Document Detail

Reasons for and challenges of recent increases in teen birth rates: a study of family planning service policies and demographic changes at the state level.
MedLine Citation:
PMID:  20472207     Owner:  NLM     Status:  MEDLINE    
PURPOSE: After declining for over a decade, the birth rate in the United States for adolescents aged 15-19 years increased by 3% in 2006 and 1% again in 2007. We examined demographic and policy reasons for this trend at state level. METHODS: With data merged from multiple sources, descriptive analysis was used to detect state-level trends in birth rate and policy changes from 2000 to 2006, and variations in the distribution of teen birth rates, sex education, and family planning service policies, and demographic features across each state in 2006. Regression analysis was then conducted to estimate the effect of several reproductive health policies and demographic features on teen birth rates at the state level. Instrument variable was used to correct possible bias in the regression analysis. RESULTS: Medicaid family planning waivers were found to reduce teen birth rates across all ages and races. Abstinence-only education programs were found to cause an increase in teen birth rates among white and black teens. The increasing Hispanic population is another driving force for high teen birth rates. DISCUSSION: Both demographic factors and policy changes contributed to the increase in teen birth rates between 2000 and 2006. Future policy and behavioral interventions should focus on promoting and increasing access to contraceptive use. Family planning policies should be crafted to address the special needs of teens from different cultural backgrounds, especially Hispanics.
Zhou Yang; Laura M Gaydos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  46     ISSN:  1879-1972     ISO Abbreviation:  J Adolesc Health     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-17     Completed Date:  2010-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  517-24     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA.
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MeSH Terms
Birth Rate / trends*
Contraception / utilization
Family Planning Services / organization & administration*
Organizational Policy*
Pregnancy in Adolescence / prevention & control,  statistics & numerical data
Public Policy*
Sex Education
Sexual Abstinence
State Government*
United States
Young Adult
Comment In:
J Adolesc Health. 2010 Jun;46(6):515-6   [PMID:  20472206 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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