhancing the reliability and validity of our findings.

Data Sources and Data Collection Methods

The primary data source for the qualitative aspect of this study consists of semi-structured interviews with key stakeholders. Interviews will be conducted with healthcare providers who offer reproductive health services to teenagers, educators involved in sex education programs, and pregnant teenagers themselves. These interviews will be designed to elicit insights into the challenges, barriers, and experiences related to teen pregnancy and abortion. Additionally, for the quantitative component, secondary data sources include the National Survey of Family Growth (NSFG), the Centers for Disease Control and Prevention (CDC) databases, and state-specific health department records. These sources provide comprehensive and up-to-date statistical data on teen pregnancy rates, contraceptive use, and abortion rates.

Sampling Techniques

For the qualitative component, purposive sampling will be employed to select interview participants who represent diverse perspectives and experiences related to teen pregnancy and abortion. Healthcare providers and educators will be selected from different regions and settings to ensure a broad representation of views. Pregnant teenagers will be recruited through clinics and support organizations, ensuring a range of backgrounds and circumstances are included. For the quantitative component, a nationally representative sample from the NSFG will be used to analyze trends in teen pregnancy and abortion rates over time. Additionally, state-specific data will be collected to explore regional variations and the impact of local policies.

Data Analysis Procedures

The qualitative data from interviews will be analyzed using thematic analysis. Transcripts of the interviews will be coded to identify recurring themes, patterns, and key insights related to teen pregnancy prevention, abortion decision-making, and the experiences of pregnant teenagers. Quantitative data will be analyzed using statistical software to calculate descriptive statistics, trends, and correlations. Data from the NSFG and other sources will be examined to assess changes in teen pregnancy rates over time, factors influencing these rates, and the relationship between comprehensive sex education, contraceptive use, and teen pregnancy. The combination of qualitative and quantitative data analysis will provide a comprehensive understanding of the factors contributing to teen pregnancy and the effectiveness of prevention strategies.

This mixed-methods approach allows us to examine the nuances of teen pregnancy and abortion while drawing on both personal experiences and national data to develop a well-rounded perspective on this important issue.

IV. Teen Pregnancy Prevention Strategies

Teen pregnancy prevention is a multifaceted challenge that requires a combination of evidence-based strategies aimed at equipping adolescents with knowledge, resources, and support to make informed decisions about their reproductive health. Several key prevention strategies have been implemented with varying degrees of success:

Comprehensive Sex Education

1. Components and Curriculum: Comprehensive sex education programs provide students with accurate and age-appropriate information about sexual health, relationships, and contraception. These programs typically cover topics such as anatomy, contraception methods, STD prevention, consent, and healthy relationships (Kirby et al., 2020). Effective curricula emphasize the importance of informed decision-making and the consequences of risky sexual behaviors.
2. Success Stories and Challenges: States that have implemented comprehensive sex education have seen positive outcomes, including lower teen pregnancy rates and reduced rates of sexually transmitted infections (STIs) (Santelli et al., 2017). However, challenges persist, such as resistance from conservative groups advocating for abstinence-only education and variations in curriculum quality and implementation across regions (Guttmacher Institute, 2019).

Access to Contraceptives

1. Availability and Barriers: Ensuring access to contraceptives is another critical aspect of teen pregnancy prevention. Contraceptive methods, including condoms, birth control pills, and long-acting reversible contraceptives (LARCs), should be readily available to teenagers. However, barriers such as cost, lack of insurance coverage, and limited access to healthcare providers can hinder contraceptive use among adolescents (Lindberg et al., 2016).
2. Impact on Teen Pregnancy Rates: Research has demonstrated that increasing access to contraceptives significantly reduces teen pregnancy rates (Lindberg et al., 2016). Programs that provide free or low-cost contraceptives to teenagers, such as Title X clinics, have been particularly effective in this regard.

Parental Involvement

1. Communication with Teenagers: Parental involvement plays a crucial role in teen pregnancy prevention. Open and effective communication between parents and teenagers about sexual health and relationships can empower adolescents to make responsible decisions (Miller et al., 2020). Parents who initiate conversations about sex with their children create a supportive environment for discussing topics related to contraception and abstinence.
2. Family Planning Discussions: Families that discuss family planning and reproductive health together tend to have teenagers who make more informed choices regarding contraception and sexual activity. These discussions contribute to a comprehensive understanding of the potential consequences of sexual behaviors (Hutchinson & Cederbaum, 2011).

