, MD , MPH , and the Committee on Adolescence Adolescent Pregnancy : Current Trends and Issues

The prevention of unintended adolescent pregnancy is an important goal of the American Academy of Pediatrics and our society. Although adolescent pregnancy and birth rates have been steadily decreasing, many adolescents still become pregnant. Since the last statement on adolescent pregnancy was issued by the Academy in 1998, efforts to prevent adolescent pregnancy have increased, and new observations, technologies, and prevention effectiveness data have emerged. The purpose of this clinical report is to review current trends and issues related to adolescent pregnancy, update practitioners on this topic, and review legal and policy implications of concern to pediatricians.

[1]  J. Saunders Adolescent Pregnancy Prevention Programs , 2005 .

[2]  J. Martin,et al.  Births to 10-14 year-old mothers, 1990-2002: trends and health outcomes. , 2004, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[3]  H. Salihu Births and deaths Bale Judith R Stoll Barbara J , 2004, The Lancet.

[4]  J. Erickson Folic acid and prevention of spina bifida and anencephaly. 10 years after the U.S. Public Health Service recommendation. , 2002, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[5]  Joann L. Robinson,et al.  Home visiting by paraprofessionals and by nurses: a randomized, controlled trial. , 2002, Pediatrics.

[6]  M. Black,et al.  Young, disadvantaged fathers' involvement with their infants: an ecological perspective. , 2002, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[7]  A. English,et al.  Nursing practice and statutory rape. Effects of reporting and enforcement on access to care for adolescents. , 2002, The Nursing clinics of North America.

[8]  L. Kann,et al.  Youth risk behavior surveillance--United States, 2001. , 2002, The Journal of school health.

[9]  J. Martin,et al.  Births: preliminary data for 2001. , 2002, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[10]  H. Boonstra Teen pregnancy: trends and lessons learned. , 2002, Issues in brief.

[11]  D. Dixon,et al.  Perspectives on Sexual and Reproductive Health Is There a Causal Link between Maltreatment and Adolescent Pregnancy? a Literature Review , 2022 .

[12]  C. Dailard Recent findings from the "Add Health" survey: teens and sexual activity. , 2001 .

[13]  D. Kirby Emerging Answers: Research Findings on Programs to Reduce Teen Pregnancy (Summary) , 2001 .

[14]  M. Resnick,et al.  Protective factors, resiliency and healthy youth development. , 2000, Adolescent medicine.

[15]  S. Curtin,et al.  Declines in teenage birth rates, 1991-98: update of national and state trends. , 1999, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[16]  C. Moore,et al.  Folic Acid for the Prevention of Neural Tube Defects , 1999, Pediatrics.

[17]  J. Darroch,et al.  Age differences between sexual partners in the United States. , 1999, Family planning perspectives.

[18]  G. Chávez,et al.  Demographic characteristics in adult paternity for first births to adolescents under 15 years of age. , 1999, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[19]  F. Furstenberg,et al.  Adolescent Females: Their Sexual Partners and the Fathers of Their Children. , 1999 .

[20]  D. Kaplan,et al.  Adolescent pregnancy--current trends and issues: 1998 American Academy of Pediatrics Committee on Adolescence, 1998-1999. , 1999, Pediatrics.

[21]  M. Felice Counseling the adolescent about pregnancy options. American Academy of Pediatrics. Committee on Adolescence. , 1998, Pediatrics.

[22]  J. A. Martin,et al.  Births and Deaths , 1972 .

[23]  L. Clark,et al.  Sexual initiation with older male partners and subsequent HIV risk behavior among female adolescents. , 1997, Family planning perspectives.

[24]  S. Ferguson,et al.  The National Campaign to Prevent Teen Pregnancy. , 1997, Journal of pediatric nursing.

[25]  Brown Ss National campaign to prevent teen pregnancy. , 1996 .

[26]  P. East,et al.  Adolescent Pregnancy and Parenting: Findings From A Racially Diverse Sample , 1996 .

[27]  P. Wingo,et al.  "Pregnancy, Abortion, and Birth Rates among US Adolescents--1980, 1985, and 1990". , 1996 .

[28]  P. Wingo,et al.  Pregnancy, abortion, and birth rates among US adolescents--1980, 1985, and 1990. , 1996, JAMA.

[29]  J. Pinto-Martin,et al.  Teen father participation in child rearing: family perspectives. , 1996, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[30]  M. Emerson,et al.  Adolescents with negative pregnancy test results. An accessible at-risk group. , 1996, JAMA.

[31]  Linda L. Dannison,et al.  Sexuality Education Programs for Youth: Current State of Affairs and Strategies for the Future , 1995 .

[32]  Haffner Dw Facing facts: sexual health for America's adolescents: the report of the National Commission on Adolescent Sexual Health. , 1995 .

[33]  D. J. Landry,et al.  How old are U.S. fathers? , 1995, Family planning perspectives.

[34]  L. Klerman,et al.  Adolescent pregnancy--another look. , 1995, The New England journal of medicine.

[35]  A. Fraser,et al.  Association of young maternal age with adverse reproductive outcomes. , 1995, The New England journal of medicine.

[36]  D. R. Mcfarlane,et al.  Sex and America's Teenagers , 1995 .

[37]  Laura Kann,et al.  Youth Risk Behavior Surveillance--United States, 1993. CDC Surveillance Summaries. , 1995 .