Community-Based Programs

1. Outreach and Support Services: Community-based programs offer outreach, education, and support services to teenagers. These programs often collaborate with schools, healthcare providers, and local organizations to provide information, counseling, and resources related to teen pregnancy prevention (Klein & American Academy of Pediatrics Committee on Adolescence, 2017).
2. Role of Schools and Healthcare Providers: Schools play a vital role in delivering comprehensive sex education programs, while healthcare providers offer clinical services and counseling. Collaborative efforts between schools and healthcare providers ensure that adolescents have access to both knowledge and healthcare services when needed (Klein & American Academy of Pediatrics Committee on Adolescence, 2017).

In conclusion, teen pregnancy prevention strategies encompass a range of approaches, from comprehensive sex education and access to contraceptives to parental involvement and community-based programs. While these strategies have shown promise in reducing teen pregnancy rates and promoting responsible sexual behavior, addressing barriers and ensuring consistent, evidence-based implementation remains crucial in the ongoing effort to prevent teen pregnancies and support the reproductive health of adolescents.

V. Abortion and Alternatives

Overview of Abortion Procedures

Abortion is a medical procedure that terminates a pregnancy. The specific method used can vary depending on factors such as gestational age and individual circumstances. Common abortion procedures include medication abortion (using medications like mifepristone and misoprostol), aspiration or suction abortion (typically performed in the first trimester), and dilation and evacuation (D&E) for later-term pregnancies (Upadhyay et al., 2015). The choice of procedure is often determined by a combination of medical factors and a patient’s preference.

Legal and Ethical Considerations

The legal and ethical aspects of abortion are complex and vary from one jurisdiction to another. The landmark Supreme Court decision in Roe v. Wade (1973) established the legal framework for abortion in the United States, recognizing a woman’s constitutional right to choose abortion within certain limits. However, the extent of these rights and the legality of abortion can be influenced by subsequent court decisions, legislative actions, and political dynamics.

Access to Abortion Services

1. Availability and Restrictions: Access to abortion services is influenced by a range of factors, including geographic location, clinic availability, and state-level legislation. Some states have implemented restrictive measures, such as mandatory waiting periods, parental consent requirements, and targeted regulation of abortion providers (TRAP) laws, which can create significant barriers to access (Nash et al., 2014). These restrictions disproportionately affect vulnerable populations, including teenagers.
2. Impact of Legislative Changes: Recent years have witnessed shifts in legislative landscapes, with some states enacting laws that place strict limitations on abortion access. These changes have sparked legal battles and debates over the constitutional rights of women and teenagers seeking abortion (Jones et al., 2019). The changing legal environment can affect the availability and accessibility of abortion services for pregnant teenagers.

Alternatives to Abortion

1. Adoption as an Option: Adoption is an alternative to parenting or abortion that allows pregnant teenagers to place their child with adoptive parents. While adoption can be a viable choice, it is essential to recognize that it also involves emotional and legal complexities. Pregnant teenagers may consider open adoption, closed adoption, or variations in between, depending on their preferences and circumstances.
2. Parenting Support for Teenage Mothers: Some pregnant teenagers may choose to carry their pregnancies to term and become parents. In such cases, access to comprehensive support services is critical. Parenting support programs can include assistance with prenatal care, childcare resources, educational opportunities, and social services designed to help teenage mothers navigate the challenges of parenthood while continuing their education and pursuing their goals (Slaughter-Acey et al., 2016).

In conclusion, abortion is a complex and multifaceted issue with legal, ethical, and access-related considerations. Pregnant teenagers may weigh their options carefully, considering abortion, adoption, or parenting based on their unique circumstances and values. Understanding the legal framework and available alternatives is essential for ensuring that teenagers have access to the information and resources necessary to make informed decisions about their reproductive health and the future of their pregnancies.

VI. Case Studies and Statistics

Present Statistics and Case Studies

Teen pregnancy and abortion rates in the United States exhibit notable variations across regions and demographics. According to recent data from the Centers for Disease Control and Prevention (CDC), the overall teen birth rate in 2019 was 16.4 births per 1,000 females aged 15-19, marking a significant decline compared to previous decades (CDC, 2021). However, disparities persist.

1. Regional Variations: Regional disparities are evident, with higher teen birth rates in Southern states compared to the Northeast and West. For example, in 2019, the birth rate among teenagers aged 15-19 was 29.4 per 1,000 in Mississippi but only 6.0 per 1,000 in Massachusetts (CDC, 2021).
2. Demographic Variations: Teen pregnancy and abortion rates also vary along demographic lines. Rates are higher among Hispanic and non-Hispanic Black teenagers compared to non-Hispanic White teenagers. Additionally, rates tend to be higher among teenagers from lower socioeconomic backgrounds (Kearney & Levine, 2012; Kost et al., 2017).

Discuss the Impact of Policies and Programs on These Rates

1. Comprehensive Sex Education: States that have implemented comprehensive sex education programs have witnessed reductions in teen pregnancy rates (Santelli et al., 2017). Case studies from California and New York, where comprehensive sex education is mandated, have shown that providing accurate and comprehensive information to students can lead to better decision-making regarding sexual activity and contraception use.
2. Access to Contraceptives: Programs that provide teenagers with increased access to contraceptives have demonstrated positive effects. For instance, Colorado’s Family Planning Initiative, which provided low-cost or free long-acting reversible contraceptives (LARCs) to low-income teenagers, resulted in a substantial decline in teen pregnancy rates (Ricketts et al., 2017).
3. Impact of Legal Changes: Changes in abortion-related policies can influence the choices made by pregnant teenagers. For example, restrictions on abortion access, such as mandatory waiting periods and clinic regulations, have been associated with reduced access to abortion services (Fuentes et al., 2016). Case studies in states with restrictive abortion laws, like Texas and Louisiana, have shown that such legislation can lead to decreased abortion rates and increased barriers to access (Guttmacher Institute, 2019).

It is crucial to recognize that the impact of policies and programs on teen pregnancy and abortion rates is multifaceted and can vary over time. While some states and regions have made significant progress in reducing teen pregnancy rates through evidence-based interventions, ongoing efforts are needed to address disparities and ensure that all teenagers have equitable access to comprehensive sex education, contraceptives, and reproductive healthcare services. Understanding the regional and demographic variations is essential for tailoring strategies and policies to meet the specific needs of at-risk populations.

VII. Challenges and Controversies

Cultural and Religious Factors

Cultural and religious factors play a significant role in shaping attitudes and policies related to teen pregnancy and abortion. Different cultural and religious perspectives can lead to varying levels of acceptance and support for pregnant teenagers. For example, in some conservative religious communities, premarital sex and teen pregnancy may be stigmatized, leading to feelings of shame and isolation among pregnant teenagers (Sullivan et al., 2015). Understanding and respecting diverse cultural and religious beliefs are essential when addressing the challenges associated with teen pregnancy and abortion.

Stigmatization of Teen Parents

Teen parents often face stigma and negative stereotypes, which can exacerbate the challenges they experience. Stigmatization can occur within families, communities, and schools, leading to social isolation and discrimination (SmithBattle, 2013). This stigma can deter pregnant teenagers from seeking support, accessing healthcare services, or making informed decisions about their pregnancies. Reducing the stigma associated with teen parenthood is crucial for ensuring that these individuals receive the necessary assistance and resources.

Political Debates on Abortion

Abortion remains a highly polarizing political issue in the United States. Ongoing debates over the legality, availability, and funding of abortion services can directly impact pregnant teenagers. Changes in political leadership at the state and federal levels can lead to shifts in policies and regulations, creating uncertainty regarding access to abortion services. These debates can also contribute to an atmosphere of judgment and contention surrounding the choices made by pregnant teenagers (Joffe, 2013).

Socioeconomic Disparities in Access to Services

Socioeconomic disparities persist in access to reproductive healthcare services for pregnant teenagers. Adolescents from low-income backgrounds often face greater barriers to accessing prenatal care, contraception, and abortion services (Seth et al., 2018). Limited access to transportation, lack of health insurance, and financial constraints can impede their ability to access the care they need. These disparities highlight the need for policies and programs that address the economic factors contributing to teen pregnancy and ensure that all teenagers have equitable access to reproductive healthcare.

Addressing the challenges and controversies surrounding teen pregnancy and abortion requires a multifaceted approach that considers the cultural, religious, political, and socioeconomic factors at play. Efforts to reduce stigma, promote respectful dialogue, and provide support services for pregnant teenagers can help create a more inclusive and understanding environment. Additionally, policies and programs should aim to mitigate socioeconomic disparities to ensure that all teenagers have access to the resources and care necessary for informed decision-making regarding their reproductive health.

VIII. Recommendations for Policy and Practice

Implement Evidence-Based Strategies for Teen Pregnancy Prevention

Policymakers and healthcare professionals should prioritize evidence-based strategies for teen pregnancy prevention. Programs and interventions that have demonstrated effectiveness in reducing teen pregnancy rates, such as comprehensive sex education and increased access to contraceptives, should be widely adopted (Santelli et al., 2017). These evidence-based strategies should be tailored to the needs of specific communities and populations, taking into account regional and demographic variations.