[38]  A. Satin,et al.  Maternal youth and pregnancy outcomes: middle school versus high school age groups compared with women beyond the teen years. , 1994, American journal of obstetrics and gynecology.

[39]  A. Desmond Adolescent pregnancy in the United States: not a minority issue. , 1994, Health care for women international.

[40]  J J Card,et al.  Evaluating teenage pregnancy prevention and other social programs: ten stages of program assessment. , 1994, Family planning perspectives.

[41]  J. Forrest Epidemiology of unintended pregnancy and contraceptive use. , 1994, American journal of obstetrics and gynecology.

[42]  J. Brooks-Gunn,et al.  Young African-American multigenerational families in poverty: quality of mothering and grandmothering. , 1994, Child development.

[43]  L. Klerman,et al.  Adolescent pregnancy and parenting: controversies of the past and lessons for the future. , 1993, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[44]  R. Goldenberg,et al.  Health Behavior and Outcomes in Sequential Pregnancies of Black and White Adolescents , 1993 .

[45]  J. Forrest Timing of Reproductive Life Stages , 1993, Obstetrics and gynecology.

[46]  Forrest Jd Timing of reproductive life stages. , 1993 .

[47]  E. Mcanarney Adolescent Pregnancy in an Urban Environment: Issues, Programs, and Evaluation , 1992 .

[48]  K. Moore,et al.  Consequences of teen-age parenting. , 1992, The Journal of school health.

[49]  S. Friedman,et al.  Comprehensive Adolescent Health Care , 1992 .

[50]  P. East,et al.  Pregnancy Risk among the Younger Sisters of Pregnant and Childbearing Adolescents , 1992, Journal of developmental and behavioral pediatrics : JDBP.

[51]  M. Sullivan The Male Role in Teenage Pregnancy and Parenting: New Directions for Public Policy , 1991 .

[52]  S. Singh,et al.  The sexual and reproductive behavior of American women, 1982-1988. , 1990, Family planning perspectives.

[53]  D. Upchurch,et al.  The Timing of a First Birth and High School Completion , 1990 .

[54]  J. Brooks-Gunn,et al.  Adolescent Mothers in Later Life , 1988 .

[55]  A. Duggan,et al.  Teenage fathers and the fathers of infants of urban, teenage mothers. , 1988, American journal of public health.

[56]  Cheryl D. Hayes Risking the Future. Adolescent Sexuality, Pregnancy, and Childbearing. Volume I. , 1987 .

[57]  W. Marsiglio Adolescent fathers in the United States: their initial living arrangements, marital experience and educational outcomes. , 1987, Family planning perspectives.

[58]  J. Jason,et al.  Child abuse in Georgia: a method to evaluate risk factors and reporting bias. , 1982, American journal of public health.

[59]  F. A. Diblasio,et al.  Adolescent Sexual Behavior , 2022 .

[60]  L. Greene,et al.  National Survey of Adolescents and Young Adults: Sexual Health Knowledge Attitudes and Experiences. , 2003 .

[61]  N. Adler,et al.  The trade-off between hormonal contraceptives and condoms among adolescents. , 2002, Perspectives on sexual and reproductive health.

[62]  S. Singh,et al.  Teenage sexual and reproductive behavior in developed countries. Can more progress be made , 2001 .

[63]  M. Emerson,et al.  Partner effects on a woman's intention to conceive: 'not with this partner'. , 2000, Family planning perspectives.

[64]  Susheela Singh,et al.  Why is Teenage Pregnancy Declining? The Roles of Abstinence, Sexual Activity and Contraceptive Use , 1999 .

[65]  W. Mosher,et al.  Trends in contraceptive use in the United States: 1982-1995. , 1998, Family planning perspectives.

[66]  L. Lindberg,et al.  A statistical portrait of adolescent sex contraception and childbearing. , 1998 .

[67]  Adams Willie J. Anderson Patsy A. Hall Amy K. Henion Myr Montalbano,et al.  Trends in sexual risk behaviors among high school students--United States, 1991-1997. , 1998, MMWR. Morbidity and mortality weekly report.

[68]  P. Donovan Can statutory rape laws be effective in preventing adolescent pregnancy? , 1997, Family planning perspectives.

[69]  D. Haffner Facing facts: sexual health for America's adolescents: the report of the National Commission on Adolescent Sexual Health. , 1995, SIECUS report.

[70]  J. Jaśkiewicz,et al.  Pregnancy during adolescence. , 1994, Pediatrics in review.

[71]  J. Fielding,et al.  Adolescent pregnancy in the United States: a review and recommendations for clinicians and research needs. , 1991, American journal of preventive medicine.

[72]  V. Meyer A critique of adolescent pregnancy prevention research: the invisible white male. , 1991, Adolescence.

[73]  American Academy of Pediatrics Committee on Adolescence: Counseling the adolescent about pregnancy options. , 1989, Pediatrics.

[74]  J. Jason Centers for Disease Control and the epidemiology of violence. , 1984, Child abuse & neglect.

[75]  J. Jason,et al.  Fatal child abuse in Georgia: the epidemiology of severe physical child abuse. , 1983, Child abuse & neglect.

[76]  M. M. Farrar Adolescent pregnancy. , 1980, Imprint.