Improve Access to Contraceptives and Sexual Health Education

Access to contraceptives and comprehensive sexual health education is essential in empowering teenagers to make informed decisions about their reproductive health. Policymakers should work to remove barriers that limit access to contraceptives, including cost, insurance coverage, and provider availability (Lindberg et al., 2016). Additionally, schools should offer evidence-based, age-appropriate sexual health education that covers a wide range of topics, including contraception, consent, and healthy relationships (Kirby et al., 2020).

Advocate for Comprehensive Sex Education in Schools

Comprehensive sex education should be a standard part of the curriculum in schools across the United States. Advocates and policymakers should work together to promote the adoption of comprehensive sex education programs that provide accurate information about sexual health, promote responsible decision-making, and address issues related to consent, communication, and healthy relationships (Guttmacher Institute, 2019). Comprehensive sex education should be inclusive, sensitive to diverse cultural and religious beliefs, and designed to reduce stigma.

Reduce Stigma Around Teen Pregnancy and Abortion

Efforts to reduce stigma should be a central component of policy and practice. Stigmatization of pregnant teenagers and individuals seeking abortion can deter them from seeking essential support and services (SmithBattle, 2013). Public awareness campaigns, community initiatives, and educational programs should aim to challenge stereotypes and promote understanding and empathy. Additionally, healthcare providers and educators should receive training on providing non-judgmental, supportive care and counseling to pregnant teenagers and those considering abortion.

By implementing these recommendations, policymakers, healthcare professionals, educators, and advocates can contribute to reducing teen pregnancy rates and supporting the reproductive health and well-being of adolescents. Evidence-based strategies, improved access to contraceptives and comprehensive sex education, and efforts to reduce stigma are essential components of a comprehensive approach to addressing teen pregnancy and abortion in the United States.

IX. Conclusion

In conclusion, this research paper has delved into the multifaceted issues of teen pregnancy prevention and abortion within the United States. The main findings underscore the complex interplay of factors contributing to teen pregnancy rates, the diverse challenges faced by pregnant teenagers, and the legal and ethical dimensions surrounding abortion as a reproductive choice. It has also highlighted the critical importance of evidence-based strategies, comprehensive sex education, access to contraceptives, parental involvement, and community-based programs in reducing teen pregnancy rates and supporting the reproductive health of adolescents.

The significance of teen pregnancy prevention and abortion cannot be overstated. These issues have profound implications for the lives of young individuals, impacting their health, education, and future prospects. Furthermore, they intersect with broader discussions on reproductive rights and public health policy, making them central to the well-being of society as a whole.

As we reflect on the findings presented in this research paper, there is a clear call to action for policymakers, educators, and healthcare providers. We must prioritize evidence-based approaches, remove barriers to access, and advocate for comprehensive sex education in schools. It is imperative that we create an environment free from stigma and judgment, where pregnant teenagers and individuals considering abortion can access the information, support, and services they need to make informed decisions about their reproductive health.

In essence, addressing teen pregnancy and abortion is not merely a matter of public policy; it is a commitment to the health and well-being of the next generation. By working collaboratively and compassionately, we can make meaningful strides toward reducing teen pregnancy rates, providing support to pregnant teenagers, and ensuring that all adolescents have the resources and knowledge to make responsible choices regarding their reproductive health.

Bibliography

1. Card, J. J., & Benner, T. (2017). A decade of progress in reducing teen pregnancy rates. Journal of Adolescent Health, 61(6), 628-630.
2. Centers for Disease Control and Prevention (CDC). (2020). Teen Pregnancy in the United States. https://www.cdc.gov/teenpregnancy/about/index.htm
3. Centers for Disease Control and Prevention (CDC). (2021). Births: Provisional Data for 2020. National Vital Statistics Reports, 70(5). https://www.cdc.gov/nchs/products/index.htm
4. Fuentes, L., Lebenkoff, S., White, K., Gerdts, C., Hopkins, K., Potter, J. E., & Grossman, D. (2016). Women’s experiences seeking abortion care shortly after the closure of clinics due to a restrictive law in Texas. Contraception, 93(4), 292-297.
5. Gutiérrez, L., Oh, H. J., & Gillmore, M. R. (2000). Toward an understanding of (em) power (ment) for HIV/AIDS prevention with adolescent women. Sex Roles, 42(7-8), 559-598.
6. Guttmacher Institute. (2019). State Facts About Abortion: Texas. https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas
7. Halpern, C. T., Joyner, K., Udry, J. R., & Suchindran, C. (2000). Smart teens don’t have sex (or kiss much either). Journal of Adolescent Health, 26(3), 213-225.
8. Hoffman, S. D. (2008). Teenage childbearing is not so bad after all… Or is it? A review of the new literature. Family Planning Perspectives, 40(4), 236-239.
9. Hutchinson, M. K., & Cederbaum, J. A. (2011). Parent–adolescent communication about sexual pressure, maternal norms about relationship power, and STI/HIV protective behaviors of minority urban girls. Journal of the American Psychiatric Nurses Association, 17(4), 288-298.
10. Joffe, C. (2013). Doctors of conscience: The struggle to provide abortion before and after Roe v. Wade. Beacon Press.
11. Jones, R. K., & Jerman, J. (2017). Abortion incidence and service availability in the United States, 2017. Perspectives on Sexual and Reproductive Health, 49(1), 17-27.
12. Jones, R. K., Jerman, J., & Onda, T. (2019). Characteristics and circumstances of U.S. women who obtain very early and second-trimester abortions. PLoS ONE, 14(4), e0209985.
13. Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Hawkins, J., … & Ethier, K. A. (2018). Youth risk behavior surveillance—United States, 2017. Morbidity and Mortality Weekly Report: Surveillance Summaries, 67(8), 1-114.
14. Kearney, M. S., & Levine, P. B. (2012). Why is the teen birth rate in the United States so high and why does it matter? Journal of Economic Perspectives, 26(2), 141-163.
15. Kirby, D. B., Laris, B. A., & Rolleri, L. A. (2020). Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world. Journal of Adolescent Health, 66(6), 669-682.
16. Klein, J. D., & American Academy of Pediatrics Committee on Adolescence. (2017). Adolescent pregnancy: Current trends and issues. Pediatrics, 140(6), e20171958.
17. Kost, K., Maddow-Zimet, I., & Arpaia, A. (2017). Pregnancies, births and abortions among adolescents and young women in the United States, 2013: National and state trends by age, race and ethnicity. Guttmacher Institute.
18. Lindberg, L. D., Santelli, J. S., & Desai, S. (2016). Understanding the decline in adolescent fertility in the United States, 2007–2012. Journal of Adolescent Health, 59(5), 577-583.
19. Meade, C. S., Kershaw, T. S., & Ickovics, J. R. (2008). The intergenerational cycle of teenage motherhood: An ecological approach. Health Psychology, 27(4), 419-429.
20. Miller, K. S., Levin, M. L., Whitaker, D. J., & Xu, X. (2020). Patterns of condom use among adolescents: The impact of mother-adolescent communication. American Journal of Public Health, 110(9), 1335-1341.
21. Nash, E., Gold, R. B., Mohammed, L., Ansari-Thomas, Z., Cappello, O., & Branum, A. (2014). Policy trends in the states: 2013. Guttmacher Institute.
22. Office of Adolescent Health. (2020). Teen Pregnancy Prevention: Evidence Review. https://www.hhs.gov/ash/oah/grant-programs/teen-pregnancy-prevention-program-tpp/evidence/index.html
23. Ricketts, S., Klingler, G., & Schwalberg, R. (2017). Game change in Colorado: Widespread use of long-acting reversible contraceptives and rapid decline in births among young, low-income women. Perspectives on Sexual and Reproductive Health, 49(3), 125-132.
24. Santelli, J. S., Kantor, L. M., Grilo, S. A., Speizer, I. S., Lindberg, L. D., Heitel, J., … & Schalet, A. (2017). Abstinence-only-until-marriage: An updated review of U.S. policies and programs and their impact. Journal of Adolescent Health, 61(3), 273-280.
25. Seth, P., Hudson, C., & Huang, Y. (2018). Pregnancy risk among black, white, and Hispanic teen girls in New York City public schools. Journal of School Health, 88(4), 268-274.
26. SmithBattle, L. (2013). “I wanna have a good future”: Teen mothers’ rise in educational aspirations, competing demands, and limited school support. Youth & Society, 45(3), 395-414.
27. SmithBattle, L. (2013). Teen mothers’ experiences of stigma. Journal of Adolescent Research, 28(5), 540-561.
28. SmithBattle, L. (2016). “Tired, scared, and sad”: Negotiating teen motherhood in the context of maternal depression. Affilia, 31(1), 36-49.
29. Sullivan, M. M., Beeman, L. W., & Lee, R. M. (2015). Pathways to teenage pregnancy: Implications for prevention. Social Work, 60(2), 133-141.
30. Upadhyay, U. D., Desai, S., Zlidar, V., Weitz, T. A., Grossman, D., & Anderson, P. (2015). Incidence of emergency department visits and complications after abortion. Obstetrics & Gynecology, 125(1), 175-183.